PMID- 37941784 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231110 IS - 2391-5412 (Electronic) IS - 2391-5412 (Linking) VI - 18 IP - 1 DP - 2023 TI - PTX3 promotes IVIG resistance-induced endothelial injury in Kawasaki disease by regulating the NF-kappaB pathway. PG - 20220735 LID - 10.1515/biol-2022-0735 [doi] LID - 20220735 AB - Intravenous immunoglobulin (IVIG) resistance leads to serious complications in Kawasaki disease (KD) with no effective treatment. This study aimed to investigate the effects of pentraxin 3 (PTX3) on human coronary artery endothelial cells (HCAECs). PTX3 levels were measured using quantitative real-time PCR (qRT-PCR), enzyme-linked immunosorbent assay, and western blotting. Cell viability was detected using the MTT assay. Biological functions were analyzed using CCK-8, EdU, flow cytometry, TUNEL, and qRT-PCR. The levels of factors of the NF-kappaB pathway were examined using western blotting. The results demonstrated that PTX3 expression was highest in patients and HCAECs with IVIG-resistance. Knockdown of PTX3 promoted proliferation and suppressed apoptosis and inflammation of IVIG-resistant HCAECs, whereas PTX3 overexpression produced the opposite results. Moreover, PTX3 activated the NF-kappaB pathway in IVIG-resistant HCAECs. A rescue study showed that PTX3 modulated biological behaviors by regulating the NF-kappaB pathway. Overall, our findings demonstrate that PTX3 promotes IVIG resistance-induced endothelial injury by activating the NF-kappaB pathway, suggesting that PTX3 may become a novel therapeutic target for patients with IVIG-resistant KD. CI - (c) 2023 the author(s), published by De Gruyter. FAU - Sun, Ye AU - Sun Y AD - Children's Hospital of Shanxi (Women Health Center of Shanxi), No. 65, Jinxi Street, Taiyuan, Shanxi 030025, China. FAU - Liu, Lihua AU - Liu L AD - Children's Hospital of Shanxi (Women Health Center of Shanxi), No. 65, Jinxi Street, Taiyuan, Shanxi 030025, China. FAU - Yang, Ruihua AU - Yang R AD - Children's Hospital of Shanxi (Women Health Center of Shanxi), No. 65, Jinxi Street, Taiyuan, Shanxi 030025, China. LA - eng PT - Journal Article DEP - 20231024 PL - Poland TA - Open Life Sci JT - Open life sciences JID - 101669614 PMC - PMC10628575 OTO - NOTNLM OT - IVIG resistance OT - Kawasaki disease OT - NF-kappaB pathway OT - PTX3 OT - coronary artery endothelial cells COIS- Conflict of interest: Authors state no conflict of interest. EDAT- 2023/11/09 06:41 MHDA- 2023/11/09 06:42 PMCR- 2023/10/24 CRDT- 2023/11/09 04:12 PHST- 2023/06/12 00:00 [received] PHST- 2023/08/20 00:00 [revised] PHST- 2023/08/29 00:00 [accepted] PHST- 2023/11/09 06:42 [medline] PHST- 2023/11/09 06:41 [pubmed] PHST- 2023/11/09 04:12 [entrez] PHST- 2023/10/24 00:00 [pmc-release] AID - biol-2022-0735 [pii] AID - 10.1515/biol-2022-0735 [doi] PST - epublish SO - Open Life Sci. 2023 Oct 24;18(1):20220735. doi: 10.1515/biol-2022-0735. eCollection 2023.