Abstract
Atherosclerotic plaque vulnerability is associated with intraplaque angiogenesis ( i . e . increased microvessel density). Vulnerable plaques are prone to rupture with severe risk of infarction. Hydrogen sulfide (H 2 S) is a gasotransmitter with angiogenic properties and is endogenously produced by endothelial cystathionine gamma-lyase (CSE). We hypothesize that endogenous intraplaque H 2 S production promotes angiogenesis. We here studied CSE expression in human carotid endarterectomy plaques and the effects of CSE inhibition on microvessel angiogenesis in vitro. Plaques ( n = 6) and microvascular endothelial cells (HMEC-1) were studied for CSE expression using immunostaining and PCR analysis. HMEC-1 tube formation assays were performed in the presence of the selective irreversible CSE inhibitor DL-propargylglycine (PAG). CSE mRNA expression was abundantly expressed in atherosclerotic plaques. At the protein level, CSE co-localized with vWF-positive microvessel endothelial cells. In vitro , HMEC-1 expressed both CSE and vWF protein. CSE inhibition using PAG dose-dependently reduced tube-formation up to 24% with 10 mM PAG ( p < 0.01). High levels of CSE in atherosclerotic plaques may be a potential risk for plaque vulnerability through intraplaque angiogenesis. On the other hand, CSE and H 2 S may also have protective effects in atherosclerosis, through protection against inflammation and scavenging of reactive oxygen species.
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