Abstract

Cardiovascular diseases, including atherosclerosis, now account for more deaths in the Western world than from any other cause. Atherosclerosis has a chronic inflammatory component involving Th1 pro-inflammatory cytokines such as IFN-γ, which is known to induce endothelial cell inflammatory responses. On the other hand CNP, which acts via its receptors to elevate intracellular cGMP, is produced by endothelium and endocardium and is upregulated in atherosclerosis. It is believed to be protective, however its role in vascular inflammation is not well understood. The aim of this study was to investigate the effects of CNP on human endothelial cell inflammatory responses following IFN-γ stimulation. Human umbilical vein endothelial cells were treated with either IFN-γ (10 ng/mL) or CNP (100 nm), or both in combination, followed by analysis by flow cytometry for expression of MHC class I and ICAM-1. IFN-γ significantly increased expression of both molecules, which was significantly inhibited by CNP or the cGMP donor 8-Bromoguanosine 3’,5’-cyclic monophosphate (1 µm). CNP also reduced IFN-γ mediated kynurenine generation by the IFN-γ regulated enzyme indoleamine-2,3-deoxygenase (IDO). We conclude that CNP downmodulates IFN-γ induced pro-inflammatory gene expression in human endothelial cells via a cGMP-mediated pathway. Thus, CNP may have a protective role in vascular inflammation and novel therapeutic strategies for CVD based on upregulation of endothelial CNP expression could reduce chronic EC inflammation.

Highlights

  • According to the latest statistics published by the American Heart Association cardiovascular disease (CVD) is the largest cause of death worldwide and accounts for over 750,000 deaths in the USA annually [1,2]

  • IFN-γ has many pro-inflammatory effects on vascular endothelial cells (EC), most notably enhancing the expression of adhesion molecules involved in firm adhesion of both monocytes (VCAM-1), and other leukocyte populations (ICAM-1 [6])

  • We have shown that C-type natriuretic peptide (CNP), a natriuretic peptide shown to be broadly cardioprotective [35]

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Summary

Introduction

According to the latest statistics published by the American Heart Association cardiovascular disease (CVD) is the largest cause of death worldwide and accounts for over 750,000 deaths in the USA annually [1,2]. There is very strong evidence that CD4+ T helper type 1 (Th1) cells are present in early atheromatous lesions and contribute to lesion progression [5], including production of the pro-inflammatory cytokine, interferon gamma (IFN-γ). IFN-γ has many pro-inflammatory effects on vascular endothelial cells (EC), most notably enhancing the expression of adhesion molecules involved in firm adhesion of both monocytes (VCAM-1), and other leukocyte populations (ICAM-1 [6]). It increases expression of MHC class I and MHC Class II in human EC [7], which may lead to further activation of antigen specific CD8 and CD4+ T cells, contributing to plaque progression

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