GDF11 Protects against Endothelial Injury and Reduces Atherosclerotic Lesion Formation in Apolipoprotein E-Null Mice

Mol Ther. 2016 Nov;24(11):1926-1938. doi: 10.1038/mt.2016.160. Epub 2016 Aug 9.

Abstract

Growth differentiation factor 11 (GDF11) reduces cardiac hypertrophy, improves cerebral vasculature and enhances neurogenesis in ageing mice. Higher growth differentiation factor 11/8 (GDF11/8) is associated with lower risk of cardiovascular events in humans. Here, we showed that adeno-associated viruses-GDF11 and recombinant GDF11 protein improve endothelial dysfunction, decrease endothelial apoptosis, and reduce inflammation, consequently decrease atherosclerotic plaques area in apolipoprotein E-/- mice. Moreover, adeno-associated viruses-GDF11 and recombinant GDF11 stabilize atherosclerotic plaques by selectively decreasing in macrophages and T lymphocytes, while increasing in collagen and vascular smooth muscle cells within plaques. In addition, GDF11 inhibit palmitic acid-induced endothelial apoptosis and ameliorate palmitic acid-induced inflammatory response in RAW264.7 macrophages in vitro. Mechanistically, GDF11 activates the TGF-β/Smad2/3, AMPK/endothelial nitricoxide synthase (eNOS) while suppresses JNK and NF-κB pathways. In humans, circulating GDF11/8 is positively associated with flow-mediated endothelium-dependent dilation in overweight subjects. We concluded that adeno-associated viruses-GDF11 and recombinant GDF11 protect against endothelial injury and reduce atherosclerosis in apolipoprotein E-/- mice, thus may be providing a novel approach to the treatment of atherosclerosis.

MeSH terms

  • Animals
  • Apolipoproteins E / genetics*
  • Apoptosis / drug effects
  • Atherosclerosis / genetics
  • Atherosclerosis / metabolism
  • Atherosclerosis / therapy*
  • Bone Morphogenetic Proteins / genetics*
  • Cells, Cultured
  • Dependovirus / genetics
  • Disease Models, Animal
  • Endothelial Cells / cytology
  • Endothelial Cells / drug effects*
  • Gene Expression Regulation / drug effects
  • Genetic Therapy / methods*
  • Genetic Vectors / administration & dosage
  • Genetic Vectors / pharmacology
  • Growth Differentiation Factors / genetics*
  • Humans
  • Macrophages / metabolism
  • Mice
  • Mice, Knockout
  • Palmitic Acid / adverse effects
  • RAW 264.7 Cells
  • Recombinant Proteins / administration & dosage*
  • Recombinant Proteins / pharmacology
  • Signal Transduction / drug effects
  • T-Lymphocytes / metabolism

Substances

  • Apolipoproteins E
  • Bone Morphogenetic Proteins
  • GDF11 protein, human
  • Growth Differentiation Factors
  • Recombinant Proteins
  • Palmitic Acid