Increased expression of endothelial adhesion molecules, high levels of the
monocyte chemoattractant protein-1 (MCP-1) and enhanced VLA4
integrin/VCAM-1 and CCR-2/MCP-1 interactions are initial steps in vascular
inflammation. We sought to determine whether
relaxin, a potent vasodilatory and anti-fibrotic agent, mitigates these early events compromising endothelial integrity. The effect of
relaxin coincubation on the TNF-α-stimulated expression of the adhesion molecules
VCAM-1,
ICAM-1 and
E-selectin; the MCP-1 expression by human umbilical vein endothelial cells (HUVEC) and human aortic smooth muscle cells (HAoSMC); as well as on direct monocyte-endothelium cell adhesion was quantified by ELISA or adhesion assay. CCR-2 and PECAM expression on HUVEC and THP-1 monocytes was investigated by FACS analysis.
Relaxin treatment suppressed significantly TNF-α-induced upregulation of
VCAM-1 and PECAM, CCR-2, and MCP-1 levels and direct monocyte adhesion to HUVEC. Our findings identify
relaxin as a promising inhibitory factor in early vascular
inflammation. By attenuating the upregulation of
VCAM-1, key adhesion molecule in early vascular
inflammation, and of MCP-1, a
chemokine pivotal to monocyte recruitment,
relaxin decreased initial monocyte-endothelium contact. This may be of relevance for the prevention and treatment of
atherosclerosis and of other pro-inflammatory states.