脂肪干细胞(ASC)移植是糖尿病性勃起功能障碍(DMED)最有前途的治疗方法。然而,高糖对干细胞移植后存活的影响限制了ASCs移植的疗效。延长ASC在移植后的体内存活时间是利用ASC进行DMED的关键问题。在这里,我们旨在研究通过下调NOD-,LRR-,和含pyrin结构域的蛋白3(NLRP3)及其在DMED中的作用机制。
通过从SD大鼠中分离皮下脂肪获得ASCs,并使用成脂和成骨分化试验进行鉴定,以及流式细胞术分析。筛选出下调效果最好的shNLRP3慢病毒,和shNLRP3慢病毒(LV-shNLRP3)转染到ASCs(ASCsshNLRP3)中以检测高糖条件下各组的细胞凋亡和活性氧(ROS)水平。在DMED大鼠中,ASCsLV-shNLRP3,ASCsLV控制,或磷酸盐缓冲盐水(PBS)通过海绵体内注射,正常大鼠作为正常对照。注射后一周,进行动物成像以追踪ASC。注射后四周,通过测量海绵体内压和平均动脉压来评估勃起功能。通过蛋白质印迹和免疫荧光检查海绵体焦亡和内皮功能。
NLRP3介导的焦亡可能是ED和DMED的致病机制。成功分离ASC。此后,选择具有最高转染效率的LV-shNLRP3,并成功用于修饰ASCs。LV-shNLRP3可能通过抗凋亡和抗ROS沉积机制保护高血糖状态下的ASCs旁分泌功能。此外,与ASCsLV对照相比,ASCsLV-shNLRP3在抑制焦亡方面显示出优势。ASCsLV-shNLRP3组有改善海绵内皮功能和平滑肌损伤,从而逆转勃起功能,优于ASCsLV对照组。
NLRP3炎性体介导的焦亡可能参与DMED的形成。海绵体内注射ASCsLV-shNLRP3可以抑制海绵体焦亡,有助于改善DMED大鼠的勃起功能。
The transplantation of adipose-derived stem cells (ASCs) is a most promising treatment for diabetic erectile dysfunction (DMED). However, the effect of high glucose on the post-transplantation survival of stem cells limits the efficacy of ASCs transplantation. Prolonging the survival time of ASCs in vivo after transplantation is a key issue in the utilization of ASCs for DMED. Herein, we aimed to investigate the therapeutic effect of ASCs by downregulating NOD-, LRR-, and pyrin domain-containing protein 3 (NLRP3) as well as its mechanism of action in DMED.
ASCs were obtained by isolating subcutaneous fat from SD rats and were identified using lipogenic and osteogenic differentiation assays, as well as flow cytometric analysis. The shNLRP3 lentivirus with the best downregulating effect was screened, and shNLRP3 lentivirus (LV-shNLRP3) was transfected into ASCs (ASCsshNLRP3) to detect apoptosis and the reactive oxygen species (ROS) levels in each group under high glucose conditions. In DMED rats, ASCsLV-shNLRP3, ASCsLV-control, or phosphate buffered saline (PBS) were administrated via intra-cavernous injection, and normal rats served as normal controls. One week post-injection, animal imaging was performed to track the ASCs. Four weeks post-injection, erectile function was evaluated by measuring the intra-cavernosal pressure and mean arterial pressure. Corpus cavernosum pyroptosis and endothelial function were examined by western blotting and immunofluorescence.
NLRP3-mediated pyroptosis might be a pathogenic mechanism of ED and DMED. ASCs were isolated successfully. Thereafter, the LV-shNLRP3 with the highest transfection efficiency was selected and used to modify ASCs successfully. LV-shNLRP3 could protect ASCs paracrine function under hyperglycemia through anti-apoptosis and anti-ROS deposition mechanisms. Furthermore, ASCsLV-shNLRP3 showed an advantage in the suppression of pyroptosis compared to ASCsLV-control. The ASCsLV-shNLRP3 group had improved cavernous endothelial function and smooth muscle injury, thus reversing erectile function, and was superior to the ASCsLV-control group.
NLRP3 Inflammasome-mediated pyroptosis might be involved in DMED formation. Intra-cavernous injection of ASCsLV-shNLRP3 could suppress cavernosal pyroptosis, contributing to improved erectile function in DMED rats.