PMID- 31582904 OWN - NLM STAT- MEDLINE DCOM- 20200323 LR - 20200323 IS - 1466-1861 (Electronic) IS - 0962-9351 (Print) IS - 0962-9351 (Linking) VI - 2019 DP - 2019 TI - Pregnancy-Associated Plasma Protein A Induces Inflammatory Cytokine Expression by Activating IGF-I/PI3K/Akt Pathways. PG - 8436985 LID - 10.1155/2019/8436985 [doi] LID - 8436985 AB - Pregnancy-associated plasma protein A (PAPP-A) was previously reported to be an inflammatory biomarker and a prognostic marker of acute coronary syndrome (ACS) and involved in the process of atherosclerosis and plaque rupture. However, the role of PAPP-A in inflammation is poorly understood. In this study, we aimed to investigate the role of PAPP-A in macrophage activation and inflammatory cytokine production. RAW264.7 macrophages were treated with or without PAPP-A. Reverse-transcriptase quantitative real-time PCR (RT-qPCR) and Western blot were performed to detect gene and protein expressions. The concentration of monocyte chemoattractant protein-1 (MCP-1), tumor necrosis factor-alpha (TNF-alpha), and interleukin-6 (IL-6) in culture supernatants was determined by ELISA. Results showed that PAPP-A significantly stimulated the expression of MCP-1, TNF-alpha, and IL-6 at both transcriptional and translational levels in a dose-dependent and time-dependent manner. The secretion of these inflammatory cytokines by macrophages was also increased after PAPP-A treatment. Moreover, PAPP-A activated the IGF-I/PI3K/Akt signaling pathway in macrophages. The PAPP-A-mediated upregulation of MCP-1, TNF-alpha, and IL-6 mRNA and protein levels were strongly inhibited by PI3K inhibitors or IGF-IR siRNA, indicating that the upregulation of MCP-1, TNF-alpha, and IL-6 could involve the IGF-I/PI3K/Akt pathway. Together, this study demonstrates that PAPP-A activates the macrophage signaling pathway (IGF-I/PI3K/Akt), which drives the expression and production of inflammatory cytokines known to contribute to the initiation and progression of ACS. These findings indicate that PAPP-A may play a proinflammatory role in the pathophysiology of ACS and serve as a potential therapeutic target. CI - Copyright (c) 2019 Weiping Li et al. FAU - Li, Weiping AU - Li W AUID- ORCID: 0000-0002-5534-5925 AD - Department of Cardiology, Cardiovascular Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. AD - Beijing Key Laboratory of Metabolic Disorder Related Cardiovascular Disease, Beijing 100069, China. FAU - Li, Hongwei AU - Li H AD - Department of Cardiology, Cardiovascular Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. AD - Beijing Key Laboratory of Metabolic Disorder Related Cardiovascular Disease, Beijing 100069, China. AD - Department of Internal Medicine, Medical Health Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. FAU - Zhou, Li AU - Zhou L AD - Department of Cardiology, Cardiovascular Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. FAU - Wang, Zijian AU - Wang Z AD - Department of Cardiology, Cardiovascular Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. FAU - Hua, Bing AU - Hua B AD - Department of Cardiology, Cardiovascular Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. LA - eng PT - Journal Article DEP - 20190910 PL - United States TA - Mediators Inflamm JT - Mediators of inflammation JID - 9209001 RN - 0 (Chemokine CCL2) RN - 0 (Cytokines) RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) RN - 67763-96-6 (Insulin-Like Growth Factor I) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 3.4.24.- (Pregnancy-Associated Plasma Protein-A) SB - IM MH - Animals MH - Blotting, Western MH - Cell Line MH - Chemokine CCL2/metabolism MH - Cytokines/*metabolism MH - Enzyme-Linked Immunosorbent Assay MH - Insulin-Like Growth Factor I/*metabolism MH - Interleukin-6/metabolism MH - Mice MH - Phosphatidylinositol 3-Kinases/*metabolism MH - Pregnancy-Associated Plasma Protein-A/*pharmacology MH - Proto-Oncogene Proteins c-akt/*metabolism MH - RAW 264.7 Cells MH - Real-Time Polymerase Chain Reaction MH - Signal Transduction/drug effects MH - Tumor Necrosis Factor-alpha/metabolism PMC - PMC6754940 COIS- The authors declared they do not have anything to disclose regarding the conflict of interest with respect to this manuscript. EDAT- 2019/10/05 06:00 MHDA- 2020/03/24 06:00 PMCR- 2019/09/10 CRDT- 2019/10/05 06:00 PHST- 2019/04/09 00:00 [received] PHST- 2019/07/10 00:00 [revised] PHST- 2019/08/13 00:00 [accepted] PHST- 2019/10/05 06:00 [entrez] PHST- 2019/10/05 06:00 [pubmed] PHST- 2020/03/24 06:00 [medline] PHST- 2019/09/10 00:00 [pmc-release] AID - 10.1155/2019/8436985 [doi] PST - epublish SO - Mediators Inflamm. 2019 Sep 10;2019:8436985. doi: 10.1155/2019/8436985. eCollection 2019.