PMID- 27613156 OWN - NLM STAT- MEDLINE DCOM- 20170824 LR - 20181203 IS - 1470-8736 (Electronic) IS - 0143-5221 (Linking) VI - 130 IP - 23 DP - 2016 Dec 1 TI - Mesenchymal stem cell-conditioned media ameliorate diabetic endothelial dysfunction by improving mitochondrial bioenergetics via the Sirt1/AMPK/PGC-1alpha pathway. PG - 2181-2198 AB - Vasculopathy is a major complication of diabetes. Impaired mitochondrial bioenergetics and biogenesis due to oxidative stress are a critical causal factor for diabetic endothelial dysfunction. Sirt1, an NAD(+)-dependent enzyme, is known to play an important protective role through deacetylation of many substrates involved in oxidative phosphorylation and reactive oxygen species generation. Mesenchymal stem cell-conditioned medium (MSC-CM) has emerged as a promising cell-free therapy due to the trophic actions of mesenchymal stem cell (MSC)-secreted molecules. In the present study, we investigated the therapeutic potential of MSC-CMs in diabetic endothelial dysfunction, focusing on the Sirt1 signalling pathway and the relevance to mitochondrial function. We found that high glucose-stimulated MSC-CM attenuated several glucotoxicity-induced processes, oxidative stress and apoptosis of endothelial cells of the human umbilical vein. MSC-CM perfusion in diabetic rats ameliorated compromised aortic vasodilatation and alleviated oxidative stress in aortas. We further demonstrated that these effects were dependent on improved mitochondrial function and up-regulation of Sirt1 expression. MSC-CMs activated the phosphorylation of phosphoinositide 3-kinase (PI3K) and protein kinase B (Akt), leading to direct interaction between Akt and Sirt1, and subsequently enhanced Sirt1 expression. In addition, both MSC-CM and Sirt1 activation could increase the expression of peroxisome proliferator-activated receptor gamma co-activator-1alpha (PGC-1alpha), as well as increase the mRNA expression of its downstream, mitochondrial, biogenesis-related genes. This indirect regulation was mediated by activation of AMP-activated protein kinase (AMPK). Overall our findings indicated that MSC-CM had protective effects on endothelial cells, with respect to glucotoxicity, by ameliorating mitochondrial dysfunction via the PI3K/Akt/Sirt1 pathway, and Sirt1 potentiated mitochondrial biogenesis, through the Sirt1/AMPK/PGC-1alpha pathway. CI - (c) 2016 The Author(s). published by Portland Press Limited on behalf of the Biochemical Society. FAU - Yuan, Yujia AU - Yuan Y AD - Key Laboratory of Transplant Engineering and Immunology, NHFPC; Regenerative Medicine Research Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China. FAU - Shi, Meimei AU - Shi M AD - Key Laboratory of Transplant Engineering and Immunology, NHFPC; Regenerative Medicine Research Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China. FAU - Li, Lan AU - Li L AD - Key Laboratory of Transplant Engineering and Immunology, NHFPC; Regenerative Medicine Research Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China. FAU - Liu, Jingping AU - Liu J AD - Key Laboratory of Transplant Engineering and Immunology, NHFPC; Regenerative Medicine Research Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China. FAU - Chen, Bo AU - Chen B AD - Key Laboratory of Transplant Engineering and Immunology, NHFPC; Regenerative Medicine Research Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China. FAU - Chen, Younan AU - Chen Y AD - Key Laboratory of Transplant Engineering and Immunology, NHFPC; Regenerative Medicine Research Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China. AD - School of Biomedical Sciences, CHIRI Biosciences, Curtin University, GPO Box U1987, Perth, Western Australia, Australia. FAU - An, Xingxing AU - An X AD - Key Laboratory of Transplant Engineering and Immunology, NHFPC; Regenerative Medicine Research Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China. FAU - Liu, Shuyun AU - Liu S AD - Key Laboratory of Transplant Engineering and Immunology, NHFPC; Regenerative Medicine Research Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China. FAU - Luo, Ruixi AU - Luo R AD - Key Laboratory of Transplant Engineering and Immunology, NHFPC; Regenerative Medicine Research Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China. FAU - Long, Dan AU - Long D AD - Key Laboratory of Transplant Engineering and Immunology, NHFPC; Regenerative Medicine Research Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China. FAU - Zhang, Wengeng AU - Zhang W AD - Key Laboratory of Transplant Engineering and Immunology, NHFPC; Regenerative Medicine Research Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China. FAU - Newsholme, Philip AU - Newsholme P AD - School of Biomedical Sciences, CHIRI Biosciences, Curtin University, GPO Box U1987, Perth, Western Australia, Australia. FAU - Cheng, Jingqiu AU - Cheng J AD - Key Laboratory of Transplant Engineering and Immunology, NHFPC; Regenerative Medicine Research Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China. FAU - Lu, Yanrong AU - Lu Y AD - Key Laboratory of Transplant Engineering and Immunology, NHFPC; Regenerative Medicine Research Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China luyanrong@scu.edu.cn. LA - eng PT - Journal Article DEP - 20160909 PL - England TA - Clin Sci (Lond) JT - Clinical science (London, England : 1979) JID - 7905731 RN - 0 (Culture Media, Conditioned) RN - 0 (PPARGC1A protein, human) RN - 0 (Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - EC 3.5.1.- (Sirtuin 1) RN - IY9XDZ35W2 (Glucose) SB - IM MH - AMP-Activated Protein Kinases/genetics/*metabolism MH - Animals MH - Apoptosis MH - Culture Media, Conditioned/metabolism/*pharmacology MH - Diabetes Mellitus, Experimental/genetics/metabolism/physiopathology/*therapy MH - Glucose/metabolism MH - Human Umbilical Vein Endothelial Cells/cytology/metabolism MH - Humans MH - Male MH - Mesenchymal Stem Cells/cytology/*metabolism MH - Mitochondria/genetics/*metabolism MH - Oxidative Stress MH - Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha/genetics/*metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Signal Transduction MH - Sirtuin 1/genetics/*metabolism OTO - NOTNLM OT - endothelial dysfunction OT - mesenchymal stem cell-conditioned media OT - mitochondrial biogenesis OT - sirtuins EDAT- 2016/11/01 06:00 MHDA- 2017/08/25 06:00 CRDT- 2016/09/11 06:00 PHST- 2016/03/29 00:00 [received] PHST- 2016/09/05 00:00 [accepted] PHST- 2016/11/01 06:00 [pubmed] PHST- 2017/08/25 06:00 [medline] PHST- 2016/09/11 06:00 [entrez] AID - CS20160235 [pii] AID - 10.1042/CS20160235 [doi] PST - ppublish SO - Clin Sci (Lond). 2016 Dec 1;130(23):2181-2198. doi: 10.1042/CS20160235. Epub 2016 Sep 9.