RT Journal Article T1 Proteomic analysis of endothelial cells and extracellular vesicles in response to indoxyl sulfate: Mechanisms of endothelial dysfunction in chronic kidney disease A1 Figuer, Andrea A1 Santos, Fátima M. A1 Ciordia, Sergio A1 Valera Arévalo, Gemma A1 Martín Jouve, Beatriz A1 Hernández-Fonseca, Juan Pablo A1 Bodega, Guillermo A1 Ceprián, Noemí A1 Ramírez, Rafael A1 Carracedo Añón, Julia María A1 Alique, Matilde AB AimsCardiovascular pathology is the main cause of death in chronic kidney disease (CKD) patients. CKD is associated with the accumulation of uremic toxins in the bloodstream, and indoxyl sulfate (IS) is one of the most abundant uremic toxins found in the blood of CKD patients. We conducted an in vitro study to assess the mechanisms underlying the IS-induced endothelial dysfunction that could lead to cardiovascular diseases. We also studied their extracellular vesicles (EVs) owing to their capacity to act as messengers that transmit signals through their cargo.Main methodsEVs were characterized by nanoparticle tracking analysis, transmission electron microscopy, flow cytometry, and tetraspanin expression. Cell lysates and isolated EVs were analyzed using liquid chromatography coupled with mass spectrometry, followed by Gene Set Enrichment Analysis to identify the altered pathways.Key findingsProteomic analysis of endothelial cells revealed that IS causes an increase in proteins related to adipogenesis, inflammation, and xenobiotic metabolism and a decrease in proliferation. Extracellular matrix elements, as well as proteins associated with myogenesis, response to UV irradiation, and inflammation, were found to be downregulated in IS-treated EVs. Fatty acid metabolism was also found to be increased along with adipogenesis and inflammation observed in cells.SignificanceThe treatment of endothelial cells with IS increased the expression of proteins related to adipogenesis, inflammation, and xenobiotic metabolism and was less associated with proliferation. Furthermore, EVs from cells treated with IS may mediate endothelial dysfunction, since they present fewer extracellular matrix elements, myogenesis, inflammatory factors, and proteins downregulated in response to UV radiation. PB Elsevier SN 0024-3205 YR 2024 FD 2024 LK https://hdl.handle.net/20.500.14352/117794 UL https://hdl.handle.net/20.500.14352/117794 LA eng NO Figuer, A., Santos, F. M., Ciordia, S., Valera, G., Martín-Jouve, B., Hernández-Fonseca, J. P., Bodega, G., Ceprián, N., Ramírez, R., Carracedo, J., & Alique, M. (2024). Proteomic analysis of endothelial cells and extracellular vesicles in response to indoxyl sulfate: Mechanisms of endothelial dysfunction in chronic kidney disease. Life Sciences, 351, 122810. https://doi.org/10.1016/j.lfs.2024.122810 NO This research was funded by grants from the Instituto de Salud Carlos III (ISCIII) and cofounded by Fondo Europeo de Desarrollo Regional (FEDER): “PI19/00240”, “PI20/01321”, and “PI23/01109”. A.F. enjoyed the PFIS contract “FI20/00018” and F.M.S. a Sara Borrel “CD23/00049.” Also, G.V. received a contract from the Instituto de Investigación Sanitario del Hospital Universitario 12 de Octubre (i + 12) “I + 12-AY2OO414-1”. In addition, grants from Universidad de Alcalá (“Ayuda de la Línea de Actuación Excelencia para el Profesorado Universitario de la UAH”; EPU-INV-UAH/2022/001), RICORS2040; RD21/0005/0002 funded by European Union—NextGenerationEU and Comunidad de Madrid (CAM; P2022/BMD-7223 CIFRA_COR-CM), supported this work. NO Instituto de Salud Carlos III NO European Commission NO Hospital Universitario 12 de Octubre NO Universidad de Alcalá de Henares NO Comunidad de Madrid DS Docta Complutense RD 6 abr 2025