<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2017.8090</article-id>
<article-id pub-id-type="publisher-id">mmr-17-01-1998</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>TWEAK/Fn14 promotes oxidative stress through AMPK/PGC-1&#x03B1;/MnSOD signaling pathway in endothelial cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Hengdao</given-names></name>
<xref rid="af1-mmr-17-01-1998" ref-type="aff">1</xref>
<xref rid="af2-mmr-17-01-1998" ref-type="aff">2</xref>
<xref rid="fn1-mmr-17-01-1998" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Peng</surname><given-names>Hui</given-names></name>
<xref rid="af1-mmr-17-01-1998" ref-type="aff">1</xref>
<xref rid="fn1-mmr-17-01-1998" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Xiang</surname><given-names>Hong</given-names></name>
<xref rid="af1-mmr-17-01-1998" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Guo</surname><given-names>Lingli</given-names></name>
<xref rid="af3-mmr-17-01-1998" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Chen</surname><given-names>Ruifang</given-names></name>
<xref rid="af1-mmr-17-01-1998" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhao</surname><given-names>Shaoli</given-names></name>
<xref rid="af1-mmr-17-01-1998" ref-type="aff">1</xref>
<xref rid="af4-mmr-17-01-1998" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>Chen</surname><given-names>Wei</given-names></name>
<xref rid="af1-mmr-17-01-1998" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Chen</surname><given-names>Pan</given-names></name>
<xref rid="af1-mmr-17-01-1998" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Lu</surname><given-names>Hongwei</given-names></name>
<xref rid="af1-mmr-17-01-1998" ref-type="aff">1</xref>
<xref rid="af2-mmr-17-01-1998" ref-type="aff">2</xref>
<xref rid="c1-mmr-17-01-1998" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Chen</surname><given-names>Shuhua</given-names></name>
<xref rid="af5-mmr-17-01-1998" ref-type="aff">5</xref>
<xref rid="c2-mmr-17-01-1998" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-17-01-1998"><label>1</label>Center for Experimental Medical Research, The Third Xiangya Hospital of Central South University, Changsha, Hunan 410013, P.R. China</aff>
<aff id="af2-mmr-17-01-1998"><label>2</label>Department of Cardiology, The Third Xiangya Hospital of Central South University, Changsha, Hunan 410013, P.R. China</aff>
<aff id="af3-mmr-17-01-1998"><label>3</label>Department of Critical Care Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan 453100, P.R. China</aff>
<aff id="af4-mmr-17-01-1998"><label>4</label>Department of Endocrinology, Third Xiangya Hospital of Central South University, Changsha, Hunan 410013, P.R. China</aff>
<aff id="af5-mmr-17-01-1998"><label>5</label>Department of Biochemistry, School of Life Sciences, Central South University, Changsha, Hunan 410013, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-17-01-1998"><italic>Correspondence to</italic>: Dr Hongwei Lu, Center for Experimental Medical Research, The Third Xiangya Hospital of Central South University, 138 Tong-Zi-Po Road, Changsha, Hunan 410013, P.R. China, E-mail: <email>hwlv2226@163.com</email></corresp>
<corresp id="c2-mmr-17-01-1998">Dr Shuhua Chen, Department of Biochemistry, School of Life Sciences, Central South University, 138 Tong-Zi-Po Road, Changsha, Hunan 410013, P.R. China, E-mail: <email>shuhuachen2013@163.com</email></corresp>
<fn id="fn1-mmr-17-01-1998"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub"><month>01</month><year>2018</year></pub-date>
<pub-date pub-type="epub"><day>15</day><month>11</month><year>2017</year></pub-date>
<volume>17</volume>
<issue>1</issue>
<fpage>1998</fpage>
<lpage>2004</lpage>
<history>
<date date-type="received"><day>07</day><month>06</month><year>2017</year></date>
<date date-type="accepted"><day>09</day><month>11</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2018, Spandidos Publications</copyright-statement>
<copyright-year>2018</copyright-year>
</permissions>
<abstract>
<p>Tumor necrosis factor-like weak inducer of apoptosis (TWEAK) contributes to dysfunction of endothelial cells via its receptor, Fn14. However, its role in the production of reactive oxygen species (ROS), particularly mitochondrial ROS (mtROS) and the subsequent decrease in nitric oxide (NO) in endothelial cells remains unclear. In this study, the effect of TWEAK/Fn14 on generation of ROS, mtROS and NO in endothelial cells and its potential mechanism was investigated. Human umbilical vein endothelial cells (HUVECs) were treated with TWEAK with Fn14 small interfering (si)RNA or negative control RNA. It was demonstrated that TWEAK induced the production of ROS and mtROS in HUVECs, which were detected by fluorescent microscope, and flow cytometry. In addition, TWEAK decreased the generation of NO as indicated using the Nitric Oxide Assay kit. Furthermore, TWEAK aggravated mtDNA damage as measured by quantitative polymerase chain reaction analysis. Inhibition of Fn14 by Fn14 siRNA decreased TWEAK-induced ROS and mtROS production, as well as mtDNA damage, while it increased the production of NO in endothelial cells. In addition, TWEAK inhibited the expression of active AMP-activated protein kinase (AMPK) and its downstream protein peroxisome proliferator-activated receptor-&#x03B3; coactivator-1&#x03B1; (PGC-1&#x03B1;) and manganese superoxide dismutase (MnSOD). Notably, Fn14 siRNA enhanced the expression of the aforementioned proteins. Taken together, TWEAK/Fn14 contributes to endothelial dysfunction through modulation of ROS and mtROS. In addition, the underlying mechanism is implicated in the AMPK/PGC-1&#x03B1;/MnSOD signaling pathway.</p>
</abstract>
<kwd-group>
<kwd>TWEAK</kwd>
<kwd>Fn14</kwd>
<kwd>reactive oxygen species</kwd>
<kwd>mitochondrial reactive oxygen species</kwd>
<kwd>AMP-activated protein kinase</kwd>
<kwd>PGC-1&#x03B1;</kwd>
<kwd>MnSOD</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Atherosclerosis is a chronic inflammatory disease involving numerous cytokines (<xref rid="b1-mmr-17-01-1998" ref-type="bibr">1</xref>). Tumor necrosis factor-like weak inducer of apoptosis (TWEAK), an inflammatory cytokine of tumor necrosis factor (TNF) superfamily, participates in regulation of multiple cellular responses, including proinflammatory activity, angiogenesis and cell proliferation (<xref rid="b2-mmr-17-01-1998" ref-type="bibr">2</xref>). When binding to its receptor fibroblast growth factor inducible molecule 14 (Fn14), TWEAK exerts adverse biological functions in atherosclerosis, resulting in dysfunction of endothelial cells (<xref rid="b2-mmr-17-01-1998" ref-type="bibr">2</xref>,<xref rid="b3-mmr-17-01-1998" ref-type="bibr">3</xref>) and smooth muscle cells (<xref rid="b4-mmr-17-01-1998" ref-type="bibr">4</xref>) and inducing inflammatory response of monocytes/macrophages (<xref rid="b5-mmr-17-01-1998" ref-type="bibr">5</xref>&#x2013;<xref rid="b7-mmr-17-01-1998" ref-type="bibr">7</xref>).</p>
<p>Endothelial dysfunction is an early hallmark of the onset of atherosclerosis (<xref rid="b8-mmr-17-01-1998" ref-type="bibr">8</xref>). Excessive production of reactive oxygen species (ROS) and the subsequent decrease in vascular bioavailability of nitric oxide (NO) have long been proposed to be the common pathogenetic mechanism of the endothelial dysfunction (<xref rid="b9-mmr-17-01-1998" ref-type="bibr">9</xref>). The mitochondrial respiratory chain is a major intracellular source of ROS (<xref rid="b10-mmr-17-01-1998" ref-type="bibr">10</xref>) and an abnormal production of ROS in the mitochondria plays a critical role in the development of atherosclerosis, including oxidation of LDL and damage of mitochondria DNA (mtDNA) (<xref rid="b11-mmr-17-01-1998" ref-type="bibr">11</xref>).</p>
<p>Peroxisome proliferator-activated receptor-&#x03B3; coactivator-1&#x03B1; (PGC-1&#x03B1;), a transcriptional coactivator, recruits transcription factors to regulate mitochondria numbers and functions (<xref rid="b12-mmr-17-01-1998" ref-type="bibr">12</xref>). PGC-1&#x03B1; plays a crucial protective role in the regulation of mitochondrial oxidative stress in endothelial cells (<xref rid="b13-mmr-17-01-1998" ref-type="bibr">13</xref>,<xref rid="b14-mmr-17-01-1998" ref-type="bibr">14</xref>). Its underlying mechanism is to upregulate the mitochondrial antioxidant defense system such as manganese superoxide dismutase (MnSOD) (<xref rid="b13-mmr-17-01-1998" ref-type="bibr">13</xref>). Furthermore, PGC-1&#x03B1; is activated by AMP-activated protein kinase (AMPK) (<xref rid="b14-mmr-17-01-1998" ref-type="bibr">14</xref>), which is an important metabolic sensor.</p>
<p>In the present study, we demonstrated the role of TWEAK/Fn14 on oxidative stress especially that derived from mitochondrial and NO generation in human umbilical vein endothelial cells (HUVECs). In addition, the underlying mechanism is implicated in the AMPK/PGC-1&#x03B1;/MnSOD signaling pathway.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Reagents</title>
<p>Recombinant human TWEAK was from Alexis (L&#x00E4;ufelfingen, Switzerland). GSK621 (S7898) was purchased from Selleck Chemicals (Houston, TX, USA). Rabbit polyclonal antibody against AMPK (ab131512) was purchased from Abcam (Cambridge, MA, USA), and rabbit monoclonal antibody against GAPDH (2118S), pho-AMPK (Thr<sup>172</sup>) (2535S), PGC-1&#x03B1; (2178S) and MnSOD (13141S) were purchased from Cell Signaling (Beverly, MA, USA). The Fn14-siRNA duplexes were designed and synthesized by Ribo-Bio (Guangzhou, China).</p>
</sec>
<sec>
<title>Cell culture</title>
<p>HUVECs were obtained from American Type Culture Collection (Manassas, VA, USA), and grown in Dulbecco&#x0027;s modified Eagle&#x0027;s medium (Gibco, Carlsbad, CA, USA) supplemented with 10&#x0025; fetal bovine serum (Sciencell, Carlsbad, CA, USA). Cells were incubated at 37&#x00B0;C in a humidified atmosphere of 5&#x0025; CO<sub>2</sub> and 95&#x0025; air and grown to 70 to 80&#x0025; confluence. For the experiments, the HUVECs were treated with 50, 100 and 200 ng/ml TWEAK respectively based on previous studies (<xref rid="b15-mmr-17-01-1998" ref-type="bibr">15</xref>&#x2013;<xref rid="b17-mmr-17-01-1998" ref-type="bibr">17</xref>). As for Fn14 siRNA, for each well of a 6-well plate, cells were transfected with 5 &#x00B5;l siRNA (20 &#x00B5;M) or negative control (Ncontrol group) using Lipofectamine 2000 (Invitrogen, Carlsbad, CA, USA) for 48 h. To confirm that AMPK activation is required for the expression of PGC-1&#x03B1; and MnSOD, HUVECs were treated by 10 &#x00B5;mol/l GSK621 as previous described (<xref rid="b18-mmr-17-01-1998" ref-type="bibr">18</xref>,<xref rid="b19-mmr-17-01-1998" ref-type="bibr">19</xref>).</p>
</sec>
<sec>
<title>Assessment of ROS production</title>
<p>To assess ROS and mitochondrial ROS production, HUVECs were incubated with 2,7-dichlorofluorescein diacetate (DCFH-DA, Beyotime, Shanghai, China) or MitoSOX Red (Thermofisher Scientific, Waltham, MA, USA) in Hank&#x0027;s Buffered Salt Solution (HBSS) at 37&#x00B0;C for 30 min. After washing two times in HBSS, fluorescent images were captured using an Olympus fluorescent microscope. The fluorescence intensity was quantified using Image J software (National Institutes of Health, Bethesda, MD, USA). For flow cytometry analysis, after 30 min loading of DCFH-DA or MitoSOX, the cells were collected and resuspended in 200 &#x00B5;l of PBS buffer. Then intracellular ROS and mitochondrial ROS levels were performed by flow cytometry (BD Biosciences, San Jose, CA, USA).</p>
</sec>
<sec>
<title>Measurement of NO production</title>
<p>Total NO production in culture medium was determined by measuring the concentration of nitrate and nitrite, a stable metabolite of NO, by modified Griess reaction method. The procedure involed use of the Nitric Oxide Assay kit (Nanjing Jiancheng Bioengineering, Nanjing, China).</p>
<p>MtDNA damage quantification. MtDNA damage was determined by quantitative PCR in HUVECs as previously described (<xref rid="b20-mmr-17-01-1998" ref-type="bibr">20</xref>). Total DNA was extracted using the Genomic DNA kit (TransGen Biotech, Beijing, China). Quantitative PCR was performed using the Eppendorf Mastercycler ep realplex PCR System and the sequences of the primers were as follows: mtDNA primers: 5&#x2032;-CCCCACAAACCCCATTACTAAACCCA-3&#x2032;; 5&#x2032;-TTTCATCATGCGGAGATGTTGGATGG-3&#x2032;; &#x03B2;-<italic>globin</italic> primers: 5&#x2032;-CGAGTAAGAGACCATTGTGGCAG-3&#x2032;; 5&#x2032;-GCTGTTCTGTCAATAAATTTCCTTC-3&#x2032;. PCR was performed under the following conditions: denaturation at 95&#x00B0;C for 1 min, followed by 40 cycles of 95&#x00B0;C for 15 sec and 58&#x00B0;C for 20 sec. The values were determined relative to the control sample after normalizing to &#x03B2;-<italic>globin</italic> gene control values and calculated by the comparative cycle threshold (&#x0394;&#x0394;Ct) method.</p>
</sec>
<sec>
<title>Western blot</title>
<p>HUVECs after treatment were lysed with RIPA lysis buffer (Beyotime, Shanghai, China) containing 10 mM phenylmethylsulfonyl fluoride (PMSF, Beyotime, Shanghai, China). Then the lysates were isolated by centrifugation and the protein concentration was determined using the BCA Protein Assay kit (Beyotime). Western blotting was performed as previously described (<xref rid="b21-mmr-17-01-1998" ref-type="bibr">21</xref>). After quantification, the proteins were separated by 10&#x0025; SDS-PAGE and proteins transferred to polyvinylidene difluoride (PVDF) membrane (Millipore Corp., Billerica, MA, USA). Membranes were blocked with 5&#x0025; nonfat dried milk, and they were immunoblotted with anti-GAPDH (1:2,000), anti-AMPK (1:1,000), anti-pho-AMPK (Thr<sup>172</sup>) (1:1,000), anti-PGC-1&#x03B1; (1:1,000), and anti-MnSOD (1:1,000) antibodies at 4&#x00B0;C overnight. Subsequently, the membranes were incubated with goat anti-rabbit IR-Dye 800cw labeled secondary antisera in 0.1&#x0025; Tween, 0.01&#x0025; SDS LiCor blocking buffer for 1 h at room temperature. Membranes were imaged using a LiCor Odyssey scanner.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>All experiments were performed at least three times. All statistical analysis was conducted with SPSS 18.0 software (SPSS Inc., Chicago, IL, USA). Data were represented as means &#x00B1; standard deviation. Statistical significance of the data was performed by unpaired Student test (2-tailed) between two groups or one-way ANOVA followed by the post-hoc Tukey&#x0027;s test, as appropriate. A value of P&#x003C;0.05 was considered significant.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<p>TWEAK induces production of ROS and mtROS and decreases NO generation in HUVECs. After treated with TWEAK for 24 h, HUVECs were incubated with DCF-DA or MitoSOX probe for 30 min. And then cell images were captured by a fluorescence microscope or fluorescence was detected by flow cytometry. At the same time, NO production in culture medium was determined by the Nitric Oxide Assay kit. Compared to control group, TWEAK significantly increased the production of ROS (<xref rid="f1-mmr-17-01-1998" ref-type="fig">Fig. 1</xref>) and mtROS (<xref rid="f2-mmr-17-01-1998" ref-type="fig">Fig. 2</xref>), while it significantly decreased the NO generation (<xref rid="f1-mmr-17-01-1998" ref-type="fig">Fig. 1</xref>). Furthermore, the effects were dose-dependent within 50&#x2013;200 ng/ml.</p>
<p>Fn14 mediates TWEAK-induced production of ROS and mtROS and reduction of NO in HUVECs. To determine whether Fn14 mediate the effect of TWEAK on production of ROS and mtROS and reduction of NO, HUVECs were treated with 100 ng/ml TWEAK for 24 h after Fn14 siRNA or negative control siRNA pretreatment. Compared to control group, the production of ROS and mtROS was increased significantly while NO generation decreased markedly in TWEAK treatment group. Furthermore, after Fn14 siRNA pretreatment, the generation of ROS and mtROS decreased significantly while NO generation increased markedly compared to TWEAK treatment group (<xref rid="f3-mmr-17-01-1998" ref-type="fig">Figs. 3</xref> and <xref rid="f4-mmr-17-01-1998" ref-type="fig">4</xref>).</p>
<p>TWEAK/Fn14 promotes mtDNA damage in HUVECs. Given mitochondrial oxidative stress leading to mitochondrial DNA damage, we tested the impact of TWEAK/Fn14 on the damage of mtDNA in HUVECs. MtDNA damage was assessed by the relative expression quantity of DNA amplification. The lower relative expression quantity of DNA would suggest more serious DNA damage. We observed that mtDNA relative amplification was about 56.4&#x0025; lower in the group of TWEAK treatment, suggesting mtDNA damage increased significantly compared to control group. After Fn14 siRNA pretreatment, mtDNA damage was improved compared to TWEAK treatment group (<xref rid="f5-mmr-17-01-1998" ref-type="fig">Fig. 5</xref>).</p>
<sec>
<title/>
<sec>
<title>Essential role of TWEAK/Fn14 in the expression of AMPK/PGC-1&#x03B1;/MnSOD in HUVECs</title>
<p>To understand the mechanism of TWEAK/Fn14 inducing mtROS to increase the generation of ROS, we tested the expression of PGC-1&#x03B1; and its downstream protein MnSOD. After 100 ng/ml TWEAK treatment of HUVECs for 24 h, PGC-1&#x03B1; and MnSOD expressions were significantly lower, suggesting PGC-1&#x03B1;/MnSOD may participate in the process above. It also stated that the activation of PGC-1&#x03B1; depended on AMPK activation (<xref rid="b21-mmr-17-01-1998" ref-type="bibr">21</xref>). Therefore, we further tested the pho-AMPK (Thr172) and the expression of AMPK, and TWEAK treatment decreased the expression of pho-AMPK in HUVECs. Furthermore, we also found that, compared with the TWEAK treatment group, the expression of pho-AMPK, PGC-1&#x03B1; and MnSOD were significantly increased in Fn14 siRNA pretreatment group (<xref rid="f6-mmr-17-01-1998" ref-type="fig">Fig. 6</xref>). In addition, we further tested whether AMPK activation was required for the expression of PGC-1&#x03B1; and MnSOD. As shown in <xref rid="f7-mmr-17-01-1998" ref-type="fig">Fig. 7</xref>, the pho-AMPK (Thr172) increased significantly in HUVECs when treated with the AMPK activator GSK621 (10 &#x00B5;mol/l), which resulted in increased expression of PGC-1&#x03B1; and MnSOD.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In present study, we first determined the effect of one inflammatory factor, TWEAK, and its receptor Fn14 on inducing ROS especially mtROS production and decreasing NO generation in HUVECs. Furthermore, the underlying mechanism associated with the AMPK/PGC-1&#x03B1;/MnSOD pathway was tried to demonstrate clearly.</p>
<p>Endothelial dysfunction resulting in disturbance in endothelial homeostasis is considered as a characteristic feature of atherosclerosis (<xref rid="b22-mmr-17-01-1998" ref-type="bibr">22</xref>). The hallmark of endothelial dysfunction is impaired endothelium-dependent vasodilation, which is mediated by NO (<xref rid="b23-mmr-17-01-1998" ref-type="bibr">23</xref>). As an inflammatory factor in the TNF family, TWEAK has been demonstrated to participate in dysfunction of endothelial cells by inducing generation of adhesion molecules (<xref rid="b16-mmr-17-01-1998" ref-type="bibr">16</xref>), monocyte chemoattractant protein-1 (MCP-1) and interleukin-8 (IL-8) (<xref rid="b3-mmr-17-01-1998" ref-type="bibr">3</xref>). In present study, we first demonstrated that TWEAK reduced the generation of NO obviously. Besides, a growing data suggests that increased production of ROS have a pivotal role in reduction of NO (<xref rid="b9-mmr-17-01-1998" ref-type="bibr">9</xref>). Excessive production of ROS induced by TWEAK was measured in our study, and unsurprisingly, TWEAK increased production of ROS in HUVECs and similar results were found in monocytes/macrophages (<xref rid="b24-mmr-17-01-1998" ref-type="bibr">24</xref>). In that article, the authors demonstrated that TWEAK induces ROS through NADPH oxidase in monocytes. As another major intracellular source of ROS (<xref rid="b25-mmr-17-01-1998" ref-type="bibr">25</xref>), however, mitochondrial ROS was also examined in cells for the first time in our study, and it is not unexpected that TWEAK promoted production of mitochondrial ROS significantly in HUVECs. Moreover, the increase of ROS especially mitochondrial ROS and decrease of NO were curbed when treated with Fn14 siRNA, suggesting that Fn14 may mediate these effects.</p>
<p>Given that human mtDNA lacks protective histones (<xref rid="b26-mmr-17-01-1998" ref-type="bibr">26</xref>) and is located proximal to ROS generation, it is vulnerable to damage by ROS, which also induced oxidative damage (<xref rid="b26-mmr-17-01-1998" ref-type="bibr">26</xref>). MtDNA damage was assessed by the relative expression quantity of DNA amplification as previous described (<xref rid="b20-mmr-17-01-1998" ref-type="bibr">20</xref>,<xref rid="b27-mmr-17-01-1998" ref-type="bibr">27</xref>). As for our study, TWEAK/Fn14 axis was capable of inducing mtDNA damage, resulting from excessive production of ROS in the cells, which was not reported before. Meanwhile, as a vicious cycle, mtDNA damage further leads to an increase in oxidative stress, and both of two effects promote atherosclerosis by contributing to endothelial dysfunction (<xref rid="b27-mmr-17-01-1998" ref-type="bibr">27</xref>&#x2013;<xref rid="b29-mmr-17-01-1998" ref-type="bibr">29</xref>). However, previous studies shown that TWEAK/Fn14-repressed mitochondrial biogenesis might lead to decrease of mtDNA content (<xref rid="b30-mmr-17-01-1998" ref-type="bibr">30</xref>,<xref rid="b31-mmr-17-01-1998" ref-type="bibr">31</xref>). Therefore, it is needed to determine that this is due to the inhibition of DNA synthesis or induction of DNA damage, as well as whether there is interaction between them.</p>
<p>As a positive regulator of oxidative metabolism, PGC-1&#x03B1; upregulates the induction of a set of antioxidant proteins response to mitochondrial oxidative stress, which increases the cellular capacity to detoxify mitochondrial ROS in turn, preventing endothelial dysfunction in response to oxidative stress conditions (<xref rid="b13-mmr-17-01-1998" ref-type="bibr">13</xref>). Until recently, the only well-known and primary antioxidant mitochondrial protein is MnSOD (<xref rid="b32-mmr-17-01-1998" ref-type="bibr">32</xref>), which has been strongly implicated in endothelial function via regulation of ROS within mitochondria (<xref rid="b33-mmr-17-01-1998" ref-type="bibr">33</xref>). In our study, we found that the decreased expression of PGC-1&#x03B1; and subsequently that of MnSOD were induced by TWEAK, which was mediated by binding to Fn14. Besides, the induction of PGC-1&#x03B1; has been reported to depend on the activation of AMPK via phosphorylating the enzyme at Thr<sup>172</sup> (<xref rid="b21-mmr-17-01-1998" ref-type="bibr">21</xref>). In this study, we also demonstrated that TWEAK/Fn14 axis decreased the relative expression of phosphorylation levels of AMPK. Furthermore, we reconfirmed that AMPK activation increased the expression of PGC-1&#x03B1; and its downstream protein MnSOD. All these results suggest that TWEAK/Fn14 induces mitochondrial oxidative stress through regulation of the AMPK/PGC-1&#x03B1;/MnSOD pathway. However, previous studies reported that TWEAK/Fn14 repressed PGC-1&#x03B1;and mitochondrial biogenesis (<xref rid="b30-mmr-17-01-1998" ref-type="bibr">30</xref>,<xref rid="b31-mmr-17-01-1998" ref-type="bibr">31</xref>). It is not clear that whether TWEAK/Fn14-repressed mitochondrial biogenesis results in the production of ROS and mtROS. Therefore, further research is needed to confirm.</p>
<p>In conclusion, this study first described the role of TWEAK/Fn14 in upregulation of ROS and mtROS generation in HUVECs, which provide novel evidence that TWEAK/Fn14 may become a key target of interference in atherosclerosis development. Furthermore, the AMPK/PGC-1&#x03B1;/MnSOD pathway may be involved in the potential mechanism, providing a new treatment strategy.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was supported by funding from the National Natural Science Foundation of China (81470593), the National Basic Research Program of China (2014CB542400), the key research and development project of Hunan Province (2017SK2020) and the Research Innovation Program for Graduate Students of Central South University (grant no. 2016zzts152).</p>
</ack>
<ref-list>
<title>References</title>
<ref id="b1-mmr-17-01-1998"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ross</surname><given-names>R</given-names></name></person-group><article-title>Atherosclerosis-an inflammatory disease</article-title><source>N Engl J Med</source><volume>340</volume><fpage>115</fpage><lpage>126</lpage><year>1999</year><pub-id pub-id-type="doi">10.1056/NEJM199901143400207</pub-id></element-citation></ref>
<ref id="b2-mmr-17-01-1998"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Burkly</surname><given-names>LC</given-names></name><name><surname>Michaelson</surname><given-names>JS</given-names></name><name><surname>Hahm</surname><given-names>K</given-names></name><name><surname>Jakubowski</surname><given-names>A</given-names></name><name><surname>Zheng</surname><given-names>TS</given-names></name></person-group><article-title>TWEAKing tissue remodeling by a multifunctional cytokine: Role of TWEAK/Fn14 pathway in health and disease</article-title><source>Cytokine</source><volume>40</volume><fpage>1</fpage><lpage>16</lpage><year>2007</year><pub-id pub-id-type="doi">10.1016/j.cyto.2007.09.007</pub-id></element-citation></ref>
<ref id="b3-mmr-17-01-1998"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Blanco-Colio</surname><given-names>LM</given-names></name><name><surname>Martin-Ventura</surname><given-names>JL</given-names></name><name><surname>Munoz-Garcia</surname><given-names>B</given-names></name><name><surname>Moreno</surname><given-names>JA</given-names></name><name><surname>Meilhac</surname><given-names>O</given-names></name><name><surname>Ortiz</surname><given-names>A</given-names></name><name><surname>Egido</surname><given-names>J</given-names></name></person-group><article-title>TWEAK and Fn14. New players in the pathogenesis of atherosclerosis</article-title><source>Front Biosci</source><volume>12</volume><fpage>3648</fpage><lpage>3655</lpage><year>2007</year><pub-id pub-id-type="doi">10.2741/2341</pub-id></element-citation></ref>
<ref id="b4-mmr-17-01-1998"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mu&#x00F1;oz-Garc&#x00ED;a</surname><given-names>B</given-names></name><name><surname>Madrigal-Matute</surname><given-names>J</given-names></name><name><surname>Moreno</surname><given-names>JA</given-names></name><name><surname>Martin-Ventura</surname><given-names>JL</given-names></name><name><surname>L&#x00F3;pez-Franco</surname><given-names>O</given-names></name><name><surname>Sastre</surname><given-names>C</given-names></name><name><surname>Ortega</surname><given-names>L</given-names></name><name><surname>Burkly</surname><given-names>LC</given-names></name><name><surname>Egido</surname><given-names>J</given-names></name><name><surname>Blanco-Colio</surname><given-names>LM</given-names></name></person-group><article-title>TWEAK-Fn14 interaction enhances plasminogen activator inhibitor 1 and tissue factor expression in atherosclerotic plaques and in cultured vascular smooth muscle cells</article-title><source>Cardiovasc Res</source><volume>89</volume><fpage>225</fpage><lpage>233</lpage><year>2011</year><pub-id pub-id-type="doi">10.1093/cvr/cvq278</pub-id></element-citation></ref>
<ref id="b5-mmr-17-01-1998"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>SH</given-names></name><name><surname>Kang</surname><given-names>YJ</given-names></name><name><surname>Kim</surname><given-names>WJ</given-names></name><name><surname>Woo</surname><given-names>DK</given-names></name><name><surname>Lee</surname><given-names>Y</given-names></name><name><surname>Kim</surname><given-names>DI</given-names></name><name><surname>Park</surname><given-names>YB</given-names></name><name><surname>Kwon</surname><given-names>BS</given-names></name><name><surname>Park</surname><given-names>JE</given-names></name><name><surname>Lee</surname><given-names>WH</given-names></name></person-group><article-title>TWEAK can induce pro-inflammatory cytokines and matrix metalloproteinase-9 in macrophages</article-title><source>Circ J</source><volume>68</volume><fpage>396</fpage><lpage>399</lpage><year>2004</year><pub-id pub-id-type="doi">10.1253/circj.68.396</pub-id></element-citation></ref>
<ref id="b6-mmr-17-01-1998"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schapira</surname><given-names>K</given-names></name><name><surname>Burkly</surname><given-names>LC</given-names></name><name><surname>Zheng</surname><given-names>TS</given-names></name><name><surname>Wu</surname><given-names>P</given-names></name><name><surname>Groeneweg</surname><given-names>M</given-names></name><name><surname>Rousch</surname><given-names>M</given-names></name><name><surname>Kockx</surname><given-names>MM</given-names></name><name><surname>Daemen</surname><given-names>MJ</given-names></name><name><surname>Heeneman</surname><given-names>S</given-names></name></person-group><article-title>Fn14-Fc fusion protein regulates atherosclerosis in ApoE&#x2212;/&#x2212; mice and inhibits macrophage lipid uptake in vitro</article-title><source>Arterioscler Thromb Vasc Biol</source><volume>29</volume><fpage>2021</fpage><lpage>2027</lpage><year>2009</year><pub-id pub-id-type="doi">10.1161/ATVBAHA.109.195040</pub-id></element-citation></ref>
<ref id="b7-mmr-17-01-1998"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sastre</surname><given-names>C</given-names></name><name><surname>Fern&#x00E1;ndez-Laso</surname><given-names>V</given-names></name><name><surname>Madrigal-Matute</surname><given-names>J</given-names></name><name><surname>Mu&#x00F1;oz-Garc&#x00ED;a</surname><given-names>B</given-names></name><name><surname>Moreno</surname><given-names>JA</given-names></name><name><surname>Pastor-Vargas</surname><given-names>C</given-names></name><name><surname>Llamas-Granda</surname><given-names>P</given-names></name><name><surname>Burkly</surname><given-names>LC</given-names></name><name><surname>Egido</surname><given-names>J</given-names></name><name><surname>Mart&#x00ED;n-Ventura</surname><given-names>JL</given-names></name><name><surname>Blanco-Colio</surname><given-names>LM</given-names></name></person-group><article-title>Genetic deletion or TWEAK blocking antibody administration reduce atherosclerosis and enhance plaque stability in mice</article-title><source>J Cell Mol Med</source><volume>18</volume><fpage>721</fpage><lpage>734</lpage><year>2014</year><pub-id pub-id-type="doi">10.1111/jcmm.12221</pub-id><pub-id pub-id-type="pmcid">4000122</pub-id></element-citation></ref>
<ref id="b8-mmr-17-01-1998"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>L&#x00FC;scher</surname><given-names>TF</given-names></name><name><surname>Barton</surname><given-names>M</given-names></name></person-group><article-title>Biology of the endothelium</article-title><source>Clin Cardiol</source><volume>20</volume><supplement>11 Suppl 2</supplement><issue>II</issue><fpage>3</fpage><lpage>10</lpage><year>1997</year></element-citation></ref>
<ref id="b9-mmr-17-01-1998"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>M&#x00FC;nzel</surname><given-names>T</given-names></name><name><surname>Gori</surname><given-names>T</given-names></name><name><surname>Bruno</surname><given-names>RM</given-names></name><name><surname>Taddei</surname><given-names>S</given-names></name></person-group><article-title>Is oxidative stress a therapeutic target in cardiovascular disease?</article-title><source>Eur Heart J</source><volume>31</volume><fpage>2741</fpage><lpage>2748</lpage><year>2010</year><pub-id pub-id-type="doi">10.1093/eurheartj/ehq396</pub-id></element-citation></ref>
<ref id="b10-mmr-17-01-1998"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Victor</surname><given-names>VM</given-names></name><name><surname>Apostolova</surname><given-names>N</given-names></name><name><surname>Herance</surname><given-names>R</given-names></name><name><surname>Hernandez-Mijares</surname><given-names>A</given-names></name><name><surname>Rocha</surname><given-names>M</given-names></name></person-group><article-title>Oxidative stress and mitochondrial dysfunction in atherosclerosis: Mitochondria-targeted antioxidants as potential therapy</article-title><source>Curr Med Chem</source><volume>16</volume><fpage>4654</fpage><lpage>4667</lpage><year>2009</year><pub-id pub-id-type="doi">10.2174/092986709789878265</pub-id></element-citation></ref>
<ref id="b11-mmr-17-01-1998"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lane</surname><given-names>RK</given-names></name><name><surname>Hilsabeck</surname><given-names>T</given-names></name><name><surname>Rea</surname><given-names>SL</given-names></name></person-group><article-title>The role of mitochondrial dysfunction in age-related diseases</article-title><source>Biochim Biophys Acta</source><volume>1847</volume><fpage>1387</fpage><lpage>1400</lpage><year>2015</year><pub-id pub-id-type="doi">10.1016/j.bbabio.2015.05.021</pub-id></element-citation></ref>
<ref id="b12-mmr-17-01-1998"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kadlec</surname><given-names>AO</given-names></name><name><surname>Chabowski</surname><given-names>DS</given-names></name><name><surname>Ait-Aissa</surname><given-names>K</given-names></name><name><surname>Gutterman</surname><given-names>DD</given-names></name></person-group><article-title>Role of PGC-1&#x03B1; in vascular regulation: Implications for atherosclerosis</article-title><source>Arterioscler Thromb Vasc Biol</source><volume>36</volume><fpage>1467</fpage><lpage>1474</lpage><year>2016</year><pub-id pub-id-type="doi">10.1161/ATVBAHA.116.307123</pub-id><pub-id pub-id-type="pmcid">4965312</pub-id></element-citation></ref>
<ref id="b13-mmr-17-01-1998"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Valle</surname><given-names>I</given-names></name><name><surname>Alvarez-Barrientos</surname><given-names>A</given-names></name><name><surname>Arza</surname><given-names>E</given-names></name><name><surname>Lamas</surname><given-names>S</given-names></name><name><surname>Monsalve</surname><given-names>M</given-names></name></person-group><article-title>PGC-1alpha regulates the mitochondrial antioxidant defense system in vascular endothelial cells</article-title><source>Cardiovasc Res</source><volume>66</volume><fpage>562</fpage><lpage>573</lpage><year>2005</year><pub-id pub-id-type="doi">10.1016/j.cardiores.2005.01.026</pub-id></element-citation></ref>
<ref id="b14-mmr-17-01-1998"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kahn</surname><given-names>BB</given-names></name><name><surname>Alquier</surname><given-names>T</given-names></name><name><surname>Carling</surname><given-names>D</given-names></name><name><surname>Hardie</surname><given-names>DG</given-names></name></person-group><article-title>AMP-activated protein kinase: Ancient energy gauge provides clues to modern understanding of metabolism</article-title><source>Cell Metab</source><volume>1</volume><fpage>15</fpage><lpage>25</lpage><year>2005</year><pub-id pub-id-type="doi">10.1016/j.cmet.2004.12.003</pub-id></element-citation></ref>
<ref id="b15-mmr-17-01-1998"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ruiz-Andres</surname><given-names>O</given-names></name><name><surname>Suarez-Alvarez</surname><given-names>B</given-names></name><name><surname>S&#x00E1;nchez-Ramos</surname><given-names>C</given-names></name><name><surname>Monsalve</surname><given-names>M</given-names></name><name><surname>Sanchez-Ni&#x00F1;o</surname><given-names>MD</given-names></name><name><surname>Ruiz-Ortega</surname><given-names>M</given-names></name><name><surname>Egido</surname><given-names>J</given-names></name><name><surname>Ortiz</surname><given-names>A</given-names></name><name><surname>Sanz</surname><given-names>AB</given-names></name></person-group><article-title>The inflammatory cytokine TWEAK decreases PGC-1&#x03B1; expression and mitochondrial function in acute kidney injury</article-title><source>Kidney Int</source><volume>89</volume><fpage>399</fpage><lpage>410</lpage><year>2016</year><pub-id pub-id-type="doi">10.1038/ki.2015.332</pub-id></element-citation></ref>
<ref id="b16-mmr-17-01-1998"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Harada</surname><given-names>N</given-names></name><name><surname>Nakayama</surname><given-names>M</given-names></name><name><surname>Nakano</surname><given-names>H</given-names></name><name><surname>Fukuchi</surname><given-names>Y</given-names></name><name><surname>Yagita</surname><given-names>H</given-names></name><name><surname>Okumura</surname><given-names>K</given-names></name></person-group><article-title>Pro-inflammatory effect of TWEAK/Fn14 interaction on human umbilical vein endothelial cells</article-title><source>Biochem Biophys Res Commun</source><volume>299</volume><fpage>488</fpage><lpage>493</lpage><year>2002</year><pub-id pub-id-type="doi">10.1016/S0006-291X(02)02670-0</pub-id></element-citation></ref>
<ref id="b17-mmr-17-01-1998"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>F</given-names></name><name><surname>Zhang</surname><given-names>M</given-names></name><name><surname>Wang</surname><given-names>A</given-names></name><name><surname>Xu</surname><given-names>M</given-names></name><name><surname>Wang</surname><given-names>C</given-names></name><name><surname>Xu</surname><given-names>G</given-names></name><name><surname>Zhang</surname><given-names>B</given-names></name><name><surname>Zou</surname><given-names>X</given-names></name><name><surname>Zhuge</surname><given-names>Y</given-names></name></person-group><article-title>TWEAK increases SIRT1 expression and promotes p53 deacetylation affecting human hepatic stellate cell senescence</article-title><source>Cell Biol Int</source><volume>41</volume><fpage>147</fpage><lpage>154</lpage><year>2017</year><pub-id pub-id-type="doi">10.1002/cbin.10706</pub-id></element-citation></ref>
<ref id="b18-mmr-17-01-1998"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname><given-names>YH</given-names></name><name><surname>Li</surname><given-names>Q</given-names></name><name><surname>Li</surname><given-names>P</given-names></name><name><surname>Liu</surname><given-names>B</given-names></name></person-group><article-title>GSK621 activates AMPK signaling to inhibit LPS-induced TNF&#x03B1; production</article-title><source>Biochem Biophys Res Commun</source><volume>480</volume><fpage>289</fpage><lpage>295</lpage><year>2016</year><pub-id pub-id-type="doi">10.1016/j.bbrc.2016.10.001</pub-id></element-citation></ref>
<ref id="b19-mmr-17-01-1998"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>L</given-names></name><name><surname>Chen</surname><given-names>Q</given-names></name><name><surname>Deng</surname><given-names>G</given-names></name><name><surname>Kuang</surname><given-names>S</given-names></name><name><surname>Lian</surname><given-names>J</given-names></name><name><surname>Wang</surname><given-names>M</given-names></name><name><surname>Zhu</surname><given-names>H</given-names></name></person-group><article-title>AMPK activation by GSK621 inhibits human melanoma cells in vitro and in vivo</article-title><source>Biochem Biophys Res Commun</source><volume>480</volume><fpage>515</fpage><lpage>521</lpage><year>2016</year><pub-id pub-id-type="doi">10.1016/j.bbrc.2016.10.040</pub-id></element-citation></ref>
<ref id="b20-mmr-17-01-1998"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ballinger</surname><given-names>SW</given-names></name><name><surname>Van Houten</surname><given-names>B</given-names></name><name><surname>Jin</surname><given-names>GF</given-names></name><name><surname>Conklin</surname><given-names>CA</given-names></name><name><surname>Godley</surname><given-names>BF</given-names></name></person-group><article-title>Hydrogen peroxide causes significant mitochondrial DNA damage in human RPE cells</article-title><source>Exp Eye Res</source><volume>68</volume><fpage>765</fpage><lpage>772</lpage><year>1999</year><pub-id pub-id-type="doi">10.1006/exer.1998.0661</pub-id></element-citation></ref>
<ref id="b21-mmr-17-01-1998"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Handschin</surname><given-names>C</given-names></name><name><surname>Rhee</surname><given-names>J</given-names></name><name><surname>Lin</surname><given-names>J</given-names></name><name><surname>Tarr</surname><given-names>PT</given-names></name><name><surname>Spiegelman</surname><given-names>BM</given-names></name></person-group><article-title>An autoregulatory loop controls peroxisome proliferator-activated receptor gamma coactivator 1alpha expression in muscle</article-title><source>Proc Natl Acad Sci USA</source><volume>100</volume><fpage>7111</fpage><lpage>7116</lpage><year>2003</year><pub-id pub-id-type="doi">10.1073/pnas.1232352100</pub-id><pub-id pub-id-type="pmcid">165838</pub-id></element-citation></ref>
<ref id="b22-mmr-17-01-1998"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>M&#x00FC;nzel</surname><given-names>T</given-names></name><name><surname>Sinning</surname><given-names>C</given-names></name><name><surname>Post</surname><given-names>F</given-names></name><name><surname>Warnholtz</surname><given-names>A</given-names></name><name><surname>Schulz</surname><given-names>E</given-names></name></person-group><article-title>Pathophysiology, diagnosis and prognostic implications of endothelial dysfunction</article-title><source>Ann Med</source><volume>40</volume><fpage>180</fpage><lpage>196</lpage><year>2008</year><pub-id pub-id-type="doi">10.1080/07853890701854702</pub-id></element-citation></ref>
<ref id="b23-mmr-17-01-1998"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Davignon</surname><given-names>J</given-names></name><name><surname>Ganz</surname><given-names>P</given-names></name></person-group><article-title>Role of endothelial dysfunction in atherosclerosis</article-title><source>Circulation</source><volume>109</volume><supplement>23 Suppl 1</supplement><fpage>III27</fpage><lpage>III32</lpage><year>2004</year><pub-id pub-id-type="doi">10.1161/01.CIR.0000131515.03336.f8</pub-id></element-citation></ref>
<ref id="b24-mmr-17-01-1998"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Madrigal-Matute</surname><given-names>J</given-names></name><name><surname>Fernandez-Laso</surname><given-names>V</given-names></name><name><surname>Sastre</surname><given-names>C</given-names></name><name><surname>Llamas-Granda</surname><given-names>P</given-names></name><name><surname>Egido</surname><given-names>J</given-names></name><name><surname>Martin-Ventura</surname><given-names>JL</given-names></name><name><surname>Zalba</surname><given-names>G</given-names></name><name><surname>Blanco-Colio</surname><given-names>LM</given-names></name></person-group><article-title>TWEAK/Fn14 interaction promotes oxidative stress through NADPH oxidase activation in macrophages</article-title><source>Cardiovasc Res</source><volume>108</volume><fpage>139</fpage><lpage>147</lpage><year>2015</year><pub-id pub-id-type="doi">10.1093/cvr/cvv204</pub-id></element-citation></ref>
<ref id="b25-mmr-17-01-1998"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dikalov</surname><given-names>S</given-names></name></person-group><article-title>Cross talk between mitochondria and NADPH oxidases</article-title><source>Free Radic Biol Med</source><volume>51</volume><fpage>1289</fpage><lpage>1301</lpage><year>2011</year><pub-id pub-id-type="doi">10.1016/j.freeradbiomed.2011.06.033</pub-id><pub-id pub-id-type="pmcid">3163726</pub-id></element-citation></ref>
<ref id="b26-mmr-17-01-1998"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Madamanchi</surname><given-names>NR</given-names></name><name><surname>Runge</surname><given-names>MS</given-names></name></person-group><article-title>Mitochondrial dysfunction in atherosclerosis</article-title><source>Circ Res</source><volume>100</volume><fpage>460</fpage><lpage>473</lpage><year>2007</year><pub-id pub-id-type="doi">10.1161/01.RES.0000258450.44413.96</pub-id></element-citation></ref>
<ref id="b27-mmr-17-01-1998"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Krzywanski</surname><given-names>DM</given-names></name><name><surname>Moellering</surname><given-names>DR</given-names></name><name><surname>Westbrook</surname><given-names>DG</given-names></name><name><surname>Dunham-Snary</surname><given-names>KJ</given-names></name><name><surname>Brown</surname><given-names>J</given-names></name><name><surname>Bray</surname><given-names>AW</given-names></name><name><surname>Feeley</surname><given-names>KP</given-names></name><name><surname>Sammy</surname><given-names>MJ</given-names></name><name><surname>Smith</surname><given-names>MR</given-names></name><name><surname>Schurr</surname><given-names>TG</given-names></name><etal/></person-group><article-title>Endothelial cell bioenergetics and mitochondrial DNA damage differ in humans having African or West Eurasian maternal ancestry</article-title><source>Circ Cardiovasc Genet</source><volume>9</volume><fpage>26</fpage><lpage>36</lpage><year>2016</year><pub-id pub-id-type="doi">10.1161/CIRCGENETICS.115.001308</pub-id><pub-id pub-id-type="pmcid">4758889</pub-id></element-citation></ref>
<ref id="b28-mmr-17-01-1998"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Panth</surname><given-names>N</given-names></name><name><surname>Paudel</surname><given-names>KR</given-names></name><name><surname>Parajuli</surname><given-names>K</given-names></name></person-group><article-title>Reactive oxygen species: A key hallmark of cardiovascular disease</article-title><source>Adv Med</source><volume>2016</volume><fpage>9152732</fpage><year>2016</year><pub-id pub-id-type="doi">10.1155/2016/9152732</pub-id><pub-id pub-id-type="pmcid">5059509</pub-id></element-citation></ref>
<ref id="b29-mmr-17-01-1998"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yu</surname><given-names>EP</given-names></name><name><surname>Bennett</surname><given-names>MR</given-names></name></person-group><article-title>The role of mitochondrial DNA damage in the development of atherosclerosis</article-title><source>Free Radic Biol Med</source><volume>100</volume><fpage>223</fpage><lpage>230</lpage><year>2016</year><pub-id pub-id-type="doi">10.1016/j.freeradbiomed.2016.06.011</pub-id></element-citation></ref>
<ref id="b30-mmr-17-01-1998"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shi</surname><given-names>J</given-names></name><name><surname>Jiang</surname><given-names>B</given-names></name><name><surname>Qiu</surname><given-names>Y</given-names></name><name><surname>Guan</surname><given-names>J</given-names></name><name><surname>Jain</surname><given-names>M</given-names></name><name><surname>Cao</surname><given-names>X</given-names></name><name><surname>Bauer</surname><given-names>M</given-names></name><name><surname>Su</surname><given-names>L</given-names></name><name><surname>Burkly</surname><given-names>LC</given-names></name><name><surname>Leone</surname><given-names>TC</given-names></name><etal/></person-group><article-title>PGC1&#x03B1; plays a critical role in TWEAK-induced cardiac dysfunction</article-title><source>PLoS One</source><volume>8</volume><fpage>e54054</fpage><year>2013</year><pub-id pub-id-type="doi">10.1371/journal.pone.0054054</pub-id><pub-id pub-id-type="pmcid">3546975</pub-id></element-citation></ref>
<ref id="b31-mmr-17-01-1998"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hindi</surname><given-names>SM</given-names></name><name><surname>Mishra</surname><given-names>V</given-names></name><name><surname>Bhatnagar</surname><given-names>S</given-names></name><name><surname>Tajrishi</surname><given-names>MM</given-names></name><name><surname>Ogura</surname><given-names>Y</given-names></name><name><surname>Yan</surname><given-names>Z</given-names></name><name><surname>Burkly</surname><given-names>LC</given-names></name><name><surname>Zheng</surname><given-names>TS</given-names></name><name><surname>Kumar</surname><given-names>A</given-names></name></person-group><article-title>Regulatory circuitry of TWEAK-Fn14 system and PGC-1&#x03B1; in skeletal muscle atrophy program</article-title><source>FASEB J</source><volume>28</volume><fpage>1398</fpage><lpage>1411</lpage><year>2014</year><pub-id pub-id-type="doi">10.1096/fj.13-242123</pub-id><pub-id pub-id-type="pmcid">3929677</pub-id></element-citation></ref>
<ref id="b32-mmr-17-01-1998"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Macmillan-Crow</surname><given-names>LA</given-names></name><name><surname>Cruthirds</surname><given-names>DL</given-names></name></person-group><article-title>Invited review: Manganese superoxide dismutase in disease</article-title><source>Free Radic Res</source><volume>34</volume><fpage>325</fpage><lpage>336</lpage><year>2001</year><pub-id pub-id-type="doi">10.1080/10715760100300281</pub-id></element-citation></ref>
<ref id="b33-mmr-17-01-1998"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bresciani</surname><given-names>G</given-names></name><name><surname>da Cruz</surname><given-names>IB</given-names></name><name><surname>Gonz&#x00E1;lez-Gallego</surname><given-names>J</given-names></name></person-group><article-title>Manganese superoxide dismutase and oxidative stress modulation</article-title><source>Adv Clin Chem</source><volume>68</volume><fpage>87</fpage><lpage>130</lpage><year>2015</year><pub-id pub-id-type="doi">10.1016/bs.acc.2014.11.001</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-mmr-17-01-1998" position="float">
<label>Figure 1.</label>
<caption><p>TWEAK induces ROS production and decreases NO generation in HUVECs. After treated with TWEAK for 24 h, HUVECs were incubated with DCF-DA probe for 30 min, and culture medium was used for NO determination. (A) Data are expressed as mean fluorescence intensity which was quantified by flow cytometry. (B) Quantification of fluorescence intensity for ROS levels was analyzed using fluorescence microscopy. (C) NO production in culture medium was determined by the Nitric Oxide Assay kit (&#x00B5;mol/l). Magnification, &#x00D7;200. n=3 in each group. &#x002A;P&#x003C;0.05 vs. control group, <sup>#</sup>P&#x003C;0.05 vs. 50 ng/ml TWEAK treatment group, <sup>&#x0026;</sup>P&#x003C;0.05 vs. 100 ng/ml TWEAK treatment group.</p></caption>
<graphic xlink:href="MMR-17-01-1998-g00.tif"/>
</fig>
<fig id="f2-mmr-17-01-1998" position="float">
<label>Figure 2.</label>
<caption><p>TWEAK increases mtROS production in HUVECs. After treated with TWEAK for 24 h, HUVECs were incubated with MitoSOX probe for 30 min. (A) Data are expressed as mean fluorescence intensity which was quantified by flow cytometry. (B) Quantification of fluorescence intensity for mtROS levels was analyzed using fluorescence microscopy. Magnification, &#x00D7;200. n=3 in each group. &#x002A;P&#x003C;0.05 vs. control group, <sup>#</sup>P&#x003C;0.05 vs. 50 ng/ml TWEAK treatment group, <sup>&#x0026;</sup>P&#x003C;0.05 vs. 100 ng/ml TWEAK treatment group.</p></caption>
<graphic xlink:href="MMR-17-01-1998-g01.tif"/>
</fig>
<fig id="f3-mmr-17-01-1998" position="float">
<label>Figure 3.</label>
<caption><p>Fn14 mediates TWEAK-induced production of ROS and reduction of NO in HUVECs. After pretreatment with Fn14 siRNA or negative control RNA for 48 h, HUVECs were treated with 100 ng/ml TWEAK for 24 h, and they were incubated with DCF-DA probe for 30 min, and culture medium was used for NO determination. (A) Data are expressed as mean fluorescence intensity which was quantified by flow cytometry. (B) Quantification of fluorescence intensity for ROS levels was analyzed using fluorescence microscopy. (C) NO production in culture medium was determined by the Nitric Oxide Assay kit (&#x00B5;mol/l). Magnification, &#x00D7;200. n=3 in each group. &#x002A;P&#x003C;0.05 vs. control group, <sup>#</sup>P&#x003C;0.05 vs. TWEAK treatment group.</p></caption>
<graphic xlink:href="MMR-17-01-1998-g02.tif"/>
</fig>
<fig id="f4-mmr-17-01-1998" position="float">
<label>Figure 4.</label>
<caption><p>Fn14 mediates TWEAK-induced mtROS production in HUVECs. After pretreatment with Fn14 siRNA or negative control RNA for 48 h, HUVECs were treated with 100 ng/ml TWEAK for 24 h, and they were incubated with MitoSOX probe for 30 min. (A) Data are expressed as mean fluorescence intensity which was quantified by flow cytometry. (B) Quantification of fluorescence intensity for mtROS levels was analyzed using fluorescence microscopy. Magnification, &#x00D7;200. n=3 in each group. &#x002A;P&#x003C;0.05 vs. control group, <sup>#</sup>P&#x003C;0.05 vs. TWEAK treatment group.</p></caption>
<graphic xlink:href="MMR-17-01-1998-g03.tif"/>
</fig>
<fig id="f5-mmr-17-01-1998" position="float">
<label>Figure 5.</label>
<caption><p>TWEAK/Fn14 induces mitochondrial DNA damage in HUVECs. After pretreatment with Fn14 siRNA or negative control RNA for 48 h, HUVECs were treated with 100 ng/ml TWEAK for 24 h, total DNA was extracted and mitochondrial DNA damage was determined by quantitative PCR in HUVECs. n=3 in each group. &#x002A;P&#x003C;0.05 vs. control group, <sup>#</sup>P&#x003C;0.05 vs. TWEAK treatment group.</p></caption>
<graphic xlink:href="MMR-17-01-1998-g04.tif"/>
</fig>
<fig id="f6-mmr-17-01-1998" position="float">
<label>Figure 6.</label>
<caption><p>TWEAK/Fn14 down-regulates the expression of AMPK/PGC-1&#x03B1;/MnSOD in HUVECs. After pretreatment with Fn14 siRNA or negative control RNA for 48 h, HUVECs were treated with 100 ng/ml TWEAK for 24 h. (A) TWEAK/Fn14 inhibited AMPK activation in HUVECs. (B) TWEAK/Fn14 decreased relative expression of PGC-1&#x03B1; and MnSOD in HUVECs. n=3 in each group. &#x002A;P&#x003C;0.05 vs. control group, <sup>#</sup>P&#x003C;0.05 vs. TWEAK treatment group.</p></caption>
<graphic xlink:href="MMR-17-01-1998-g05.tif"/>
</fig>
<fig id="f7-mmr-17-01-1998" position="float">
<label>Figure 7.</label>
<caption><p>AMPK activation is required for the expression of PGC-1&#x03B1; and MnSOD. After treated with 10 &#x00B5;mol/l GSK621, the expression of AMPK/PGC-1&#x03B1;/MnSOD in HUVECs was performed by western blot. (A) GSK621 induced AMPK activation in HUVECs. (B) GSK621 induced the expression of PGC-1&#x03B1; and MnSOD in HUVECs. n=3 in each group. &#x002A;P&#x003C;0.05 vs. control group.</p></caption>
<graphic xlink:href="MMR-17-01-1998-g06.tif"/>
</fig>
</floats-group>
</article>