MD A8: Impact of angiotensin II type 1 receptor antibodies on endothelial dysfunction in systemic sclerosis

Systemic sclerosis (SSc), a chronic autoimmune disease, is characterized by skin and internal organs fibrosis, dysregulation of autoimmunity, and microvascular dysfunction. Emerging evidence indicates that autoantibodies (abs) directed against G protein-coupled receptors (GPCRs) are involved in modulating pathological mechanisms in SSc.1Endothelial dysfunction is central in the early pathogenesis of SSc.3 Under physiological conditions, the upper layer of endothelial cells, the glycocalyx (eGC), exhibits an upright and soft conformation, whereas pathophysiological conditions induce a flat and/or stiff eGC.4 Changes of the eGC are considered as a sign of endothelial cell dysfunction.3 It has been shown that isolated IgG containing angiotensin II type I receptor (AT1R) abs from patients with SSc induces activation of human microvascular endothelial cells in vitro, which may cause endothelial dysfunction. Thus, this project aims to investigate the effects of AT1R antibodies on structural features of the eGC. Structural features of the eGC of human umbilical vein endothelial cells (HUVECs) will be assessed using atomic force microscopy (AFM), a nanoindentation technique, after treatment with a monoclonal AT1R antibody as well as IgG from SSc patients and healthy controls. Moreover, functional tests such as neutrophil adhesion assay will be performed to investigate further whether altered eGC of activated endothelial cells might facilitate the adhesion of immune cells. A deeper insight into the relationship between AT1R abs and the eGC could improve our understanding of the pathophysiology of SSc.

References: 

1. Akbarzadeh R, et al. Front Immunol. 2023;14:1213804.
2. Kill A, et al. Arthritis Res Ther. 2014; 10.1186/ar4457
3. Altorok N, et al., Curr Opin Rheumatol. 2014; 10.1097/BOR.0000000000000112 4. Cosgun ZC, et al. Am J Pathol. 2020;10.1016/j.ajpath.2019.07.021
5. Giil LM, et al. J Alzheimers Dis. 10.3233/JAD-170882
6. Yue X, et al. Ann Rheum Dis. doi:10.1136/annrheumdis-2021-222088