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C-reactive protein increases plasminogen activator inhibitor-1 expression in human endothelial cells
Changyi Chen1, Bicheng Nan, Peter Lin
1The Molecular Surgeon Research Center, Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, United States. jchen@bcm.tmc.edu
Insights
C-reactive protein (CRP) increases plasminogen activator inhibitor-1 (PAI-1) in endothelial cells. This effect involves oxidative stress and the p38 signaling pathway, suggesting mechanisms for cardiovascular disease development.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Cellular Signaling
Background:
- C-reactive protein (CRP) is a key inflammatory marker linked to cardiovascular disease (CVD).
- The direct impact of CRP on endothelial cell function and gene expression, particularly PAI-1, remains incompletely understood.
- Plasminogen activator inhibitor-1 (PAI-1) plays a crucial role in fibrinolysis and is implicated in thrombotic events.
Purpose of the Study:
- To investigate the effects of C-reactive protein (CRP) on plasminogen activator inhibitor-1 (PAI-1) expression in human endothelial cells.
- To elucidate the molecular mechanisms underlying CRP-induced PAI-1 expression, including receptor involvement and signaling pathways.
- To determine if CRP influences PAI-1 expression across various human endothelial cell types.
Main Methods:
- Human coronary artery endothelial cells (HCAEC) and other endothelial cell types were treated with varying concentrations and durations of CRP.
- PAI-1 mRNA, protein levels, and enzyme activity were quantified.
- CD32 receptor expression, MAPK p38 phosphorylation, and the effects of antioxidant curcumin were assessed.
Main Results:
- CRP significantly upregulated PAI-1 mRNA, protein, and enzyme activity in HCAEC in a dose- and time-dependent manner.
- CRP treatment increased CD32 receptor expression and enhanced MAPK p38 phosphorylation.
- The CRP-induced PAI-1 expression was confirmed in multiple endothelial cell types and was inhibited by anti-CD32 antibody and curcumin.
Conclusions:
- C-reactive protein (CRP) significantly elevates PAI-1 expression in human endothelial cells, including HCAEC.
- CRP-induced PAI-1 expression is potentially mediated through oxidative stress and the p38 signaling pathway, possibly involving the CD32 receptor.
- These findings provide insights into the molecular mechanisms linking inflammation and endothelial dysfunction in cardiovascular disease.
Abstract:
C-reactive protein (CRP) is an inflammatory marker which predicts cardiovascular disease. However, it is not fully understood whether CRP has direct effects on endothelial functions and gene expression. The purpose of current study was to determine the effects and molecular mechanisms of CRP on the expression of plasminogen activator inhibitor-1 (PAI-1) in human endothelial cells. Human coronary artery endothelial cells (HCAEC) were treated with CRP at clinically relevant concentrations for different durations. PAI-1 mRNA, protein and enzyme activities were studied. The effects of CRP on MAPK p38 phosphorylation was also studied by Bio-Plex luminex immunoassay. In addition, other types of human endothelial cells isolated from umbilical vein, skin, and lung microvessels were tested. CRP significantly increased PAI-1 mRNA levels in a time- and concentration-dependent manner. The protein level and enzyme activity of PAI-1 in the supernatant of CRP-treated HCAEC cultures were significantly increased. Anti-CD32 antibody effectively blocked CRP-induced PAI-1 mRNA expression. In addition, CRP significantly increased CD32 mRNA levels and enhanced phosphorylation of MAPK p38. Furthermore, antioxidant curcumin dramatically inhibited CRP-induced PAI-1 mRNA expression. The effect of CRP on PAI-1 expression was also confirmed in other types of human endothelial cells. In conclusion, CRP significantly increased the expression of PAI-1 in HCAEC and other human endothelial cells. CRP also increased its receptor CD32 expression which may further enhance its action. CRP-induced PAI-1 expression may be mediated by oxidative stress and p38 signal pathway as antioxidant effectively blocks the effect of CRP on HCAEC.
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