Vascular diseases are often accompanied by inflammation, such as arteriosclerosis(Grinan, Escola-Gil et al. 2022), stroke and arthritis. Serum Hcy levels in arteriosclerosis and rheumatoid arthritis are usually elevated, and Hcy exacerbates inflammation by increasing macrophages proliferation, migration and invasion. In this study, our results provided new evidence that Rap1A augumented ANA-1 macrophages activation, proliferation, adhesion, invasion, and M1 polarization via p38 signal in the presence of Hcy.
Macrophages, derived from monocytes and belonging to immune cells, participate in both nonspecific and specific defenses in the body, with deformational movement and phagocytosis(Gonzalez, Lu et al. 2023). Macrophages usually exist in the tissues of the body as usual macrophages, which become activated macrophages after being stimulated, and then secrete a large number of soluble pro-inflammatory factors, accelerating the pathological process of the disease. Results of this study showed after Hcy intervention, ANA-1 macrophages cells viability and proliferation ability was significant increased, as well as a significant increase in cell migration and invasion ability, consistent with literature reports. When macrophages undergo M1 polarization, the expression of inducible nitric oxide synthase (iNOS) is significantly increased. In addition, CD80 and CD86 are classical indicators of M1 polarization. In this study, the content of TNF-α and IL-6 in the supernatant of macrophages treated with Hcy was significantly increased, accompanied with increased mRNA expression of CD80 and CD86 and protein expression of iNOS. These results indicated that Hcy might cause macrophages dysfunction characteristic with augmented cell viability, proliferation, migration, invasion and M1 polarization.
Gene chip results showed that Hcy intervention in macrophages, representative cellular processes and immune response-related pathways were enriched, accompanied by up-regulation of Rap1A expression, which was also confirmed in in vitro experiments. Deletion of the Rap1A gene reduced macrophage migration capacity and inhibited angiogenesis, impairing endothelial cell migration and proliferation. Our research found that the proliferation, migration and invasion of macrophages induced by Hcy could be partially reversed by transfection of lentivirus carrying the interfering fragment of Rap1A. Studies have shown that over-production of Rap1A is the main cause of vascular remodeling and inflammatory reaction, and leads to the development of vascular-related diseases. Rap1A activation is involved in the repair of damaged endometrium through epithelial cell polarity remodeling. In the present study, inhibition of Rap1A expression could significantly reduce Hcy-induced increase of TNF-α and IL-6 contents and M1polarization. Taken together, these data support the idea that Rap1A is involved in Hcy-induced macrophage dysfunction.
Rap1A can phosphorylate and activate downstream proteins. Rap1A activates JAK/STAT inflammatory signaling pathway mediated by fatty acid binding protein 4(Xu, Zhang et al. 2022). Rap1A interact with the lncRNA TGFB3-AS1 to promote inflammatory responses in macrophages through the Wnt/β-catenin signaling pathway(Zhang, Hao et al. 2021). These evidences prove that Rap1A can affect downstream phosphorylation pathway. Then we analyzed the phosphorylation signaling pathways downstream of Rap1A with the phosphorylated proteome and found that Rap1A can regulate multiple phosphorylation pathways, including the mitogen activated protein kinases (MAPK) pathway.Rap1A has been shown to activate ERK/MAPK pathway, which promotes cell migration and inhibits cell differentiation(Shah, Brock et al. 2018, Jin, Di et al. 2019).Therefore, regulation of MAPK pathway is an important mechanism of Rap1A. Activation of upstream proteins of JNK and p38 creates conditions for RAS/RAF activity. Therefore we also speculate Rap1A may be involved in the regulation of RAS/RAF/MEK/ERK signaling pathway.
Knockdown Rap1A reduces ERK1/2 phosphorylation levels, while JNK and P38 have no significant change, which is consistent with our conjecture literature. These findings indicated that Rap1A suppressed ERK1/2 phosphorylation. To further explore the effect of ERK1/2 on ANA-1macrophage dysfunction, we intervened the cells with ERK1/2-specific blockers. In the presence of Hcy, co-inhibition of Rap1A and ERK1/2 significantly reduced the proliferation, migration and invasion of macrophages, and relieved M1 polarization and inflammation to some extent. These data suggest that Rap1A-ERK1/2 signaling pathway is involved in Hcy-induced macrophage proliferation, migration, invasion, M1 polarization and inflammation.
Collectively, the reported reveal that Hcy accelerates macrophage proliferation, migration, invasion, M1 polarization and inflammation through regulating Rap1A-ERK1/2 signal pathway. The discovery of this novel mechanism provides forward-looking and in-depth insight on Hcy-induced macrophage dysfunction and brings hope that inhibition of Rap1A-ERK1/2 signal may be used in the field of vascular injury disease.