[PDF][PDF] Endothelial PGC-1α mediates vascular dysfunction in diabetes

N Sawada, A Jiang, F Takizawa, A Safdar, A Manika… - Cell metabolism, 2014 - cell.com
N Sawada, A Jiang, F Takizawa, A Safdar, A Manika, Y Tesmenitsky, KT Kang, J Bischoff
Cell metabolism, 2014cell.com
Endothelial dysfunction is a central hallmark of diabetes. The transcriptional coactivator PGC-
1α is a powerful regulator of metabolism, but its role in endothelial cells remains poorly
understood. We show here that endothelial PGC-1α expression is high in diabetic rodents
and humans and that PGC-1α powerfully blocks endothelial migration in cell culture and
vasculogenesis in vivo. Mechanistically, PGC-1α induces Notch signaling, blunts activation
of Rac/Akt/eNOS signaling, and renders endothelial cells unresponsive to established …
Summary
Endothelial dysfunction is a central hallmark of diabetes. The transcriptional coactivator PGC-1α is a powerful regulator of metabolism, but its role in endothelial cells remains poorly understood. We show here that endothelial PGC-1α expression is high in diabetic rodents and humans and that PGC-1α powerfully blocks endothelial migration in cell culture and vasculogenesis in vivo. Mechanistically, PGC-1α induces Notch signaling, blunts activation of Rac/Akt/eNOS signaling, and renders endothelial cells unresponsive to established angiogenic factors. Transgenic overexpression of PGC-1α in the endothelium mimics multiple diabetic phenotypes, including aberrant re-endothelialization after carotid injury, blunted wound healing, and reduced blood flow recovery after hindlimb ischemia. Conversely, deletion of endothelial PGC-1α rescues the blunted wound healing and recovery from hindlimb ischemia seen in type 1 and type 2 diabetes. Endothelial PGC-1α thus potently inhibits endothelial function and angiogenesis, and induction of endothelial PGC-1α contributes to multiple aspects of vascular dysfunction in diabetes.
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