Endothelial dysfunction is a key pathological mechanism underlying diabetes-induced vascular disease [18]. Therefore, the search for safe and effective drugs to treat hyperglycemia-induced endothelial dysfunction is currently of considerable interest in the field of diabetes and cardiovascular disease research. Chinese yam, an ingredient used in traditional Chinese medicine, is widely used in clinical practice to treat endothelium-related diseases. However, little is known about the mechanism by which it exerts its beneficial effects in hyperglycemia-induced endothelial dysfunction. In the present study, we found that DP1, a Chinese yam protein, has a remarkable ability to alleviate HG-induced HUVEC functional impairment and cellular senescence. We used RNA-seq analysis to identify crucial targets of DP1 that promote angiogenesis and inhibit cell senescence. Our findings provide new insight into the mechanisms underlying how Chinese yam ameliorates endothelial dysfunction.
The vascular endothelium is a multifunctional organ that maintains vascular integrity and regulates vascular homeostasis; these functions rely on the angiogenic capacity of vascular endothelial cells and their production of active substances such as NO [19]. Previous studies have indicated that the impaired endothelial function underlying both macro- and microvascular complications can be caused by prolonged, transient, and acute hyperglycemia in animal models as well as in humans [20]. In our study, HUVECs exposed to HG conditions exhibited decreased proliferation, lower NO levels, and impaired tube formation compared with uninjured control cells, making them an ideal in vitro model of diabetes-induced endothelial dysfunction [21]. Treatment with DP1 significantly improved HUVEC viability, NO production, and angiogenic capacity. These results suggest that DP1 can restore HG-induced functional damage to HUVECs.
Cellular senescence indicates a permanent arrest of cell growth and proliferation and is a major factor contributing to hyperglycemia-induced endothelial dysfunction owing to the disruption in endothelial cell permeability and motility, decreased NO production, and abnormal gene expression [22–24]. At the phenotypic level, upregulation of SA-β-gal activity is a key feature of senescent endothelial cells [25]. To investigate whether DP1 attenuates HG-induced endothelial dysfunction by inhibiting SA-β-gal activity, we performed SA-β-gal staining of HUVECs. Consistent with a previous study, we found that the number of SA-β-gal–positive cells was significantly increased under HG conditions compared with normal glucose conditions [26]. Treatment with DP1 decreased the percentage of senescent cells, indicating that the beneficial effects of DP1 on HG-induced endothelial dysfunction are associated with inhibition of cellular senescence.
To determine the molecular mechanism by which DP1 protects against HG-induced endothelial dysfunction, we performed RNA-seq. In total, 335 DEGs were identified between the HG group and the DP1 group, including 212 upregulated genes and 123 downregulated genes. From these DEGs, we selected 11 angiogenesis-related genes that were upregulated in the DP1 group as potential factors associated with HG-induced endothelial dysfunction. For instance, NUMBL, AFDN, ITGA6, ITGB1, and DSP encode cell adhesion–related factors that play crucial roles in angiogenesis by regulating the interaction between endothelial cells and extracellular matrix or other cells [27–31]. Silencing AGO2, which encodes a key participant in mRNA biogenesis, inhibits HUVECs angiogenesis and enhances HUVECs apoptosis [32]. QK1 is a component of the endothelial cell cycle progression post-transcriptional regulatory network and is crucial to angiogenesis [33]. FBXW7, a SCF protein complex component responsible for polyubiquitination, promotes angiogenesis by limiting endothelial Notch activity [34]. YAP1 is a transcriptional co-activator that regulates angiogenesis by controlling mitochondrial biogenesis [35]. CCBE1 promotes angiogenic sprouting via endothelial cell migration during embryogenesis [36–37]. NCL acts as a multifunctional DNA-, RNA-, and protein-binding protein in the nucleolus of eukaryotic cells, and binds to the proangiogenic factors VEGF-A and MMP-9 [38]. Our results showed that DP1 regulates the expression levels of genes involved in angiogenesis that can contribute to endothelial dysfunction in the context of hyperglycemia. These results indicated that DP1 may protect against HG-induced endothelial dysfunction by promoting angiogenesis.
In addition to the above findings, we also identified nine DEGs that involved in HG-induced endothelial cellular senescence, including SIRT1, JUND, PRKDC, PTEN, CDK6, KAT6A, NFATC3, PPP1CA, and MIF. SIRT1 is a member of the sirtuin family of NAD+-dependent deacylases and participates in HG-induced HUVEC senescence by regulating FoxO-1/p53 acetylation and p21 expression [39]. JUND is considered to be an important modulator of oxidative stress and plays a key role in regulating cell growth and survival during endothelial recovery [40]. PRKDC, also known as DNA-dependent protein kinase catalytic subunit (DNAPKcs), is a central regulator of DNA end access and can enhance cell proliferation [41–42]. PENT and CDK6 play crucial roles in cell proliferation and the cell cycle, and their absence induces HUVEC senescence [43–44]. KAT6A, a member of the monocytic leukemia zinc-finger protein family, is a potent inhibitor of cellular senescence that acts via the INK4A-ARF pathway [45]. NFATC3, nuclear factor of activated T cells, affects senescence by regulating Ca2+ signaling [46]. PPP1CA, the catalytic subunit of protein phosphatase 1a, regulates senescence in a pRb-dependent manner [47]. MIF is a proinflammatory cytokine that controls cellular senescence by regulating p53 and NF-κb signaling [48]. These results suggested that DP1 alleviates HG-induced endothelial dysfunction by regulating multiple cellular senescence-related factors.