LCZ696 ameliorates lipopolysaccharide-induced endothelial injury

Aihong Gao1, Yu Wang1, Xiao Gao2

  • 1Department of Cardiology, NO.215 Hospital of Shaanxi Nuclear Industry, Xianyang 712000, China.

Aging
|April 11, 2021
PubMed

Insights

LCZ696 reduces inflammation and oxidative stress in endothelial cells damaged by lipopolysaccharide (LPS). This dual-acting drug, LCZ696, ameliorates endothelial dysfunction by inhibiting key inflammatory pathways.

Area of Science:

  • Cardiovascular Biology
  • Pharmacology
  • Immunology

Background:

  • Endothelial dysfunction induced by lipopolysaccharide (LPS) is a key factor in cardiovascular disease development.
  • LCZ696, a combined angiotensin receptor blocker and neprilysin inhibitor, is used for heart failure but may possess anti-inflammatory properties.

Purpose of the Study:

  • To investigate the anti-inflammatory and protective effects of LCZ696 on LPS-induced endothelial dysfunction.
  • To elucidate the underlying molecular mechanisms of LCZ696's action in human umbilical vascular endothelial cells (HUVECs).

Main Methods:

  • Treatment of HUVECs with LCZ696 and LPS.
  • Measurement of intracellular reactive oxygen species (ROS) and malonyl dialdehyde (MDA) levels.
  • Assessment of pro-inflammatory cytokine and chemokine expression and secretion.
  • Evaluation of cell adhesion molecule expression and monocyte adhesion.
  • Analysis of Toll-like receptor 4 (TLR4)/Myd88 pathway activation and nuclear factor kappa-B (NF-κB) translocation.

Main Results:

  • LCZ696 significantly attenuated LPS-induced oxidative stress, reducing ROS and MDA levels.
  • LCZ696 inhibited the expression and secretion of pro-inflammatory cytokines (IL-6, IL-1α, TNF-β) and chemokines (MCP-1, CXCL1).
  • LCZ696 reduced the expression of adhesion molecules (VCAM-1, P-selectin) and suppressed monocyte attachment to HUVECs.
  • LCZ696 prevented LPS-induced activation of the TLR4/Myd88 pathway and NF-κB p65 nuclear translocation.

Conclusions:

  • LCZ696 demonstrates significant anti-inflammatory properties against LPS-induced endothelial dysfunction.
  • LCZ696 protects endothelial cells by mitigating oxidative stress and inhibiting inflammatory signaling pathways.
  • These findings suggest LCZ696 has therapeutic potential beyond heart failure treatment, specifically in managing inflammatory cardiovascular conditions.

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