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KMID : 1141520200350020384
Endocrinology and Metabolism
2020 Volume.35 No. 2 p.384 ~ p.395
Gemigliptin Inhibits Interleukin-1¥â-Induced Endothelial-Mesenchymal Transition via Canonical-Bone Morphogenetic Protein Pathway
Hong Oak-Kee

Lee Seong-Su
Yoo Soon-Jib
Lee Min-Kyung
Kim Mee-Kyoung
Baek Ki-Hyun
Song Ki-Ho
Kwon Hyuk-Sang
Abstract
Background: Endothelial-to-mesenchymal transition (EndMT) contributes to inflammatory conditions inducing conversion of endothelial cells (ECs) into activated fibroblasts, promoting fibrotic diseases. Pro-inflammatory cytokine is the most potent inducer of EndMT. We investigated inhibition of interleukin-1¥â (IL-1¥â)-induced EndMT by gemigliptin, a dipeptidyl peptidase-IV inhibitor.

Methods: We exposed human umbilical vein endothelial cells (HUVECs) to 10 ng/mL IL-1¥â/20 ¥ìM gemigliptin and analyzed the expression of endothelial, smooth muscle, mesenchymal, and osteoblastic markers, bone morphogenetic protein (BMP), Smad, and non-Smad signaling pathway proteins.

Results: Morphological changes showed gemigliptin blocked IL-1¥â-induced EndMT, upregulated EC markers, and downregulated smooth muscle and mesenchymal markers. IL-1¥â activation of HUVECs is initiated by the BMP/Smad and non-smad BMP signaling pathways. Gemigliptin inhibited IL-1¥â induction of BMP2 and 7, activin receptor type IA, BMP receptor type IA, and BMP receptor type II. Reversal of IL-1¥â-mediated inhibition of BMP-induced Smad1/5/8, Smad2, and Smad3 phosphorylation by gemigliptin suggests involvement of the Smad pathway in gemigliptin action. In the non-Smad BMP pathway, gemigliptin treatment significantly increased the deactivation of extracellular regulated protein kinase (ERK), p38, and JNK by IL-1¥â. Gemigliptin treatment suppressed BMP-2-induced expression of key osteoblastic markers including osterix, runt-related transcription factor 2, and hepcidin during IL-1¥â-induced EndMT.

Conclusion: We demonstrated a novel protective mechanism of gemigliptin against fibrosis by suppressing IL-1¥â-induced EndMT.
KEYWORD
LC15-0444, Dipeptidyl-peptidase IV inhibitors, Interleukin-1beta, Bone morphogenetic proteins, Endothelial-to-mesenchymal transition
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