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Published on: August 20, 2019
Impaired Vitamin D Signaling in Endothelial Cell Leads to an Enhanced Leukocyte-Endothelium Interplay: Implications
Milica Bozic1, Ángeles Álvarez2, Carmen de Pablo2
1Nephrology Research Department, IRB Lleida, Lleida, Spain.
Insights
Low vitamin D receptor (VDR) levels in endothelial cells promote inflammation and increase leukocyte adhesion, contributing to atherosclerosis development. Restoring VDR signaling is crucial for preventing cardiovascular damage.
Area of Science:
- Cardiovascular Science
- Endocrinology
- Immunology
Background:
- Endothelial cell activation drives atherosclerosis initiation and progression.
- Vitamin D deficiency is linked to increased cardiovascular damage.
- The role of basal vitamin D receptor (VDR) levels in early atherosclerosis is unclear.
Purpose of the Study:
- To investigate the role of basal VDR levels in endothelial cells on leukocyte recruitment.
- To assess VDR's impact on endothelial cell adhesion molecule expression.
- To understand VDR's role in early atherosclerosis development.
Main Methods:
- VDR knockdown in endothelial cells (shVDR) was performed.
- Leukocyte-endothelial cell interactions were analyzed in vitro.
- NF-κB pathway activation was assessed.
- Atherosclerotic lesion development was studied in VDR-deficient mice (apoE-/-VDR-/-).
Main Results:
- VDR knockdown increased VCAM-1, ICAM-1, and IL-6 expression.
- Reduced PBMC rolling velocity and increased adhesion were observed in shVDR cells.
- VDR deficiency in mice led to larger aortic lesions and higher macrophage content.
- NF-κB pathway activation mediated VDR knockdown-induced endothelial activation.
Conclusions:
- Basal VDR signaling in endothelial cells limits inflammation and leukocyte recruitment.
- VDR deficiency promotes endothelial activation and exacerbates atherosclerosis.
- Endothelial VDR is a key factor in preventing early atherosclerotic lesion formation.
Abstract:
Endothelial cell activation leading to leukocyte recruitment and adhesion plays an essential role in the initiation and progression of atherosclerosis. Vitamin D has cardioprotective actions, while its deficiency is a risk factor for the progression of cardiovascular damage. Our aim was to assess the role of basal levels of vitamin D receptor (VDR) on the early leukocyte recruitment and related endothelial cell-adhesion-molecule expression, as essential prerequisites for the onset of atherosclerosis. Knockdown of VDR in endothelial cells (shVDR) led to endothelial cell activation, characterized by upregulation of VCAM-1, ICAM-1 and IL-6, decreased peripheral blood mononuclear cell (PBMC) rolling velocity and increased PBMC rolling flux and adhesion to the endothelium. shVDR cells showed decreased IκBα levels and accumulation of p65 in the nucleus compared to shRNA controls. Inhibition of NF-κB activation with super-repressor IκBα blunted all signs of endothelial cell activation caused by downregulation of VDR in endothelial cells. In vivo, deletion of VDR led to significantly larger aortic arch and aortic root lesions in apoE-/- mice, with higher macrophage content. apoE-/-VDR-/-mice showed higher aortic expression of VCAM-1, ICAM-1 and IL-6 when compared to apoE-/-VDR+/+ mice. Our data demonstrate that lack of VDR signaling in endothelial cells leads to a state of endothelial activation with increased leukocyte-endothelial cell interactions that may contribute to the more severe plaque accumulation observed in apoE-/-VDR-/- mice. The results reveal an important role for basal levels of endothelial VDR in limiting endothelial cell inflammation and atherosclerosis.
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