RT Journal Article T1 Effects of factor Xa on the expression of proteins in femoral arteries from type 2 diabetic patients A1 López Farre, Antonio José A1 Rodriguez Sierra Pablo, A1 Modrego Javier, A1 Segura Antonio, A1 Martin Palacios, Naiara A1 Saiz, Ana M. A1 Zamorano León, José Javier A1 Duarte, Juan A1 Serrano Hernando, Francisco Javier A1 Moñux Javier, A1 Moñux Ducaju, Guillermo AB AimFurther to its pivotal role in haemostasis, factor Xa (FXa) promotes effects on the vascular wall. The purpose of the study was to evaluate if FXa modifies the expression level of energy metabolism and oxidative stress-related proteins in femoral arteries obtained from type 2 diabetic patients with end-stage vasculopathy.MethodsFemoral arteries were obtained from 12 type 2 diabetic patients who underwent leg amputation. Segments from the femoral arteries were incubated in vitro alone and in the presence of 25 nmol l−1 FXa and 25 nmol l−1 FXa + 50 nmol l−1 rivaroxaban.ResultsIn the femoral arteries, FXa increased triosephosphate isomerase and glyceraldehyde-3-phosphate dehydrogenase isotype 1 expression but decreased pyruvate dehydrogenase expression. These facts were accompanied by an increased content of acetyl-CoA. Aconitase activity was reduced in FXa-incubated femoral arteries as compared with control. Moreover, FXa increased the protein expression level of oxidative stress-related proteins which was accompanied by an increased malonyldialdehyde arterial content. The FXa inhibitor, rivaroxaban, failed to prevent the reduced expression of pyruvate dehydrogenase induced by FXa but reduced acetyl-CoA content and reverted the decreased aconitase activity observed with FXa alone. Rivaroxaban + FXa but not FXa alone increased the expression level of carnitine palmitoyltransferase I and II, two mitochondrial long chain fatty acid transporters. Rivaroxaban also prevented the increased expression of oxidative stress-related proteins induced by FXa alone.ConclusionsIn femoral isolated arteries from type 2 diabetic patients with end-stage vasculopathy, FXa promoted disruption of the aerobic mitochondrial metabolism. Rivaroxaban prevented such effects and even seemed to favour long chain fatty acid transport into mitochondria. PB Wiley | British Pharmacological Society YR 2014 FD 2014-07-01 LK https://hdl.handle.net/20.500.14352/99260 UL https://hdl.handle.net/20.500.14352/99260 LA eng NO López-Farré AJ, Rodriguez-Sierra P, Modrego J, Segura A, Martín-Palacios N, Saiz AM, Zamorano-León JJ, Duarte J, Serrano J, Moñux G. Effects of factor Xa on the expression of proteins in femoral arteries from type 2 diabetic patients. Br J Clin Pharmacol. 2014 Dec;78(6):1366-77. doi: 10.1111/bcp.12469. PMID: 25041869; PMCID: PMC4256625. DS Docta Complutense RD 8 abr 2025