Restoring Endothelial Function by Targeting Desert Hedgehog Downstream of Klf2 Improves Critical Limb Ischemia in Adults
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EN
Article de revue
Ce document a été publié dans
Circulation Research. 2018, vol. 123, n° 9, p. 1053–1065
Résumé en anglais
RATIONALE: Klf (kruppel-like factor) 2 is critical to establish and maintain endothelial integrity. OBJECTIVE: Therefore, determining upstream and downstream mediators of Klf2 would lead to alternative therapeutic targets ...Lire la suite >
RATIONALE: Klf (kruppel-like factor) 2 is critical to establish and maintain endothelial integrity. OBJECTIVE: Therefore, determining upstream and downstream mediators of Klf2 would lead to alternative therapeutic targets in cardiovascular disease management. METHODS AND RESULTS: Here we identify Dhh (desert hedgehog) as a downstream effector of Klf2, whose expression in endothelial cells (ECs) is upregulated by shear stress and decreased by inflammatory cytokines. Consequently, we show that Dhh knockdown in ECs promotes endothelial permeability and EC activation and that Dhh agonist prevents TNF-α (tumor necrosis factor alpha) or glucose-induced EC dysfunction. Moreover, we demonstrate that human critical limb ischemia, a pathological condition linked to diabetes mellitus and inflammation, is associated to major EC dysfunction. By recreating a complex model of critical limb ischemia in diabetic mice, we found that Dhh-signaling agonist significantly improved EC function without promoting angiogenesis, which subsequently improved muscle perfusion. CONCLUSION: Restoring EC function leads to significant critical limb ischemia recovery. Dhh appears to be a promising target, downstream of Klf2, to prevent the endothelial dysfunction involved in ischemic vascular diseases.< Réduire
Mots clés
Article RECHERCHE
Mots clés en anglais
Animal
Animals
Autocrine Communication
Capillary Permeability
Cells
Critical Illness
Cultured
Cyclohexylamines
Cytokines
Disease Models
Endothelial cells
Endothelial Cells
Gene Expression Regulation
Hedgehog Proteins
hedgehogs
Hindlimb
Human Umbilical Vein Endothelial Cells
Humans
Inbred C57BL
inflammation
Inflammation Mediators
Ischemia
Knockout
Kruppel-Like Transcription Factors
Male
Mechanical
Mice
Muscle
Neovascularization
peripheral arterial disease
Physiologic
Regional Blood Flow
Signal Transduction
Skeletal
Stress
therapeutics
Thiophenes
Unités de recherche