Marine-Derived Piericidin Diglycoside S18 Alleviates Inflammatory Responses in the Aortic Valve via Interaction with

Shunyi Li1, Jianglian She2,3, Jingxin Zeng1,4

  • 1State Key Laboratory of Organ Failure Research, Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.

Insights

Piericidin diglycoside S18 combats calcific aortic valve disease (CAVD) by reducing inflammation and mitochondrial stress in human aortic valve interstitial cells (HAVICs). This compound shows therapeutic potential for CAVD by directly interacting with interleukin-37.

Area of Science:

  • Biochemistry and Molecular Biology
  • Cardiovascular Research
  • Pharmacology

Background:

  • Calcific aortic valve disease (CAVD) is a common condition in the elderly, leading to valve dysfunction.
  • Osteoblastic differentiation of human aortic valve interstitial cells (HAVICs) driven by inflammation is key to CAVD.
  • Current treatments for CAVD are limited, highlighting the need for novel therapeutic agents.

Purpose of the Study:

  • To investigate the anti-inflammatory effects of piericidin glycosides on human aortic valve interstitial cells (HAVICs).
  • To elucidate the mechanism of action of S18, a specific piericidin diglycoside, in mitigating inflammation and mitochondrial stress.
  • To evaluate the therapeutic potential of S18 in a mouse model of calcific aortic valve disease (CAVD).

Main Methods:

  • Lipopolysaccharide (LPS) was used to induce inflammatory responses in HAVICs.
  • The effect of S18 on LPS-induced inflammation, mitochondrial stress, and interleukin-37 (IL-37) expression was assessed.
  • IL-37 knockdown using siRNA was performed to confirm its role in S18's anti-inflammatory action.
  • Aortic valve lesions were analyzed in IL-37 transgenic mice treated with S18.
  • Microscale thermophoresis (MST) and docking analysis were used to study the binding activity of piericidin analogues with IL-37.

Main Results:

  • S18 significantly suppressed LPS-induced inflammatory responses and mitochondrial stress in HAVICs in an IL-37-dependent manner.
  • Knockdown of IL-37 exacerbated inflammation and mitochondrial stress, while also blocking the anti-inflammatory effects of S18.
  • S18 treatment alleviated aortic valve lesions in a mouse model of CAVD.
  • Piericidin diglycosides, unlike monoglycosides, demonstrated significant IL-37 binding activity.

Conclusions:

  • Piericidin diglycoside S18 directly binds to IL-37, suppressing inflammatory responses in HAVICs and reducing aortic valve lesions in mice.
  • S18 represents a promising therapeutic candidate for preventing the progression of calcific aortic valve disease (CAVD).
  • Targeting the IL-37 pathway with S18 offers a novel strategy for managing CAVD.