RESUMO
Neutrophil extracellular traps (NETs) play crucial roles in atherosclerotic cardiovascular diseases such as acute coronary syndrome (ACS). Our preliminary study shows that oxidized low-density lipoprotein (oxLDL)-induced NET formation is accompanied by an elevated intracellular Cl- concentration ([Cl-]i) and reduced cystic fibrosis transmembrane conductance regulator (CFTR) expression in freshly isolated human blood neutrophils. Herein we investigated whether and how [Cl-]i regulated NET formation in vitro and in vivo. We showed that neutrophil [Cl-]i and NET levels were increased in global CFTR null (Cftr-/-) mice in the resting state, which was mimicked by intravenous injection of the CFTR inhibitor, CFTRinh-172, in wild-type mice. OxLDL-induced NET formation was aggravated by defective CFTR function. Clamping [Cl-]i at high levels directly triggered NET formation. Furthermore, we demonstrated that increased [Cl-]i by CFTRinh-172 or CFTR knockout increased the phosphorylation of serum- and glucocorticoid-inducible protein kinase 1 (SGK1) and generation of intracellular reactive oxygen species in neutrophils, and promoted oxLDL-induced NET formation and pro-inflammatory cytokine production. Consistently, peripheral blood samples obtained from atherosclerotic ApoE-/- mice or stable angina (SA) and ST-elevation ACS (STE-ACS) patients exhibited increased neutrophil [Cl-]i and SGK1 activity, decreased CFTR expression, and elevated NET levels. VX-661, a CFTR corrector, reduced the NET formation in the peripheral blood sample obtained from oxLDL-injected mice, ApoE-/- atherosclerotic mice or patients with STE-ACS by lowering neutrophil [Cl-]i. These results demonstrate that elevated neutrophil [Cl-]i during the development of atherosclerosis and ACS contributes to increased NET formation via Cl--sensitive SGK1 signaling, suggesting that defective CFTR function might be a novel therapeutic target for atherosclerotic cardiovascular diseases.
Assuntos
Aterosclerose , Doenças Cardiovasculares , Armadilhas Extracelulares , Humanos , Camundongos , Animais , Armadilhas Extracelulares/metabolismo , Regulador de Condutância Transmembrana em Fibrose Cística/metabolismo , Doenças Cardiovasculares/metabolismo , Aterosclerose/metabolismo , Apolipoproteínas E/metabolismoRESUMO
Platelet hyperactivity is essential for thrombus formation in coronary artery diseases (CAD). Dysfunction of the cystic fibrosis transmembrane conductance regulator (CFTR) in patients with cystic fibrosis elevates intracellular Cl- levels ([Cl-]i) and enhanced platelet hyperactivity. In this study, we explored whether alteration of [Cl-]i has a pathological role in regulating platelet hyperactivity and arterial thrombosis formation. CFTR expression was significantly decreased, while [Cl-]i was increased in platelets from CAD patients. In a FeCl3-induced mouse mesenteric arteriole thrombosis model, platelet-specific Cftr-knockout and/or pre-administration of ion channel inhibitor CFTRinh-172 increased platelet [Cl-]i, which accelerated thrombus formation, enhanced platelet aggregation and ATP release, and increased P2Y12 and PAR4 expression in platelets. Conversely, Cftr-overexpressing platelets resulted in subnormal [Cl-]i, thereby decreasing thrombosis formation. Our results showed that clamping [Cl-]i at high levels or Cftr deficiency-induced [Cl-]i increasement dramatically augmented phosphorylation (Ser422) of serum and glucocorticoid-regulated kinase (SGK1), subsequently upregulated P2Y12 and PAR4 expression via NF-κB signaling. Constitutively active mutant S422D SGK1 markedly increased P2Y12 and PAR4 expression. The specific SGK1 inhibitor GSK-650394 decreased platelet aggregation in wildtype and platelet-specific Cftr knockout mice, and platelet SGK1 phosphorylation was observed in line with increased [Cl-]i and decreased CFTR expression in CAD patients. Co-transfection of S422D SGK1 and adenovirus-induced CFTR overexpression in MEG-01 cells restored platelet activation signaling cascade. Our results suggest that [Cl-]i is a novel positive regulator of platelet activation and arterial thrombus formation via the activation of a [Cl-]i-sensitive SGK1 signaling pathway. Therefore, [Cl-]i in platelets is a novel potential biomarker for platelet hyperactivity, and CFTR may be a potential therapeutic target for platelet activation in CAD.
Assuntos
Regulador de Condutância Transmembrana em Fibrose Cística , Proteínas Imediatamente Precoces , Trombose , Trifosfato de Adenosina/metabolismo , Animais , Plaquetas/metabolismo , Cloretos/metabolismo , Regulador de Condutância Transmembrana em Fibrose Cística/antagonistas & inibidores , Regulador de Condutância Transmembrana em Fibrose Cística/metabolismo , Proteínas Imediatamente Precoces/metabolismo , Camundongos , Camundongos Knockout , NF-kappa B/metabolismo , Proteínas Serina-Treonina Quinases/metabolismo , Transdução de Sinais , Trombose/metabolismoRESUMO
We developed a fast and simple analytical procedure for precise determination of U isotopic compositions in low concentration natural samples. The main advantage of the new method is that it requires only 12ng U and can obtain all U isotopic ratios without using spike. Five carbonate reference materials (JCp-1, RKM-4, RKM-5, GBW04412 and GBW04413) and 3 international standards with different matrices (IAPSO, IRMM-3184 and CRM-U010) were analyzed for ((234)U/(238)U) and (238)U/(235)U ratios by MC-ICPMS. Using our method, the results for these standards are in close agreement with the certified values, 1.144 ± 0.004, 0.966 ± 0.004 and 0.990 ± 0.003 for ((234)U/(238)U) and 137.72 ± 0.13, 137.64 ± 0.15 and 98.63 ± 0.04 for (238)U/(235)U, in IAPSO, IRMM-3184 and CRM-U010, respectively. The long-term reproducibility of ((234)U/(238)U) and (238)U/(235)U is 0.970 ± 0.002 and 137.56 ± 0.09; 1.144 ± 0.004 and 137.72 ± 0.13, respectively, for in-house U solution and IAPSO. The new ((234)U/(238)U) results for carbonates show much better precision than previous studies and also reflect their age variability. The obtained (238)U/(235)U ratios, representing the first measurements in these carbonate specimens, are rather constant. The method described here requires only 12 ng of U for analysis and can be completed in 5.2 min. The approach provides a fast method to measure ((234)U/(238)U) and (238)U/(235)U ratios in sample matrices commonly encountered in studies of chemical weathering, oceanography and paleoclimatology.