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

Thrombosis Research
|October 24, 2007
PubMed

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.

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