Background: Endoplasmic Reticulum (ER) stress, chronic inflammation and cardiac fibrosis are very common pathophysiologic processes found in hypertension and other cardiovascular diseases. Prolonged ER stress disturbs ER functional capacity, resulting from accumulated unfolded or misfolded proteins in ER lumen. Thereby, cells activate an adaptive mechanism ‘unfolded protein response (UPR)’ to restore ER normal function. Consequently, a series of downstream signaling pathways are activated. N-acetyl-seryl-aspartyl-proline (Ac-SDKP) is an endogenous tetrapeptide released from its precursor thymosin-β4 and found in circulation and organs including heart and kidneys. Previously, our in-vivo studies showed that Ac-SDKP inhibits inflammation and fibrosis through the mechanism that remains elusive. Methods and Results: Quiescent human Cardiac Fibroblast (hCFB) cells were treated with tunicamycin (TM; 0.25 μg/mL) in absence or presence of Ac-SDKP (10 nM) and Tauroursodeoxycholic acid (TUDCA; 500 μg/mL). Ac-SDKP inhibited TM-induced expression of ER stress and downstream mediated UPRs sensors IRE1ɑ, XBP1, ATF4 and CHOP encoding molecular chaperons and protein processing enzymes, at the transcriptional and translational levels [ IRE1α; Ctl (1.0 ± 0.39)***, TM (2.99 ± 0.34), Ac-SDKP +TM (1.9 ± 0.10)*** Tudca +TM (2.5 ± 0.20)***. XBP1; Ctl (1.0 ± 0.36)***, TM (8.56 ± 0.77), Ac-SDKP +TM (4.57 ± 0.4)***, Tudca +TM (5.1 ± 0.6)***. ATF4; Ctl (1.0 ± 0.17)***, TM (5.35 ± 0.63), Ac-SDKP +TM (3.0 ± 0.31)**, Tudca +TM (2.9 ± 0.36)**. CHOP; Ctl (1.0 ± 0.17)***, TM (3.1 ± 0.21), Ac-SDKP +TM (1.75 ± 0.24)***, Tudca +TM (2.0 ± 0.18)**]. The inhibition of ER and UPRs sensors subsequently prevented proinflammatory mediator NF-kB activation, cytokine IL-6 and fibrotic Collagen-I (Coll I) expression [ NF-κB; Ctl (1.0 ± 0.10)*, TM (1.6 ± 0.13), Ac-SDKP +TM (1.08 ± 0.11)†, Tudca +TM (1.09 ± 0.14)†. IL-6; Ctl (1.0 ± 0.18)***, TM (6.8 ± 1.4), Ac-SDKP +TM (1.24 ± 0.23***), Tudca +TM (1.3 ± 0.35)***. Coll I; Ctl (1.0 ± 0.02)*** TM (2.5 ± 0.43), Ac-SDKP +TM (1.13 ± 0.13)***, Tudca +TM (1.22 ± 0.18)***]. TM also induced collagen production (Hydroxyproline assay), which was significantly inhibited by Ac-SDKP. The common ER stress inhibitor, TUDCA, exhibited similar inhibitory profile as Ac-SDKP. Conclusion: Ac-SDKP prevents inflammation and fibrosis in hCFB, likely by blocking the overexpressed detrimental ER stress UPRs sensors and its downstream molecular chaperon. Notes: Data are shown a mean ± SEM, p values were calculated using one-way ANOVA compared to CTL. All the experiments are representative of n = 5 – 8.***:p ≤ 0.0001 vs TM; **:p ≤ 0.001 vs TM; *: p ≤ 0.05 vs TM; †:p ≤ 0.05 vs TM. NIH This is the full abstract presented at the American Physiology Summit 2023 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.
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