Arsenite Inhibits Tissue-Type Plasminogen Activator Synthesis through NRF2 Activation in Cultured Human Vascular

Tsuyoshi Nakano1, Tsutomu Takahashi1, Chika Yamamoto2

  • 1Department of Environmental Health, School of Pharmacy, Tokyo University of Pharmacy and Life Sciences, 1432-1 Horinouchi, Hachioji 192-0392, Japan.

Insights

Chronic arsenic exposure impairs blood vessel function by reducing fibrinolysis. Arsenite inhibits tissue-type plasminogen activator (t-PA) synthesis via the NRF2 pathway, contributing to atherosclerosis progression.

Area of Science:

  • Toxicology
  • Cardiovascular Biology
  • Cell Biology

Background:

  • Chronic arsenic exposure is linked to atherosclerosis progression.
  • The precise mechanisms of arsenic-induced atherosclerosis remain unclear.
  • Disruption of the blood coagulation/fibrinolytic system contributes to arteriosclerosis.

Purpose of the Study:

  • To investigate the impact of arsenite on fibrinolytic activity in human vascular endothelial cells.
  • To elucidate the role of the tissue-type plasminogen activator (t-PA) and plasminogen activator inhibitor 1 (PAI-1) balance in arsenite's effects.
  • To determine the involvement of the Nuclear Factor erythroid 2 related factor 2 (NRF2) pathway.

Main Methods:

  • Cultured human vascular endothelial EA.hy926 cells were treated with arsenite.
  • Fibrinolytic activity, t-PA, and PAI-1 levels were measured.
  • The effects of reactive oxygen species (ROS) scavenger Trolox and NRF2-knockdown were assessed.

Main Results:

  • Arsenite significantly reduced fibrinolytic t-PA activity by inhibiting its synthesis, without affecting PAI-1 production.
  • The inhibitory effect of arsenite on t-PA expression was partially reversed by Trolox.
  • Arsenite activated the NRF2 pathway, and NRF2 knockdown abrogated the inhibition of t-PA activity.

Conclusions:

  • Arsenite inhibits the fibrinolytic activity of t-PA through selective suppression of its synthesis.
  • The NRF2 pathway, activated by arsenite via ROS, mediates the inhibition of t-PA synthesis.
  • These findings highlight a novel mechanism in arsenic-induced vascular dysfunction and atherosclerosis.