Vascular stiffness and aging are critical contributors to cardiovascular diseases. Whether betulinic acid (BA), a natural triterpenoid, alleviates vascular aging remains unclear. Mouse aortic smooth muscle cells (MASMCs) with oleic acid (OA)-induced lipotoxic senescence were treated with BA (30 μM). Transcriptomic analysis and functional assays were conducted. In vivo, ApoE-/- mice fed a high-fat diet received oral BA (25 mg/kg/day) for 14 weeks. OA-induced lipotoxic senescence was associated with overactivation of peroxisome proliferator-activated receptor alpha (PPAR-α)/fatty acid oxidation (FAO) signaling, which was attenuated by BA intervention. Molecular docking suggested that BA binds to the Arg226 site of PPAR-α, which was further supported by surface plasmon resonance analysis. BA significantly reduced OA-induced expression of P16, P21, and P53 (p -/- mice, BA intervention reduced vascular pulse wave velocity (2.7 ± 0.32 vs. 3.3 ± 0.45 m/s, p vs. 0.137 ± 0.018 mm, p < 0.05). BA attenuates MASMC lipotoxic senescence and aortic metabolism-associated vascular aging by inhibiting PPAR-α/carnitine palmitoyl transferase 1A-mediated FAO, suggesting a potential metabolic-targeted strategy for preventing lipid-associated vascular aging.
Lu et al. (Sat,) studied this question.