Evidence map›Paper›PMID 38868940›Full record

ArticleArteriosclerosis, thrombosis, and vascular biology2024

PAI-1 Regulates the Cytoskeleton and Intrinsic Stiffness of Vascular Smooth Muscle Cells.

Hekmat B Khoukaz, Manisha Vadali, Alex Schoenherr, Francisco I Ramirez-Perez, Mariana Morales-Quinones, Zhe Sun, Shumpei Fujie, Christopher A Foote, Zhen Lyu, Shuai Zeng and 8 more

Abstract read
In one paragraph

Article in Arteriosclerosis, thrombosis, and vascular biology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Integrin αScientific reports · 2026
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Targeting Vascular Stiffness.Arteriosclerosis, thrombosis, and vascular biology · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Hekmat B KhoukazDepartments of Medicine (H.B.K., M.V., F.I.R.-P., M.M.-Q., Y.J., L.A.M.-L., W.P.F.), University of Missouri, Columbia.ORCID 0000-0003-0601-7199
Manisha VadaliDepartments of Medicine (H.B.K., M.V., F.I.R.-P., M.M.-Q., Y.J., L.A.M.-L., W.P.F.), University of Missouri, Columbia.
Alex SchoenherrMedical Pharmacology and Physiology (A.S., C.A.F., S.-Y.C., M.A.H., L.A.M.-L., W.P.F.), University of Missouri, Columbia.
Francisco I Ramirez-PerezDepartments of Medicine (H.B.K., M.V., F.I.R.-P., M.M.-Q., Y.J., L.A.M.-L., W.P.F.), University of Missouri, Columbia.ORCID 0000-0003-4920-383X
Mariana Morales-QuinonesDepartments of Medicine (H.B.K., M.V., F.I.R.-P., M.M.-Q., Y.J., L.A.M.-L., W.P.F.), University of Missouri, Columbia.ORCID 0009-0003-1734-5267
Zhe SunDalton Cardiovascular Research Center (Z.S., M.A.H., L.A.M.-L., W.P.F.), University of Missouri, Columbia.ORCID 0000-0002-2294-7073
Shumpei FujieFaculty of Sport and Health Science, Ritsumeikan University, Kusatsu, Shiga, Japan (S.F.).
Christopher A FooteMedical Pharmacology and Physiology (A.S., C.A.F., S.-Y.C., M.A.H., L.A.M.-L., W.P.F.), University of Missouri, Columbia.ORCID 0000-0002-8069-2531
Zhen LyuElectrical Engineering and Computer Science (Z.L., S.Z.), University of Missouri, Columbia.
Shuai ZengElectrical Engineering and Computer Science (Z.L., S.Z.), University of Missouri, Columbia.ORCID 0000-0001-7632-427X
Marc A AugenreichNutrition and Exercise Physiology (M.A.A.), University of Missouri, Columbia.ORCID 0000-0002-0719-8799
Dunpeng CaiSurgery (D.C., S.-Y.C.), University of Missouri, Columbia.ORCID 0000-0002-0489-6567
Shi-You ChenMedical Pharmacology and Physiology (A.S., C.A.F., S.-Y.C., M.A.H., L.A.M.-L., W.P.F.), University of Missouri, Columbia.ORCID 0000-0002-0297-8649
Trupti JoshiHealth Management and Informatics (T.J.), University of Missouri, Columbia.ORCID 0000-0001-8944-4924
Yan JiDepartments of Medicine (H.B.K., M.V., F.I.R.-P., M.M.-Q., Y.J., L.A.M.-L., W.P.F.), University of Missouri, Columbia.
Michael A HillMedical Pharmacology and Physiology (A.S., C.A.F., S.-Y.C., M.A.H., L.A.M.-L., W.P.F.), University of Missouri, Columbia.ORCID 0000-0002-4455-2072
Luis A Martinez-LemusDepartments of Medicine (H.B.K., M.V., F.I.R.-P., M.M.-Q., Y.J., L.A.M.-L., W.P.F.), University of Missouri, Columbia.ORCID 0000-0002-6559-5717
William P FayDepartments of Medicine (H.B.K., M.V., F.I.R.-P., M.M.-Q., Y.J., L.A.M.-L., W.P.F.), University of Missouri, Columbia.

Funding

Mechanisms of Microvascular Remodeling ProgressionR01HL088105 · NHLBI · UNIVERSITY OF MISSOURI-COLUMBIA · PI MARTINEZ-LEMUS, LUIS A · 2009 to 2019
$3.3M
Role of Plasminogen Activator Inhibitor-1 in Adipose Tissue Dysfunction and Atherosclerosis in Metabolic SyndromeR01HL136746 · NHLBI · UNIVERSITY OF MISSOURI-COLUMBIA · PI FAY, WILLIAM P · 2018 to 2021
$1.5M
Role of Plasminogen Activator Inhibitor-1 in Vascular Smooth Muscle Cell Stiffening and SenescenceI01BX005144 · VA · HARRY S. TRUMAN MEMORIAL VA HOSPITAL · PI FAY, WILLIAM P · 2022 to 2025
–
Novel Mechanisms Underlying the Development of AtherosclerosisI01BX006161 · VA · HARRY S. TRUMAN MEMORIAL VA HOSPITAL · PI Shiyou Chen · 2023 to 2026
–
BLRD VA I01 BX005144BLRD VA I01 BX006161NHLBI NIH HHS R01 HL088105NHLBI NIH HHS R01 HL136746
6 · The paper itself

Abstract

backgroundPlasma concentration of PAI-1 (plasminogen activator inhibitor-1) correlates with arterial stiffness. Vascular smooth muscle cells (SMCs) express PAI-1, and the intrinsic stiffness of SMCs is a major determinant of total arterial stiffness. We hypothesized that PAI-1 promotes SMC stiffness by regulating the cytoskeleton and that pharmacological inhibition of PAI-1 decreases SMC and aortic stiffness.

methodsPAI-039, a specific inhibitor of PAI-1, and small interfering RNA were used to inhibit PAI-1 expression in cultured human SMCs. Effects of PAI-1 inhibition on SMC stiffness, F-actin (filamentous actin) content, and cytoskeleton-modulating enzymes were assessed. WT (wild-type) and PAI-1-deficient murine SMCs were used to determine PAI-039 specificity. RNA sequencing was performed to determine the effects of PAI-039 on SMC gene expression. In vivo effects of PAI-039 were assessed by aortic pulse wave velocity.

resultsPAI-039 significantly reduced intrinsic stiffness of human SMCs, which was accompanied by a significant decrease in cytoplasmic F-actin content. PAI-1 gene knockdown also decreased cytoplasmic F-actin. PAI-1 inhibition significantly increased the activity of cofilin, an F-actin depolymerase, in WT murine SMCs, but not in PAI-1-deficient SMCs. RNA-sequencing analysis suggested that PAI-039 upregulates AMPK (AMP-activated protein kinase) signaling in SMCs, which was confirmed by Western blotting. Inhibition of AMPK prevented activation of cofilin by PAI-039. In mice, PAI-039 significantly decreased aortic stiffness and tunica media F-actin content without altering the elastin or collagen content.

conclusionsPAI-039 decreases intrinsic SMC stiffness and cytoplasmic stress fiber content. These effects are mediated by AMPK-dependent activation of cofilin. PAI-039 also decreases aortic stiffness in vivo. These findings suggest that PAI-1 is an important regulator of the SMC cytoskeleton and that pharmacological inhibition of PAI-1 has the potential to prevent and treat cardiovascular diseases involving arterial stiffening.

Indexed as

Mice, Inbred C57BLMice, KnockoutMuscle, Smooth, VascularMyocytes, Smooth MusclePlasminogen Activator Inhibitor 1Vascular StiffnessActinsAMP-Activated Protein KinasesAnimalsAortaCells, CulturedCytoskeletonHumansIndoleacetic AcidsMaleMiceActinsAMP-Activated Protein KinasesIndoleacetic AcidsPlasminogen Activator Inhibitor 1SERPINE1 protein, humantiplaxtininactin depolymerizing factorscollagengene expressionplasminogen activator inhibitor 1RNA, small interferingsequence analysis, RNAvascular stiffness

Identifiers

PMID38868940
PMCPMC11424258

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.