Abstract

Endothelial progenitor cells (EPC) participate in vessel recovery and maintenance of normal endothelial function. Therefore, pitavastatin-nanoparticles (NPs)-engineered EPC may be effective in repairing injured vasculature. Pitavastatin-loaded poly(lactic-co-glycolic) acid (PLGA) NPs were obtained via ultrasonic emulsion solvent evaporation with PLGA as the carrier encapsulating pitavastatin. The effects and mechanism of pitavastatin-NPs on EPC proliferation in vitro were evaluated. Then, EPC that internalized pitavastatin-NPs were transplanted into rats after carotid artery injury. EPC homing, re-endothelialization, and neointima were evaluated by fluorescence labeling, evans Blue and hematoxylin/eosin (H&E) staining. Pitavastatin-NPs significantly improved EPC proliferation compared with control and pitavastatin group. Those effects were blocked by pretreatment with the pharmacological phosphoinositide 3-kinase (PI3K) blockers LY294002. After carotid artery injury, more transplanted EPC were detected in target zone in Pitavastatin-NPs group than pitavastatin and control group. Re-endothelialization was promoted and intimal hyperplasia was inhibited as well. Thus, pitavastatin-NPs promote EPC proliferation via PI3K signaling and accelerate recovery of injured carotid artery.

Highlights

  • Vascular endothelial injury is the main pathophysiological basis for atherosclerotic diseases and restenosis after coronary intervention[1]

  • The concentration of pitavastatin in pitavastatin-NPs was determined by High-performance liquid chromatography (HPLC)

  • This study for the first time reported that pitavastatin promoted Endothelial progenitor cells (EPC) proliferation via phosphoinositide 3-kinase (PI3K) signaling and pitavastatin nanoparticle-engineered EPC accelerated vessel recovery after carotid artery injury in rats

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Summary

Introduction

Vascular endothelial injury is the main pathophysiological basis for atherosclerotic diseases and restenosis after coronary intervention[1]. Statins are the most widely used agent for treatment of ischemic cardiovascular disease. They have cardioprotective effects independent of their lipid-lowering function that includes improving the biological function of EPC5. These pleiotropic effects require long-term administration of high statin dosages[6,7], which is limited by relatively low oral bioavailability and lead to an increased risk of adverse reactions[8,9]. Pitavastatin is a new-generation statin that has greater efficacy in terms of lipid regulation, improvement of endothelial function, and plaque regression. We investigate the effect and mechanism of pitavastatin-NPs on EPC proliferation and vessel repair

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