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Yusan Chou1, Cheng-Ho Tsai, Kwo-Chang Ueng

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Arsenic trioxide (As(2)O(3)), an anti-cancer drug, was found to inhibit endothelial gap junctions in both cell cultures and rats. This drug reduces connexin43 (Cx43) expression and gap-junction communication, impacting vascular endothelium function.

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Area of Science:

  • Cardiovascular Biology
  • Cell Biology
  • Pharmacology

Background:

  • Endothelial gap junctions are crucial for vascular homeostasis.
  • Arsenic trioxide (As(2)O(3)) is an anti-cancer agent with potential vascular effects.
  • Understanding As(2)O(3)'s impact on endothelial function is vital for patient safety.

Purpose of the Study:

  • To investigate the effects of As(2)O(3) on endothelial gap junctions.
  • To evaluate the impact of As(2)O(3) on connexin43 (Cx43) expression and gap-junction communication.
  • To assess As(2)O(3)'s influence on endothelial nitric oxide synthase (eNOS) and nitric oxide (NO) levels.

Main Methods:

  • Human aortic endothelial cells (HAEC) were treated with varying concentrations of As(2)O(3).
  • Expression of Cx43, eNOS, and NO levels were measured in vitro.
  • Male Sprague-Dawley rats received intravenous As(2)O(3) or saline for 4 weeks, with subsequent analysis of aortic endothelial gap junctions, eNOS, and NO.

Main Results:

  • As(2)O(3) reduced HAEC Cx43 transcripts, gap junctions, and gap-junction communication.
  • Protease inhibitors prevented the As(2)O(3)-induced decrease in Cx43 gap junctions.
  • In rats, As(2)O(3) decreased endothelial gap junctions (Cx37, Cx40, Cx43) but did not alter eNOS or NO levels.

Conclusions:

  • As(2)O(3) inhibits gap-junction communication in the vascular endothelium.
  • The reduction in Cx43 involves transcriptional down-regulation and increased degradation.
  • While As(2)O(3) affects endothelial cells and rat models, its impact on eNOS and NO differs between in vitro and in vivo settings.