Key result
C2CD4B evokes oxidative stress and endothelial dysfunction via a PI3K/Akt/PKCα-signaling pathway, and its genetic knockdown prevents hyperglycemia-induced vascular impairment.
Why the study?
Although genome-wide studies associate type 2 diabetes mellitus with increased C2CD4B expression, no study had explored the direct effect of C2CD4B on vascular function.
Does C2CD4B mediate high glucose-induced endothelial dysfunction and oxidative stress in vascular endothelium?
Does C2CD4B mediate high glucose-induced endothelial dysfunction and oxidative stress in vascular endothelium?
C2CD4B mediates high glucose-induced endothelial dysfunction via the PI3K/Akt/PKCα pathway, identifying it as a potential therapeutic target for diabetic vasculopathy.
No immediate clinical role for C2CD4B modulation; leaves open its therapeutic targeting in diabetic vascular disease.
High glucose-induced endothelial dysfunction is an important pathological feature of diabetic vasculopathy. While genome-wide studies have identified an association between type 2 diabetes mellitus (T2DM) and increased expression of a C2 calcium-dependent domain containing 4B (C2CD4B), no study has yet explored the possible direct effect of C2CD4B on vascular function. Vascular reactivity studies were conducted using a pressure myograph, and nitric oxide and oxidative stress were assessed through difluorofluorescein diacetate and dihydroethidium, respectively. We demonstrate that high glucose upregulated both mRNA and protein expression of C2CD4B in mice mesenteric arteries in a time-dependent manner. Notably, the inhibition of C2CD4B expression by genetic knockdown efficiently prevented hyperglycemia-induced oxidative stress, endothelial dysfunction, and loss of nitric oxide (NO) bioavailability. Recombinant C2CD4B evoked endothelial dysfunction of mice mesenteric arteries, an effect associated with increased reactive oxygen species (ROS) and decreased NO production. In isolated human umbilical vein endothelial cells (HUVECs), C2CD4B increased phosphorylation of endothelial nitric oxide synthase (eNOS) at the inhibitory site Thr495 and reduced eNOS dimerization. Pharmacological inhibitors of phosphoinositide 3-kinase (PI3K), Akt, and PKCα effectively attenuated oxidative stress, NO reduction, impairment of endothelial function, and eNOS uncoupling induced by C2CD4B. These data demonstrate, for the first time, that C2CD4B exerts a direct effect on vascular endothelium via a phosphoinositide 3-kinase (PI3K)/Akt/PKCα-signaling pathway, providing a new perspective on C2CD4B as a promising therapeutic target for the prevention of oxidative stress in diabetes-induced endothelial dysfunction.
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Pietro et al. (2024) studied Diabetic vasculopathy and endothelial dysfunction. C2CD4B genetic knockdown and recombinant C2CD4B was evaluated on Oxidative stress, endothelial dysfunction, and nitric oxide bioavailability. C2CD4B evokes oxidative stress and endothelial dysfunction via a PI3K/Akt/PKCα-signaling pathway, and its genetic knockdown prevents hyperglycemia-induced vascular impairment.
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