PMID- 37128920 OWN - NLM STAT- MEDLINE DCOM- 20230623 LR - 20230627 IS - 1524-4636 (Electronic) IS - 1079-5642 (Linking) VI - 43 IP - 7 DP - 2023 Jul TI - CTSS Modulates Stress-Related Carotid Artery Thrombosis in a Mouse FeCl(3) Model. PG - e238-e253 LID - 10.1161/ATVBAHA.122.318455 [doi] AB - BACKGROUND: Exposure to chronic psychological stress is a risk factor for metabolic cardiovascular disease. Given the important role of lysosomal CTSS (cathepsin S) in human pathobiology, we examined the role of CTSS in stress-related thrombosis, focusing on inflammation, oxidative stress, and apoptosis. METHODS: Six-week-old wild-type mice (CTSS(+/+)) and CTSS-deficient mice (CTSS(-/-)) randomly assigned to nonstress and 2-week immobilization stress groups underwent iron chloride3 (FeCl(3))-induced carotid thrombosis surgery for morphological and biochemical studies. RESULTS: On day 14 poststress/surgery, stress had increased the lengths and weights of thrombi in the CTSS(+/+) mice, plus harmful changes in the levels of PAI-1 (plasminogen activation inhibitor-1), ADAMTS13 (a disintegrin and metalloproteinase with thrombospondin type 13 motifs), and vWF (von Willebrand factor) and arterial tissue CTSS expression. Compared to the nonstressed CTSS(+/+) mice, the stressed CTSS(-/-) mice had decreased levels of PAI-1, vWF, TNF (tumor necrosis factor)-alpha, interleukin-1beta, toll-like receptor-4, cleaved-caspase 3, cytochrome c, p16(INK4A), gp91(phox), p22(phox), ICAM-1 (intercellular adhesion molecule-1), MCP-1 (monocyte chemoattractant protein-1), MyD88 (myeloid differentiation primary response 88), and MMP (matrix metalloproteinase)-2/-9 and increased levels of ADAMTS13, SOD (superoxide dismutase)-1/-2, eNOS (endothelial NO synthase), p-Akt (phospho-protein kinase B), Bcl-2 (B-cell lymphoma-2), p-GSK3alpha/beta (phospho-glycogen synthase kinases alpha and beta), and p-Erk1/2 (phospho-extracellular signal-regulated kinase 1 and 2) mRNAs and/or proteins. CTSS deletion also reduced the arterial thrombus area and endothelial loss. A pharmacological inhibition of CTSS exerted a vasculoprotective action. In vitro, CTSS silencing and overexpression, respectively, reduced and increased the stressed serum and oxidative stress-induced apoptosis of human umbilical vein endothelial cells, and they altered apoptosis-related proteins. CONCLUSIONS: CTSS inhibition appeared to improve the stress-related thrombosis in mice that underwent FeCl(3)-induction surgery, possibly by reducing vascular inflammation, oxidative stress, and apoptosis. CTSS could thus become a candidate therapeutic target for chronic psychological stress-related thrombotic events in metabolic cardiovascular disease. FAU - Xu, Shengnan AU - Xu S AD - Department of Cardiology and Hypertension (S.X., L.P., Y.W., H.W., X.Y., X.J., X.W.C.), Yanbian University Hospital, Yanji, China. AD - Jilin Provincial Key Laboratory of Stress and Cardiovascular Disease (S.X., L.P., Y.W., H.W., X.Y., X.J., X.W.C.), Yanbian University Hospital, Yanji, China. FAU - Piao, Limei AU - Piao L AUID- ORCID: 0000-0001-5808-9990 AD - Department of Cardiology and Hypertension (S.X., L.P., Y.W., H.W., X.Y., X.J., X.W.C.), Yanbian University Hospital, Yanji, China. AD - Jilin Provincial Key Laboratory of Stress and Cardiovascular Disease (S.X., L.P., Y.W., H.W., X.Y., X.J., X.W.C.), Yanbian University Hospital, Yanji, China. FAU - Wan, Ying AU - Wan Y AD - Department of Cardiology and Hypertension (S.X., L.P., Y.W., H.W., X.Y., X.J., X.W.C.), Yanbian University Hospital, Yanji, China. AD - Jilin Provincial Key Laboratory of Stress and Cardiovascular Disease (S.X., L.P., Y.W., H.W., X.Y., X.J., X.W.C.), Yanbian University Hospital, Yanji, China. FAU - Huang, Zhe AU - Huang Z AD - Department of Neurology, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan (Z.H.). FAU - Meng, Xiangkun AU - Meng X AUID- ORCID: 0000-0002-7666-2508 AD - Department of Vascular Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China (X.M.). FAU - Inoue, Aiko AU - Inoue A AD - Community Healthcare & Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan (A.I., M.K.). AD - Institute of Innovation for Future Society, Nagoya University, Aichi-ken, Japan (A.I., M.K.). FAU - Wang, Hailong AU - Wang H AD - Department of Cardiology and Hypertension (S.X., L.P., Y.W., H.W., X.Y., X.J., X.W.C.), Yanbian University Hospital, Yanji, China. AD - Jilin Provincial Key Laboratory of Stress and Cardiovascular Disease (S.X., L.P., Y.W., H.W., X.Y., X.J., X.W.C.), Yanbian University Hospital, Yanji, China. FAU - Yue, Xueling AU - Yue X AD - Department of Cardiology and Hypertension (S.X., L.P., Y.W., H.W., X.Y., X.J., X.W.C.), Yanbian University Hospital, Yanji, China. AD - Jilin Provincial Key Laboratory of Stress and Cardiovascular Disease (S.X., L.P., Y.W., H.W., X.Y., X.J., X.W.C.), Yanbian University Hospital, Yanji, China. FAU - Jin, Xianglan AU - Jin X AD - Department of Cardiology and Hypertension (S.X., L.P., Y.W., H.W., X.Y., X.J., X.W.C.), Yanbian University Hospital, Yanji, China. AD - Jilin Provincial Key Laboratory of Stress and Cardiovascular Disease (S.X., L.P., Y.W., H.W., X.Y., X.J., X.W.C.), Yanbian University Hospital, Yanji, China. FAU - Shi, Guo-Ping AU - Shi GP AUID- ORCID: 0000-0001-5809-2567 AD - Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (G.-P.S.). FAU - Kuzuya, Masafumi AU - Kuzuya M AD - Community Healthcare & Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan (A.I., M.K.). AD - Institute of Innovation for Future Society, Nagoya University, Aichi-ken, Japan (A.I., M.K.). AD - Meitetsu Hospital, Nagoya, Japan (M.K.). FAU - Cheng, Xian Wu AU - Cheng XW AUID- ORCID: 0000-0002-9758-0632 AD - Department of Cardiology and Hypertension (S.X., L.P., Y.W., H.W., X.Y., X.J., X.W.C.), Yanbian University Hospital, Yanji, China. AD - Jilin Provincial Key Laboratory of Stress and Cardiovascular Disease (S.X., L.P., Y.W., H.W., X.Y., X.J., X.W.C.), Yanbian University Hospital, Yanji, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230427 PL - United States TA - Arterioscler Thromb Vasc Biol JT - Arteriosclerosis, thrombosis, and vascular biology JID - 9505803 RN - U38V3ZVV3V (ferric chloride) RN - EC 3.4.22.27 (cathepsin S) RN - 0 (von Willebrand Factor) RN - 0 (Plasminogen Activator Inhibitor 1) SB - IM MH - Mice MH - Humans MH - Animals MH - *Carotid Artery Thrombosis MH - von Willebrand Factor/metabolism MH - *Cardiovascular Diseases MH - Plasminogen Activator Inhibitor 1/genetics MH - *Thrombosis/etiology/metabolism MH - Human Umbilical Vein Endothelial Cells/metabolism MH - Inflammation/pathology OTO - NOTNLM OT - apoptosis OT - cathepsin OT - endothelial cell OT - oxidative stress OT - thrombosis COIS- Disclosures None. EDAT- 2023/05/02 06:42 MHDA- 2023/06/23 06:42 CRDT- 2023/05/02 05:26 PHST- 2023/06/23 06:42 [medline] PHST- 2023/05/02 06:42 [pubmed] PHST- 2023/05/02 05:26 [entrez] AID - 10.1161/ATVBAHA.122.318455 [doi] PST - ppublish SO - Arterioscler Thromb Vasc Biol. 2023 Jul;43(7):e238-e253. doi: 10.1161/ATVBAHA.122.318455. Epub 2023 Apr 27.