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Structure-Guided Design and Development of Novel Cyclophilin A Inhibitors and Ganoderiol-F Derivatives: An In-Silico Approach
Published on: June 23, 2026
Cyclosporine inhibition of angiogenesis involves the transcription factor HESR1
Gaurang Shah1, Frank A Middleton, Karen L Gentile
1Department of Surgery, SUNY Upstate Medical University, Syracuse, New York 13210, USA.
Purpose:
Angiogenesis is critical in normal development and in tumor growth. Experimentally, cyclosporine A (CyA) inhibits angiogenesis in an in vivo mouse model and an in vitro capillary tube model. The mechanisms behind its antiangiogenic effects are not well characterized. To determine which nuclear factor, if any, may be involved in the antiangiogenic effects of CyA, we performed a microarray analysis of human aortic endothelial cells (HAEC) subjected to CyA and another calcineurin inhibitor, FK 506.
Methods:
HAEC were divided into four groups: (1) HAEC incubated with CyA 2 microg/mL; (2) HAEC incubated with CyA 10 microg/mL; (3) HAEC incubated with FK 506 1 microg/mLl for 24 h; and (4) HAEC as control. We used Affymetrix GeneChip U133-A for gene expression analysis and validated our results with quantitative reverse transcription-polymerase chain reaction.
Results:
At a 2 microg/mL dose, CyA treated HAEC revealed a 44-fold increase in the expression of hairy enhancer of split-related protein 1 (HESR1) and 1.73-fold down-regulation of transcripts encoding for the vascular endothelial growth factor (VEGF) receptor (VEGFR2). At 10 microg/mL, the expression of the HESR1 transcript was 57-fold higher than control, and VEGFR2 exhibited a 1.93-fold down-regulation. Quantitative reverse transcription-polymerase chain reaction confirmed a significant (P < 0.0001) increase in expression of HESR1 in CyA treated cells. In contrast, the expression level of HESR1 was not affected by the FK 506 treatment.
Conclusion:
CyA demonstrate antiangiogenic activities linked to an overexpression of HESR1 transcription factor, and down-regulation of VEGFR2. Thus, use of high-dose CyA may provide a novel treatment in angiogenesis dependent disease.
Insights
Cyclosporine A (CyA) inhibits angiogenesis by increasing HESR1 expression and decreasing VEGFR2. This suggests high-dose CyA may treat diseases dependent on blood vessel growth.
Area of Science:
- Molecular Biology
- Cell Biology
- Immunology
Background:
- Angiogenesis is crucial for development and tumor growth.
- Cyclosporine A (CyA) experimentally inhibits angiogenesis.
- Mechanisms of CyA's antiangiogenic effects require further elucidation.
Purpose of the Study:
- Investigate nuclear factors involved in CyA's antiangiogenic effects.
- Analyze gene expression changes in human aortic endothelial cells (HAEC) treated with CyA and FK 506.
- Identify specific molecular pathways targeted by CyA.
Main Methods:
- HAEC were treated with varying doses of CyA (2 and 10 microg/mL) or FK 506 (1 microg/mL).
- Gene expression profiling was performed using Affymetrix GeneChip U133-A.
- Quantitative reverse transcription-polymerase chain reaction (RT-PCR) validated key findings.
Main Results:
- CyA treatment significantly increased hairy enhancer of split-related protein 1 (HESR1) expression (44- to 57-fold).
- CyA treatment down-regulated vascular endothelial growth factor receptor 2 (VEGFR2) transcripts (1.73- to 1.93-fold).
- FK 506 did not affect HESR1 expression, indicating a CyA-specific effect.
Conclusions:
- CyA exhibits antiangiogenic properties.
- Overexpression of HESR1 and down-regulation of VEGFR2 are key mechanisms.
- High-dose CyA presents a potential novel therapeutic strategy for angiogenesis-dependent diseases.
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