Abstract

Activation and dysfunction of the vascular endothelium play a significant role in the pathogenesis of many viral infections such as COVID‐19. The cytokine storm (systemic inflammation) present in COVID‐19 causes organ failure by inflaming the vascular endothelium, leading to endothelial dysfunction and eventually death. Previous studies in the laboratory show that vascular injury leads to endothelial dysfunction that is associated with activation of p38 MAPK signaling and altered phosphorylation of Niban. Based on these findings, a cell permeant phosphomimetic peptide of Niban (NiPp) was developed and shows inhibitory activities on p38 MAPK and restores endothelial dysfunction after vascular injury. The effects of NiPp on endothelial dysfunction induced by interleukin‐1β (IL‐1β), a cytokine that is increased during infections, were examined ex‐vivo using intact rat aortic tissue (RA) and primary human endothelial cells (HCAEC). IL‐1β treatment led to a reduction in endothelial‐dependent relaxation (EDR) in RA, and inhibition of p38 MAPK by NiPp or BIRB796, a potent p38 MAPK inhibitor, improved EDR in IL‐1β treated RA (Figure 1). Treatment of HCAEC with NiPp or BIRB reduced IL‐1β induced activation of p38 MAPK and its downstream substrate, CREB (Figure 2). These data show that p38 MAPK and Niban signaling play a role in endothelial function, especially in response to inflammatory injury. Niban may be an endogenous regulator of p38 MAPK activation. NiPp may serve as a potential therapeutic to ameliorate inflammation of vascular endothelium.

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