Key result
Activated protein C prevents high glucose-induced endothelial barrier disruption and senescence in vitro.
Why the study?
Diabetes mellitus is hallmarked by accelerated atherosclerosis, a major cause of mortality among diabetic patients, but efficient therapies for diabetes-associated atherosclerosis are absent.
Activated protein C can reverse high glucose-induced maladaptive UPR, senescence, and vascular endothelial cell dysfunction in models of diabetes-associated atherosclerosis.
Diabetes mellitus is hallmarked by accelerated atherosclerosis, a major cause of mortality among patients with diabetes. Efficient therapies for diabetes-associated atherosclerosis are absent. Accelerated atherosclerosis in diabetic patients is associated with reduced endothelial thrombomodulin (TM) expression and impaired activated protein C (aPC) generation. Here, we directly compared the effects of high glucose and oxidized LDL, revealing that high glucose induced more pronounced responses in regard to maladaptive unfolded protein response (UPR), senescence, and vascular endothelial cell barrier disruption. Ex vivo, diabetic ApoE−/− mice displayed increased levels of senescence and UPR markers within atherosclerotic lesions compared with nondiabetic ApoE−/− mice. Activated protein C pretreatment maintained barrier permeability and prevented glucose-induced expression of senescence and UPR markers in vitro. These data suggest that high glucose-induced maladaptive UPR and associated senescence promote vascular endothelial cell dysfunction, which—however—can be reversed by aPC. Taken together, current data suggest that reversal of glucose-induced vascular endothelial cell dysfunction is feasible.
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Fatima et al. (2022) studied Diabetes-associated atherosclerosis. High glucose (25 mM) with or without activated protein C (aPC) vs. Oxidized LDL (50 µg/mL), normal glucose (5 mM), or high-fat diet in non-diabetic ApoE-/- mice was evaluated on Endothelial barrier integrity, unfolded protein response (sXBP1, cl-ATF6α), and cellular senescence markers (p21, p16, p53, SA-β-gal). High glucose induced more pronounced endothelial barrier disruption, unfolded protein response, and senescence than oxidized LDL, which were prevented by activated protein C (20 nM) in vitro.
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