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Heparin-binding EGF-like growth factor (HB-EGF) antisense oligonucleotide protected against hyperlipidemia-associated atherosclerosis
Authors:S. Kim  M.J. Graham  R.G. Lee  L. Yang  S. Kim  V. Subramanian  J.D. Layne  L. Cai  R.E. Temel  D. Shih  A.J. Lusis  J.A. Berliner  S. Lee
Affiliation:1. Saha Cardiovascular Research Center, University of Kentucky, Lexington, KY, 40536, USA;2. Cardiovascular Antisense Drug Discovery Group, Ionis Pharmaceuticals, Carlsbad, CA, 92010, USA;3. Department of Physiology, University of Kentucky, Lexington, KY, 40536, USA;4. Department of Medicine-Cardiology, University of California-Los Angeles (UCLA) School of Medicine, Los Angeles, CA, 90095, USA;5. Department of Human Genetics, University of California-Los Angeles (UCLA) School of Medicine, Los Angeles, CA, 90095, USA;6. Department of Microbiology, Immunology & Molecular Genetics, University of California-Los Angeles (UCLA), Los Angeles, CA, 90095, USA;7. Department of Pathology and Laboratory Medicine, University of California-Los Angeles (UCLA), Los Angeles, CA, 90095, USA;8. Department of Pharmacology & Nutritional Sciences, University of Kentucky, Lexington, KY, 40536, USA
Abstract:

Background and aims

Heparin-binding EGF-like growth factor (HB-EGF) is a representative EGF family member that interacts with EGFR under diverse stress environment. Previously, we reported that the HB-EGF-targeting using antisense oligonucleotide (ASO) effectively suppressed an aortic aneurysm in the vessel wall and circulatory lipid levels. In this study, we further examined the effects of the HB-EGF ASO administration on the development of hyperlipidemia-associated atherosclerosis using an atherogenic mouse model.

Methods and results

The male and female LDLR deficient mice under Western diet containing 21% fat and 0.2% cholesterol content were cotreated with control and HB-EGF ASOs for 12 weeks. We observed that the HB-EGF ASO administration effectively downregulated circulatory VLDL- and LDL-associated lipid levels in circulation; concordantly, the HB-EGF targeting effectively suppressed the development of atherosclerosis in the aorta. An EGFR blocker BIBX1382 administration suppressed the hepatic TG secretion rate, suggesting a positive role of the HB-EGF signaling for the hepatic VLDL production. We newly observed that there was a significant improvement of the insulin sensitivity by the HB-EGF ASO administration in a mouse model under the Western diet as demonstrated by the improvement of the glucose and insulin tolerances.

Conclusion

The HB-EGF ASO administration effectively downregulated circulatory lipid levels by suppressing hepatic VLDL production rate, which leads to effective protection against atherosclerosis in the vascular wall.
Keywords:HB-EGF  VLDL  Hyperlipidemia  Atherosclerosis  Antisense oligonucleotide  Insulin resistance  ApoB  apolipoprotein B  ASO  antisense oligonucleotide  EGFR  epidermal growth factor receptor  HB-EGF  heparin-binding EGF-like growth factor  LDL  low-density lipoprotein  LDLR  LDL receptor  MTP  microsomal triglyceride transfer protein  TG  triglyceride  VLDL  very low-density lipoprotein
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