Ginger protects against vein graft remodeling by precisely modulating ferroptotic stress in vascular smooth muscle cell dedifferentiation

Vein graft (VG) failure (VGF) is associated with VG intimal hyperplasia, which is characterized by abnormal accumulation of vascular smooth muscle cells (VSMCs). Most neointimal VSMCs are derived from pre-existing VSMCs via a process of VSMC phenotypic transition, also known as dedifferentiation. Th...

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Main Authors: Xiaoyu Yu, Weiwei Wu, Jingjun Hao, Yuxin Zhou, Deyang Yu, Wei Ding, Xuejuan Zhang, Gaoli Liu, Jianxun Wang
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Journal of Pharmaceutical Analysis
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Online Access:http://www.sciencedirect.com/science/article/pii/S2095177924001503
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author Xiaoyu Yu
Weiwei Wu
Jingjun Hao
Yuxin Zhou
Deyang Yu
Wei Ding
Xuejuan Zhang
Gaoli Liu
Jianxun Wang
author_facet Xiaoyu Yu
Weiwei Wu
Jingjun Hao
Yuxin Zhou
Deyang Yu
Wei Ding
Xuejuan Zhang
Gaoli Liu
Jianxun Wang
author_sort Xiaoyu Yu
collection DOAJ
description Vein graft (VG) failure (VGF) is associated with VG intimal hyperplasia, which is characterized by abnormal accumulation of vascular smooth muscle cells (VSMCs). Most neointimal VSMCs are derived from pre-existing VSMCs via a process of VSMC phenotypic transition, also known as dedifferentiation. There is increasing evidence to suggest that ginger or its bioactive ingredients may block VSMC dedifferentiation, exerting vasoprotective functions; however, the precise mechanisms have not been fully characterized. Therefore, we investigated the effect of ginger on VSMC phenotypic transition in VG remodeling after transplantation. Ginger significantly inhibited neointimal hyperplasia and promoted lumen (L) opening in a 3-month VG, which was primarily achieved by reducing ferroptotic stress. Ferroptotic stress is a pro-ferroptotic state. Contractile VSMCs did not die but instead gained a proliferative capacity and switched to the secretory type, forming neointima (NI) after vein transplantation. Ginger and its two main vasoprotective ingredients (6-gingerol and 6-shogaol) inhibit VSMC dedifferentiation by reducing ferroptotic stress. Network pharmacology analysis revealed that 6-gingerol inhibits ferroptotic stress by targeting P53, while 6-shogaol inhibits ferroptotic stress by targeting 5-lipoxygenase (Alox5), both promoting ferroptosis. Furthermore, both ingredients co-target peroxisome proliferator-activated receptor gamma (PPARγ), decreasing PPARγ-mediated nicotinamide adenine dinucleotide phosphate (NADPH) oxidase 1 (Nox1) expression. Nox1 promotes intracellular reactive oxygen species (ROS) production and directly induces VSMC dedifferentiation. In addition, Nox1 is a ferroptosis-promoting gene that encourages ferroptotic stress production, indirectly leading to VSMC dedifferentiation. Ginger, a natural multi-targeted ferroptotic stress inhibitor, finely and effectively prevents VSMC phenotypic transition and protects against venous injury remodeling.
format Article
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institution Kabale University
issn 2095-1779
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publishDate 2025-02-01
publisher Elsevier
record_format Article
series Journal of Pharmaceutical Analysis
spelling doaj-art-bc1907aaac0f407d8bc30823dc269c252025-02-02T05:27:04ZengElsevierJournal of Pharmaceutical Analysis2095-17792025-02-01152101053Ginger protects against vein graft remodeling by precisely modulating ferroptotic stress in vascular smooth muscle cell dedifferentiationXiaoyu Yu0Weiwei Wu1Jingjun Hao2Yuxin Zhou3Deyang Yu4Wei Ding5Xuejuan Zhang6Gaoli Liu7Jianxun Wang8School of Basic Medicine, Qingdao Medical College, Qingdao University, Qingdao, Shandong, 266071, ChinaSchool of Basic Medicine, Qingdao Medical College, Qingdao University, Qingdao, Shandong, 266071, ChinaSchool of Basic Medicine, Qingdao Medical College, Qingdao University, Qingdao, Shandong, 266071, ChinaSchool of Basic Medicine, Qingdao Medical College, Qingdao University, Qingdao, Shandong, 266071, ChinaDepartment of Emergency Surgery, Qingdao Central Hospital, Qingdao, Shandong, 266071, ChinaDepartment of General Medicine, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, 266071, ChinaDepartment of General Medicine, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, 266071, ChinaDepartment of Cardiac Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, 266071, ChinaSchool of Basic Medicine, Qingdao Medical College, Qingdao University, Qingdao, Shandong, 266071, China; Corresponding author.Vein graft (VG) failure (VGF) is associated with VG intimal hyperplasia, which is characterized by abnormal accumulation of vascular smooth muscle cells (VSMCs). Most neointimal VSMCs are derived from pre-existing VSMCs via a process of VSMC phenotypic transition, also known as dedifferentiation. There is increasing evidence to suggest that ginger or its bioactive ingredients may block VSMC dedifferentiation, exerting vasoprotective functions; however, the precise mechanisms have not been fully characterized. Therefore, we investigated the effect of ginger on VSMC phenotypic transition in VG remodeling after transplantation. Ginger significantly inhibited neointimal hyperplasia and promoted lumen (L) opening in a 3-month VG, which was primarily achieved by reducing ferroptotic stress. Ferroptotic stress is a pro-ferroptotic state. Contractile VSMCs did not die but instead gained a proliferative capacity and switched to the secretory type, forming neointima (NI) after vein transplantation. Ginger and its two main vasoprotective ingredients (6-gingerol and 6-shogaol) inhibit VSMC dedifferentiation by reducing ferroptotic stress. Network pharmacology analysis revealed that 6-gingerol inhibits ferroptotic stress by targeting P53, while 6-shogaol inhibits ferroptotic stress by targeting 5-lipoxygenase (Alox5), both promoting ferroptosis. Furthermore, both ingredients co-target peroxisome proliferator-activated receptor gamma (PPARγ), decreasing PPARγ-mediated nicotinamide adenine dinucleotide phosphate (NADPH) oxidase 1 (Nox1) expression. Nox1 promotes intracellular reactive oxygen species (ROS) production and directly induces VSMC dedifferentiation. In addition, Nox1 is a ferroptosis-promoting gene that encourages ferroptotic stress production, indirectly leading to VSMC dedifferentiation. Ginger, a natural multi-targeted ferroptotic stress inhibitor, finely and effectively prevents VSMC phenotypic transition and protects against venous injury remodeling.http://www.sciencedirect.com/science/article/pii/S2095177924001503Vascular smooth muscle cellsDedifferentiationVein graftGingerFerroptotic stress
spellingShingle Xiaoyu Yu
Weiwei Wu
Jingjun Hao
Yuxin Zhou
Deyang Yu
Wei Ding
Xuejuan Zhang
Gaoli Liu
Jianxun Wang
Ginger protects against vein graft remodeling by precisely modulating ferroptotic stress in vascular smooth muscle cell dedifferentiation
Journal of Pharmaceutical Analysis
Vascular smooth muscle cells
Dedifferentiation
Vein graft
Ginger
Ferroptotic stress
title Ginger protects against vein graft remodeling by precisely modulating ferroptotic stress in vascular smooth muscle cell dedifferentiation
title_full Ginger protects against vein graft remodeling by precisely modulating ferroptotic stress in vascular smooth muscle cell dedifferentiation
title_fullStr Ginger protects against vein graft remodeling by precisely modulating ferroptotic stress in vascular smooth muscle cell dedifferentiation
title_full_unstemmed Ginger protects against vein graft remodeling by precisely modulating ferroptotic stress in vascular smooth muscle cell dedifferentiation
title_short Ginger protects against vein graft remodeling by precisely modulating ferroptotic stress in vascular smooth muscle cell dedifferentiation
title_sort ginger protects against vein graft remodeling by precisely modulating ferroptotic stress in vascular smooth muscle cell dedifferentiation
topic Vascular smooth muscle cells
Dedifferentiation
Vein graft
Ginger
Ferroptotic stress
url http://www.sciencedirect.com/science/article/pii/S2095177924001503
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