KAT7 contributes to ponatinib-induced hypertension by promoting endothelial senescence and inflammatory responses

Liang-Liang Tang1, Xin-Yu Xu1, Mei Zhang2,3

  • 1Department of Pharmacy and Cardiology, Harbin Medical University (HMU) Cancer Hospital, Institute of Metabolic Disease, Heilongjiang Academy of Medical Science, Heilongjiang Key Laboratory for Metabolic Disorders and Cancer related Cardiovascular Diseases.

PubMed
Abstract

Insights

Ponatinib-induced hypertension is linked to increased KAT7, causing endothelial cell senescence and inflammation via H3K14 acetylation and NF-κB signaling. Inhibiting KAT7 with WM-3835 improved hypertension and endothelial dysfunction.

Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • Pharmacology

Background:

  • Ponatinib, a tyrosine kinase inhibitor (TKI), is known to cause hypertension through mechanisms that are not fully understood.
  • Lysine acetyltransferase 7 (KAT7) is a regulator of cellular senescence implicated in cardiovascular diseases.

Purpose of the Study:

  • To investigate the role of KAT7 in ponatinib-induced hypertension.
  • To elucidate the molecular mechanisms linking ponatinib treatment to hypertension.

Main Methods:

  • Administration of ponatinib and a KAT7 inhibitor (WM-3835) to Sprague-Dawley rats.
  • Measurement of blood pressure, vasodilation, and endothelial function.
  • Analysis of KAT7 expression, H3K14 acetylation, and NF-κB signaling in endothelial cells and rat mesenteric arteries.

Main Results:

  • Ponatinib treatment increased blood pressure, impaired endothelial-dependent relaxation, and induced endothelial cell injury in rats.
  • KAT7 expression was upregulated in rat mesenteric artery endothelial cells (MAECs) after ponatinib treatment.
  • Inhibition of KAT7 with WM-3835 ameliorated ponatinib-induced hypertension and endothelial dysfunction.
  • Overexpression of KAT7 in MAECs induced cellular senescence and inflammation, mimicking effects of ponatinib.
  • Ponatinib and KAT7 overexpression promoted H3K14 acetylation and activated NF-κB signaling, leading to increased IL-6 and IL-8, which were mitigated by WM-3835 and BAY 11-7085.

Conclusions:

  • Ponatinib-induced hypertension is mediated by elevated KAT7, leading to endothelial cell senescence and inflammation.
  • The mechanism involves H3K14 acetylation and activation of the NF-κB signaling pathway.
  • Targeting KAT7 may offer a therapeutic strategy for managing ponatinib-induced hypertension.

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