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Published on: November 17, 2018
The antiatherogenic function of kallistatin and its potential mechanism
Gang Wang1, Jin Zou1, Xiaohua Yu2
1Department of Cardiology, The First Affiliated Hospital of University of South China, Institute of Cardiovascular Disease, Key Laboratory for Atherosclerology of Hunan Province, Hunan International Scientific and Technological Cooperation Base of Arteriosclerotic Disease, Medical Research Experiment Center, Hunan Province Cooperative Innovation Center for Molecular Target New Drug Study, Hengyang Medical College, University of South China, Hengyang 421001, China.
Insights
Kallistatin, a protein found in human serum, shows promise in combating atherosclerosis. Lower levels correlate with severe coronary artery disease, suggesting kallistatin as a potential therapeutic target.
Area of Science:
- Cardiovascular Research
- Biochemistry
- Molecular Biology
Background:
- Atherosclerosis is a primary driver of global cardiovascular disease mortality.
- Kallistatin, a serine proteinase inhibitor, interacts with multiple receptors to regulate biological processes.
- Reduced circulating kallistatin levels are observed in coronary artery disease patients.
Purpose of the Study:
- To review the antiatherogenic functions of kallistatin.
- To elucidate the mechanisms by which kallistatin impacts atherosclerosis.
- To explore kallistatin's potential as a biomarker and therapeutic target.
Main Methods:
- Literature review focusing on kallistatin's role in atherosclerosis.
- Analysis of in vitro and in vivo experimental data.
- Examination of kallistatin's interactions with its known receptors.
Main Results:
- Kallistatin inhibits vascular inflammation, endothelial dysfunction, and improves lipid metabolism.
- Kallistatin's signaling modulation affects angiogenesis, inflammation, and oxidative stress.
- Decreased kallistatin levels correlate inversely with coronary artery disease severity.
Conclusions:
- Kallistatin exhibits significant antiatherogenic properties.
- Kallistatin's mechanisms involve modulating key biological pathways relevant to atherosclerosis.
- Kallistatin represents a potential novel biomarker and therapeutic strategy for atherosclerosis.
Abstract:
Atherosclerosis is the pathological basis of most cardiovascular diseases, the leading cause of morbidity and mortality worldwide. Kallistatin, originally discovered in human serum, is a tissue-kallikrein-binding protein and a unique serine proteinase inhibitor. Upon binding to its receptor integrin β3, lipoprotein receptor-related protein 6, nucleolin, or Krüppel-like factor 4, kallistatin can modulate various signaling pathways and affect multiple biological processes, including angiogenesis, inflammatory response, oxidative stress, and tumor growth. Circulating kallistatin levels are significantly decreased in patients with coronary artery disease and show an inverse correlation with its severity. Importantly, both in vitro and in vivo experiments have demonstrated that kallistatin reduces atherosclerosis by inhibiting vascular inflammation, antagonizing endothelial dysfunction, and improving lipid metabolism. Thus, kallistatin may be a novel biomarker and a promising therapeutic target for atherosclerosis-related diseases. In this review, we focus on the antiatherogenic function of kallistatin and its potential mechanism.
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