Leflunomide inhibiting vascular intimal hyperplasia by regulating endothelial cell fibrous actin generation via superoxide dismutase 1/reactive oxygen species pathway

ZHEN Zi-yi, ZHANG Jia-ying, GONG Ze, YANG Wei-gang, LI Qi, YANG Xiao-yao, CHEN Chang

Acta Anatomica Sinica ›› 2026, Vol. 57 ›› Issue (1) : 84-91.

PDF(14224 KB)
Welcome to visit Acta Anatomica Sinica! Today is Chinese
PDF(14224 KB)
Acta Anatomica Sinica ›› 2026, Vol. 57 ›› Issue (1) : 84-91. DOI: 10.16098/j.issn.0529-1356.2026.01.013
Cell and Molecules Biology

Leflunomide inhibiting vascular intimal hyperplasia by regulating endothelial cell fibrous actin generation via superoxide dismutase 1/reactive oxygen species pathway

  • ZHEN Zi-yi1, ZHANG Jia-ying1, GONG Ze1, YANG Wei-gang1, LI Qi2, YANG Xiao-yao3*, CHEN Chang1*
Author information +
History +

Abstract

Objective To investigate the role of leflunomide (Lef) in promoting the migration and repair of damaged rat aortic endothelial cells (RAECs).Methods Male SD rats were randomly divided into 4 groups: normal group, normal administration group (leflunomide, intraperitoneal injection 5 mg/kg for 14 days), intimal hyperplasia model group and intimal hyperplasia model administration group (leflunomide, 5 mg/kg for 14 days). HE staining was used to observe vascular architecture; immunofluorescence staining and real-time PCR were used to detect platelet endothelial cell adhesion molecule-1 (PECAM-1/CD31) expression. After isolating and culturing RAECs in vitro, the cells were incubated with leflunomide, H₂O₂ and superoxide dismutase 1 small interfering RNA (SOD-1 siRNA); CCK-8 and 5-ethynyl-2′-deoxyuridine (EdU) were used to detect RAECs viability and proliferation; dihydroethidium (DHE) staining was used to detect reactive oxygen species (ROS); Western blotting was used to detect the expression of SOD-1 in RAECs. Transwell assays were used for cell migration; immunofluorescence staining was used to detect fibrous actin (F-actin).Results Compared to the model group, leflunomide administration significantly inhibited mechanical vascular injury-induced intimal hyperplasia; leflunomide promoted CD31 expression in injured vessels; leflunomide counteracted H₂O₂-induced inhibition of RAECs migration; leflunomide antagonized H₂O₂-induced ROS generation in RAECs via SOD-1; leflunomide reversed H₂O₂-mediated suppression of F-actin cytoskeletal protein formation in RAECs.Conclusion Leflunomide inhibits vascular intimal hyperplasia by regulating the formation of F-actin in the cytoskeleton of injured vascular endothelial cells through the SOD-1/ROS pathway.

Key words

Intimal hyperplasia / Leflunomide / Endothelial cell / Cell migration / Reactive oxygen species / Western-blotting / Rat

Cite this article

Download Citations
ZHEN Zi-yi, ZHANG Jia-ying, GONG Ze, YANG Wei-gang, LI Qi, YANG Xiao-yao, CHEN Chang.
Leflunomide inhibiting vascular intimal hyperplasia by regulating endothelial cell fibrous actin generation via superoxide dismutase 1/reactive oxygen species pathway
[J]. Acta Anatomica Sinica. 2026, 57(1): 84-91 https://doi.org/10.16098/j.issn.0529-1356.2026.01.013

References

[1]Rao SV,O'Donoghue ML,Ruel M,et al. 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the management of patients with acute coronary syndromes:a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines [J]. Circulation,2025,151(13):e771-e862.
[2]Krüger-Genge A,Blocki A,Franke RP,et al. Vascular endothelial cell biology:an update [J]. Int J Mol Sci,2019,20(18):4411.
[3]Feng LA,Shi J,Guo JY,et al. Recent strategies for improving hemocompatibility and endothelialization of cardiovascular devices and inhibition of intimal hyperplasia [J]. Mater Chem B,2022,10(20):3781-3792.
[4]Zheng K,Chen Y,Liu S,et al. Leflunomide:traditional immunosuppressant with concurrent antiviral effects [J]. Int J Rheum Dis,2023,26(2):195-209.
[5]Dhiman A,Garkhal K. Leflunomide applicability in rheumatoid athritis:drug delivery challenges and emerging formulation strategies [J]. Drugs and Drug Candidates,2025,4(3):36.
[6]Smolen JS,Landew R,Breedveld FC,et al. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs [J]. Ann Rheum Dis, 2010,69(6):964-975.
[7]Sattar N,McCarey DW,Capell H,et al. Explaining how “high-grade” systemic inflammation accelerates vascular risk in rheumatoid arthritis [J]. Circulation,2003,108(24):2957-2963.
[8]Li Q,Zhang MY,Xuan LN,et al. Anagliptin inhibits neointimal hyperplasia after balloon injury via endothelial cell-specific modulation of SOD-1/RhoA/JNK signaling in the arterial wall[J]. Free Radic Biol Med,2018,121:105-116.
[9]Jain M,Singh A,Singh V,et al. Involvement of interleukin-1 receptor-associated kinase-1 in vascular smooth muscle cell proliferation and neointimal formation after rat carotid injury[J]. Arterioscler Thromb Vasc Biol,2015,35(6):1445-1455.
[10]Jahnke T,Schäfer FK,Bolte H,et al. 2005 Dr. Gary J. Becker Young Investigator Award:periprocedural oral administration of the leflunomide analogue FK778 inhibits neointima formation in a double-injury rat model of restenosis[J]. J Vasc Interv Radiol,2005,16(7):903-910.
[11]Wu W,Wang C,Zang H,et al. Mature vascular smooth muscle cells,but not endothelial cells,serve as the major cellular source of intimal hyperplasia in vein grafts[J]. Arterioscler ThrombVasc Biol,2020,40(8):1870-1890.
[12]Sun H,Morihara R,Feng T,et al. Human cord blood-endothelial progenitor cells alleviate intimal hyperplasia of arterial damage in a rat stroke model[J]. Cell Transplant,2023,32:963689723 1193069.
[13]Yang S,Lian G. ROS and disease:role in metabolism and energy supply[J]. Mol Cell Biochem,2020,467(1-2):1-12.
[14]Chen J,Xiao F,Chen L,et al. Role of ferroptosis in hypoxic preconditioning to reduce propofol neurotoxicity[J]. Front Pharmacol,2023,14:1121280.
[15]Songbo M,Lang M,Xinyong C,et al. Oxidative stress injury in doxorubicin induced cardiotoxicity[J]. Toxicol Lett,2019,307:41-48.
[16]Yao L,Mori Y,Sun SX,et al. On the role of myosin-induced actin depolymerization during cell migration[J]. Mol Biol Cell,2023,34(6):ar62.
[17]Balta E,Hardt R,Sickmann A,et al. Redox regulation of the actin cytoskeleton in cell migration and adhesion:on the way to a spatiotemporal view[J]. Fron Cell Dev Biol,2021,8:618261.
[18]Wang Y,Branicky R,Noe A,et al. Superoxide dismutases:dual roles in controlling ROS damage and regulating ROS signaling[J]. J Cell Biol,2018,217(6):1915-1928.
[19]Kraus X,van de Flierdt E,Renzelmann J,et al. Peripheral blood derived endothelial colony forming cells as suitable cell source for pre-endothelialization of arterial vascular grafts under dynamic flow conditions[J]. Microvasc Res,2022,143:104402.
Leflunomide inhibiting vascular intimal hyperplasia by regulating endothelial cell fibrous actin generation via superoxide dismutase 1/reactive oxygen species pathway
" title="Share on Weibo" target="_blank">
PDF(14224 KB)

Accesses

Citation

Detail

Sections
Recommended

/