N-arachidonylglycine is a caloric state-dependent circulating metabolite which regulates human CD4+T cell responsiveness

Acknowledgments We thank Drs. Zoe Hall and Sonia Liggi of the University of Cambridge Biochemistry Department for their contributions to metabolomics analysis and data processing. Shahin Hassanzadeh of the Laboratory of Mitochondrial Biology and Metabolism for developing the PBMC RNAseq library.Matthew Rodman of the Laboratory of Mitochondrial Biology and Metabolism for preparing lean/obese samples. Dr. Duck-Yeon Lee of the NHLBI Biochemistry Core for NAGly analysis in cell culture. Special thanks to the National Institutes of Health Oxford-Cambridge Scholars Program and the International Biomedical Research Alliance for their sponsorship and support. Funding: NHLBI Division of Intramural Research (MNS – ZIA-HL005199) and the UK MRC (JLG – MR/P011705/2; UKDRI-5002; MAPUK).Peer reviewedPublisher PD

Propionate functions as a feeding state-dependent regulatory metabolite to counter proinflammatory signaling linked to nutrient load and obesity.

The authors thank Drs. Antonio Murgia and Ben McNally of the University of Cambridge Biochemistry Department for their contributions to metabolomics and lipidomic data processing. They thank and acknowledge the assistance of the National Heart, Lung, and Blood Institute DNA Sequencing and Genomics Core in performing the RNA library sequencing and the National Heart, Lung, and Blood Institute Flow Cytometry Core for performing the flow cytometry.Peer reviewe

Granulocyte-Colony Stimulating Factor (G-CSF) in Stroke Patients with Concomitant Vascular Disease—A Randomized Controlled Trial

G-CSF has been shown in animal models of stroke to promote functional and structural regeneration of the central nervous system. It thus might present a therapy to promote recovery in the chronic stage after stroke.Here, we assessed the safety and tolerability of G-CSF in chronic stroke patients with concomitant vascular disease, and explored efficacy data. 41 patients were studied in a double-blind, randomized approach to either receive 10 days of G-CSF (10 µg/kg body weight/day), or placebo. Main inclusion criteria were an ischemic infarct >4 months prior to inclusion, and white matter hyperintensities on MRI. Primary endpoint was number of adverse events. We also explored changes in hand motor function for activities of daily living, motor and verbal learning, and finger tapping speed, over the course of the study.Adverse events (AEs) were more frequent in the G-CSF group, but were generally graded mild or moderate and from the known side-effect spectrum of G-CSF. Leukocyte count rose after day 2 of G-CSF dosing, reached a maximum on day 8 (mean 42/nl), and returned to baseline 1 week after treatment cessation. No significant effect of treatment was detected for the primary efficacy endpoint, the test of hand motor function.These results demonstrate the feasibility, safety and reasonable tolerability of subcutaneous G-CSF in chronic stroke patients. This study thus provides the basis to explore the efficacy of G-CSF in improving chronic stroke-related deficits.ClinicalTrials.gov NCT00298597

The role of Rho GTPases Rac 1 and Rho A in endothelial barrier function

Endothelzellen kleiden als einschichtiger Zellverband das Innere der Blutgefäße aus und wirken als Barriere zwischen Blut und Interstitium. Entzündungen und Erkrankungen wie Lungenödem oder Arteriosklerose sind gekennzeichnet durch einen Zusammenbruch der Endothelbarriere. Erste Untersuchungen deuten auf eine bedeutende Rolle der GTPasen der Rho-Familie mit den Hauptvertretern Rho A, Rac 1 und Cdc42 als Regulatoren der Endothelbarriere hin. Bezüglich der Regulation der Endothelbarriereintegrität werden den GTPasen Rho A und Rac 1 meist antagonistische Funktionen zugeschrieben. In einem ersten Teil dieser Dissertation wurde daher die Funktion der Rho-GTPasen Rho A, Rac 1 und Cdc42 für die Endothelbarriere in verschiedenen Endothelien untersucht. Hierzu wurden drei mikrovaskuläre Endothelzelltypen verschiedenen Ursprungs sowie makrovaskuläre Endothelzellen der Pulmonalarterie mit GTPase-aktivierenden oder inaktivierenden bakteriellen Toxinen behandelt. Die Aktivierung von Rho A resultierte in allen Endothelzelltypen mit Ausnahme der mikrovaskulären myokardialen Endothelzellen in einem Zusammenbruch der Endothelbarriere. Die Aktivierung von Rac 1 und Cdc42 führte in allen Endothelzellarten zu einer Barrierestabilisierung. Darüber hinaus konnte in fast allen Endothelzelltypen durch pharmakologische Inhibition der Rho-Kinase eine Stabilisierung der Endothelbarriere induziert werden. Die Inaktivierung aller GTPasen sowie die alleinige Inaktivierung von Rac 1 führte zu einem kompletten Zusammenbruch der Endothelbarriere in vitro. Zudem ergaben in vivo-Experimente an perfundierten Rattenmesenterien eine gesteigerte Permeabilität nach Inaktivierung von Rho A, Rac 1 und Cdc42. Im zweiten Teil dieser Arbeit wurde die cAMP-vermittelte Stabilisierung der Endothelbarriere genauer charakterisiert und dabei der Einfluss gesteigerter cAMP-Spiegel auf die Aktivität von Rho-GTPasen in humanen dermalen mikrovaskulären Endothelzellen untersucht. Hierbei wurde die cAMP-Konzentration zum einen durch den Einsatz einer Kombination aus dem Adenylatzyklase-Aktivator Forskolin und dem Phosphodiesterase 4-Inhibitor Rolipram und zum anderen durch das cAMP-Analogon 8-pCPT-2’-O-Me-cAMP (O-Me-cAMP) gesteigert. O-Me-cAMP stellt hierbei einen selektiven Aktivator des cAMP nachgeschalteten Epac/Rap 1-Signalweges dar, wohingegen Forskolin/Rolipram durch die generelle cAMP-Steigerung zusätzlich die durch Proteinkinase A (PKA) vermittelten Signalwege stimuliert. Messungen des transendothelialen elektrischen Widerstandes zeigten nach cAMP-Anstieg in beiden Fällen eine Barrierestabilisierung, die mit den Effekten einer Aktivierung von Rac 1 vergleichbar waren. Dies ging mit Veränderungen der Organisation und der Morphologie von Zell-Zell-Kontakten einher. Zusätzlich kam es nach cAMP-Steigerung zu einer gesteigerten Rac 1-Aktivierung ohne Beeinflussung der Rho A-Aktivität. Darüber hinaus zeigten Endothelzellen nach cAMP-Anstieg die Bildung eines corticalen Aktinrings und verminderte Stressfaserbildung, was typische Indizien einer Aktivierung von Rac 1 sind. Um die Rolle von Rac 1 näher zu untersuchen, wurden Rac 1-Inhibitionsstudien durchgeführt. Die pharmakologische Inhibition der Rac 1-Aktivität resultierte in einer verminderten Endothelbarriereintegrität. Für beide cAMP-steigernden Mediatoren kann nach Kombinationsstudien angenommen werden, dass die durch cAMP-Steigerung vermittelten barrierestabilisierenden Effekte durch Rac 1 vermittelt zu sein scheinen. Somit kann aus den Untersuchungen des zweiten Teils dieser Arbeit geschlussfolgert werden, dass cAMP eine gesteigerte Endothelbarrierefunktion sowohl über PKA- als auch über Epac/Rap 1-abhängige Rac 1-Aktivierung vermittelt. Um die Rolle der Rho-GTPasen und von cAMP während einer Barrieredestabilisierung zu untersuchen, wurde im dritten Teil Thrombin als barrieredestabilisierender physiologischer Mediator in humanen dermalen mikrovaskulären Endothelzellen genutzt. Thrombin-Gabe führte zu einem reversiblen Zusammenbruch der Endothelbarriere. Zu diesen Zeitpunkten kam es zu einer signifikanten Inhibition von Rac 1 und einer deutlichen Aktivierung von Rho A. Erst nach 15 min fielen die gesamtzellulären cAMP-Spiegel ab. Innerhalb von 60 min erholte sich die Endothelbarriere und Rac 1- bzw. Rho A-Aktivitäten sowie der cAMP-Spiegel erreichten wieder ihr Ausgangsniveau. Vorinkubation der Endothelzellen mit beiden cAMP-steigernden Mediatoren inhibierte den Thrombin-induzierten Barriere-zusammenbruch ebenso wie die Thrombin-vermittelten Veränderungen der Rac 1- und Rho A-Aktivitäten. Auch in diesem Zusammenhang durchgeführte Rac 1-Inhibitionsstudien deuten darauf hin, dass die Hemmung der Thrombineffekte durch cAMP-Steigerung u.a. durch Aktivierung von Rac 1 vermittelt wird.Endothelial cells build a monolayer coating the inner surface of blood vessels and thereby form a dynamic barrier between plasma and interstitial space. Impaired endothelial barrier function can result in vascular diseases such as edema, atherosclerosis and inflammation. Small GTPases of the Rho family such as Rho A, Rac 1 and Cdc42 are well known regulators of endothelial barrier integrity. It is generally believed that Rho A and Rac 1 regulate endothelial barrier functions in antagonistic manner. According to this concept, Rho A destabilizes barrier integrity whereas Rac 1 enhances endothelial barrier properties. In a first step we investigated the role of Rho A, Rac 1 and Cdc42 in endothelial barrier regulation in four different types of endothelial cells. Microvascular endothelial cells of different origin (myocardium, mesentery and dermis) and macrovascular endothelial cells from pulmonary artery were treated with bacterial toxins to specifically activate or inactivate Rho GTPases. Effects on endothelial barrier functions were revealed by immunfluorescence microscopy, measurement of transendothelial electrical resistance and FITC-dextran flux as well as by quantification of VE-cadherin-mediated adhesion using laser tweezers. Activation of Rho A resulted in break-down of endothelial barrier functions in all endothelial cell types except microvascular myocardial endothelial cells. Activation of Rac 1 and Cdc42 as well as pharmacological inhibition of Rho kinase stabilized endothelial barrier function in all endothelial cell types. Moreover, inactivation of all three GTPases as well as inactivation of Rac 1 alone resulted in endothelial barrier-breakdown in all endothelial cell types. From these data we conclude that Rac 1 is a highly important regulator required for maintenance of endothelial barrier function. In the second part of the study, we characterized the role of Rho GTPases in cAMP-mediated barrier stabilizing effects in microvascular endothelium. Therefore, we analyzed cAMP-induced effects on transendothelial electrical resistance, Rho GTPase activity and cell junction morphology in human dermal microvascular endothelial cells. To increase intracellular cAMP levels we used the cAMP-analogue 8-pCPT-2’-O-Me-cAMP (O-Me-cAMP) or combined treatment with adenylat cyclase-stimulating agent forskolin together with phosphodiesterase 4 inhibitor rolipram. In this approach O-Me-cAMP is used to selectively activate the Epac/Rap 1 pathway whereas forskolin/rolipram-induced increase of cAMP triggers both protein kinase A (PKA)- and Epac/Rap 1-dependent mechanisms. Measurement of transendothelial electrical resistance revealed barrier stabilizing effects of both Epac/Rap 1 and PKA signaling pathways. Barrier stabilization was accompanied by changes in cell junction morphology and both O-Me-cAMP and forskolin/rolipram treatment strongly activated Rac 1 without affecting Rho A activity. Moreover, endothelial cells displayed changes in actin distribution and cortactin localization typical for activation of Rac 1. To investigate the role of Rac 1 activation in cAMP-mediated barrier stabilization we performed Rac 1 inhibition studies. Pharmacological inhibition of Rac 1 activity decreased transendothelial electrical resistance which was accompanied by formation of intercellular gaps. Under these conditions the efficacy of increased cAMP to stabilize endothelial barrier functions was reduced and O-Me-cAMP had no effect. This indicates that barrier-stabilizing effects of cAMP are at least in part mediated by Rac 1-dependent mechanisms which are induced via PKA and Epac/Rap 1 signaling. Next, to address the importance of cAMP and of Rac 1 under conditions of impaired endothelial barrier integrity we used the physiological permeability-increasing mediator thrombin. Thrombin induced a transient breakdown of endothelial barrier function accompanied by increased stress fiber and gap formation in human dermal microvascular endothelial cells. Rac 1 was significantly inactivated whereas Rho A was strongly activated 5 and 15 min after thrombin treatment. Additionally, cAMP levels were decreased. After 60 min Rac 1 and Rho A activity as well as cAMP levels reached baseline values and endothelial barrier function was restored. Increase of cAMP completely blocked endothelial barrier breakdown and largely prevented thrombin-mediated effects on Rac 1 and Rho A activity indicating that reduction of cAMP was the primary mechanism causing the thrombin response. When Rac 1 was inactivated in parallel, both O-Me-cAMP and forskolin/Rolipram were not effective to prevent thrombin-induced endothelial barrier breakdown

MicroRNA 302a is a novel modulator of cholesterol homeostasis and atherosclerosis

Macrophage foam cell formation is a key feature of atherosclerosis. Recent studies have shown that specific microRNAs (miRs) are regulated in modified low-density lipoprotein-treated macrophages, which can affect the cellular cholesterol homeostasis. Undertaking a genome-wide screen of miRs regulated in primary macrophages by modified low-density lipoprotein, miR-302a emerged as a potential candidate that may play a key role in macrophage cholesterol homeostasis. The objective of this study was to assess the involvement of miR-302a in macrophage lipid homeostasis and if it can influence circulating lipid levels and atherosclerotic development when it is inhibited in a murine atherosclerosis model. We found that transfection of primary macrophages with either miR-302a or anti-miR-302a regulated the expression of ATP-binding cassette (ABC) transporter ABCA1 mRNA and protein. Luciferase reporter assays showed that miR-302a repressed the 3' untranslated regions (UTR) activity of mouse Abca1 by 48% and human ABCA1 by 45%. In addition, transfection of murine macrophages with miR-302a attenuated cholesterol efflux to apolipoprotein A-1 (apoA-1) by 38%. Long-term in vivo administration of anti-miR-302a to mice with low-density lipoprotein receptor deficiency (Ldlr(-/-)) fed an atherogenic diet led to an increase in ABCA1 in the liver and aorta as well as an increase in circulating plasma high-density lipoprotein levels by 35% compared with that of control mice. The anti-miR-302a-treated mice also displayed reduced atherosclerotic plaque size by ≈25% and a more stable plaque morphology with reduced signs of inflammation. These studies identify miR-302a as a novel modulator of cholesterol efflux and a potential therapeutic target for suppressing atherosclerosi

Interleukin-8 (IL-8) as a Potential Mediator of an Association between Trimethylamine N-Oxide (TMAO) and Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) among African Americans at Risk of Cardiovascular Disease

Trimethylamine N-oxide (TMAO)—a microbial metabolite derived from the hepatic–gut axis—is linked to inflammation, hyperlipidemia, and cardiovascular disease (CVD). Proprotein convertase subtilisin/kexin type 9 (PCSK9), which is largely hepatically expressed, blocks low-density lipoprotein (LDL) receptor recycling, also leading to hyperlipidemia. The primary objective of this study was to investigate a previously hypothesized potential relationship between TMAO and PCSK9 in order to explore novel mechanisms linking TMAO and CVD risk. African American adults at risk of CVD living in the Washington DC area were recruited to participate in a cross-sectional community-based study (n = 60, 93% female, BMI = 33). Fasting levels of inflammatory cytokines (i.e., interleukin (IL)-1 beta, tumor necrosis factor-alpha, and interleukin-8), TMAO, and PCSK9 were measured using Luminex and ELISA, respectively. Univariate and multivariate linear regression analyses and structural equation mediation analyses were conducted using STATA. All models were adjusted for body mass index (BMI) and atherosclerotic CVD risk score (ASCVD). A significant association between TMAO and PCSK9 was identified (β = 0.31, p = 0.02). Both TMAO and PCSK9 were significantly associated with IL-8 (TMAO: β = 0.45, p = 0.00; PCSK9: β = 0.23, p = 0.05) in adjusted models. Mediation analysis indicated that 34.77% of the relationship between TMAO and PCSK9 was explained by IL-8. Our findings indicate a potential PCSK9-involved pathway for TMAO and CVD risk, with potential mediation by IL-8

CD98 regulates vascular smooth muscle cell proliferation in atherosclerosis

Background and aimsVascular smooth muscle cells (VSMC) migrate and proliferate to form a stabilizing fibrous cap that encapsulates atherosclerotic plaques. CD98 is a transmembrane protein made of two subunits, CD98 heavy chain (CD98hc) and one of six light chains, and is known to be involved in cell proliferation and survival. Because the influence of CD98hc on atherosclerosis development is unknown, our aim was to determine if CD98hc expressed on VSMC plays a role in shaping the morphology of atherosclerotic plaques by regulating VSMC function.MethodsIn addition to determining the role of CD98hc in VSMC proliferation and apoptosis, we utilized mice with SMC-specific deletion of CD98hc (CD98hcfl/flSM22αCre+) to determine the effects of CD98hc deficiency on VSMC function in atherosclerotic plaque.ResultsAfter culturing for 5 days in vitro, CD98hc-/- VSMC displayed dramatically reduced cell counts, reduced proliferation, as well as reduced migration compared to control VSMC. Analysis of aortic VSCM after 8 weeks of HFD showed a reduction in CD98hc-/- VSMC proliferation as well as increased apoptosis compared to controls. A long-term atherosclerosis study using SMC-CD98hc-/-/ldlr-/- mice was performed. Although total plaque area was unchanged, CD98hc-/- mice showed reduced presence of VSMC within the plaque (2.1 ± 0.4% vs. 4.3 ± 0.4% SM22α-positive area per plaque area, p < 0.05), decreased collagen content, as well as increased necrotic core area (25.8 ± 1.9% vs. 10.9 ± 1.6%, p < 0.05) compared to control ldlr-/- mice.ConclusionsWe conclude that CD98hc is required for VSMC proliferation, and that its deficiency leads to significantly reduced presence of VSMC in the neointima. Thus, CD98hc expression in VSMC contributes to the formation of plaques that are morphologically more stable, and thereby protects against atherothrombosis