RT Journal Article T1 Extracellular PBEF/NAMPT/visfatin activates pro-inflammatory signalling in human vascular smooth muscle cells through nicotinamide phosphoribosyltransferase activity A1 Romacho, Tania A1 Azcutia Criado, Verónica A1 Vázquez-Bella, Marta A1 Matesanz, Nuria A1 Cercas, Elena A1 Nevado, Julián A1 Carraro, Raffaele A1 Rodríguez-Mañas, Leocadio A1 Sánchez-Ferrer, Carlos Félix A1 Peiró, Concepción AB Aims/hypothesisExtracellular pre-B cell colony-enhancing factor/nicotinamide phosphoribosyltransferase/visfatin (ePBEF/NAMPT/visfatin) is an adipocytokine, whose circulating levels are enhanced in metabolic disorders, such as diabetes mellitus and obesity. Here, we explored the ability of ePBEF/NAMPT/visfatin to promote vascular inflammation, as a condition closely related to atherothrombotic diseases. We specifically studied the ability of PBEF/NAMPT/visfatin to directly activate pathways leading to inducible nitric oxide synthase (iNOS) induction in cultured human aortic smooth muscle cells, as well as the mechanisms involved.MethodsiNOS levels and extracellular signal-regulated kinase (ERK) 1/2 activity were determined by western blotting. Nuclear factor (NF)-κB activity was assessed by electrophoretic mobility shift assay.ResultsePBEF/NAMPT/visfatin (10–250 ng/ml) induced iNOS in a concentration-dependent manner. At a submaximal concentration (100 ng/ml), ePBEF/NAMPT/visfatin time-dependently enhanced iNOS levels up to 18 h after stimulation. Over this time period, ePBEF/NAMPT/visfatin elicited a sustained activation of NF-κB and triggered a biphasic ERK 1/2 activation. By using the respective ERK 1/2 and NF-κB inhibitors, PD98059 and pyrrolidine dithiocarbamate, we established that iNOS induction by ePBEF/NAMPT/visfatin required the consecutive upstream activation of ERK 1/2 and NF-κB. The pro-inflammatory action of ePBEF/NAMPT/visfatin was not prevented by insulin receptor blockade. However, exogenous nicotinamide mononucleotide, the product of NAMPT activity, mimicked NF-κB activation and iNOS induction by ePBEF/NAMPT/visfatin, while the NAMPT inhibitor APO866 prevented the effects of ePBEF/NAMPT/visfatin on iNOS and NF-κB.Conclusions/interpretationThrough its intrinsic NAMPT activity, ePBEF/NAMPT/visfatin appears to be a direct contributor to vascular inflammation, a key feature of atherothrombotic diseases linked to metabolic disorders. PB SpringerNature SN 0012-186X YR 2009 FD 2009-08-29 LK https://hdl.handle.net/20.500.14352/101107 UL https://hdl.handle.net/20.500.14352/101107 LA eng NO Romacho T, Azcutia V, Vázquez-Bella M, Matesanz N, Cercas E, Nevado J, et al. Extracellular PBEF/NAMPT/visfatin activates pro-inflammatory signalling in human vascular smooth muscle cells through nicotinamide phosphoribosyltransferase activity. Diabetologia 2009;52:2455–63. https://doi.org/10.1007/s00125-009-1509-2. NO Ministerio de Educación y Ciencia (España) NO Instituto de Salud Carlos III NO Comunidad de Madrid NO Fundación de Investigación Médica Mutua Madrileña NO Instituto Danone NO Sociedad Española de Farmacología NO Universidad Autónoma de Madrid NO Laboratorios Almirall DS Docta Complutense RD 21 ene 2026