Cilostazol Induces eNOS and TM Expression via Activation with Sirtuin 1/Krüppel-like Factor 2 Pathway in Endothelial Cells

Cilostazol was suggested to be beneficial to retard in-stent atherosclerosis and prevent stent thrombosis. However, the mechanisms responsible for the beneficial effects of cilostazol are not fully understood. In this study, we attempted to verify the mechanism of the antithrombotic effect of cilost...

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Main Authors: Chih-Hsien Wu, Yi-Lin Chiu, Chung-Yueh Hsieh, Guo-Shiang Tsung, Lian-Shan Wu, Cheng-Chung Cheng, Tsung-Neng Tsai
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/19/10287
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author Chih-Hsien Wu
Yi-Lin Chiu
Chung-Yueh Hsieh
Guo-Shiang Tsung
Lian-Shan Wu
Cheng-Chung Cheng
Tsung-Neng Tsai
author_facet Chih-Hsien Wu
Yi-Lin Chiu
Chung-Yueh Hsieh
Guo-Shiang Tsung
Lian-Shan Wu
Cheng-Chung Cheng
Tsung-Neng Tsai
author_sort Chih-Hsien Wu
collection DOAJ
description Cilostazol was suggested to be beneficial to retard in-stent atherosclerosis and prevent stent thrombosis. However, the mechanisms responsible for the beneficial effects of cilostazol are not fully understood. In this study, we attempted to verify the mechanism of the antithrombotic effect of cilostazol. Human umbilical vein endothelial cells (HUVECs) were cultured with various concentrations of cilostazol to verify its impact on endothelial cells. KLF2, silent information regulator transcript-1 (SIRT1), endothelial nitric oxide synthase (eNOS), and endothelial thrombomodulin (TM) expression levels were examined. We found cilostazol significantly activated KLF2 expression and KLF2-related endothelial function, including eNOS activation, Nitric oxide (NO) production, and TM secretion. The activation was regulated by SIRT1, which was also stimulated by cilostazol. These findings suggest that cilostazol may be capable of an antithrombotic and vasculoprotective effect in endothelial cells.
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spelling doaj.art-2c669082a9164cc2ae489f4f5271ed522023-11-22T16:07:16ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-09-0122191028710.3390/ijms221910287Cilostazol Induces eNOS and TM Expression via Activation with Sirtuin 1/Krüppel-like Factor 2 Pathway in Endothelial CellsChih-Hsien Wu0Yi-Lin Chiu1Chung-Yueh Hsieh2Guo-Shiang Tsung3Lian-Shan Wu4Cheng-Chung Cheng5Tsung-Neng Tsai6National Defense Medical Center, Department of Biochemistry, Taipei 114201, TaiwanNational Defense Medical Center, Department of Biochemistry, Taipei 114201, TaiwanDepartment of Internal Medicine, Division of Cardiology, Taoyuan Armed Forces General Hospital, Taoyuan City 325208, TaiwanDepartment of Internal Medicine, Division of Cardiology, Taoyuan Armed Forces General Hospital, Taoyuan City 325208, TaiwanDepartment of Internal Medicine, Division of Cardiology, Hualien Armed Forces General Hospital, Hualien County 325208, TaiwanDepartment of Internal Medicine, Division of Cardiology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanDepartment of Internal Medicine, Division of Cardiology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, TaiwanCilostazol was suggested to be beneficial to retard in-stent atherosclerosis and prevent stent thrombosis. However, the mechanisms responsible for the beneficial effects of cilostazol are not fully understood. In this study, we attempted to verify the mechanism of the antithrombotic effect of cilostazol. Human umbilical vein endothelial cells (HUVECs) were cultured with various concentrations of cilostazol to verify its impact on endothelial cells. KLF2, silent information regulator transcript-1 (SIRT1), endothelial nitric oxide synthase (eNOS), and endothelial thrombomodulin (TM) expression levels were examined. We found cilostazol significantly activated KLF2 expression and KLF2-related endothelial function, including eNOS activation, Nitric oxide (NO) production, and TM secretion. The activation was regulated by SIRT1, which was also stimulated by cilostazol. These findings suggest that cilostazol may be capable of an antithrombotic and vasculoprotective effect in endothelial cells.https://www.mdpi.com/1422-0067/22/19/10287cilostazolendothelial cellsKrüppel-like factor 2endothelial nitric oxide synthasenitric oxidethrombomodulin
spellingShingle Chih-Hsien Wu
Yi-Lin Chiu
Chung-Yueh Hsieh
Guo-Shiang Tsung
Lian-Shan Wu
Cheng-Chung Cheng
Tsung-Neng Tsai
Cilostazol Induces eNOS and TM Expression via Activation with Sirtuin 1/Krüppel-like Factor 2 Pathway in Endothelial Cells
International Journal of Molecular Sciences
cilostazol
endothelial cells
Krüppel-like factor 2
endothelial nitric oxide synthase
nitric oxide
thrombomodulin
title Cilostazol Induces eNOS and TM Expression via Activation with Sirtuin 1/Krüppel-like Factor 2 Pathway in Endothelial Cells
title_full Cilostazol Induces eNOS and TM Expression via Activation with Sirtuin 1/Krüppel-like Factor 2 Pathway in Endothelial Cells
title_fullStr Cilostazol Induces eNOS and TM Expression via Activation with Sirtuin 1/Krüppel-like Factor 2 Pathway in Endothelial Cells
title_full_unstemmed Cilostazol Induces eNOS and TM Expression via Activation with Sirtuin 1/Krüppel-like Factor 2 Pathway in Endothelial Cells
title_short Cilostazol Induces eNOS and TM Expression via Activation with Sirtuin 1/Krüppel-like Factor 2 Pathway in Endothelial Cells
title_sort cilostazol induces enos and tm expression via activation with sirtuin 1 kruppel like factor 2 pathway in endothelial cells
topic cilostazol
endothelial cells
Krüppel-like factor 2
endothelial nitric oxide synthase
nitric oxide
thrombomodulin
url https://www.mdpi.com/1422-0067/22/19/10287
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