Angiopoietin-2 reverses endothelial cell dysfunction in progeria vasculature

Sahar Vakili1, Elizabeth K Izydore1, Leonhard Losert1

  • 1Department of Cell Biology and Molecular Genetics, University of Maryland, College Park, Maryland, USA.

Aging Cell
|October 18, 2024
PubMed

Insights

Hutchinson-Gilford progeria syndrome (HGPS) involves toxic progerin protein, causing endothelial cell dysfunction and cardiovascular disease. Angiopoietin-2 (Ang2) levels are reduced in HGPS, and restoring Ang2 shows therapeutic potential for HGPS cardiovascular complications.

Area of Science:

  • Cardiovascular Biology
  • Genetics
  • Cell Biology

Background:

  • Hutchinson-Gilford progeria syndrome (HGPS) is a rare genetic disorder characterized by premature aging.
  • Cardiovascular diseases (CVD), including atherosclerosis, heart attack, and stroke, are the primary cause of mortality in HGPS patients.
  • Endothelial cell (EC) dysfunction is a key factor in the pathogenesis of HGPS-related CVD, but the underlying mechanisms remain unclear.

Purpose of the Study:

  • To investigate the role of progerin in endothelial cell dysfunction and communication disruptions in HGPS.
  • To identify molecular factors involved in HGPS-related vascular pathology.
  • To explore the therapeutic potential of Angiopoietin-2 (Ang2) in mitigating HGPS-associated cardiovascular complications.

Main Methods:

  • Antibody array screening of healthy and HGPS patient endothelial cell secretomes.
  • Analysis of Angiopoietin-2 (Ang2) mRNA and protein levels in HGPS mouse models.
  • In vitro experiments involving the addition of Ang2 to HGPS endothelial cells.
  • Assessment of endothelial cell function, gene expression, nitric oxide bioavailability, and paracrine effects.
  • Utilizing adenine base editor (ABE)-corrected HGPS cells and progerin-expressing HUVECs.
  • Investigating the Ang2-Tie2-Akt signaling pathway.

Main Results:

  • Angiopoietin-2 (Ang2) was identified as a down-regulated signaling molecule in HGPS endothelial cells and aortas.
  • Ang2 supplementation rescued vasculogenesis, normalized endothelial cell migration and gene expression, and restored nitric oxide bioavailability in HGPS cells.
  • Ang2 reversed the detrimental paracrine effects of HGPS endothelial cells on vascular smooth muscle cells.
  • A negative correlation between progerin expression and Ang2 levels was observed.
  • Ang2 demonstrated beneficial effects in endothelial cells via Tie2 receptor binding and Akt pathway activation.

Conclusions:

  • Progerin negatively regulates Ang2 expression, contributing to endothelial cell dysfunction in HGPS.
  • Ang2 plays a critical role in maintaining endothelial cell function and vascular health.
  • Ang2 treatment represents a promising therapeutic strategy for cardiovascular diseases associated with Hutchinson-Gilford progeria syndrome.