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Published on: January 12, 2024
Selective Rac-1 inhibition protects from diabetes-induced vascular injury
Carmine Vecchione1, Alessandra Aretini, Gennaro Marino
1Department of AngioCardioNeurology, IRCCS NEUROMED, Località Camerelle, 86077 Pozzilli, Italy.
Abstract:
Diabetes mellitus is a main risk factor for vascular diseases. Vascular injury induced by diabetes mellitus is characterized by endothelial dysfunction attributable to an increased oxidative stress. So far, the molecular mechanisms involved in the vasculotoxic effects of diabetes are only partially known. We examined the effect of diabetes mellitus on oxidative stress and Rac-1 activation, a small G-protein involved in the activation of NADPH oxidase. Our results show that oxidative stress in vessels of different murine models of diabetes mellitus and in endothelial cells treated with high glucose is associated with an increased Rac-1/PAK binding and Rac-1 translocation from cytosol to plasma membrane, thus demonstrating an enhanced Rac-1 activity. More important, selective Rac-1 inhibition by an adenoviral vector carrying a dominant negative mutant of Rac-1 protected from oxidative stress and vascular dysfunction induced by diabetes mellitus. Our study demonstrates that Rac-1 plays a crucial role in diabetes-induced vascular injury, and it could be a target of novel therapeutic approaches to reduce vascular risk in diabetes mellitus.
Insights
Diabetes mellitus causes vascular damage through oxidative stress and Rac-1 activation. Inhibiting Rac-1 protects against this diabetes-induced vascular injury, offering a potential therapeutic target.
Area of Science:
- Cardiovascular Biology
- Metabolic Diseases
- Molecular Medicine
Background:
- Diabetes mellitus is a primary risk factor for vascular diseases.
- Diabetic vasculopathy involves endothelial dysfunction driven by oxidative stress.
- The precise molecular pathways of diabetes-induced vascular damage are not fully understood.
Purpose of the Study:
- To investigate the role of oxidative stress and Rac-1 activation in diabetes-induced vascular injury.
- To determine if Rac-1 is a key mediator in the vasculotoxic effects of diabetes.
Main Methods:
- Utilized murine models of diabetes mellitus and high glucose-treated endothelial cells.
- Assessed oxidative stress markers and Rac-1 activity (including Rac-1/PAK binding and translocation).
- Employed adenoviral vector-mediated dominant-negative Rac-1 inhibition to assess protective effects.
Main Results:
- Diabetes and high glucose significantly increased oxidative stress and Rac-1 activity in vascular tissues and endothelial cells.
- Enhanced Rac-1 activity was evidenced by increased Rac-1/PAK binding and translocation to the plasma membrane.
- Selective inhibition of Rac-1 using a dominant-negative mutant conferred protection against oxidative stress and vascular dysfunction.
Conclusions:
- Rac-1 plays a critical role in mediating vascular injury associated with diabetes mellitus.
- Targeting Rac-1 presents a promising therapeutic strategy for mitigating vascular complications in diabetic patients.
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