VE-PTP inhibition elicits eNOS phosphorylation to blunt endothelial dysfunction and hypertension in diabetes

Mauro Siragusa1,2, Alberto Fernando Oliveira Justo1, Pedro Felipe Malacarne3

  • 1Institute for Vascular Signalling, Centre for Molecular Medicine, Goethe University, Theodor-Stern-Kai 7, D-60590 Frankfurt am Main, Germany.

Abstract

Insights

Vascular endothelial protein tyrosine phosphatase (VE-PTP) inhibition lowers blood pressure in diabetic patients by enhancing nitric oxide (NO) production and improving endothelial function. This approach offers a promising new therapy for diabetes-induced hypertension and vascular dysfunction.

Area of Science:

  • Cardiovascular Research
  • Endothelial Cell Biology
  • Pharmacology

Background:

  • Receptor-type vascular endothelial protein tyrosine phosphatase (VE-PTP) dephosphorylates key proteins in endothelial cells, including Tie-2, CD31, VE-cadherin, and VEGFR2, which are critical for shear stress response and endothelial nitric oxide synthase (eNOS) activation.
  • VE-PTP expression is elevated in diabetes, contributing to endothelial dysfunction and hypertension.

Purpose of the Study:

  • To investigate the effects of VE-PTP inhibition using AKB-9778 on blood pressure in diabetic patients.
  • To elucidate the role of VE-PTP in regulating eNOS activity and vascular reactivity in the context of diabetes.

Main Methods:

  • Administered AKB-9778 to diabetic patients and assessed blood pressure changes.
  • Evaluated NO generation in cultured endothelial cells and vascular relaxation in mouse aortic rings.
  • Investigated molecular mechanisms of eNOS regulation, including phosphorylation and kinase activity, in response to VE-PTP inhibition and shear stress mimicry (Yoda1).
  • Examined VE-PTP interaction with eNOS and its dephosphorylation activity in vitro.
  • Assessed eNOS phosphorylation and endothelial function in diabetic mouse models.

Main Results:

  • AKB-9778 significantly reduced systolic and diastolic blood pressure in diabetic patients.
  • VE-PTP inhibition increased NO production in endothelial cells and induced NOS inhibitor-sensitive relaxation in aortic rings.
  • VE-PTP inhibition enhanced eNOS phosphorylation at Tyr81 and Ser1177, an effect amplified by Yoda1.
  • Abelson-tyrosine protein kinase (ABL)1 and Src were identified as key kinases for eNOS Tyr81 phosphorylation.
  • VE-PTP directly dephosphorylated eNOS Tyr81 in vitro and formed a complex with eNOS.
  • Phosphorylation of eNOS Tyr80 was reduced in diabetic mice, and VE-PTP inhibition ameliorated diabetes-induced endothelial dysfunction.

Conclusions:

  • VE-PTP inhibition improves endothelial function and lowers blood pressure by enhancing eNOS activity.
  • This occurs through both indirect activation of the Tie-2 and CD31/VE-cadherin/VEGFR2 complex, and direct dephosphorylation of eNOS Tyr81.
  • VE-PTP inhibition represents a promising therapeutic strategy for managing diabetes-induced endothelial dysfunction and hypertension.

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