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American Society for Pharmacology and Experimental Therapeutics (ASPET), The Journal of Pharmacology and Experimental Therapeutics, 1(356), p. 137-147

DOI: 10.1124/jpet.115.227934

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Andrographolide Ameliorates Abdominal Aortic Aneurysm Progression by Inhibiting Inflammatory Cell Infiltration through Downregulation of Cytokine and Integrin Expression

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Abdominal aortic aneurysm (AAA), characterized by exuberant inflammation and tissue deterioration, is a common aortic disease associated with a high mortality rate. There is currently no established pharmacological therapy to treat this progressive disease. Andrographolide (Andro), a major bioactive component of herbaceous plant Andrographis paniculata, has been found to exhibit potent anti-inflammatory property by inhibiting NF-κB activity in several disease models. In this study, we investigated the ability of Andro to suppress inflammation associated with aneurysms and whether it may be used to block the progression of AAA. While diseased aortae continued to expand in the solvent-treated group, daily administration of Andro to mice with small aneurysms significantly attenuated aneurysm growth, as measured by the progressive expansion of aortic diameter (165.68 ± 15.85% vs 90.62 ± 22.91%, p<0.05). Immunohistochemistry analyses revealed that Andro decreased infiltration of monocytes/macrophages and T cells. Mechanistically, Andro inhibited arterial NF-κB activation and reduced the production of proinflammatory cytokines (CCL2, CXCL10, TNFα and IFNγ) in the treated aortae. Furthermore, Andro suppressed α4 integrin expression and attenuated the ability of monocytes/macrophages to adhere to activated endothelial cells. These results indicate that Andro suppresses progression of AAA, likely through inhibition of inflammatory cell infiltration via downregulation of NF-κB-mediated cytokine production and α4 integrin expression. Thus, Andro may offer a pharmacological therapy to slow disease progression in patients with small aneurysms.