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Published on: May 17, 2024
Uric Acid Induces Endothelial Dysfunction by Activating the HMGB1/RAGE Signaling Pathway
Wei Cai1, Xi-Mei Duan2, Ying Liu3
1Department of Endocrinology and Metabolism, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, China; Department of Medical Genetics and Cell Biology, Medical College of Nanchang University, Nanchang, Jiangxi 330006, China.
High uric acid levels cause endothelial dysfunction by activating the HMGB1/RAGE pathway, leading to inflammation and reduced nitric oxide production. Blocking RAGE can prevent these harmful effects.
Area of Science:
- Cardiovascular Biology
- Endothelial Cell Function
- Inflammation Research
Background:
- Endothelial dysfunction is linked to inflammation and elevated uric acid (UA).
- High mobility group box chromosomal protein 1 (HMGB1) is an inflammatory cytokine implicated in endothelial dysfunction.
- The receptor for advanced glycation end products (RAGE) mediates inflammatory responses.
Purpose of the Study:
- To investigate the role of the HMGB1/RAGE signaling pathway in uric acid-induced endothelial dysfunction.
- To evaluate the effects of high UA concentrations on endothelial cells and related inflammatory markers.
Main Methods:
- Human umbilical vein endothelial cells (HUVECs) were exposed to high UA concentrations (20 mg/dL).
- Assessed endothelial function, nitric oxide (NO) production, and expression of HMGB1, RAGE, NF-κB, inflammatory cytokines, and adhesion molecules.
- Investigated the effect of RAGE blockade on UA-induced changes.
Main Results:
- High UA inhibited endothelial nitric oxide synthase (eNOS) expression and NO production.
- UA increased intracellular and extracellular HMGB1, upregulated RAGE expression, and activated NF-κB.
- Blocking RAGE reversed UA-induced HMGB1/RAGE upregulation, NF-κB activation, and restored eNOS expression and NO production.
Conclusions:
- High uric acid induces endothelial dysfunction through the HMGB1/RAGE signaling pathway.
- Targeting the HMGB1/RAGE pathway may offer a therapeutic strategy for UA-related endothelial dysfunction.
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