MMR Molecular Medicine Reports 1791-2997 1791-3004 D.A. Spandidos 10.3892/mmr.2016.5827 mmr-14-05-4729 Articles Hydrogen sulfide suppresses angiotensin II-stimulated endothelin-1 generation and subsequent cytotoxicity-induced endoplasmic reticulum stress in endothelial cells via NF-κB HuHeng-Jing 1 JiangZhi-Sheng 2 ZhouSheng-Hua 1 LiuQi-Ming 1 Department of Cardiology/Cardiac Catheterization Laboratory, Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, P.R. China Institute of Cardiovascular Disease and Key Laboratory for Arteriosclerology of Hunan, University of South China, Hengyang, Hunan 421001, P.R. China Correspondence to: Professor Qi-Ming Liu, Department of Cardiology/Cardiac Catheterization Laboratory, Second Xiangya Hospital, Central South University, 139 Middle Renmin Road, Changsha, Hunan 410011, P.R. China, E-mail: qimingliuxiangya@hotmail.com 112016 12102016 14 5 4729 4740 12092015 09082016 Copyright © 2016, Spandidos Publications 2016

The effects of hydrogen sulfide (H2S) and the nuclear factor κB (NF-κB) signaling pathway in angiotensin II (AngII)-induced endothelin-1 (ET-1) expression and subsequent cytotoxicity remain unclear. The present study aimed to investigate the hypothesis that H2S protects human umbilical vein endothelial cells (HUVECs) against AngII-stimulated ET-1 generation and subsequent cytotoxicity-induced endoplasmic reticulum stress via the NF-κB signaling pathway. The results of the present study demonstrated that AngII significantly upregulated the expression levels of ET-1, glucose-regulated protein 78, CCAAT-enhancer-binding protein homologous protein, phosphorylated (p)-p65 and inducible nitric oxide synthase; stimulated nitric oxide production; suppressed the expression and activity of cystathionine-γ-lyase (CSE), a H2S synthetase; and decreased cell viability. Conversely, BQ788 (an ET-1 receptor antagonist) exhibited an inhibitory effect on the AngII-mediated suppression of CSE expression and activity in HUVECs. The effects of AngII were abrogated by sodium hydrosulfide (NaHS, an H2S donor), BQ788 or pyrrolidinedithiocarbamic acid (PDTC, an inhibitor of NF-κB). Furthermore, pretreatment with NaHS or PDTC attenuated AngII-induced apoptosis and cleaved caspase-12 generation. The pretreatment of HUVECs with BQ788 prior to AngII exposure mimicked the inhibitory effect of NaHS on the expression of p-p65 induced by AngII. In conclusion, the present study provides evidence that exogenous H-2S attenuates AngII-induced inflammation and cytotoxicity via inhibition of the ET-1/NF-κB signaling pathway in HUVECs.

 hydrogen sulfide angiotensin II endothelin-1 nuclear factor-κB Introduction

Atherosclerosis (AS), which is a common disorder with increasing prevalence worldwide, results in the progressive decline in the function of multiple organs, with the most serious effect being an increased risk of cardiovascular events and mortality (1). However, the mechanisms underlying development of AS remain unclear. Endothelial dysfunction (ED) resulting from inflammation is crucial throughout the development of AS (2,3). Previous studies using experimental models of AS and diabetes revealed that the accumulation of cholesterol-rich lipoproteins in the artery wall results in ED (4–7). ED is predominantly mediated by endothelin-1 (ET-1) (4–7), which is a potent endothelial injury factor secreted by human umbilical vein endothelial cells (HUVECs).

The renin-angiotensin system (RAS) is important for vascular homeostasis. Activation of the RAS product, angiotensin II (AngII) is associated with arterial wall remodeling (8), and AngII is one of the central vasoactive signaling molecules in ED progression (9). AngII is involved in various pathological conditions, including hypertension, diabetes and AS (10–12). In addition, high concentrations of AngII result in necrosis and apoptosis of HUVECs (13).

Protein translation, folding and trafficking occur in the endoplasmic reticulum (ER), and this organelle responds early to cellular stress (14). ER stress is caused by numerous factors, including oxidative stress, hypoxia and exposure to chemicals, including AngII (15). Numerous studies have revealed that AS, diabetes mellitus, inflammatory conditions and cardiovascular disorders are associated with ER stress induction (16,17).

The signal transduction pathway associated with AngII-induced inflammation in endothelial cells has been investigated. Guo et al (18) demonstrated that the nuclear factor κB (NF-κB) signaling pathway is involved in AngII-induced HUVEC dysfunction. Therefore, molecules that inhibit activation of the NF-κB signaling pathway may be beneficial for the treatment of AngII-induced ED.

Hydrogen sulfide (H2S) was originally identified as a gasotransmitter in the cardiovascular system (19); however, several biological functions of H2S have now been demonstrated, including a potential role in endothelial cell protection (19). H2S is primarily produced by three constitutively expressed enzymes: Cystathionine-γ-lyase (CSE), cystathionine β-synthase and 3-mercaptopyruvate sulphurtransferase (20). Endogenous H2S has important regulatory roles in cardiovascular function. CSE-knockout mice have markedly reduced H2S production in the aorta, heart and serum, and develop pronounced hypertension (21). Evidence suggests that H2S is an important regulator of inflammation, and may inhibit H2O2-induced production of inflammatory mediators by endothelial cells (22), including interleukin-6 and tumor necrosis factor-α (23,24). Certain studies have demonstrated that H2S exerts antiatherogenic (25) and antioxidant (26) effects. However, the mechanisms underlying H2S regulation of inflammatory molecule production remain unclear.

In the present study, HUVECs were treated with AngII to establish an in vitro cytotoxicity model. The aim of the present study was to investigate the following: i) Whether ER stress, NF-κB and ET-1 were involved in AngII-induced cytotoxicity; ii) whether inhibition of the CSE/H2S pathway was associated with AngII-induced cytotoxicity; and, if so, iii) whether supplementation of exogenous H2S suppressed AngII-induced cytotoxicity via inhibition of ER stress, inducible nitric oxide synthase (iNOS)/nitric oxide (NO) and ET-1; and iv) whether supplementation of exogenous H2S inhibited AngII-induced ER stress via suppression of the ET-1/NF-κB signaling pathway.

 Materials and methods <sec> <title>Materials

Dulbecco's modified Eagle's medium (DMEM) and fetal bovine serum (FBS) were obtained from Gibco; Thermo Fisher Scientific, Inc. (Waltham, MA, USA). Sodium hydrosulfide (NaHS), AngII, pyrrolidinedithiocarbamic acid (PDTC), BQ788, Nitrite Detection kit, Hoechst 33258 and terminal deoxynucleotidyl transferase mediated dUTP nick end labeling (TUNEL) In Situ Cell Death Detection kit were purchased from Sigma-Aldrich (St. Louis, MO, USA). Antibodies against ET-1 (cat. no. ab2786), iNOS (cat. no. ab3523), total p65 (cat. no. ab16502), phosphorylated (p)-p65 (cat. no. ab86299), caspase-12 (cat. no. ab62484), glucose-regulated protein 78 (GRP78; cat. no. ab21685) and CCAAT-enhancer-binding protein homologous protein (CHOP; cat. no. ab11419) and glyceraldehyde 3-phosphate dehydrogenase (GAPDH; cat. no. ab8245) were provided by Abcam (Cambridge, UK). The anti-CSE antibody was provided by ProteinTech Group, Inc. (Chicago, IL, USA; cat. no. 12,032-1-AP). Horseradish peroxidase-conjugated IgG (H+L) secondary antibodies were purchased from the Beyotime Institute of Biotechnology (Shanghai, China; cat. nos. A0192 and A0208). Cell Counting kit-8 (CCK-8) was purchased from Dojindo Molecular Technologies, Inc. (Shanghai, China). All other reagents, unless specified, were purchased from Beyotime Institute of Biotechnology.

 Cell culture and treatments

HUVECs were obtained from The Cell Bank of Type Culture Collection of Chinese Academy of Sciences (Shanghai, China), and cultured in DMEM supplemented with 10% FBS at 37°C in a humidified atmosphere containing 5% CO2. Prior to every experiment, the medium was replaced with fresh serum-containing medium, unless indicated.

Cells were divided into the following treatment groups: Untreated; AngII, consisting of 1×106 HUVEC cells treated with 10–6 M AngII for 0–24 h; PDTC+AngII, consisting of 1×106 cells exposed to 100 µM PDTC for 60 min prior to treatment with 10-6 M AngII for 24 h; NAHS+AngII, consisting of 1×106 cells exposed to 200–400 µmol/l NAHS for 60 min prior to treatment with 10–6 M AngII for 24 h; AngII+BQ788, consisting of 1×106 cells exposed to 1 nM or 1 µM BQ788 for 24 h and 60 min, respectively, prior to treatment with 10-6 M AngII for 24 h; and AngII+ET-1, consisting of 1×106 cells exposed to 1 nM ET-1 for 0–24 h prior to treatment with 10-6 M AngII for 24 h.

 Cell viability assay

HUVECs cells were seeded in 96-well plates at a density of 1×106 cells/well prior to treatment with various agents. Following this, a solution of 100 µl CCK-8 was added into each well at a 1:10 dilution and the treated plates were incubated for a further 2 h at 37°C. Absorbance was measured at 450 nm with a microplate reader. The mean optical density (OD) of four wells for each group was used to calculate the percentage cell viability according to the following formula: Percentage cell viability = (OD treatment group / OD control group) × 100.

 NO determination in culture supernatants

Nitrite, a marker for the production of NO, was measured in culture supernatants using a Nitrite Detection kit. Briefly, 50 µl aliquots of cell culture medium from each dish were collected and mixed with 100 µl Griess reagent (50 µl 1% sulfanilamide 50 µl 0.1% naphthylethylenediamine dihydrochloride in 2.5% H3PD4) in 96-well microtiter plates. The absorbance of NO2 was measured at 520 nm with a microplate reader.

 Measurement of CSE activity

Following treatment, the HUVECs were collected and homogenized in 50 mM ice-cold potassium phosphate buffer (pH 6.8). The reaction mixture [100 mmol/l potassium phosphate buffer (pH 7.4), 10 mmol/l L-cysteine, 2 mmol/l pyridoxal 5′-phosphate, and 10% (w/v) homogenate] was added to Erlenmeyer flasks, along with the center wells (2 ml cryovial test tubes containing 0.5 ml 1% zinc acetate as the trapping solution and a 2×2.5 cm filter paper to increase the air/liquid contact surface). The flasks were then flushed with N2 and sealed with a double layer of parafilm. The reactions were initiated by transferring the flasks from ice to a 37°C shaking water bath. After 90 min, 0.5 ml 50% trichloroacetic acid was added to terminate the reaction. The flasks were resealed and incubated at 37°C for a further 60 min to ensure the complete trapping of H2S released from the reaction mixture. Following this, the contents of the center wells were transferred to test tubes containing 3.5 ml water. Subsequently, 0.5 ml 20 mM N, N-dimethyl-p-phenylenediamine sulfate in 7.2 M HCl was added, immediately followed by 0.5 ml 30 mM FeCl3 in 1.2 M HCl. The absorbance of the resulting solution was measured at 670 nm 20 min later using a spectrophotometer.

 Western blot analysis

Following treatment, the cells were washed three times with phosphate-buffered saline (PBS) and lysed in lysis buffer consisting of 1 ml radioimmunopreciptation assay lysis buffer, 25 µg/l phenylmethylsulfonyl fluoride and 110 mU PhosSTOP phosphatase inhibitor (Sigma-Aldrich) on ice for 30 min. The resulting cell lysates were centrifuged at 10,943 × g for 15 min at 4°C. Proteins were quantified using the bicinchoninic acid method according to the manufacturer's protocol (Beyotime Institute of Biotechnology).

Total proteins (300 ng) were separated by 10% sodium dodecyl sulfate-polyacrylamide gel electrophoresis and were transferred to polyvinylidene difluoride membranes via electroblotting. The membranes were blocked with 5% (w/v) non-fat milk powder and 0.1% (v/v) Tween 20 for 1 h, and were then incubated with ET-1 (1:200), CSE (1:1,000), p-p65 (1:2,000), iNOS (1:2,000), CHOP (1:2,000), caspase-12 (1:2,000), GRP78 (1:800), GAPDH (1:1,000) and total p65 (1:1,000) primary antibodies overnight at 4°C. Following three washes in Tris-buffered saline with 0.1% Tween 20, the membranes were incubated with the corresponding secondary antibodies (dilution, 1:1,000) for 1 h at room temperature. Membranes were visualized using an enhanced chemiluminescence kit according to the manufacturer's instructions (Beyotime Institute of Biotechnology). Relative protein expression levels were semi-quantitatively analyzed by densitometry using Quantity One software (version, 4.62; Bio-Rad Laboratories, Inc., Hercules, CA, USA).

 Hoechst 33258 and TUNEL staining to assess HUVEC apoptosis

HUVEC apoptosis following treatment was detected by TUNEL and Hoechst 33258 staining. TUNEL staining was performed using an In Situ Cell Death Detection kit according to the manufacturer's protocol. Cells (1×106) in culture plates were fixed with 4% paraformaldehyde in PBS for 10 min. Following three washes in PBS, cells were stained with 50 µl TUNEL dye for 1 h, rinsed briefly with PBS and air-dried. Cells were visualized under a florescence microscope. Apoptotic cells with condensed nuclei fluoresced green fluorescence, whereas viable cells exhibited normal nuclear size and were not florescent. Quantitative analysis of the mean fluorescence intensity of each group was performed using ImageJ software (version, 1.41o; National Institutes of Health, Bethesda, MD, USA).

In addition, Hoechst 33258 staining was performed using an In Situ Cell Death Detection kit according to the manufacturer's protocol. Cells were fixed with 4% paraformaldehyde in PBS for 10 min. Following three washes in PBS, cells were stained with 5 mg/l Hoechst 33258 dye for 10 min, rinsed briefly with PBS and air-dried. Cells were visualized under a florescence microscope. Apoptotic cells with condensed nuclei fluoresced blue, whereas viable cells exhibited normal nuclear size and weak florescence. Quantitative analysis of the mean fluorescence intensity of each group was performed as for TUNEL staining.

 Statistical analysis

All data are presented as the mean ± standard error of the mean. Differences between groups were analyzed using one-way analysis of variance followed by the Bonferroni correction method, which was performed using the SPSS software program (version, 15.0; SPSS, Inc., Chicago, IL, USA). P<0.05 was considered to indicate a statistically significant difference.

 Results <sec> <title>AngII induces cytotoxicity via triggering ER stress and inducing the expression of NF-κB and ET-1 in HUVECs

Since iNOS, NO, ET-1 and CSE have been demonstrated to be involved in AngII-induced cytotoxicity (27–29) and increased levels of p-p65 (30), western blotting was performed to analyze the expression levels of these proteins in AngII-treated HUVECs. As presented in Fig. 1, untreated HUVECs produced low levels of ET-1 (Fig. 1A), iNOS (Fig. 1B), p-p65 (Fig. 1C), CHOP (Fig. 1D) and GRP78 (Fig. 1E), which increased significantly following AngII treatment in a time-dependent manner. The expression levels (Fig. 1F) and activity (Fig. 1G) of CSE decreased significantly in a time-dependent manner following AngII treatment, whereas nitrite production (Fig. 1H) was significantly increased.

 ET-1 mediates AngII-induced inhibitory effects on the expression level and activity of CSE in HUVECs

AngII affects endothelial cells primarily via the activation of genes associated with inflammation, such as ET-1 (31). The present study investigated whether ET-1 activity contributed to the inhibition of CSE expression and activity mediated by AngII (Fig. 2). HUVECs were preconditioned with a well-known ET-1 receptor antagonist, BQ788, prior to AngII treatment. Pretreatment of cells with 1 µM BQ788 significantly attenuated AngII-induced downregulation of CSE expression (Fig. 2A) and activity (Fig. 2C). In addition, similar to the AngII results, treatment of HUVECs with ET-1 significantly suppressed CSE expression (Fig. 2B) and activity (Fig. 2D) in a time-dependent manner. These data suggest that ET-1 contributes to AngII-induced downregulation of the expression and activity of CSE in HUVECs.

 Exogenous treatment with H<sub>2</sub>S and ET-1 inhibitor reduces cytotoxicity via suppressing ER stress, iNOS/NO and ET-1 in AngII-treated HUVECs

Since AngII-induced cytotoxicity results in a decrease in CSE expression and activity, and therefore a decrease in endogenous H2S production, the protective effects of exogenous H2S on AngII-induced inflammatory responses were investigated. As presented in Fig. 3, pretreatment of HUVECs with NaHS for 1 h prior to AngII exposure significantly attenuated the increased levels of ET-1 (Fig. 3A), iNOS (Fig. 3B), GRP78 (Fig. 3C), CHOP (Fig. 3D) and nitrite (Fig. 3E) induced by 10-6 M AngII treatment for 24 h, in a dose-dependent manner. The decrease in cell viability induced by 10-6 M AngII treatment for 24 h was significantly abrogated, in a dose-dependent manner, by pretreatment with NaHS for 1 h prior to AngII exposure (Fig. 3F).

Similarly, as presented in Fig. 4, pretreatment of cells with 1 µM BQ788 for 1 h prior to 10-6 M AngII exposure abrogated the increased production of ET-1 (Fig. 4A), iNOS (Fig. 4B), GRP78 (Fig. 4C), CHOP (Fig. 4D) and nitrite (Fig. 4E), and significantly attenuated the decreased cell viability induced by 10-6 M AngII treatment for 24 h (Fig. 4F). BQ788 treatment alone did not affect the basal levels of ET-1, iNOS, GRP78, CHOP or nitrite in HUVECs. These findings suggest that pretreatment with an ET-1 inhibitor had a similar cytoprotective effect to the H2S donor NaHS on AngII-induced cytotoxicity. Therefore, the activation of ET-1, GRP78, CHOP, iNOS, enhancement of nitrite production and decrease in cell viability may be involved in AngII-induced cytotoxicity in HUVECs.

 Exogenous H<sub>2</sub>S and an NF-κB inhibitor attenuate AngII-induced cytotoxicity in HUVECs

As presented in Fig. 1, exposure of cells to 10-6 M AngII for 24 h markedly enhanced the expression levels of p-p65. As presented in Fig. 3, pretreatment of cells with NaHS for 1 h prior to AngII exposure significantly abrogated AngII-induced cytotoxicity. Therefore, the potential involvement of the p-p65 signaling pathway in AngII-induced cytotoxicity was examined. HUVECs were pretreated with 100 µM PDTC for 1 h prior to 10-6 M AngII exposure for 24 h. As presented in Fig. 5, pretreatment with PDTC had a similar cytoprotective effect to NaHS on AngII-induced overexpression of GRP78 (Fig. 5A), CHOP (Fig. 5B), iNOS (Fig. 5C) and nitrite (Fig. 5D), and AngII-induced decrease in cell viability (Fig. 5E), suggesting involvement of p-p65 activation in AngII-induced cytotoxicity in HUVECs. NaHS or PDTC treatment alone had no effect.

 Exogenous H-2S and NF-κB inhibitor reduce AngII-induced apoptosis in HUVECs

The effects of NaHS and PDTC on AngII-induced apoptosis were investigated. As presented in Fig. 6, HUVECs treated with 10-6 M AngII for 24 h exhibited typical apoptotic characteristics, including chromatin condensation, shrinkage of nuclei, and the presence of apoptotic bodies, and increased Hoechst (Fig. 6A and B) and TUNEL (Fig. 6C and D) staining. However, pretreatment of cells with 200 µM NaHS or 100 µM PDTC for 1 h prior to AngII exposure markedly decreased the number of cells exhibiting nuclear condensation and fragmentation. NaHS or PDTC alone did not markedly alter cell morphology or the percentage of apoptotic HUVECs. In addition, western blot analysis (Fig. 7A and B) revealed that exposure of cells to 10-6 M AngII for 24 h significantly upregulated the expression of cleaved caspase-12, which is considered to be one of the primary effectors of apoptosis (21); this effect was significantly abrogated by the pretreatment of cells with NaHS or PDTC for 1 h. NaHS or PDTC alone did not affect the basal expression level of cleaved caspase-12 in HUVECs. These findings suggest that exogenous H2S protects HUVECs against AngII-induced apoptosis, and that the NF-κB signaling pathway contributes to the AngII-induced apoptosis of HUVECs.

 Exogenous H<sub>2</sub>S and an ET-1 inhibitor attenuate the phosphorylation of p65 induced by AngII in HUVECs

It has previously been demonstrated that exogenous H2S suppresses p-p65 in HUVECs (24), whereas AngII and ET-1 induce activation of p-p65 (18,32). Since it has been demonstrated that p-p65-mediated endothelial cell insult contributes to ET-1-induced cytotoxicity (20), it was hypothesized that exogenous H2S may inhibit activation of the ET-1/NF-κB signaling pathway during AngII-induced cytotoxicity in HUVECs. The effects of H2S and an ET-1 inhibitor on the AngII-induced overexpression of p-p65 were therefore investigated. As presented in Fig. 8, following treatment with 10-6 M AngII for 24 h, HUVECs significantly overexpressed p-p65. Notably, this effect was attenuated by pretreatment with 200 µM NaHS for 1 h or 1 µM BQ788 for 1 h prior to AngII exposure. These data suggest that exogenous H2S and ET-1 inhibition protect HUVECs against AngII-induced cytotoxicity via the ET-1/NF-κB signaling pathway.

 Discussion

RAS, particularly AngII, has been demonstrated to be crucial for the progression of AS (33); however, the underlying mechanisms remain to be fully elucidated. Evidence suggests that ER stress and ED are key contributors to AngII-induced cytotoxicity (15,34). Consistent with previous studies (15,34,35), the present study revealed that AngII markedly induced HUVEC injury, including a decrease in cell viability, and increases in NO production, protein expression levels of iNOS, ET-1, GRP78 and CHOP, as well as phosphorylation of p65.

Previous studies have demonstrated that AngII induces numerous inflammatory mediators, including ET-1 (36–38), which is implicated in the progression of endothelial cell injury (39–41). Therefore, the present study confirmed that the activation of ET-1 is crucial for AngII-induced cytotoxicity. The findings of the present study revealed that pretreatment of HUVECs with BQ788, a specific inhibitor of ET-1, significantly abrogated the inhibition of CSE expression and activity levels induced by AngII. Furthermore, administration of exogenous ET-1 imitated the inhibitory effect of AngII on the expression and activity of CSE in HUVECs. Therefore, ET-1 may affect the function of endothelial cells by inhibiting the expression and activity of CSE.

Features of H2S, an active gasotransmitter, include low molecular weight, continuous production, quick diffusion and extensive biological effects (42). It has previously been demonstrated that H2S is cytoprotective, and its generation in vessels was decreased upon RAS activation (26), which has been revealed to be an important factor in the development of AS (43). The majority of studies using H2S donors, including NaHS and GYY4137 have demonstrated that exogenous H2S attenuates a multitude of pathophysiological processes, such as vascular endothelium dysfunction and smooth muscle cell proliferation (44–46). The present study demonstrated that AngII-induced cytotoxicity significantly suppressed the expression and activity of CSE in HUVECs; therefore, it was hypothesized that supplementation of H2S may protect HUVECs against AngII-induced ED. This hypothesis was supported by the results of the present study. When HUVECs were pretreated with NaHS for 1 h prior to AngII exposure for 24 h, AngII-stimulated cytotoxicity was markedly abrogated, evidenced by increased cell viability. These data are consistent with a previous study, which demonstrated that NaHS markedly improves ED induced by AngII (28). Since H2S is known to be protective of endothelial cells, the present study pretreated HUVECs with NaHS for 1 h prior to incubation with AngII for 24 h. Pretreated cells had almost undetectable levels of CHOP, GRP78, iNOS and nitrite, and significantly improved cell viability. These results suggest that H-2S exerts protective effects against AngII-induced cytotoxicity in HUVECs. In addition, HUVECs pretreated with PDTC for 1 h prior to incubation with AngII for 24 h had almost undetectable levels of CHOP, GRP78, iNOS and nitrite, and significantly improved cell viability; mimicking the effects of NaHS.

A previous study revealed that the NF-κB signaling pathway is involved in AngII-induced HUVEC dysfunction (18), and it is widely accepted that NF-κB is required for full induction of ET-1 (47). NF-κB is expressed in the majority of cell types and is crucial for transcription. The p65 protein is the primary transcriptionally active component of NF-κB (48). It was hypothesized that NF-κB is involved in the mechanism underlying H2S suppression of AngII-stimulated cytotoxicity in HUVECs. Therefore, the present study examined the effects of H2S on p-p65 protein expression levels in HUVECs exposed to AngII. P-p65 was significantly increased in HUVECs exposed to AngII. Conversely, pretreatment with 200 µM NaHS or 1 µM BQ788 for 1 h significantly decreased the p-p65 protein expression level in HUVECs exposed to AngII.

To investigate whether the protective effect of exogenous H2S on AngII-stimulated cytotoxicity via the NF-κB signaling pathway in HUVECs is associated with its endothelial cell protective function, the effects of NaHS and PDTC on HUVEC apoptosis and caspase-12 cleavage induced by AngII were examined. NaHS and PDTC attenuated apoptosis in HUVECs, which is a key process in ED during the development of AS. Consistent with this, Qabazard et al (49) demonstrated that supplementation with GYY4137 markedly decreased oxidative stress-induced overexpression of CHOP, GRP78 and caspase-12 in endothelial cells. In addition, this study demonstrated that p38 mitogen-activated protein kinases (MAPK) demonstrated a key role in the regulation of AngII-induced ED (49). Therefore, p38 MAPK may be a good target for NaHS to intervene in AngII-induced ED.

Qabazard et al (49) investigated whether the AngII-stimulated ET-1 generation is crucial for the regulation of p38 MAPK expression. In addition, Touyz et al (50) revealed that pretreatment with BQ788 1 h prior to incubation with AngII for 24 h may inhibit expression of p-p38 MAPK induced by AngII. Since NaHS attenuated AngII-induced p-p38MAPK expression, this may provide, at least partially, the mechanism underlying the increased expression of ET-1 and AngII during the development of AS.

In conclusion, the present study, to the best of our knowledge, is the first to demonstrate that ET-1-mediated inhibition of CSE expression and activity is involved in AngII-induced cytotoxicity. H2S supplementation may protect against AngII-stimulated ET-1 generation and subsequent cytotoxicity in HUVECs via the inhibition of p-NF-κB expression. The findings of the present study suggested that exogenous H2S may provide a potential novel therapeutic strategy for the prevention and treatment of AS.

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AngII induces cytotoxicity by triggering endoplasmic reticulum stress and inducing the expression of nuclear factor-κB and ET-1 in HUVECs. HUVECs were exposed to 10-6 M AngII for 6, 12 or 24 h. Protein expression levels of (A) ET-1, (B) iNOS, (C) p-p65, (D) CHOP, (E) GRP78 and (F) CSE were assessed by western blot analysis. (G) CSE activity was assessed by methylene blue spectrophotometry. (H) Nitrite, a marker of nitric oxide production, was detected in culture supernatants using a Nitrite Detection kit. Data are presented as the mean ± standard error of the mean (n=3). *P<0.05 and **P<0.01 vs. control group. AngII, angiotensin II; ET-1, endothelin-1; HUVECs, human umbilical vein endothelial cells; iNOS, inducible nitric oxide synthase; p-p65, phosphorylated p65; T-p65, total p65; CHOP, CCAAT-enhancer-binding protein homologous protein; GRP78, glucose-regulated protein 78; CSE, cystathionine-γ-lyase; GAPDH, glyceraldehyde 3-phosphate dehydrogenase.

Role of ET-1 in the AngII-induced inhibition of CSE expression and activity. HUVECs were treated with 10-6 M AngII for 24 h following pretreatment with 1 µM BQ788 for 24 h. (A) Protein expression levels of CSE were detected by western blotting. (B) CSE activity was assessed by methylene blue spectrophotometry. HUVECs were treated with 1 nM ET-1 for 6, 12 or 24 h. (C) Protein expression levels of CSE were detected by western blotting. (D) CSE activity was assessed by methylene blue spectrophotometry. Data are presented as the mean ± standard error of the mean (n=3). #P<0.05 and ##P<0.01 vs. control group. ET-1, endothelin-1; AngII, angiotensin II; CSE, cystathionine-γ-lyase; HUVECs, human umbilical vein endothelial cells; GAPDH, glyceraldehyde 3-phosphate dehydrogenase.

Effects of NaHS pretreatment on AngII-treated HUVECs. HUVECs were treated with 10-6 M AngII for 24 h following pretreatment with NaHS at concentrations from 50 to 400 µM for 1 h. Protein expression levels of (A) ET-1, (B) iNOS, (C) GRP78 and (D) CHOP were assessed by western blot analysis. (E) Nitrite was detected in the culture supernatant using a Nitrite Detection kit. (F) Cell viability was measured using the Cell Counting kit-8 assay. Data are presented as the mean ± standard error of the mean (n=3). *P<0.05 and **P<0.01 vs. AngII group; #P<0.01 vs. control group. NaHS, sodium hydrosulfide; AngII, angiotensin II; HUVECs, human umbilical vein endothelial cells; ET-1, endothelin-1; iNOS, inducible nitric oxide synthase; GRP78, glucose-regulated protein 78; CHOP, CCAAT-enhancer-binding protein homologous protein; GAPDH, glyceraldehyde 3-phosphate dehydrogenase.

Effects of ET-1 inhibitor pretreatment on AngII-treated HUVECs. HUVECs were treated with 10-6 M AngII for 24 h following pretreatment with 1 µM BQ788 for 1 h. Protein expression levels of (A) ET-1, (B) iNOS, (C) GRP78 and (D) CHOP were assessed by western blot analysis. (E) Nitrite was detected in the culture supernatant using a Nitrite Detection kit. (F) Cell viability was measured using the Cell Counting kit-8 assay. Data are presented as the mean ± standard error of the mean (n=3). **P<0.01 vs. AngII group; #P<0.01 vs. control group. ET-1, endothelin-1; AngII, angiotensin II; HUVECs, human umbilical vein endothelial cells; iNOS, inducible nitric oxide synthase; GRP78, glucose-regulated protein 78; CHOP, CCAAT-enhancer-binding protein homologous protein; GAPDH, glyceraldehyde 3-phosphate dehydrogenase.

Exogenous H2S and a nuclear factor-κB inhibitor attenuate AngII-induced cytotoxicity in HUVECs. HUVECs were treated with 10-6 M AngII for 24 h following pretreatment with 200 µM NaHS or 100 µM PDTC for 1 h prior to AngII exposure. Protein expression levels of (A) GRP78, (B) CHOP and (C) iNOS were assessed by western blot analysis. (D) Nitrite was detected in the culture supernatant using a Nitrite Detection kit. (E) Cell viability was measured using the Cell Counting kit-8 assay. Data are presented as the mean ± standard error of the mean (n=3). **P<0.01 vs. the AngII-treated group; #P<0.01 vs. the control group. H2S, hydrogen sulfide; AngII, angiotensin II; HUVECs, human umbilical vein endothelial cells; NaHS, sodium hydrosulfide; PDTC, pyrrolidinedithiocarbamic acid; GRP78, glucose-regulated protein 78; CHOP, CCAAT-enhancer-binding protein homologous protein; iNOS, inducible nitric oxide synthase; GAPDH, glyceraldehyde 3-phosphate dehydrogenase.

Exogenous H2S and a nuclear factor-κB inhibitor reduce AngII-induced apoptosis in HUVECs. HUVECs were treated with 10-6 M AngII for 24 h following pretreatment with 200 µM NaHS or 100 µM PDTC for 1 h prior to AngII exposure. (A) Cells were stained with Hoechst 33258 (magnification, ×200) and (B) the apoptosis rate was calculated. (C) Cells were stained with TUNEL (magnification, ×200) and (D) the apoptosis rate was calculated. Data are presented as the mean ± standard error of the mean (n=3). **P<0.01 vs. AngII-treated group; #P<0.01 vs. control group. H2S, hydrogen sulfide; AngII, angiotensin II; HUVECs, human umbilical vein endothelial cells; NaHS, sodium hydrosulfide; PDTC, pyrrolidinedithiocarbamic acid; TUNEL, terminal deoxynucleotidyl transferase mediated dUTP nick end labeling.

Exogenous H2S and a nuclear factor-κB inhibitor suppress the AngII-induced increase in the expression level of cleaved caspase-12 in HUVECs. HUVECs were treated with 10-6 M AngII for 24 h following pretreatment with 200 µM NaHS or 100 µM PDTC for 1 h prior to AngII exposure. (A) Protein expression levels of cleaved caspase-12 were assessed by western blotting. (B) Quantification of western blotting. Data are presented as the mean ± standard error of the mean (n=3). **P<0.01 vs. AngII-treated group; #P<0.01 vs. control group. H2S, hydrogen sulfide; AngII, angiotensin II; HUVECs, human umbilical vein endothelial cells; NaHS, sodium hydrosulfide; PDTC, pyrrolidinedithiocarbamic acid; GAPDH, glyceraldehyde 3-phosphate dehydrogenase.

Exogenous H2S and nuclear factor-κB inhibitor ameliorate AngII-induced increase in the expression levels of p-p65 in HUVECs. HUVECs were treatecd with 10-6 M AngII for 24 h following pretreatment with 200 µM NaHS or 1 µM BQ788 for 1 h prior to AngII exposure. (A) Protein expression levels of p-p65 and t-p65 were assessed by western blotting. (B) Quantification of western blotting. Data are presented as the mean ± standard error of the mean (n=3). **P<0.01 vs. AngII-treated group; #P<0.01 vs. control group. H2S, hydrogen sulfide; AngII, angiotensin II; HUVECs, human umbilical vein endothelial cells; NaHS, sodium hydrosulfide; p-p65, phosphorylated p65; T-p65, total p65.