PERK Inhibition Mitigates Restenosis and Thrombosis

Autor: Yitao Huang, Shahid M Nimjee, Go Urabe, Debra G Wheeler, David J. Dornbos, Bowen Wang, Allyson Huttinger, Guojun Chen, Mengxue Zhang, Lian-Wang Guo, K. Craig Kent, Shaoqin Gong
Rok vydání: 2020
Předmět:
0301 basic medicine
STAT3
signal transducer and activator of transcription 3

Cell
SMC
smooth muscle cell

DMSO
dimethyl sulfoxide

030204 cardiovascular system & hematology
ATF
activating transcription factor

PDGF
platelet-derived growth factor

PRECLINICAL RESEARCH
0302 clinical medicine
siRNA
small interfering ribonucleic acid

Restenosis
PDGF-BB
platelet-derived growth factor with 2 B subunits

I/M
intima to media

GFP
green fluorescent protein

Neointimal hyperplasia
TNF
tumor necrosis factor

Ad
adenovirus

Hyperplasia
Thrombosis
endothelial cells
smooth muscle cells
3. Good health
Endothelial stem cell
IRE1
inositol-requiring kinase 1

medicine.anatomical_structure
SMA
smooth muscle actin

Cardiology and Cardiovascular Medicine
PERK
endocrine system
Thrombogenicity
IEL
internal elastic lamina

CHOP
CCAAT-enhancer-binding protein homologous protein

eIF2
eukaryotic translation initiation factor 2

ER
endoplasmic reticulum

MRTF-A
myocardin related transcription factor A

restenosis
IH
intimal hyperplasia

03 medical and health sciences
Tissue factor
FBS
fetal bovine serum

medicine
DES
drug-eluting stents

thrombosis
EC
endothelial cell

business.industry
PERK
protein kinase RNA-like endoplasmic reticulum kinase

medicine.disease
SRF
serum response factor

030104 developmental biology
Cancer research
business
HA
hemagglutinin
Zdroj: JACC: Basic to Translational Science
ISSN: 2452-302X
DOI: 10.1016/j.jacbts.2019.12.005
Popis: Visual Abstract
Highlights • Drug-eluting stents impede neointimal smooth muscle cell hyperplasia but exacerbate endothelial cell dysfunction and thrombogenicity. It has been a challenge to identify a common target to inhibit both. Findings in this study suggest PERK as such a target. • A PERK inhibitor administered either via an endovascular (in biomimetic nanocarriers) or perivascular (in hydrogel) route effectively mitigated neointimal hyperplasia in rats. • Oral gavage of the PERK inhibitor partially preserved the normal blood flow in a mouse model of induced thrombosis. • Dampening PERK activity inhibited STAT3 while activating SRF in smooth muscle cells, and also reduced prothrombogenic tissue factor and growth impairment of endothelial cells.
Summary Developing endothelial-protective, nonthrombogenic antirestenotic treatments has been a challenge. A major hurdle to this has been the identification of a common molecular target in both smooth muscle cells and endothelial cells, inhibition of which blocks dysfunction of both cell types. The authors’ findings suggest that the PERK kinase could be such a target. Importantly, PERK inhibition mitigated both restenosis and thrombosis in preclinical models, implicating a low-thrombogenic antirestenotic paradigm.
Databáze: OpenAIRE