Abstract

Autophagy is a host machinery that controls cellular health. Dysfunction of autophagy is responsible for the pathogenesis of many human diseases that include atherosclerosis obliterans (ASO). Physiologically, host autophagy removes aging organelles and delays the formation of atherosclerotic plaque. However, in ischemia event, dysregulated autophagy can be induced to trigger autosis, leading to an inevitable cellular death. Grb2-associated binder 1 (GAB1) is a docking/scaffolding adaptor protein that regulates many cell processes including autophagy. Our study first reported that the protein expression of GAB1 significantly decreased in ASO. Mechanically, our results showed that inhibition of Akt (protein kinase B), the upstream of mTOR (mechanistic target of rapamycin), significantly enhanced autophagy by demonstrating the downregulation of p62/Sequestosome 1 expression and the upregulation of the ratio of LC3II/LC3I. Conversely, we found that the inhibition of ERK1/2 (extracellular signal-regulated kinases1/2), p38, and JNK (c-Jun N-terminal kinase) signaling pathway, respectively, significantly inhibited autophagy by demonstrating the upregulation of p62 expression and the downregulation of the ratio of LC3II/LC3I. Further, we demonstrated that knockdown of GAB1 significantly increased autophagy in HUVECs (human umbilical vein endothelial cells) via activation of MAPK (mitogen-activated protein kinase) pathways that include ERK1/2, p38, and JNK. Moreover, we found that knockdown of GAB1 profoundly inhibited HUVEC proliferation, migration, and tube formation. Taken together, this study first suggests that GAB1 is a key regulator of autophagy in HUVECs. Targeting GAB1 may serve as a potential strategy for the atherosclerosis treatment.

Highlights

  • Atherosclerosis obliterans (ASO) is a common disease resulting from the occlusion of iliac and femoral arteries

  • Loss of Grb2-associated binder 1 (GAB1) Is Associated With Atherosclerosis in atherosclerosis obliterans (ASO)

  • Confocal microscopy analysis demonstrated that GAB1 expression profoundly decreased in the intima of popliteal arteries, together with an increased expression of LC3II in ASO patients as compared with healthy controls (Figures 1D,E)

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Summary

Introduction

Atherosclerosis obliterans (ASO) is a common disease resulting from the occlusion of iliac and femoral arteries. The underlying pathogenesis of ASO is widely accepted by the development of atherosclerosis in the peripheral arteries. It is characterized by lipid deposition, endothelial dysfunction, and vascular inflammation. The dysfunction of endothelial cells by lipid deposition is always the earliest event to initiate the process of atherosclerosis (Huang et al, 2019). It is believed that endothelial cell atherosclerosis is regulated by multiple intracellular signaling pathways that remain to be explored to identify specific targets for drug development. Our study aim to discover the mechanisms by which intracellular signaling pathways regulate atherosclerosis

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