Proline betaine facilitates angiogenesis in bronchopulmonary dysplasia

Wangdui Cili1, Zhiye Qi1, Qinghua Zhong1

  • 1Department of Pediatrics, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province 650032, China.

Insights

Proline betaine, a natural compound, promotes blood vessel growth and reduces lung damage in a model of bronchopulmonary dysplasia (BPD). This suggests its potential as a new treatment for BPD in infants.

Area of Science:

  • Neonatal Medicine
  • Pharmacology
  • Pulmonary Biology

Background:

  • Bronchopulmonary dysplasia (BPD) is a common and severe lung disease in preterm infants.
  • It is characterized by abnormal lung development and significant morbidity.
  • Current treatments for BPD are limited, highlighting the need for novel therapeutic strategies.

Purpose of the Study:

  • To investigate the therapeutic potential of proline betaine in a preclinical model of BPD.
  • To explore the mechanisms by which proline betaine may exert its effects on lung development and injury.

Main Methods:

  • Network pharmacology was used to identify potential targets of proline betaine relevant to BPD.
  • In vitro studies assessed proline betaine's effects on human umbilical vein endothelial cells (HUVECs) to evaluate proliferation and angiogenesis.
  • An in vivo hyperoxia-induced BPD rat model was employed to assess pulmonary injury, angiogenesis, and fibrosis.

Main Results:

  • Proline betaine demonstrated significant pro-angiogenic effects on HUVECs in vitro, enhancing tube formation and capillary length in a dose-dependent manner.
  • In the BPD rat model, proline betaine treatment improved lung structure by increasing alveolarization and reducing collagen deposition.
  • Mechanistically, proline betaine upregulated VEGF and VEGFR2 expression and activated the MEK/ERK pathway, which was crucial for its therapeutic effects.

Conclusions:

  • Proline betaine effectively enhances angiogenesis and mitigates pulmonary injury in a BPD model.
  • The therapeutic benefits are mediated through the MEK/ERK signaling pathway.
  • Proline betaine shows promise as a novel therapeutic agent for managing bronchopulmonary dysplasia in neonates.
Abstract

Related Concept Videos

Regulation of Angiogenesis and Blood Supply01:24

Regulation of Angiogenesis and Blood Supply

Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits.  Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl...
2.5K
Mechanism of Angiogenesis01:10

Mechanism of Angiogenesis

Blood vessel formation starts early during embryonic development, around day 7. In the extraembryonic yolk sac, mesodermal precursor cells called hemangioblast proliferate and differentiate into angioblast. Angioblasts express vascular endothelial growth factor receptor 2 or VEGFR2, which binds VEGF-A, a proangiogenic factor, guiding blood vessel formation. VEGF signaling promotes angioblasts to form a blood island in the developing embryo. Angioblasts further differentiate, giving rise to...
5.2K
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists01:23

Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists

Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
141