Vinpocetine alleviates the abdominal aortic aneurysm progression via VSMCs SIRT1-p21 signaling pathway

Hong-Qin Yang1,2, Zhi-Wei Li2, Xi-Xi Dong2

  • 1Baotou Medical College, Baotou, 014040, Inner Mongolia Autonomous Region, China.

PubMed

Insights

Vinpocetine may treat abdominal aortic aneurysm (AAA) by reducing vascular smooth muscle cell (VSMC) senescence. This effect is dependent on Sirtuin1 (SIRT1), offering a potential new therapy for AAA.

Area of Science:

  • Vascular Biology
  • Aging Research
  • Pharmacology

Background:

  • Abdominal aortic aneurysm (AAA) is a significant cause of mortality, particularly in older adults.
  • Cellular senescence in vascular smooth muscle cells (VSMCs) is a key factor in AAA development.
  • Cyclic nucleotide phosphodiesterase 1C (PDE1C) exacerbates AAA by promoting VSMC senescence via Sirtuin1 (SIRT1) downregulation.

Purpose of the Study:

  • To investigate if vinpocetine, a PDE1 inhibitor, can alleviate AAA by targeting the SIRT1 pathway.
  • To determine the role of SIRT1 in vinpocetine's potential therapeutic effects on AAA.

Main Methods:

  • Utilized an elastase-induced AAA mouse model.
  • Administered vinpocetine pre-treatment to mice.
  • Assessed aneurysmal dilation, aortic rupture, elastin degradation, matrix metalloproteinase (MMP) activity, macrophage infiltration, reactive oxygen species (ROS) production, collagen remodeling, and VSMC senescence.
  • Examined effects in VSMC-specific SIRT1 knockout mice.
  • Investigated vinpocetine's impact on VSMC migration, proliferation, and senescence, and its effect on SIRT1 degradation via autophagy.

Main Results:

  • Vinpocetine pre-treatment significantly prevented aneurysmal dilation and reduced aortic rupture in AAA mice.
  • Vinpocetine treatment decreased elastin degradation, MMP activity, macrophage infiltration, ROS production, collagen remodeling, and VSMC senescence.
  • These protective effects were abolished in VSMC-specific SIRT1 knockout mice, highlighting SIRT1's crucial role.
  • Vinpocetine inhibited VSMC migration, proliferation, and senescence.
  • Vinpocetine reduced SIRT1 degradation by inhibiting lysosome-mediated autophagy.

Conclusions:

  • Vinpocetine demonstrates potential as a therapeutic agent for AAA.
  • The therapeutic mechanism involves alleviating VSMC senescence through a SIRT1-dependent pathway.
  • Vinpocetine's ability to inhibit SIRT1 degradation via autophagy is key to its protective effects in AAA.