Tongxinluo prevents chronic obstructive pulmonary disease complicated with atherosclerosis by inhibiting ferroptosis and protecting against pulmonary microvascular barrier dysfunction

Cardiovascular comorbidities are pervasive in chronic obstructive pulmonary disease (COPD) and often result in serious adverse cardiovascular events. Tongxinluo (TXL) has been clinically verified to treat atherosclerosis (AS), improve lung function and alleviate dyspnoea. The present study aimed to...

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Autores principales: Yafen Wang, Xiangnan Kuang, Yujie Yin, Ningxin Han, Liping Chang, Hongtao Wang, Yunlong Hou, Huixin Li, Zhen Li, Yi Liu, Yuanjie Hao, Yaru Wei, Xiaoqi Wang, Zhenhua Jia
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Publicado: Elsevier 2022
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Acceso en línea:https://doaj.org/article/2a665de1bced4d65ae3a51db368c2d5a
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spelling oai:doaj.org-article:2a665de1bced4d65ae3a51db368c2d5a2021-11-04T04:26:11ZTongxinluo prevents chronic obstructive pulmonary disease complicated with atherosclerosis by inhibiting ferroptosis and protecting against pulmonary microvascular barrier dysfunction0753-332210.1016/j.biopha.2021.112367https://doaj.org/article/2a665de1bced4d65ae3a51db368c2d5a2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S0753332221011513https://doaj.org/toc/0753-3322Cardiovascular comorbidities are pervasive in chronic obstructive pulmonary disease (COPD) and often result in serious adverse cardiovascular events. Tongxinluo (TXL) has been clinically verified to treat atherosclerosis (AS), improve lung function and alleviate dyspnoea. The present study aimed to explore the effect of lung microvascular barrier dysfunction on AS in COPD and the potential pulmonary protective mechanisms of TXL in COPD complicated with AS. COPD complicated with AS was induced in mice by cigarette smoke (CS) exposure and high-fat diet (HFD) feeding. The mice were treated with atorvastatin (ATO), TXL or combination therapy (ATO+TXL) for 20 weeks. Pulmonary function, lung pathology, serum lipid levels, atherosclerotic plaque area and indicators of barrier function, oxidative stress and ferroptosis in lung tissue were evaluated. In vitro, human pulmonary microvascular endothelial cells (HPMECs) were pretreated with TXL for 4 h and then incubated with cigarette smoke extract (CSE) and homocysteine (Hcy) for 36 h to induce barrier dysfunction. Then the indicators of barrier function, oxidative stress and ferroptosis were measured. The results demonstrate that CS aggravated dyslipidaemia, atherosclerotic plaque formation, pulmonary function decline, pathological injury, barrier dysfunction, oxidative stress and ferroptosis in the HFD-fed mice. However, these abnormalities were partially reversed by ATO and TXL. Similar results were observed in vitro. In conclusion, pulmonary microvascular barrier dysfunction plays an important role by which COPD affects the progression of AS, and ferroptosis may be involved. Moreover, TXL delays the progression of AS and reduces cardiovascular events by protecting the pulmonary microvascular barrier and inhibiting ferroptosis.Yafen WangXiangnan KuangYujie YinNingxin HanLiping ChangHongtao WangYunlong HouHuixin LiZhen LiYi LiuYuanjie HaoYaru WeiXiaoqi WangZhenhua JiaElsevierarticleTongxinluoChronic obstructive pulmonary diseaseAtherosclerosisPulmonary microvascular barrierOxidative stressFerroptosisTherapeutics. PharmacologyRM1-950ENBiomedicine & Pharmacotherapy, Vol 145, Iss , Pp 112367- (2022)
institution DOAJ
collection DOAJ
language EN
topic Tongxinluo
Chronic obstructive pulmonary disease
Atherosclerosis
Pulmonary microvascular barrier
Oxidative stress
Ferroptosis
Therapeutics. Pharmacology
RM1-950
spellingShingle Tongxinluo
Chronic obstructive pulmonary disease
Atherosclerosis
Pulmonary microvascular barrier
Oxidative stress
Ferroptosis
Therapeutics. Pharmacology
RM1-950
Yafen Wang
Xiangnan Kuang
Yujie Yin
Ningxin Han
Liping Chang
Hongtao Wang
Yunlong Hou
Huixin Li
Zhen Li
Yi Liu
Yuanjie Hao
Yaru Wei
Xiaoqi Wang
Zhenhua Jia
Tongxinluo prevents chronic obstructive pulmonary disease complicated with atherosclerosis by inhibiting ferroptosis and protecting against pulmonary microvascular barrier dysfunction
description Cardiovascular comorbidities are pervasive in chronic obstructive pulmonary disease (COPD) and often result in serious adverse cardiovascular events. Tongxinluo (TXL) has been clinically verified to treat atherosclerosis (AS), improve lung function and alleviate dyspnoea. The present study aimed to explore the effect of lung microvascular barrier dysfunction on AS in COPD and the potential pulmonary protective mechanisms of TXL in COPD complicated with AS. COPD complicated with AS was induced in mice by cigarette smoke (CS) exposure and high-fat diet (HFD) feeding. The mice were treated with atorvastatin (ATO), TXL or combination therapy (ATO+TXL) for 20 weeks. Pulmonary function, lung pathology, serum lipid levels, atherosclerotic plaque area and indicators of barrier function, oxidative stress and ferroptosis in lung tissue were evaluated. In vitro, human pulmonary microvascular endothelial cells (HPMECs) were pretreated with TXL for 4 h and then incubated with cigarette smoke extract (CSE) and homocysteine (Hcy) for 36 h to induce barrier dysfunction. Then the indicators of barrier function, oxidative stress and ferroptosis were measured. The results demonstrate that CS aggravated dyslipidaemia, atherosclerotic plaque formation, pulmonary function decline, pathological injury, barrier dysfunction, oxidative stress and ferroptosis in the HFD-fed mice. However, these abnormalities were partially reversed by ATO and TXL. Similar results were observed in vitro. In conclusion, pulmonary microvascular barrier dysfunction plays an important role by which COPD affects the progression of AS, and ferroptosis may be involved. Moreover, TXL delays the progression of AS and reduces cardiovascular events by protecting the pulmonary microvascular barrier and inhibiting ferroptosis.
format article
author Yafen Wang
Xiangnan Kuang
Yujie Yin
Ningxin Han
Liping Chang
Hongtao Wang
Yunlong Hou
Huixin Li
Zhen Li
Yi Liu
Yuanjie Hao
Yaru Wei
Xiaoqi Wang
Zhenhua Jia
author_facet Yafen Wang
Xiangnan Kuang
Yujie Yin
Ningxin Han
Liping Chang
Hongtao Wang
Yunlong Hou
Huixin Li
Zhen Li
Yi Liu
Yuanjie Hao
Yaru Wei
Xiaoqi Wang
Zhenhua Jia
author_sort Yafen Wang
title Tongxinluo prevents chronic obstructive pulmonary disease complicated with atherosclerosis by inhibiting ferroptosis and protecting against pulmonary microvascular barrier dysfunction
title_short Tongxinluo prevents chronic obstructive pulmonary disease complicated with atherosclerosis by inhibiting ferroptosis and protecting against pulmonary microvascular barrier dysfunction
title_full Tongxinluo prevents chronic obstructive pulmonary disease complicated with atherosclerosis by inhibiting ferroptosis and protecting against pulmonary microvascular barrier dysfunction
title_fullStr Tongxinluo prevents chronic obstructive pulmonary disease complicated with atherosclerosis by inhibiting ferroptosis and protecting against pulmonary microvascular barrier dysfunction
title_full_unstemmed Tongxinluo prevents chronic obstructive pulmonary disease complicated with atherosclerosis by inhibiting ferroptosis and protecting against pulmonary microvascular barrier dysfunction
title_sort tongxinluo prevents chronic obstructive pulmonary disease complicated with atherosclerosis by inhibiting ferroptosis and protecting against pulmonary microvascular barrier dysfunction
publisher Elsevier
publishDate 2022
url https://doaj.org/article/2a665de1bced4d65ae3a51db368c2d5a
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