Inhibition of vascular adventitial remodeling by netrin-1 in diabetic rats.

Inhibition of vascular adventitial remodeling by netrin-1 in diabetic rats.
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Netrin-1 对糖尿病大鼠血管外膜重塑的抑制作用。

DOI:
10.1530/joe-19-0258
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发表时间:
2019-12
影响因子:
4
通讯作者:
Xu Ming
Xu Ming
中科院分区:
医学2区
文献类型:
--
作者:
Wang Hui-Fang;Yu Qing-Qing;Zheng Rui-Fang;Xu Ming

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Cardiovascular complications of type 2 diabetes mellitus (T2DM) are associated with vascular remodeling in the arteries. Perivascular sympathetic neurons release an abundance of trophic factors to regulate vascular function via a paracrine signaling. Netrin-1, a diffusible protein that can be secreted outside the cell, is one of common signals of 'conversation' between nerve and vessel. The present study investigated whether netrin-1 is a novel modulator of sympathetic neurons paracrine signaling and played a critical role in vascular adventitial remodeling under T2DM. Vascular adventitial remodeling was observed in adventitial fibroblasts (AFs) responding to netrin-1 deficiency in the supernatant from primary rat superior cervical ganglia (SCG) neurons, shown as AFs proliferation, migration, and collagen deposition. Conditioned medium from the high glucose (HG)-treated SCG neurons contributed to AFs remodeling, which was effectively alleviated by exogenous netrin-1 supplementation. Further, it was found that uncoordinated-5-B (UNC5b) was mainly expressed in AFs among netrin-1 specific receptors. Treatment of netrin-1 inhibited H2O2 production derived from NADPH oxidase 4 (Nox4) through the UNC5b/cAMP/PKA signal pathway in AFs remodeling. In vivo, aorta adventitial remodeling was accompanied with the down-regulation of netrin-1 in the perivascular sympathetic nerve in T2DM rats. Such abnormalities were restored by netrin-1 intervention, which was associated with the inhibition of Nox4 expression in the aorta adventitia. In conclusion, netrin-1 is a novel modulator of sympathetic neurons paracrine signaling to maintain AFs function. Vascular adventitial remodeling was aggravated by sympathetic neurons paracrine signaling under hyperglycemia, which was ameliorated by netrin-1 treatment through the UNC5b/cAMP/PKA/Nox4 pathway.
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