A MP-activated protein kinase (AMPK) is a serine/threonine kinase consisting of ␣, ␤, and ␥ subunits, each of which has at least 2 isoforms. The ␣ subunit possesses catalytic activity, whereas the ␤ and ␥ regulatory subunits maintain the stability of the heterotrimer complex. AMPK phosphorylates multiple targets, in vivo and in vitro. These targets include several biosynthetic enzymes such as acetylCoA carboxylase, hydroxymethylglutaryl-CoA reductase, and glycogen synthase. The importance of AMPK␣ is illustrated by the fact that dual deficiency of AMPK␣1 and -␣2, the 2 catalytic subunits of AMPK, is embryonic lethal. 1 The major isoform of AMPK in endothelial cells is Original

Background-Aberrant endoplasmic reticulum (ER) stress is associated with several cardiovascular diseases, including atherosclerosis. The mechanism by which aberrant ER stress develops is poorly understood. This study investigated whether dysfunction of AMP-activated protein kinase (AMPK) causes aberrant ER stress and atherosclerosis in vivo. Methods and Results-Human umbilical vein endothelial cells and mouse aortic endothelial cells from AMPK-deficient mice were used to assess the level of ER stress with Western blotting. Reduction of AMPK␣2 expression significantly increased the level of ER stress in human umbilical vein endothelial cells. In addition, mouse aortic endothelial cells from AMPK␣2 knockout (AMPK␣2

Smoking is the only modifiable risk factor associated with development, expansion, and rupture of abdominal aortic aneurysm (AAA), a leading cause of death in the human population. However, the causative link between cigarette smoke and AAA remains to be established. Here we report that, like angiotensin II (AngII), acute infusion of nicotine, a major component of cigarette smoke, resulted in significantly increased elastin degradation, enlargement of the aorta, aberrant expression of matrix metalloproteinase 2 (MMP2), and an increased incidence of AAA in ApoE knockout (ApoE−/−) and deficient in both ApoE and AMP-activated kinase (AMPK) α1 subunit (ApoE−/−/AMPKα1−/−) mice. Importantly, genetic deletion of AMPKα2 (ApoE−/−/AMPKα2−/−) markedly reduced the increase of maximal aortic diameter and incidence of AAA caused by nicotine or AngII in vivo. Transplantation of bone marrow cells from ApoE−/− mice into ApoE−/−/AMPKα2−/− mice or vice versa did not alter nicotine/AngII-induced AAA formation. Mechanistically, we found that both nicotine and AngII activated AMPK in cultured vascular smooth muscle cells (VSMC) and increased the nuclear co-localization of AMPKα2 and AP-2α, a key transcriptional factor essential for MMP2 expression. Biochemical and biological analysis revealed that AMPKα2 directly phosphorylated AP-2α at serine 219 and this phosphorylation increased AP-2α-dependent MMP2 gene expression in VSMC. We conclude that nicotine increases the incidence of AAA in vivo through activation of AMPKα2 and AP-2α. Moreover, our results provide the first demonstration of a causative link between nicotine and AAA in vivo.

OBJECTIVEThe oxidation of LDLs is considered a key step in the development of atherosclerosis. How LDL oxidation contributes to atherosclerosis remains poorly defined. Here we report that oxidized and glycated LDL (HOG-LDL) causes aberrant endoplasmic reticulum (ER) stress and that the AMP-activated protein kinase (AMPK) suppressed HOG-LDL–triggered ER stress in vivo.RESEARCH DESIGN AND METHODSER stress markers, sarcoplasmic/endoplasmic reticulum Ca2+ ATPase (SERCA) activity and oxidation, and AMPK activity were monitored in cultured bovine aortic endothelial cells (BAECs) exposed to HOG-LDL or in isolated aortae from mice fed an atherogenic diet.RESULTSExposure of BAECs to clinically relevant concentrations of HOG-LDL induced prolonged ER stress and reduced SERCA activity but increased SERCA oxidation. Chronic administration of Tempol (a potent antioxidant) attenuated both SERCA oxidation and aberrant ER stress in mice fed a high-fat diet in vivo. Likewise, AMPK activation by pharmacological (5′-aminoimidazole-4-carboxymide-1-β-d-ribofuranoside, metformin, and statin) or genetic means (adenoviral overexpression of constitutively active AMPK mutants) significantly mitigated ER stress and SERCA oxidation and improved the endothelium-dependent relaxation in isolated mouse aortae. Finally, Tempol administration markedly attenuated impaired endothelium-dependent vasorelaxation, SERCA oxidation, ER stress, and atherosclerosis in ApoE−/− and ApoE−/−/AMPKα2−/− fed a high-fat diet.CONCLUSIONWe conclude that HOG-LDL, via enhanced SERCA oxidation, causes aberrant ER stress, endothelial dysfunction, and atherosclerosis in vivo, all of which are inhibited by AMPK activation.

Autophagy is a cellular self-digestion process activated in response to stresses such as energy deprivation and oxidative stress. However, the mechanisms by which energy deprivation and oxidative stress trigger autophagy remain undefined. Here, we report that activation of AMP-activated protein kinase (AMPK) by mitochondria-derived reactive oxygen species (ROS) is required for autophagy in cultured endothelial cells. AMPK activity, ROS levels, and the markers of autophagy were monitored in confluent bovine aortic endothelial cells (BAEC) treated with the glycolysis blocker 2-deoxy-D-glucose (2-DG). Treatment of BAEC with 2-DG (5 mM) for 24 hours or with low concentrations of H2O2 (100 µM) induced autophagy, including increased conversion of microtubule-associated protein light chain 3 (LC3)-I to LC3-II, accumulation of GFP-tagged LC3 positive intracellular vacuoles, and increased fusion of autophagosomes with lysosomes. 2-DG-treatment also induced AMPK phosphorylation, which was blocked by either co-administration of two potent anti-oxidants (Tempol and N-Acetyl-L-cysteine) or overexpression of superoxide dismutase 1 or catalase in BAEC. Further, 2-DG-induced autophagy in BAEC was blocked by overexpressing catalase or siRNA-mediated knockdown of AMPK. Finally, pretreatment of BAEC with 2-DG increased endothelial cell viability after exposure to hypoxic stress. Thus, AMPK is required for ROS-triggered autophagy in endothelial cells, which increases endothelial cell survival in response to cell stress.

Chimeric antigen receptor-modified (CAR) T cells targeting CD19 (CART19) have shown therapeutical activities in CD19+ malignancies. However, the etiological nature of neurologic complications remains a conundrum. In our study, the evidence of blood-brain barrier (BBB)-penetrating CAR T cells as a culprit was revealed. A patient with acute lymphocytic leukemia developed sustained pyrexia with tremors about 6 h after CART19 infusion, followed by a grade 2 cytokine release syndrome (CRS) and neurological symptoms in the next 3 days. Contrast-enhanced magnetic resonance showed signs of intracranial edema. Lumbar puncture on day 5 showed an over 400-mmH2O cerebrospinal pressure. The cerebrospinal fluid (CSF) contained 20 WBCs/μL with predominant CD3+ T cells. qPCR analysis for CAR constructs showed 3,032,265 copies/μg DNA in CSF and 988,747 copies/μg DNA in blood. Cytokine levels including IFN-γ and IL-6 in CSF were extremely higher than those in the serum. Methyprednisone was administrated and the symptoms relieved gradually. The predominance of CART19 in CSF and the huge discrepancies in cytokine distributions indicated the development of a cerebral CRS, presumably featured as CSF cytokines largely in situ produced by BBB-penetrating CAR T cells. For the first time, we reported the development of cerebral CRS triggered by BBB-penetrating CAR T cells.Trial registration: ChiCTR-OCC-15007008.Electronic supplementary materialThe online version of this article (doi:10.1186/s13045-016-0299-5) contains supplementary material, which is available to authorized users.

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