RRC ID 60788
著者 Lin FY, Shih CM, Huang CY, Tsai YT, Loh SH, Li CY, Lin CY, Lin YW, Tsai CS.
タイトル Dipeptidyl Peptidase-4 Inhibitor Decreases Allograft Vasculopathy Via Regulating the Functions of Endothelial Progenitor Cells in Normoglycemic Rats.
ジャーナル Cardiovasc Drugs Ther
Abstract PURPOSE:Chronic rejection induces the occurrence of orthotopic allograft transplantation (OAT) vasculopathy, which results in failure of the donor organ. Numerous studies have demonstrated that in addition to regulating blood sugar homeostasis, dipeptidyl peptidase-4 (DPP-4) inhibitors can also provide efficacious therapeutic and protective effects against cardiovascular diseases. However, their effects on OAT-induced vasculopathy remain unknown. Thus, the aim of this study was to investigate the direct effects of sitagliptin on OAT vasculopathy in vivo and in vitro.
METHODS:The PVG/Seac rat thoracic aorta graft to ACI/NKyo rat abdominal aorta model was used to explore the effects of sitagliptin on vasculopathy. Human endothelial progenitor cells (EPCs) were used to investigate the possible underlying mechanisms.
RESULTS:We demonstrated that sitagliptin decreases vasculopathy in OAT ACI/NKyo rats. Treatment with sitagliptin decreased BNP and HMGB1 levels, increased GLP-1 activity and stromal cell-derived factor 1α (SDF-1α) expression, elevated the number of circulating EPCs, and improved the differentiation possibility of mononuclear cells to EPCs ex vivo. However, in vitro studies showed that recombinant B-type natriuretic peptide (BNP) and high mobility group box 1 (HMGB1) impaired EPC function, whereas these phenomena were reversed by glucagon-like peptide 1 (GLP-1) receptor agonist treatment.
CONCLUSIONS:We suggest that the mechanisms underlying sitagliptin-mediated inhibition of OAT vasculopathy probably occur through a direct increase in GLP-1 activity. In addition to the GLP-1-dependent pathway, sitagliptin may regulate SDF-1α levels and EPC function to reduce OAT-induced vascular injury. This study may provide new prevention and treatment strategies for DPP-4 inhibitors in chronic rejection-induced vasculopathy.
巻・号 35(6)
ページ 1111-1127
公開日 2021-12-1
DOI 10.1007/s10557-020-07013-w
PII 10.1007/s10557-020-07013-w
PMID 32623597
MeSH Animals Aorta, Thoracic / transplantation* Chemokine CXCL12 / drug effects Dipeptidyl-Peptidase IV Inhibitors / pharmacology* Endothelial Progenitor Cells / drug effects* Glucagon-Like Peptide 1 / drug effects HMGB1 Protein / drug effects Hypoglycemic Agents / pharmacology* Male Natriuretic Peptide, Brain / drug effects Rats Rats, Inbred ACI Sitagliptin Phosphate / pharmacology* Transplantation, Homologous Vascular Diseases / physiopathology*
IF 4.069
引用数 0
リソース情報
ラット PVG/Seac (StrainID=113) ACI/NKyo (StrainID=6)