Use Of P55gamma As Therapeutic Target For Aortic Dissection (ad)
20260091091 ยท 2026-04-02
Inventors
- Chunmei CAO (Beijing, CN)
- Yang Li (Beijing, CN)
- Weiwei AN (Beijing, CN)
- Rilei DAI (Beijing, CN)
- Xun Wang (Beijing, CN)
Cpc classification
A61K48/005
HUMAN NECESSITIES
International classification
A61K48/00
HUMAN NECESSITIES
Abstract
Use of p55 as a therapeutic target for aortic dissection (AD) is provided, belonging to the technical field of biomedicine. Over-expression of the p55 inhibits formation of the AD and degradation of elastic fibers in mice induced by -aminopropionitrile fumarate (BAPN); whereas knockdown of the p55 in vascular smooth muscle cells (VSMCs) promotes the formation of the AD and the degradation of the elastic fibers induced by the BAPN. Mechanistically, the p55 plays a role by maintaining phenotypic switching of the VSMCs, and knocking down the p55 promotes phenotypic switching of the VSMCs from a contractile phenotype to a synthetic phenotype. The p55 is used as a target in screening a drug for prevention and/or treatment of AD, such that a selected drug can effectively prevent and/or treat the AD, thus providing a new target for treating the AD.
Claims
1. A method for screening a drug for prevention and/or treatment of aortic dissection (AD), comprising using p55 as a target.
2. The method according to claim 1, wherein the p55 is selected from the group consisting of a p55 gene and a p55 protein.
3. The method according to claim 1, wherein overexpression of the p55 inhibits occurrence of the AD, and low expression of the p55 promotes the occurrence of the AD.
4. A method for preparing a drug for preventing and/or treating AD, wherein adding a p55 activator or a p55 protein to the drug.
5. The method according to claim 4, wherein the p55 activator is selected from the group consisting of a p55 gene activator and a p55 protein activator.
6. The method according to claim 5, wherein the p55 gene activator comprises a substance capable of promoting expression of a p55 gene.
7. The method according to claim 5, wherein the p55 protein activator comprises a substance capable of increasing an activity of a p55 protein.
8. (canceled)
9. A drug for preventing and/or treating AD, comprising a p55 protein and/or a p55 activator, and a pharmaceutically acceptable carrier.
10. The drug according to claim 9, wherein the p55 activator is selected from the group consisting of a p55 gene activator and a p55 protein activator.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION OF THE EMBODIMENTS
[0061] The present disclosure provides use of p55 as a target in screening a drug for prevention and/or treatment of AD.
[0062] In the present disclosure, the p55 is selected from the group consisting of a p55 gene and a p55 protein. As an embodiment, the human p55 gene has a sequence number of NCBI GENE ID: 8503. The p55 gene or protein expression is down-regulated in both BAPN-induced AD model mice and AD patients. Mice with specific knockdown of p55 in VSMCs show more obvious vascular dilation in the ascending aorta and increased mortality rate, and the number of ruptured layers of elastic fibers in the media is increased significantly. Meanwhile, the expression levels of markers related to the contractile phenotype of smooth muscle cells are reduced, while the expression levels of markers related to the pro-inflammatory phenotype of smooth muscle synthesis are increased, indicating that p55 knockdown can promote the formation of BAPN-induced AD in mice. Mice with over-expression of p55 show lower vascular dilation in the ascending aorta and mortality rate, and the rupture of elastic fibers in the media is significantly reduced. Meanwhile, it is able to significantly improve the down-regulation of -SMA and SM22 and reduce the up-regulation of MMP2 and MMP9 induced by BAPN, indicating that the p55 over-expression inhibits BAPN-induced AD in mice. Mechanistically, the p55 plays a role by maintaining the contractile phenotype of VSMCs, and the p55 inhibits the switching of VSMCs from contractile phenotype to synthetic phenotype, while knocking down p55 promotes switching of VSMCs from contractile phenotype to synthetic phenotyp, thus providing a new target for the treatment of AD.
[0063] In the present disclosure, as an embodiment, an influence of the drug on the expression of p55 is detected to screen the drug that can prevent and/or treat AD; if the drug can increase the expression of p55 gene and/or protein, there is an influence of preventing and/or treating AD.
[0064] The present disclosure further provides use of a p55 activator in preparation of a drug for preventing and/or treating AD.
[0065] In the present disclosure, the activator is selected from the group consisting of a p55 gene activator and a p55 protein activator. The p55 gene activator includes a substance capable of promoting expression of a p55 gene. There is no particular limitation on a type of the substance capable of promoting the expression of the p55 gene, and the substance includes but is not limited to nucleic acid molecules, nucleic acid constructs, inorganic compounds, or organic compounds. The nucleic acid molecules include the p55 gene, a p55 gene-specific microRNA, and a nucleic acid molecule that activates a promoter of the p55 gene. The nucleic acid construct carries a gene fragment encoding the nucleic acid molecule and can express the nucleic acid molecule. The p55 protein activator includes a substance capable of increasing an activity of a p55 protein. There is no particular limitation on a type of the substance capable of increasing the activity of the p55 protein, which can be routinely selected according to actual demands.
[0066] The present disclosure further provides use of a p55 protein in preparation of a drug for preventing and/or treating AD. The p55 protein can maintain a contractile phenotype of the VSMCs and inhibit the occurrence of AD. There is no particular limitation on a source of the p55 protein, which can be purchased through conventional commercial channels or prepared using conventional methods.
[0067] The present disclosure further provides a drug for preventing and/or treating AD, including a p55 protein and/or a p55 activator, and a pharmaceutically acceptable carrier.
[0068] In the present disclosure, the pharmaceutically acceptable carrier includes but is not limited to, water, saline, buffer, glycerol, ethanol, liposomes, lipids, proteins, protein-antibody conjugates, peptides, cellulose, nanogels, or a combination thereof. The carrier should be compatible with a dosage form of the drug. The activator is selected from the group consisting of a p55 gene activator and a p55 protein activator. The p55 gene activator includes a substance capable of promoting expression of a p55 gene. There is no particular limitation on a type of the substance capable of promoting the expression of the p55 gene, and the substance includes but is not limited to nucleic acid molecules, nucleic acid constructs, inorganic compounds, or organic compounds. The nucleic acid molecules include the p55 gene, a p55 gene-specific microRNA, and a nucleic acid molecule that activates a promoter of the p55 gene. The nucleic acid construct carries a gene fragment encoding the nucleic acid molecule and can express the nucleic acid molecule. The p55 protein activator includes a substance capable of increasing an activity of a p55 protein. There is no particular limitation on a type of the substance capable of increasing the activity of the p55 protein, which can be routinely selected according to actual demands. There is no special limitation on a dosage form of the drug, which may be an injection, an oral preparation (tablet, capsule, and oral solution), a transdermal preparation, and a sustained-release preparation. There is no special limitation on an administration method, and injection, oral administration, and smearing can be routinely selected according to the drug dosage form and actual demands.
[0069] In the present disclosure, as an embodiment, a method for treating AD includes achieving the treatment of AD by increasing an expression level of p55 gene and/or p55 protein. A method for increasing the expression level of p55 gene and/or p55 protein includes using gene amplification, gene editing and other technologies to specifically promote the expression level of p55 or using drugs containing p55 gene and/or p55 protein activators and p55 protein.
[0070] The technical solutions provided by the present disclosure will be described in detail below with reference to examples, but the examples should not be construed as limiting the claimed scope of the present disclosure.
[0071] In the following examples, all methods are conventional methods, unless otherwise specified.
[0072] The materials, reagents, and the like used in the following examples are all commercially available, unless otherwise specified.
Example 1
(1) Screening of Differentially Expressed Genes
[0073] First, a mouse AD model was established: 3-week-old wild-type C57 mice were fed with BAPN solution (with concentration of 0.25%, 2.5 g BAPN per 1 L sterile water, Sigma-Aldrich, A3134-25G) in drinking water and were sacrificed after 4 weeks of feeding, recorded as WT+BAPN group. 3-week-old wild-type C57 mice of a same littermate who were fed without BAPN in drinking water for 4 weeks were used as control, recorded as WT group. Schematics of BAPN induced AD model were shown in
(2) p55 Expression Level in Patients with AD
[0074] To confirm the changes of p55 in AD, the protein expression level of p55 in aortic tissues of AD patients and healthy subjects was detected. The results were shown in
(3) Expression Level of p55 in Aortic Tissue of AD Mice
[0075] AD model mice were constructed by the same method as above, recorded as BAPN group, while 3-week-old wild-type C57 mice of the same age fed with drinking water without BAPN for 4 weeks were used as control, recorded as Water group. The whole aorta tissues of the 2 groups of mice were obtained, and ascending aorta segments were fixated and then stained for aortic sections. Immunofluorescence staining was conducted to detect the expression of p55 in aortic smooth muscle cells. The remaining aortic tissue was quickly frozen in liquid nitrogen, where a part was used to extract RNA and detect the mRNA level of p55 by qPCR; a part was used to extract protein and detect the protein level of p55 by Western Blotting. The results were shown in
[0076] The mRNA and protein levels of p55 were all down-regulated in the aorta tissue of AD model mice. Immunofluorescence results showed that -SMA in the aorta was down-regulated after BAPN induction. Since -SMA was a typical contractile protein of medial VSMCs, the expression of p55 in -SMA-labeled VSMCs was detected, and it was found that p55 was down-regulated in medial VSMCs.
Example 2
[0077] (1) Construction of VSMCs-specific knockdown of p55 mice (p55.sup.SMKO mice): in order to explore the function of p55 in the formation of AD, VSMCs-specific knockdown of p55 mice (p55.sup.SMKO mice) were constructed. The Exon4 was found based on the mp55 genome structure and protein function conserved region. The Exon4 was a public exon, located on a functional conserved region SH2_nSH2_p85_like of the p55 protein, and the Exon4 protein coding region had a base number of 181 bp, which was not a multiple of 3. After conditional deletion of this exon, the SH2_nSH2_p85_like domain could be destroyed, and the mRNA might be re-spliced to form a new mRNA, which could cause a frameshift mutation to inactivate the protein. Therefore, it was decided to insert FloxP sites on both sides of the Exon4. The mpik3r3-FloxP mice were mated with Cre mice that specifically expressed SM22 in VSMCs, such that the Exon4 exon of mpik3r3 was deleted, and mpik3r3 could not be translated or might undergo frameshift mutation. At this time, the mpik3r3 protein was inactivated, thereby achieving conditional knockout of the mpik3r3 gene, and obtaining VSMCs-specific p55 knockdown mice (p55.sup.SMKO mice). A schematic diagram of the construction scheme of mice with specific knockdown of p55 in vascular smooth muscle was shown in
[0078] The mouse tail DNA was extracted, and a PCR system was set up according to the mouse gene type and primers, and then agarose gel electrophoresis was conducted to identify the mouse genotype. The results were shown in
[0079] (2) Experimental groups: 3-week-old p55.sup.SMKO mice (n=32) and wild-type p55.sup.f/f (n=36) mice of the same age in a same littermate as control were selected. Among them, p55.sup.SMKO mice (n=18) and p55.sup.f/f mice (n=22) at 3 weeks of age were fed with BAPN (concentration of 0.25%) in drinking water for 4 weeks, as shown in
[0080] (3) Experimental measurement: after 4 weeks of feeding, BAPN induced Doppler ultrasound was conducted to detect the degree of vascular dilation of the ascending aorta of the 4 groups of mice. The entire aorta tissue was taken and photographed under a stereomicroscope, and a mortality rate was calculated. The results were shown in
[0081] The ascending aortas of the 4 groups of mice were fixated, embedded in paraffin, and sectioned, and H&E and EVG staining were conducted to compare whether there were any differences in vascular elastic fiber rupture. The results were shown in
[0082] The aortic tissues of the 4 groups of mice that were quick-frozen in liquid nitrogen were taken out and used to detect the mRNA levels and protein levels of markers (SM22, -SMA, MMP2, and MMP9) related to smooth muscle cell phenotypic switching. The results were shown in
[0083] These results indicated that smooth muscle cell-specific knockdown of p55 could promote the development of AD.
Example 3
[0084] (1) Construction of p55-overexpressing mice: in order to explore the function of p55 in the formation of AD, p55-transgenic mice p55.sup.TG were constructed. Specifically, the cDNA of p55 was cloned into an expression vector to obtain a transgenic p55 construct. The p55 construct was injected into one-cell embryos of C57BL/6 mice, and a resulting mice were further crossed with C57BL/6 mice to obtain the p55 transgenic mice (p55.sup.TG). The p55.sup.TG mice and their age-matched wild-type (WT) littermates as control were used in this study.
[0085] (2) Experimental groups: 3-week-old p55.sup.TG (n=33) mice and wild-type WT mice (n=38) of the same littermate as a control were selected. Among them, p55.sup.TG mice (n=21) and WT mice (n=26) at 3 weeks of age were fed with BAPN (concentration of 0.25%) in drinking water for 4 weeks, and were recorded as p55.sup.TG+BAPN group and WT+BAPN group, respectively. p55.sup.TG (n=12) mice and WT mice (n=12) were fed with sterile water for 4 weeks as a control, and were recorded as p55.sup.TG+Water group and WT+Water group, respectively.
[0086] (3) Experimental measurement: after 4 weeks of feeding, BAPN induced Doppler ultrasound was conducted to detect the degree of vascular dilation of the ascending aorta of mice. The entire aorta tissue was taken and photographed under a stereomicroscope, and a mortality rate was calculated. The results were shown in
[0087] The ascending aortas of the 4 groups of mice were fixated, embedded in paraffin, and sectioned, and H&E and EVG staining were conducted to compare whether there were any differences in vascular elastic fiber rupture. The results were shown in
[0088] The aortic tissues of the 4 groups of mice that were quick-frozen in liquid nitrogen were taken out and used to detect the mRNA levels and protein levels of markers (SM22, -SMA, MMP2, and MMP9) related to smooth muscle cell phenotype switching. The results were shown in
[0089] These results indicated that over-expression of p55 could inhibit the development of AD.
Example 4
[0090] Previous studies have found that p55 is involved in PDGF-BB-induced smooth muscle cell proliferation, and the loss and phenotypic switching of human aortic smooth muscle cells (HASMCs) in AD are widely demonstrated. In order to verify whether p55 was involved in the phenotypic switching of HASMCs, HASMCs over-expressing p55 were constructed in this example.
[0091] (1) Construction of HASMCs over-expressing p55: HASMCs were transfected with Ad-p55 for 48 h to obtain HASMCs over-expressing p55 (denoted as Ad-p55 group); while HASMCs were transfected with Ad-Lac for 48 h as control (denoted as Ad-Lac group).
[0092] The mRNA and protein levels of p55 in the two groups of HASMCs after transfection were detected, and the results were shown in
[0093] After successful construction, TGF- was added to the cell media of Ad-Lac and Ad-p55, to a concentration of 10 ng/mL. The cells were treated for 48 h to induce phenotypic switching of smooth muscle cells, while Ad-Lac without TGF- was used as control. The mRNA and protein levels of -SMA and SM22 in the three groups of cells were detected, and the results were shown in
[0094] (2) Construction of HASMCs with specific knockdown of p55: HASMCs were transfected with siRNA (hp55 si1, hp55 si2) to knock down p55, to obtain HASMCs with specific knockdown of p55 (referred to as p55 si1 group and p55 si2 group), while HASMCs transfected with Scrambled were used as control (denoted as a Scrambled group). The Scrambled had a sense strand sequence of UUCUCCGAACGUGUCACGUTT (SEQ ID NO: 1), and an antisense strand sequence of ACGUGACACGUUCGGAGAATT (SEQ ID NO: 2); hp55 si1 had a sense strand sequence of GAAGGACAGUUCUGUUUCUTT (SEQ ID NO: 3), and an antisense strand sequence of AGAAACAGAACUGUCCUUCTT (SEQ ID NO: 4); hp55 si2 had a sense strand sequence of GAGAUUCAUGAUAGCAAAATT (SEQ ID NO: 5), and an antisense strand sequence of UUUUGCUAUCAUGAAUCUCTT (SEQ ID NO: 6).
[0095] The mRNA and protein levels of p55 in the three groups of HASMCs after transfection were detected, and the results were shown in
[0096] TGF- was added to the cell media of HASMCs with specific knockdown of p55 (p55 si1, p55 si2) and HASMCs without p55 knockdown (Scrambled), to a concentration of 10 ng/ml. The cells were treated for 48 h to induce phenotypic switching of smooth muscle cells, while Scrambled cells without TGF- were used as a control. The mRNA and protein expression levels of -SMA and SM22 in the four groups of cells were detected, and the results were shown in
[0097] It was concluded that p55 maintained the contractile phenotype of VSMCs, over-expression of p55 promoted the maintenance of the contractile phenotype of VSMCs, and knockdown of p55 promoted the switching of VSMCs from a contractile phenotype to a synthetic phenotype.
Example 5
[0098] (1) To investigate the mechanism by which p55 regulated AD formation, p55.sup.TG and WT mice fed with BAPN for 4 weeks in Example 3 were dissected to obtain mouse aortic tissues, and RNA was extracted for high-throughput sequencing to identify downstream target genes of p55. The results were shown in
[0099] (2) Three groups of cells, such as the TGF--induced Ad-Lac and Ad-p55 in Example 4, as well as Ad-Lac without TGF-, were used to detect the protein expression levels of Smad2. The results were shown in
[0100] (3) The TGF--induced p55 si1, p55 si2, and Scrambled cells, as well as the Scrambled cells without TGF- in Example 4, were used to detect the protein expression levels of Smad2 in the four groups of cells. The results were shown in
[0101] These results indicated that p55 could maintain the contractile phenotype of smooth muscle cells by up-regulating the expression level of Smad2.
[0102] The above descriptions are merely preferred embodiments of the present disclosure. It should be noted that a person of ordinary skill in the art may further make several improvements and modifications without departing from the principle of the present disclosure, but such improvements and modifications should be deemed as falling within the protection scope of the present disclosure.