scholarly journals Can Endothelial Glycocalyx Be A Major Morphological Substrate in Pre-Eclampsia?

2020 ◽  
Vol 21 (9) ◽  
pp. 3048 ◽  
Author(s):  
Marina M. Ziganshina ◽  
Ekaterina L. Yarotskaya ◽  
Nicolai V. Bovin ◽  
Stanislav V. Pavlovich ◽  
Gennady T. Sukhikh

Today pre-eclampsia (PE) is considered as a disease of various theories; still all of them agree that endothelial dysfunction is the leading pathogenic factor. Endothelial dysfunction is a sequence of permanent immune activation, resulting in the change of both the phenotype and the functions of an endothelial cell and of the extracellular layer associated with the cell membrane—endothelial glycocalyx (eGC). Numerous studies demonstrate that eGC mediates and regulates the key functions of endothelial cells including regulation of vascular tone and thromboresistance; and these functions are disrupted during PE. Taking into account that eGC and its components undergo alterations under pathological conditions leading to endothelial activation, it is supposed that eGC plays a certain role in pathogenesis of PE. Envisaging the eGC damage as a key factor of PE, might be a new approach to prevention, treatment, and rehabilitation of patients with PE. This approach could include the development of drugs protecting eGC and promoting regeneration of this structure. Since the issue of PE is far from being solved, any effort in this direction might be valuable.

2021 ◽  
Vol 12 ◽  
Author(s):  
Solvey Pollmann ◽  
David Scharnetzki ◽  
Dominique Manikowski ◽  
Malte Lenders ◽  
Eva Brand

Fabry disease (FD) is an X-linked multisystemic lysosomal storage disease due to a deficiency of α-galactosidase A (GLA/AGAL). Progressive cellular accumulation of the AGAL substrate globotriaosylceramide (Gb3) leads to endothelial dysfunction. Here, we analyzed endothelial function in vivo and in vitro in an AGAL-deficient genetic background to identify the processes underlying this small vessel disease. Arterial stiffness and endothelial function was prospectively measured in five males carrying GLA variants (control) and 22 FD patients under therapy. AGAL-deficient endothelial cells (EA.hy926) and monocytes (THP1) were used to analyze endothelial glycocalyx structure, function, and underlying inflammatory signals. Glycocalyx thickness and small vessel function improved significantly over time (p<0.05) in patients treated with enzyme replacement therapy (ERT, n=16) and chaperones (n=6). AGAL-deficient endothelial cells showed reduced glycocalyx and increased monocyte adhesion (p<0.05). In addition, increased expression of angiopoietin-2, heparanase and NF-κB was detected (all p<0.05). Incubation of wild-type endothelial cells with pathological globotriaosylsphingosine concentrations resulted in comparable findings. Treatment of AGAL-deficient cells with recombinant AGAL (p<0.01), heparin (p<0.01), anti-inflammatory (p<0.001) and antioxidant drugs (p<0.05), and a specific inhibitor (razuprotafib) of angiopoietin-1 receptor (Tie2) (p<0.05) improved glycocalyx structure and endothelial function in vitro. We conclude that chronic inflammation, including the release of heparanases, appears to be responsible for the degradation of the endothelial glycocalyx and may explain the endothelial dysfunction in FD. This process is partially reversible by FD-specific and anti-inflammatory treatment, such as targeted protective Tie2 treatment.


2012 ◽  
Vol 111 (suppl_1) ◽  
Author(s):  
Ting Wang

With the prevalence of antiviral therapy in the developed world, many HIV-1-infected people die of diseases other than AIDS. One of the emerging major causes is cardiovascular disease, leading to the prediction that the majority of HIV-1 patients are expected to develop cardiovascular complications. Endothelial dysfunction is thought to be a key event in the development of cardiovascular diseases, particularly atherosclerosis. Assays testing the effect of HIV-1 on endothelial activation shows that direct contact with HIV-1 infected T cells enhance endothelial cell activation to a greater extent than HIV-1 alone, suggesting an intracellular HIV-1 protein is responsible for endothelial activation. The HIV-1 viral protein Nef, which is responsible for T cell activation and maintenance of high viral loads in vivo , has been shown to mediate its own transfer to bystander cells. We demonstrate here for the first time that Nef induces nanotube-like conduits connecting T cells and endothelial cells. We also show that Nef is transferred from T cells to endothelial cells via these nanotubes, and is necessary and sufficient for endothelial cell activation. Moreover, we show that SIV-infected macaques exhibit endothelial Nef expression in coronary arteries. Nef expression in endothelial cells causes endothelial apoptosis, ROS and MCP-1 production. Interestingly, a Nef SH3 binding site mutant abolishes Nef-induced apoptosis and ROS formation and reduces MCP-1 production in endothelial cells, suggesting that the Nef SH3 binding site is critical for Nef effects on endothelial cells. Nef induces apoptosis of endothelial cells through an NADPH oxidase- and ROS-dependent mechanism, while Nef-induced MCP-1 production is NF-kB dependent. Taken together, these data suggest that Nef can mediate its transfer from T cells to endothelial cells through nanotubes to enhance endothelial dysfunction.Thus, Nef is a promising new therapeutic target for reducing the risk for cardiovascular disease in the HIV-1 positive population.


2007 ◽  
Vol 362 (1484) ◽  
pp. 1445-1457 ◽  
Author(s):  
Jonathan T Butcher ◽  
Robert M Nerem

Endothelial cells are critical mediators of haemodynamic forces and as such are important foci for initiation of vascular pathology. Valvular leaflets are also lined with endothelial cells, though a similar role in mechanosensing has not been demonstrated. Recent evidence has shown that valvular endothelial cells respond morphologically to shear stress, and several studies have implicated valvular endothelial dysfunction in the pathogenesis of disease. This review seeks to combine what is known about vascular and valvular haemodynamics, endothelial response to mechanical stimuli and the pathogenesis of valvular diseases to form a hypothesis as to how mechanical stimuli can initiate valvular endothelial dysfunction and disease progression. From this analysis, it appears that inflow surface-related bacterial/thrombotic vegetative endocarditis is a high shear-driven endothelial denudation phenomenon, while the outflow surface with its related calcific/atherosclerotic degeneration is a low/oscillatory shear-driven endothelial activation phenomenon. Further understanding of these mechanisms may help lead to earlier diagnostic tools and therapeutic strategies.


2019 ◽  
pp. 154-159
Author(s):  
A. V. Pizov ◽  
N. A. Pizov ◽  
O. A. Skachkova ◽  
N. V. Pizovа

The article presents the data on the state of endothelial function in the normally and in various diseases and conditions. The basic  functions of endothelium in modulation of vascular tone, atrombogenicity and thrombogenicity of the vascular wall, regulation of  vascular wall adhesion, regulation of vascular growth are described. The main causes leading to the formation of endothelial  dysfunction and the mechanisms underlying it are highlighted. Numerous studies on the evaluation of endothelial function in  various diseases are presented. The basic methods of drug and non-drug correction of endothelial dysfunction are presented. 


Author(s):  
NE Hendricks

The microcirculation is responsible for the transfer of oxygen from the red blood cells in the capillaries to the cells to meet cellular energy requirements, support functional activity and remove carbon dioxide and waste. The microcirculation also assists in the regulation of vascular tone, solute exchange, the production of hormones, the inflammatory response and haemostasis. The identification of the endothelial glycocalyx and the assessment of the effects of disease, drugs and fluids on the microcirculation is the subject of ongoing research.


1997 ◽  
Vol 24 (9) ◽  
pp. 443-448
Author(s):  
Ken-ichi HIRATA ◽  
Seinosuke KAWASHIMA ◽  
Mitsuhiro YOKOYAMA

Author(s):  
Marcelo González ◽  
José Carlos Rivas

The endothelium is an organ with a key role in the maintenance of cardiovascular health through the regulation of vascular tone, vascular resistance, blood flow, and arterial pressure. These functions are related with the synthesis and release of vasoactive molecules, mainly vasodilators like nitric oxide (NO) and endothelium-derived hyperpolarizing factor (EDHF). Both factors are released and diffused from endothelial cells to the smooth muscle cells, where there is a subsequent activation of signaling pathways that finally decrease the intracellular calcium to induce the vascular relaxation. The study of the molecular mechanisms that underlie the endothelial function still is in development, but from the evidence obtained from the endothelial cells in vitro studies are possible to partially describe the pathways to regulate the physiological endothelial function and the disturbances in pathological conditions. In this mini-review, we describe the main mechanisms for NO synthesis and the role of potassium channels related with EDHF. We include schemes and graphical summaries for better understanding of the molecular regulation of vascular tone in the human cardiovascular system.


Blood ◽  
2015 ◽  
Vol 126 (23) ◽  
pp. 1039-1039
Author(s):  
Eelke Béguin ◽  
Bart van den Eshof ◽  
Koen Mertens ◽  
Alexander Meijer ◽  
Maartje van den Biggelaar

Abstract Endothelial dysfunction is associated with a variety of vascular disease processes, including hypertension, hypercholesterolemia, diabetes and atherosclerosis. The molecular mechanisms that underlie endothelial dysfunction are poorly understood, but are associated with endothelial activation by pro-inflammatory cytokines. Although transcriptional profiling has revealed cytokine-induced regulation of mRNA levels of various proteins, including the cell surface adhesion molecules Vascular Cell Adhesion Molecule 1 (VCAM1) and Intercellular Adhesion Molecule 1 (ICAM1), cell surface alterations at the protein level have remained largely unexplored. Unraveling these cell surface alterations is key to identify novel inflammation-markers and putative therapeutic targets to treat endothelial dysfunction. Therefore, the aim of this study is to probe cytokine-induced cell surface changes on endothelial cells. We have developed a novel quantitative cell surface proteomics method by combining metabolic labeling and cell surface foot printing. Briefly, Blood Outgrowth Endothelial Cells (BOECs) were metabolically labeled using Stable Isotope Labeling with Amino acids in Cell culture (SILAC) and treated with Interleukin 1β (IL1ß) or Tumor necrosis factor α (TNFα) or mock treated for 24 hours. Lysine residues available on the cell surface were labeled using a non-membrane permeable N -hydroxysuccinimidobiotin label. Pooled cell lysates were processed into peptides, biotinylated peptides were enriched using streptavidin pull-down, desalted using Empore C18 StageTips, subjected to high resolution chromatography, measured at the Orbitrap Fusion Tribrid Mass Spectrometer and analyzed using the MaxQuant and Perseus computational platform. Using this approach, 2526 biotinylated peptides were identified. The majority of the biotinylated peptides showed a SILAC ratio close to 1, indicating an unaltered cell surface presence. However, for 397 biotinylated peptides, the SILAC ratio was more than 2-fold increased or decreased in the cytokine-stimulated samples and we considered these to be regulated. Gene Ontology (GO)-term enrichment analysis of the corresponding proteins was assessed using BioMart. This analysis revealed a clear enrichment of the GO terms 'extracellular region' and 'extracellular space', supporting the applied approach. Hierarchical clustering of the regulated biotinylated peptides revealed a cluster of proteins with an increased cell surface expression after induction by both IL1ß and TNFα. In addition, two clusters of proteins were identified that show a unique footprint for one of the cytokine-stimulated samples, indicating that IL1ß and TNFα induce specific cell surface alterations. As expected, the most prominent changes were detected in ICAM1 and VCAM1. For ICAM1 6 peptides were identified with SILAC ratios 13.5 ± 1.75 (mean ± standard deviation) upon TNFα and 6.6 ± 2.9 upon IL1ß stimulation. For VCAM1 4 peptides were identified with ratios of 20.8 ± 14.3 (TNFα) and 3.2 ± 0.5 (IL1ß). Secondly, an increased presence of Human Leukocyte Antigen (HLA) and Beta-2-Microglobulin (B2M), part of the self-antigen presenting complex, was detected. Six peptides of HLA were increased on average 4.0 times ± 2.5 (TNFα) and 1.8 ± 0.6 (IL1ß). B2M peptides identified showed comparable values: 3.3 ± 1.1 (TNFα) and 1.7 ± 0.2 (IL1ß). These proteins are present on the cell surface in complex, thereby confirming the validity of our approach. Moreover, all biotinylated peptides identified for ICAM1, VCAM1 and HLA are in the extracellular region, further validating our method. Intriguingly, our approach not only identified the established adhesion molecules ICAM1 and VCAM1, but also a variety of other adhesion molecules involved in cell-cell interactions. More importantly, we also identified increased expression of proteins with other biological functions, including basement membrane proteins, ion channels, tyrosine phosphatase receptors, enzymes and protease inhibitors. In conclusion, we developed a novel mass spectrometry-based cell surface proteomics method to quantify cytokine-induced cell surface alterations. Our approach not only enabled a detailed quantification at the protein level for established inflammatory cell surface markers, but also revealed a variety of potential novel targets for intervention of endothelial activation and dysfunction. Disclosures No relevant conflicts of interest to declare.


2006 ◽  
Vol 291 (3) ◽  
pp. H985-H1002 ◽  
Author(s):  
Michel Félétou ◽  
Paul M. Vanhoutte

Endothelial cells synthesize and release various factors that regulate angiogenesis, inflammatory responses, hemostasis, as well as vascular tone and permeability. Endothelial dysfunction has been associated with a number of pathophysiological processes. Oxidative stress appears to be a common denominator underlying endothelial dysfunction in cardiovascular diseases. However, depending on the pathology, the vascular bed studied, the stimulant, and additional factors such as age, sex, salt intake, cholesterolemia, glycemia, and hyperhomocysteinemia, the mechanisms underlying the endothelial dysfunction can be markedly different. A reduced bioavailability of nitric oxide (NO), an alteration in the production of prostanoids, including prostacyclin, thromboxane A2, and/or isoprostanes, an impairment of endothelium-dependent hyperpolarization, as well as an increased release of endothelin-1, can individually or in association contribute to endothelial dysfunction. Therapeutic interventions do not necessarily restore a proper endothelial function and, when they do, may improve only part of these variables.


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