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Published on: June 16, 2014
[Expression and localization of the nuclear factor-κB classical signaling pathway in the radial artery of diabetic
Lei Huang1, Wen Chen1, Yifan Zhu1
1Department of Thoracic & Cardiovascular Surgery, Nanjing Hospital Affiliated to Nanjing Medical University, Nanjing 210006, China.
Insights
Diabetic patients undergoing coronary artery bypass grafting show increased expression of nuclear factor-κB (NF-κB) pathway components in their radial arteries. This suggests NF-κB activation contributes to vascular changes in diabetic patients undergoing CABG.
Area of Science:
- Vascular Biology
- Immunology
- Diabetology
Context:
- Coronary artery bypass grafting (CABG) is a common surgical procedure.
- Diabetes mellitus is a significant risk factor for cardiovascular disease and influences graft patency.
- The radial artery is frequently used as a conduit in CABG surgery.
Purpose:
- To investigate the expression and localization of key components of the nuclear factor-κB (NF-κB) signaling pathway.
- To compare these findings between diabetic and non-diabetic patients undergoing CABG.
- To assess the role of NF-κB in radial artery pathology in the context of diabetes.
Summary:
- Diabetic patients exhibited significantly thickened radial artery intima with inflammation and foam cell infiltration compared to non-diabetic patients.
- Expression levels of NF-κB pathway factors (IKKβ, P50, P65) and inflammatory cytokines (TNF-α, eNOS) were significantly higher in the radial artery intima of diabetic patients.
- These proteins were predominantly localized in the intimal layer cells of diabetic patients' radial arteries.
Impact:
- This study highlights the heightened activation of the NF-κB pathway in the radial artery of diabetic patients undergoing CABG.
- Findings suggest that NF-κB signaling contributes to the observed vascular intimal changes in diabetic patients.
- Understanding this pathway's role may inform future therapeutic strategies to improve CABG outcomes in diabetic populations.
Objective:
To observe the expression and localization of the nuclear factor-κB (NF-κB) classic signaling pathway in the radial artery of the coronary artery bypass grafting (CABG) patients with diabetes and non-diabetes.
Methods:
Samples of radial artery from 36 cases of diabetic and non-diabetic patients were randomly collected from January 2012 to December 2012.In the diabetic group there were 13 male cases, 5 female cases, with an average age of (69 ± 6) years.In non-diabetes group there were 13 male cases, 5 female cases, with an average age of (70 ± 6) years.HE staining techniques was used to test the morphology of radial artery. Immunohistochemical techniques was then used to test the expression and localization of key factors (inhibitor of kappa B kinase β (IKKβ), P50, P65, tumor necrosis factor-α (TNF-α) and endothelial nitric oxide synthase (eNOS)) in the NF-κB classical signaling pathway in the two groups of patients.
Results:
The radial artery intima was signifiantly thickened in the diabetic patients when compared with non-diabetic patients by HE staining. And there wss a lot of inflammation and foam cell infiltration in the radial artery intima of the diabetic patients. Using immunohistochemical techniques the expression of IKKβ, P50, P65 in diabetic group were obviously higher than non-diabetic group (4.4 ± 0.5 vs. 1.1 ± 0.6, 4.8 ± 0.7 vs. 1.2 ± 0.7, 4.2 ± 0.4 vs. 1.6 ± 0.7, t = 18.238, 15.052, 13.535, all P < 0.01).In the aspect of inflammatory cytokines, the expression of TNF-α and eNOS factors in diabeics group were significantly higher than non-diabetic group (5.5 ± 0.5 vs.1.4 ± 0.7, 3.3 ± 0.5 vs. 0.8 ± 0.4, t = 20.118, 16.764, all P < 0.01) also. And the five kinds of protein were mainly located in radial artery intima layer cells in diabetic patients.
Conclusions:
Expression levels of 5 key factors in NF-κB classic signaling pathway are significantly higher in radial artery intimal layer of diabetic patients than non-diabetic patient's. And Positive signals are more concentrated in the radial artery intima layer of cells.
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