Inhibiting P2Y12 receptor relieves LPS-induced inflammation and endothelial dysfunction

Immun Inflamm Dis. 2022 Oct;10(10):e697. doi: 10.1002/iid3.697.

Abstract

Background: Acute lung injury (ALI) is characterized by abnormal inflammatory response without effective therapies. P2Y12 receptor (P2Y12R) plays a vital role in inflammatory response. This study intends to explore whether P2Y12R antagonists can inhibit LPS-induced inflammatory injury of human pulmonary microvascular endothelial cells (HPMVECs) and endothelial cell dysfunction.

Methods: Using a cell model of ALI, the role of P2Y12R was investigated in LPS-induced HPMVECs. The expression of P2Y12R was detected by RT-qPCR and Western blot analysis assay and TNF-α, IL-1β, and IL-6 levels were analyzed by RT-qPCR. NO levels were also analyzed through NO kit. The levels of NF-κB p65, P-IκB-α, and IκB-α, as well as p-AKT and eNOS levels were detected by Western blot analysis assay. Wound healing assay was performed to evaluate HPMVECs migration. FITC-dextran was used to evaluate endothelial cell permeability, and the analysis of adherens junction protein VE-cadherin and endothelial cell tight junction proteins ZO-1, Claudin 5 and Occludin expression was performed by RT-qPCR and Western blot analysis assay.

Results: In vitro, LPS increased the expression levels of P2Y12R and pro-inflammatory mediators (TNF-α, IL-1β, and IL-6), followed by a decrease in HPMVECs migration. In addition, LPS led to an increase in endothelial cell permeability. P2Y12R antagonists Ticagrelor or clopidogrel treatment significantly reversed these effects of LPS.

Conclusion: The inhibitor of P2Y12R was able to decrease inflammatory response, promote migration and improve endothelial cell function and permeability, suggesting a key role of P2Y12R in ALI.

Keywords: P2Y12 receptor; clopidogrel; inflammation; migration; ticagrelor.

MeSH terms

  • Acute Lung Injury* / chemically induced
  • Acute Lung Injury* / metabolism
  • Claudin-5 / metabolism
  • Clopidogrel / adverse effects
  • Clopidogrel / metabolism
  • Endothelial Cells / metabolism
  • Humans
  • Inflammation / metabolism
  • Inflammation Mediators / metabolism
  • Interleukin-6 / genetics
  • Lipopolysaccharides* / toxicity
  • NF-KappaB Inhibitor alpha / metabolism
  • NF-kappa B / metabolism
  • Occludin / metabolism
  • Proto-Oncogene Proteins c-akt
  • Purinergic P2Y Receptor Antagonists / adverse effects
  • Purinergic P2Y Receptor Antagonists / metabolism
  • Receptors, Purinergic P2Y12
  • Ticagrelor / adverse effects
  • Ticagrelor / metabolism
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • Claudin-5
  • Inflammation Mediators
  • Interleukin-6
  • Lipopolysaccharides
  • NF-kappa B
  • Occludin
  • P2RY12 protein, human
  • Purinergic P2Y Receptor Antagonists
  • Receptors, Purinergic P2Y12
  • Tumor Necrosis Factor-alpha
  • NF-KappaB Inhibitor alpha
  • Clopidogrel
  • Proto-Oncogene Proteins c-akt
  • Ticagrelor