Key result
Sera from patients with Kawasaki disease activated the Ca2+/NFAT signaling pathway in human coronary artery endothelial cells, leading to dysfunction and inflammation that was ameliorated by Cyclosporine A.
Why the study?
The Ca2+/NFAT regulation of coronary artery endothelial cells and consequent dysfunction in Kawasaki disease pathogenesis was poorly understood.
Does cyclosporine A reduce endothelial cell dysfunction and inflammation induced by Kawasaki disease sera in human coronary artery endothelial cells?
Does cyclosporine A reduce endothelial cell dysfunction and inflammation induced by Kawasaki disease sera in human coronary artery endothelial cells?
Absolute Event Rate: 0.89% vs 0.55%
p-value: p=0.0212
Sera from patients with Kawasaki disease activate the Ca2+/NFAT pathway in human coronary artery endothelial cells, causing dysfunction and inflammation that can be attenuated by cyclosporine A.
KD sera-driven endothelial proliferation suggests mechanistic role in coronary complications; leaves open whether NFAT inhibition alters outcomes.
Ca 2+ /nuclear factor of activated T-cells (Ca 2+ /NFAT) signaling pathway may play a crucial role in the pathogenesis of Kawasaki disease (KD). We investigated the poorly understood Ca 2+ /NFAT regulation of coronary artery endothelial cells and consequent dysfunction in KD pathogenesis. Human coronary artery endothelial cells (HCAECs) stimulated with sera from patients with KD, compared with sera from healthy children, exhibited significant increases in proliferation and angiogenesis, higher levels of NFATc1 and NFATc3 and some inflammatory molecules, and increased nuclear translocation of NFATc1 and NFATc3. HCAECs stimulated with sera from patients with KD treated with cyclosporine A (CsA) showed decreased proliferation, angiogenesis, NFATc1 and inflammatory molecules levels as compared with results for untreated HCAECs. In conclusion, our data reveal that KD sera activate the Ca 2+ /NFAT in HCAECs, leading to dysfunction and inflammation of endothelial cells. CsA has cytoprotective effects by ameliorating endothelial cell homeostasis via Ca 2+ /NFAT.
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Wang et al. (2020) studied Kawasaki disease (n=101). Sera from patients with Kawasaki disease vs. Sera from healthy children was evaluated on NFATc1 mRNA levels (median relative expression) (p=0.0212). Sera from patients with Kawasaki disease activated the Ca2+/NFAT signaling pathway in human coronary artery endothelial cells, leading to dysfunction and inflammation that was ameliorated by Cyclosporine A.
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