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[Protective effect of insulin-like growth factor-1 on vascular endothelial function in hypercholesterolemia and the
Shaokui Ji1, Qilin Ma, Xiuju Luo
1Department of Cardiology, Xiangya Hospital, Central South University, Changsha 410008,China.
Insights
Lower serum insulin-like growth factor-1 (IGF-1) is linked to vascular endothelial dysfunction in hypercholesterolemia. IGF-1 protects endothelial cells from damage and senescence, potentially via the DDAH/ADMA pathway.
Area of Science:
- Cardiovascular Research
- Endocrinology
- Vascular Biology
Background:
- Hypercholesterolemia is associated with impaired vascular endothelial function.
- Insulin-like growth factor-1 (IGF-1) plays a role in vascular health.
- The precise mechanisms linking IGF-1 to endothelial dysfunction in hypercholesterolemia require elucidation.
Purpose of the Study:
- To investigate the relationship between serum IGF-1 levels and vascular endothelial function in hypercholesterolemia patients.
- To explore the underlying mechanisms, including the role of asymmetric dimethylarginine (ADMA) and nitric oxide (NO).
- To assess the protective effects of IGF-1 on endothelial cells in vitro.
Main Methods:
- Serum analysis of IGF-1, ADMA, NO, and nitric oxide synthase (NOS) activity in 25 hypercholesterolemia patients and controls.
- In vitro endothelial cell injury model using oxidized low-density lipoprotein (ox-LDL) on human umbilical vein endothelial cells (HUVECs).
- Assessment of ADMA, NOS, NO, dimethylarginine dimethylamine hydrolase (DDAH) activity, and cellular senescence.
Main Results:
- Hypercholesterolemia patients exhibited reduced flow-mediated arterial diastolic function (FMD), lower IGF-1 and NO, and elevated ADMA levels.
- Serum IGF-1 positively correlated with FMD, while ADMA negatively correlated with FMD.
- Ox-LDL induced endothelial cell senescence and dysfunction, which was significantly attenuated by IGF-1 treatment.
Conclusions:
- Decreased serum IGF-1 may contribute to vascular endothelial dysfunction in hypercholesterolemia.
- IGF-1 demonstrates a protective effect against ox-LDL-induced endothelial cell senescence.
- The protective mechanism of IGF-1 likely involves the regulation of the DDAH/ADMA pathway.
Objective:
To investigate the relationship between insulin-like growth factor-1 (IGF-1) in the serum and the vascular endothelial function in patients with hypercholesterolemia and the underlying mechanism.
Methods:
We examined the flow-mediated arterial diastolic function (FMD), the levels of IGF-1, asymmetric dimethylarginine (ADMA), NO, and the activity of nitric oxide synthase (NOS) in the serum from 25 patients with hypercholesterolemia and from healthy controls. An endothelial cell injury model was established by incubation of the human umbical vein endothelial cells (HUVECs) with oxidized low-density lipoprotein (ox-LDL) for 24 hours. Cells were treated with IGF-1 30 min before ox-LDL treatment. The levels of ADMA, NOS, and NO in the cell supernatant, the activity of dimethylarginine dimethylamine hydrolase (DDAH) in the cell lysate were measured. Beta-galactosidase staining was used to assess the degree of endothelial cell senescence by calculating the senescence rate of cells.
Results:
Compared with the control group, the FMD, the levels of IGF-1 and NO, and the activity of NOS in the serum from patients with hypercholesterolemia decreased significantly accompanied with a dramatic increase at ADMA level. Multiple linear regression analysis showed that the change in IGF-1 was positively correlated with FMD while the change in ADMA was negatively correlated with FMD. Compared with the control group, ox-LDL treatments significantly decreased the activities of DDAH and NOS, and the level of NO, accompanied with an increase in ADMA. Betagalactosidase staining showed that the senescence rate of cells increased in the ox-LDL group. The effect of ox-LDL on HUVECs was significantly attenuated at the presence of IGF-1.
Conclusion:
The decrease in IGF-1 in the peripheral blood may contribute to vascular endothelial dysfunction in patients with hypercholesterolemia. IGF-1 can protect HUVECs against ox-LDL-induced senescence, which is likely involved in the regulation of DDAH/ADMA pathway.
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