Journal Pre-proof iTRAQ-based quantitative proteomics and target-fishing strategies reveal molecular signatures on vasodilation of Compound Danshen Dripping Pills Xin Wu, Xiujiang Han, Lili Li, Simiao Fan, Pengwei Zhuang, Zhen Yang, Yanjun Zhang PII:
S0009-2797(19)31123-8
DOI:
https://doi.org/10.1016/j.cbi.2019.108923
Reference:
CBI 108923
To appear in:
Chemico-Biological Interactions
Received Date: 2 July 2019 Revised Date:
26 November 2019
Accepted Date: 10 December 2019
Please cite this article as: X. Wu, X. Han, L. Li, S. Fan, P. Zhuang, Z. Yang, Y. Zhang, iTRAQ-based quantitative proteomics and target-fishing strategies reveal molecular signatures on vasodilation of Compound Danshen Dripping Pills, Chemico-Biological Interactions (2020), doi: https://doi.org/10.1016/ j.cbi.2019.108923. This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. © 2019 Published by Elsevier B.V.
Author Statement Investigation & Writing-Original Draft: Xin Wu
Xin Wu performed the experiment
and wrote the original draft. Formal analysis: Xiujiang Han Xiujiang Han applied the statistical and analyzed the data. Methodology: Lili Li and Simiao Fan Lili Li developed the methodology. Project administration: Pengwei Zhuang Pengwei Zhuang managed and coordinated the research activity planning and execution. Writing-Review & Editing: Zhen Yang Zhen Yang supervised the whole experiment and revised the manuscript Conceptualization & Supervision: Yanjun Zhang Yanjun Zhang designed the whole experiment and supervised it.
1
iTRAQ-Based
Quantitative
Proteomics
and
2
Target-Fishing Strategies Reveal Molecular Signatures
3
on Vasodilation of Compound Danshen Dripping Pills
4 5
Xin Wua,d,1, Xiujiang Hane,1, Lili Lia,b, Simiao Fana, Pengwei
6
Zhuanga,b, Zhen Yanga,b,c*, Yanjun Zhanga,b*
7
a
8
Tianjin, 300193, China
9
b
Chinese Materia Medica College, Tianjin University of Traditional Chinese Medicine,
Tianjin State Key Laboratory of Modern Chinese Medicine, Tianjin University of
10
Traditional Chinese Medicine, Tianjin, 300193, China
11
c
12
d
13
Institute of Radiation Medicine, Chinese Academy of Medical Sciences and Peking
14
Union Medical College, Tianjin, 300192, China
15
e
16
300100, China
17
Beijing University of Chinese Medicine, Beijing, 100029, China Tianjin Key Laboratory of Radiation Medicine and Molecular Nuclear Medicine,
Department of Cardiology, Tianjin Hospital of ITCWM Nankai Hospital, Tianjin,
*
Correspondence to:
18
Yanjun Zhang and Zhen Yang, Tianjin University of Traditional Chinese Medicine,
19
No.312 Anshanxi Road, Nankai District, Tianjin, 300193, China. Tel: +86-22-59596138.
20
E-mail:
[email protected],
[email protected]
21
1
The first two authors contributed equally to this work. 1
1
Abstract
2
Angina pectoris can be used as an early warning for coronary artery disease. Vasodilation
3
is a potential target for angina pectoris. Traditional Chinese medicine - Compound
4
Danshen Dripping Pill (CDDP) is widely used to improve the symptoms of
5
cardiovascular diseases (CVDs). To investigate the influence of vasodilation effect and
6
underlying pharmacological mechanisms of CDDP, we determined the vasodilation effect
7
of thoracic aorta ring on rat induced by norepinephrine (NE). Then targets-fishing method
8
was used to predict the potential mechanism of CDDP on vasodilation, based on the
9
structures of the main components. Then, iTRAQ-based quantitative proteomics analysis
10
was used for verification of the candidate target proteins and pathways to illustrate the
11
underlying pharmacological mechanisms. Furthermore, the differentially expressed
12
proteins in the enriched pathways were validated by western blotting. In this study, we
13
found that CDDP can significantly inhibit NE induced aortic contraction tension, and the
14
mechanism may be related to platelet activation, cGMP – PKG signaling pathway and
15
vascular smooth muscle contraction. The method of discovery and verification on
16
mechanism for vasodilation of CDDP provides a new way to analysis the mechanism of
17
drug, especially the multi-component herbal medicine.
18
Keywords: Vasodilation; Target protein; ITRAQ; Compound danshen dripping pill.
19 20
1. Introduction
2
1
Coronary heart disease (CHD), one of the major forms of CVDs, has become a
2
primary health concern in the general population in recent years. According to the World
3
Health Organization, CVDs are the leading cause of death in non-communicable diseases
4
and accounted for approximately one-third of all deaths worldwide (Zhu et al, 2016).
5
Angina pectoris could be conceptualized as a warning and death signal for coronary
6
artery disease and impending death and show signs of coronary artery disease (Börjesson,
7
1999). The patient with angina pectoris is at high risk of myocardial infarction and
8
sudden death (Morikawa et al, 2013). Angina pectoris is typically relieved by rest and
9
nitroglycerin (Kloner and Chaitman, 2017). Several recent studies showed that angina
10
pectoris is a predictor of major adverse cardiac events. Several factors have been
11
considered to play roles in the mechanism of angina pectoris. Coronary artery spasm
12
(CAS) has been demonstrated to be the primary pathophysiologic mechanism responsible
13
for angina pectoris (Parrinello et al, 2014; Hamabe et al, 2001). Coronary
14
vasoconstriction is another important mechanism but has received little attention and yet
15
is a potential therapeutic mechanism(Maseri et al, 2009).
16
Compound Danshen Dripping Pill (CDDP; Fufang Danshen Diwan in Chinese), a
17
proprietary pharmaceutical preparation consisting of Radix salviae miltiorrhizae
18
(Danshen), Radix notoginseng (Sanqi), and Borneolum syntheticum (Bingpian) was
19
widely used for the treatment of coronary arteriosclerosis, angina pectoris, and other
20
cardiovascular diseases in China and some other countries including Russia, Cuba, North
21
Korea, and Saudi Arabia (Xu et al, 2014; Yao et al, 2015). The phase II clinical trial of 3
1
CDDP for treating chronic stable angina (http://clinicaltrials.gov/, NCT00797953) was
2
completed in the USA in 2010 (Luo et al, 2013). CDDP has pleiotropic effects including
3
protecting endothelial function, increasing nitric oxide bioavailability, antioxidant,
4
anti-inflammatory effects and vasodilator properties (Xin et al, 2013; Yi et al, 2014; Deng
5
et al, 2013). These cardiovascular benefits are likely to be applicable to the chronic stable
6
angina pectoris. However, there is limited investigation and evidence supporting their use
7
in cardiovascular disorders.
8
Therefore, we hypothesized that treatment with CDDP for chronic stable angina and
9
modulate key early events in atherosclerosis may relate to vasodilation effect. In this
10
study, we validated the new target of CDDP and investigated more deeply mechanism. So,
11
we first confirm the vasodilation effect of CDDP in the thoracic aorta of rats. Then, target
12
proteins and pathways related to vasodilation effect of CDDP were predicted based on
13
target fishing. Additionally, isobaric tags for relative and absolute quantitation (iTRAQ)
14
followed by two-dimensional gel electrophoresis and mass spectrometry were used to
15
identify proteins that were differentially expressed of the CDDP. Differential proteins
16
related to vasodilation effect are screened via bioinformatics analysis combining with
17
predicted proteins and pathways.
18
2. Material and methods
19
2.1. Sample preparation
20
CDDP extracts were provided by Tianjin Tasly Pharmaceutical Co. Ltd., Tianjin,
21
China. To eliminate the effects of batches on drug quality, we randomly sampled three 4
1
batches of CDDP extracts (No.20150403; No.20150302; No.20140902). Batches of
2
extracts were mixed equally as standard CDDP extract.
3
2.2. Animal treatment
4
Male Sprague-Dawley (SD) rats (weighting 250 ± 20 g), were supplied by Tianjin
5
University of Traditional Chinese Medicine (Tianjin, China). The rats were strictly take
6
care according to the Care and Use of Laboratory Animals of Institutional Animal Care
7
and the study was approved by the steering committee and conducted under the
8
guidelines for clinical studies of Tianjin University of Traditional Chinese Medicine.
9
Animals were housed in standard cages with free access to water and standard diet and
10
acclimatized to the facilities for one week. The room was controlled temperature at (25 ±
11
2) oC, relative humidity of (50 ± 5) %, and 12/12 h dark-light cycle. Prior to the
12
experiment, all animals were fasted for 12 h, but with free access to water.
13
2.3. Effect of CDDP on vascular tension induced by NE
14
The rats were randomly divided five groups and each group was six. Rats were
15
administered CDDP through gastric garage according weight for seven days, 40 mg/kg,
16
80 mg/kg, 160 mg/kg, 320 mg/kg, respectively. The control group was given equal
17
amount of water. After seven days of drug administration, rats were sacrificed. The
18
thoracic aorta was immediately isolated and transferred to culture dishes containing
19
pre-cold Krebs Henseleit (K-H) (NaCl 18 mM, KCl 4.75 mM, MgSO4·7H2O 1.2 mM,
20
KH2PO4 1.2 mM, CaCl2 2.5 mM, NaHCO3 25 mM and glucose 11 mM). The surrounding
21
fat and connective tissues of thoracic aorta were removed cautiously. The aorta was 5
1
subsequently cut into 4 mm rings that were suspended horizontally between two parallel
2
stainless hooks which were immersed in the organ bath filled with warmed (37°C) and
3
oxygenated (95% O2 and 5% CO2) K-H solution, while the other connected to a force
4
displacement transducer (AD Instruments Pty Ltd., Australia). A computer-assisted data
5
acquisition system (Power Lab/4SP; AD Instruments, Australia) recorded the changes in
6
isometric tension during the experiments. The aorta rings were equilibrated at a based
7
tension of 2.0 g for 60 minutes, and the K-H solution was changed every 15 minutes.
8
Every experiment started with a repeated KCl treatment to test the contractility, after the
9
rings rising with a pre-warmed and oxygenated K-H solution and the muscle tension
10
returning to the basal level. Then added the NE solution into the bath tube and recorded
11
vascular tension curve.
12
2.4. Prediction of the potential mechanism of CDDP for vasodilation
13
The chemical components of each herb in CDDP were collected from traditional
14
Chinese medicine database (TCMD), which is an authoritative database of Chinese herbal
15
ingredients. The structures of the main components of each herb were downloaded and
16
put into PharmMapper server to fish their possible targets. PharmMapper server is online
17
server for predicting potential drug targets by pharmacophore mapping. Then the top 300
18
targets were selected based on the predicted fit value, and were functionally annotated
19
with KEGG and Wikipedia. Because we only focus on the vasodilative role of CDDP, the
20
targets related to vasodilation in the 300 targets were selected for pathway enrichment to
21
elucidate the potential mechanism.
22
2.5. Protein sample preparation
6
1
The rats were randomly divided two groups, CDDP group and control group. The
2
control group was administrated with water. CDDP group was orally administered with
3
CDDP with 160 mg/kg for seven days. After administrating for the last time, rats were
4
sacrificed. The thoracic aortas were immediately isolated and washed away blood by
5
normal saline. Then they were snapped frozen in liquid nitrogen and stored at -80 °C until
6
use.
7
Samples were added with SDT lysate and ultrasonic, then bathed in boiling water for
8
15 minutes. The samples were centrifuged at 14000 g for 15 minutes and the supernatant
9
was used for analysis. Quantification of protein was measured by BCA method. Protein
10
samples were stored at -80 °C until use.
11
2.6. 2D LC-MS/MS analysis and I-TRAQ labeling
12
The protein samples were added to 5×sample buffer (10%SDS, 0.5% bromophenol
13
blue, 50% glycerol, 500mM DTT, 250mM Tris-HCl, pH6.8), bathing by boiling water for
14
5 minutes, 12% SDS-PAGE electrophoresis (constant voltage 250V, 40 minutes), with
15
Coomassie brilliant blue staining.
16
30 µL protein samples were added to DTT, obtaining the final concentration of
17
100mM and bathing by boiling water for 5 minutes. Added 200 µL UA buffer after
18
cooling to room temperature and mixed it into the 30kD ultrafiltration centrifuge tube to
19
centrifuge 14000 g for 15 minutes with discarding filtrate. Then buffer was exchanged
20
with 600 rpm oscillating and centrifugation 14000 g for 15min, and repeated this step for
7
1
many times. The filtrate was collected and the peptide was quantified. Each sample was
2
taken 100 g peptide segments and labeled according to AB SCIEX iTRAQ labeling kit.
3
2.7. ITRAQ analysis
4
The labeled peptides were mixed and graded by Agilent 1260 infinity II HPLC
5
system with an Xbridge Peptide BEH C18 column (5 µm, 130 Å, 4.6 mm × 100 mm,
6
Waters). The solvent A was 10mM HCOONH4, 5% ACN, pH 10, solvent B was 10mM
7
HCOONH4, 85% ACN, pH 10. The chromatographic column was balanced by solvent A,
8
and the sample was separated from the manual injector to the chromatographic column.
9
The flow rate was 1 mL/min. The liquid phase gradient was as follows: 0min-25min, B
10
0%; 25min-30min, B 0%-7%; 30min-65min, B 7%-40%; 65min-70min, B 40%-100%;
11
70min-85min, B was maintained at 100%.
12
Each sample was separated by an Easy-nLC system (Thermo Fisher Scientific,
13
Waltham, MA, USA). The buffer A solution was 0.1% formic acid (v/v), and the B
14
solution was 0.1% formic acid, 80% acetonitrile (v/v) and gradient was set as follows:
15
0min-5min, B was from 0%-6%; 5min-45min, B was from 6%-28%; 45min-50min, B
16
was from 28%-38%; 50min-55min, B was from 38%-100%; 55min-60min, B was
17
maintained at 100%, and the flow rate was 300 nL/min.
18
The samples were separated by chromatography and analyzed by Q-Exactive Plus
19
mass spectrometer (Thermo Fisher Scientific, Waltham, MA, USA). The analysis time
20
was 60 min at positive ion. The parent ion scan range of 350 - 1800 m/z, resolution was
21
70000 MS, AGC target 3e6, 50 ms maximum ion time. The quality of polypeptides and 8
1
polypeptide fragments collection were in accordance with the following methods:
2
collecting 10 pieces of MS2 scan after each full scan (MS2 Activation Type HCD,
3
Isolation window was 2 m/z, MS2 resolution 17500, Microscans 1, maximum ion time
4
45ms, Normalized Collision Energy 30eV).
5
2.8. Protein identification and bioinformatics analysis
6
Analyze inventory identification and quantitation were by software Mascot2.5 and
7
Proteome Discoverer 2.1. The related parameters and instructions are in the
8
supplementary materials. For data analysis, we defined the differentially expressed
9
protein (DEP) as the protein quantification data with a fold change of >1.2 or < 0.8 and
10
correlated p value < 0.05.
11
To get an insight of the DEPs and to explore the potential mechanism of CDDP on
12
vasodilation, protein-protein interaction (PPI) analysis, pathways enrichment and GO
13
annotation were performed. String database (https://string-db.org/cgi/input.pl) was used
14
for the PPI analysis. After PPI analysis, the targets were used for pathways enrichment,
15
by using DAVID bioinformatics resources 6.8 (https://david.ncifcrf.gov/). Gene Ontology
16
functional annotation: The process of GO annotation of target protein can be summarized
17
into four steps: Blast, GO entry mapping, GO annotation, and Annotation Augmentation.
18
First, the set of target proteins was aligned with the appropriate protein sequence
19
database using the NCBI BLAST + (ncbi-blast-2.2.28 -win32.exe) and selected the top
20
10 sequences with E-value <= 1e-3 for follow-up analysis. Next, proteins were enriched
21
using the Blast2GO Command Line and mapped to the associated sequences 9
1
(www.geneontology.org). Annotation with proteins from the mapping process was
2
performed by comprehensively considering the similarity of protein sequence and
3
alignment sequence, the reliability of the GO source. After the completion of annotation,
4
in order to further improve the efficiency and accuracy of annotation, we searched for the
5
conserved motif matched with the target protein in the EBI database and annotated the
6
motif related functional information to further supplement the annotation information.
7
2.9. Western blotting
8
The differentially expressed proteins in the enriched pathways were selected for
9
verification by Western blotting. The protein of the thoracic aorta tissue was extracted by
10
RIPA lysis buffer (Beyotime, China), and its concentration was measured by BCA Protein
11
Assay Kit (Beyotime Institute of Biotechnology, China). Then it was separated by
12
sodium-dodecyl-sulfate polyacrylamide gel electrophoresis, and transferred onto
13
polyvinylidene fluoride membranes. The membranes were blocked by 5% skimmed milk,
14
and incubated overnight at 4 ℃ with the following primary antibodies: anti-GAPDH
15
(1:5000, Bioss, China) or anti-Endothelin B Receptor antibody (1:1000, Abcam, USA);,
16
anti-Rasgrf1 Antibody (1:1000, Abcam, USA), antibody anti-PP1α (1:1000, cell signaling
17
technology, USA). Anti-goat IgG and anti-rabbit IgG secondary antibody (1:1000,
18
Beyotime, China) was diluted to identify the corresponding primary antibodies.
19
Immunoreactive bands were visualized using chemiluminescent HRP Substrate
20
(Millipore Corporation, USA) and were quantified by ImageJ software (National Institute
10
1
of Mental Health, Bethesda, MD, USA). The total protein was normalized to GAPDH
2
and the CDDP was normalized to control.
3
2.10.
Statistical analysis
4
All data were presented as means ± SD and statistically analyzed by one-way
5
ANOVA (multiple groups) or unpaired t-test using the GraphPad Prism 5 software. A p <
6
0.05 was considered as the significant difference.
7
3. Results
8
3.1. The Vasorelaxation of CDDP on Thoracic Aorta Induced by NE
9
According to the results of previous experiments, the concentration 10-7 and 10-6 M
10
were chosen as the inducer and the results were shown in Supplementary Information.
11
Vascular tension results in rats after oral administration of different concentrations of
12
CDDP, compared with the control group, each group can significantly inhibit NE induced
13
aortic contraction tension and shows a concentration dependent manner. As shown in
14
Figure 1, the concentration of 160 mg/kg is the best concentration of oral administration.
15
It also can be concluded that CDDP has certain relaxing effect on blood vessel and has a
16
concentration effect positive correlation.
11
1 2
Figure 1 Vascular tension in rats of 40 mg/kg, 80 mg/kg, 160 mg/kg, 320 mg/kg of CDDP
3
induced by NE, and control groups. The concentration of NE is 1×10-7mmol/L in Fig. 1A,
4
1×10-6mmol/L in Figure 1B. Compared with the control group, ** P <0.01. Values are
5
presented as the mean ± SD.
6
3.2. Prediction of the potential mechanism of CDDP for vasodilation
7
The high-content and major components of each herb in CDDP were collected. We
8
collected 24 components in Danshen, 17 components in Sanqi and 7 components in
9
Bingpian (Table S3). The structures of the collected components are put into
10
PharmMapper server to fish their possible targets. Based on the functionally annotation
11
of the top 300 targets, 51 targets related to vasodilation were obtained for Danshen, 45
12
targets related to vasodilation were received for Sanqi and 34 targets were obtained for
13
Bingpian (Figure 2A). To elucidate the roles of CDDP on vasodilation, the corresponding
14
pathways and regulating pathways involved were considered to be the potential
15
mechanism. VEGF signaling pathway, PI3K-Akt signaling pathway, Rap1 signaling
16
pathway, MAPK signaling pathway, Platelet activation, cAMP signaling pathway, 12
1
vascular smooth muscle contraction, Renin secretion, Renin-angiotensin system and
2
cGMP-PKG signaling pathway were associated to those fished targets of components in
3
CDDP (Figure 2).
4 5
Figure 2 The predicted potential mechanism of CDDP on vasodilation. A: The predicted
6
targets of the main components of each herb and the predicted targets belong to which
7
enriched pathway. 51 targets related to vasodilation were obtained for Danshen, 45 targets
8
related to vasodilation were received for Sanqi and 34 targets were obtained for Bingpian. 13
1
The predicted targets were presented in pink and the enriched pathways were presented in
2
blue. B: The pathways were enriched of the predicted targets of components in CDDP.
3
The radius of the circle represents the number of genes enriched in this pathway. The
4
color represents the p value.
5
3.3. Identification of Proteins Affected by CDDP Based on Quantitative Proteomic
6
Analysis
7
In the iTRAQ analysis, 4935 proteins were successfully identified. There are 42
8
different proteins between CDDP administration group and control group, and among
9
them, 17 proteins were up-regulated and 25 proteins were down-regulated. Details are
10
shown in Table 1.
11
As Figure 3A shows, samples in control group and CDPP group were used to draw
12
volcanic maps together with two factors, Fold change and P value, which were used to
13
show significant differences between the two groups of sample data. The transverse
14
coordinates are the differential multiple (the logarithmic transformation with the bottom
15
of the 2), the ordinate is P value (the logarithmic transformation with the bottom of the
16
10). Therefore, the points in the picture present identified proteins fold change and P
17
values. Among these points, the red ones are the different expression proteins.
18
Hierarchical cluster analyses of protein expression changes were depicted of
19
heatmap in Figure 3B. Each row in the figure represents a protein, each column
20
represents a comparative group. The color bar designates protein expression fold changes
14
1
and the colors change from green to red with increasing values. Red indicates upregulated
2
proteins and green indicates downregulated proteins.
3 4
Figure 3 The samples of control group and CDPP group were used to draw volcanic maps
5
together with Fold change and P value values. The point in the picture present identified
6
proteins fold change and P values, and the red point is the different expression proteins
7
(Figure 3A). Hierarchical cluster analyses of protein expression changes were depicted of
8
heatmap (Figure 3B).
9
3.4. Bioinformatics analysis
10
In this study, we used Gene Ontology functional annotation to analyze the cellular
11
functions involved in target proteins. Three main types of annotations were obtained from
12
the gene ontology cellular component, metabolic functions, and biological processes. The
15
1
details of proteins Gene Ontology functional annotation were shown in the Figure 4. The
2
enrichment analysis of GO annotation on the target protein pool was performed by
3
Fisher's Exact Test to compare the distribution for better explanation biological
4
significance to the different proteins. Our result in Figure 5 showed the top three GO
5
terms played important roles in the vasorelaxation of CDDP. The top three are protein
6
functions are localization to cell periphery, establishment of protein localization to
7
plasma membrane and mRNA binding. The numbers of identification proteins and
8
different expression proteins in the go terms were shown in Figure 5A. The percentages
9
of their respective accounts were shown in the Figure 5B.
10 11
Figure 4 Gene Ontology functional annotations of target proteins from gene ontology
12
cellular component, metabolic functions, and biological processes. 16
1
2 3
Figure 5 The top three GO terms played important roles in the vasodilation of CDDP, the
4
numbers of identification proteins and different expression proteins in the go terms
5
(Fig.5A), the percentages of their respective accounts (Fig.5B).
6
To further explore the potential mechanism of CDDP on vasodilation,
7
protein-protein interaction (PPI) analysis was performed. After PPI analysis, the targets
8
were used to pathways enrichment. Platelet activation, cGMP – PKG signaling pathway
9
and vascular smooth muscle contraction were associated with vasodilation (Figure 6).
10
These three pathways were consistent with the predicted mechanism, which indicated that
11
CDDP played the role of vasodilation mainly through these three pathways. The genes
12
enriched in the three pathways were Ppp1ca, Ppp1cb, Ppp1r14a, Ednrb, Gnaq, which
13
related the different expression proteins PP1α, Ednrb and Rasgrf1.
17
1 2
Figure 6 The potential mechanism of CDDP on vasodilation. The results based on
3
proteomics. The radius of the circle represents the number of genes enriched in this
4
pathway. The color represents the p value.
5
3.5. Validation of the mechanism of CDDP on vasodilation
6
The different expression proteins enriched in the three pathways was validated by
7
western blotting. The protein levels of PP1α and Rasgrf1 were largely decreased and the
8
protein level of Ednrb was largely increased (Figure 7). The results indicated that the
9
vasodilation of CDDP was associated with Platelet activation, cGMP – PKG signaling
10
pathway and vascular smooth muscle contraction.
18
1 2
Figure 7 Relative protein expressions of Rasgrf1 (B), Ednrb (C) and PP1α(D) in rat
3
thoracic aorta. Expression level was normalized to GAPDH. Compared with the control
4
group, *P< 0.05 ,** P <0.01. Values are presented as the mean ± SD.
5
4. Discussion
6
Angina pectoris is triggered to decreased myocardial oxygen supply or increased
7
myocardial oxygen demand. Angina pectoris can be relieved by rest or nitroglycerin
8
(Shao et al, 2015; Tobin, 2010). Nitroglycerin is one of the most commonly prescribed
9
drugs for symptoms improvement of coronary atherosclerotic heart diseases and angina
10
pectoris due to its potent vasodilator capacity (Divakaran et al, 2017). CDDP has benefits
11
for the angina pectoris and has been widely used in China as a supplement to
12
nitroglycerin (Jia et al, 2012). We concluded that CDDP benefits to angina pectoris that 19
1
may be mainly responsible for its vasodilation. Therefore, our proposal in the present
2
study is that CDDP could relieve symptom of angina pectoris by dilating blood vessels.
3
Target proteins also determined combing targets fishing and quantitative proteomics to
4
illustrate underlying mechanism.
5
We first confirm the vasodilation of CDDP oral administration using thoracic aorta
6
ring. Our result shows CDDP had a repressive effect on the contraction induced by NE.
7
As one of major compositions of CDDP, Danshen (Salvia miltiorrhiza) exhibits
8
significant vasodilation effect. Danshensu is the major marker for the antioxidant and
9
vasodilation effects of Danshen (Zhou et al, 2012). The vasodilation effect of CDDP
10
depends on both endothelium and non-endothelium (Zhan et al, 2008). In recent years,
11
another composition of CDDP that Sanqi (Panax notoginseng) also has been reported
12
vasodilation effects. Panax notoginseng saponins, the major component of Sanqi, have a
13
relaxing effect on the thoracic aorta, coronary arteries, mesenteric artery and tail artery
14
(Wang et al, 2016).
15
Endothelin-1 (ET-1) is a major regulator of vascular function, acting via both
16
endothelin receptor type A (ETAR) and type B (ETBR). Although the role of ETAR in
17
vascular smooth muscle (VSM) contraction has been studied, little is known about ETBR.
18
ETBR, which is coding by Ednrb gene, is important for the control of vascular reactivity.
19
The unique anatomical location of endothelial ETBR favors both the release of
20
endothelium-derived vasodilators, which counteract the protracted vasoconstrictor effects
21
of ET-1/ETAR, and clearance of ET-1 from the circulation. ETBRs are also present in 20
1
VSM and share several intracellular signaling pathways with the ETAR (Lind et al, 2013;
2
Mazzuca et al, 2012). RasGRF2 promotes exchange activities on both Ras and Rac
3
GTPases; activation of either pathway can have profound effects on actin remodeling
4
(Ma et al, 2014). In cells, actin-filament-based structures control diverse activities such as
5
polarized intracellular trafficking, cytokinesis, migration and adhesion (Benz et al, 2009).
6
RAS molecular signaling and its effect on blood pressure as well as its relationship to
7
renal function and cardiovascular disease are significant. Some of these targets in the
8
signaling way respond to exercise, stimulating nitric oxide synthesis and endothelial
9
vasodilation (Petriz et al, 2013). The myosin light chain phosphatase (MLCP) is a
10
cytoskeleton-associated protein phosphatase-1 (PP1) holoenzyme. Vascular smooth
11
muscle contraction is tightly coupled to the phosphorylation of the 20-kDa myosin light
12
chain (MLC20), which is regulated by the opposing activities of myosin light chain
13
kinase (MLCK) and myosin light chain phosphatase (MLCP) (Khasnis et al, 2014).
14
Phosphorylation and dephosphorylation of MLC lead to smooth muscle contraction and
15
relaxation, respectively and are mediated by MLCK and MLCP, respectively (Lin et al,
16
2011). MLCP dephosphorylated MLC and relaxed vascular smooth muscle independent
17
of intra cellular Ca2+ level. MLCP activity depends largely upon the phosphorylation
18
status. MLCP will be activated to dephosphorylate MLC and induce relaxation (Matsuo
19
et al, 2011). We have shown that CDDP mediated coronary relaxation involves inhibitory
20
effect on MLCP, resulting in decreased phosphorylation of MLC. Many proteins are
21
involved in the regulation of vasodilation and different drugs have a variety of targets. 21
1
However, based on target fishing and quantitative proteomics, three pathways (platelet
2
activation, cGMP – PKG signaling pathway and vascular smooth muscle contraction)
3
were found more closely related to vasodilation of CDDP, and the related differentially
4
expressed proteins found in iTRAQ were Endothelin receptor type B (Ednrb), RasGRF1
5
and MLCP (PP1α). Since traditional Chinese medicine complex, its mechanism is not
6
clear. This study provides a solution to solve the mechanism reveal of tradition Chinese
7
Medicine.
8
5. Conclusions
9
Vasodilation is a mechanism for the treatment of angina pectoris. In this study, the
10
results showed that CDDP can significantly inhibit NE induced aortic contraction tension.
11
Furthermore, we investigated the target protein of vasodilation effect of CDDP via
12
fishing target to prediction and quantitative proteomics for verification. The results
13
showed that the mechanism of CDDP presenting obvious vasodilatory effect may be
14
achieved by mediating platelet activation, cGMP – PKG signaling pathway and vascular
15
smooth muscle contraction. We believe that this method can provide a strategy for target
16
protein determination of traditional Chinese medicine and lay a foundation for the
17
discovery of innovative traditional Chinese medicine.
18
Conflict of interest
19 20
The authors have no conflicts of interest to declare. Acknowledgments
22
1
This work was supported by the National standardisation project of traditional
2
Chinese Medicine (ZYBZH-C-TJ-55), and the Program for Changjiang Scholars and
3
Innovative Research Team in University (PCSIRT IRT_14R41).
4
Supporting Information
5
Supplementary Figure 1 Inducer NE concentration-effect curve.
6
Supplementary Table S1 and Table S2: The related parameters and instructions of
7
qualitative and quantitative software Mascot2.5 and Proteome Discoverer2.1.
8
Table S3 The major components of each herb in CDDP.
23
1
Reference
2
Benz, P. M., Blume, C., Seifert, S., Wilhelm, S., Waschke, J., Schuh, K., Gertler, F.,
3
Münzel, T., Renné, T., 2009. Differential VASP phosphorylation controls remodeling
4
of
5
https://doi.org/10.1242/jcs.044537.
6
the
actin
cytoskeleton.
J.
Cell
Sci.
122,
3954-3965,
Börjesson, M., 1999. Visceral chest pain in unstable angina pectoris and effects of
7
transcutaneous electrical nerve stimulation. (TENS). A review. Herz 24,
8
https://doi.org/10.1007/bf03043850.
114-125,
9
Deng, Y., Ng, E.S., Kwan, Y. W., Lau, C. B., Cheung, D. W., Koon, J.C., Zhang, Z., Zuo,
10
Z., Leung, P.C., Fung, K. P., Lam, F. F., 2013. Cerebral vasodilator properties of
11
Danshen and Gegen: a study of their combined efficacy and mechanisms of actions.
12
Phytomedicine 21, 391-399, https://doi.org/10.1016/j.phymed.2013.09.016.
13
Divakaran, S., Loscalzo, J., 2017. The Role of Nitroglycerin and Other Nitrogen Oxides
14
in
Cardiovascular
Therapeutics.
J.
Am.
15
https://doi.org/10.1016/j.jacc.2017.09.1064.
Coll.
Cardiol.
70,
2393-2410,
16
Hamabe, A., Takase, B., Uehata, A., Kurita, A., Ohsuzu, F., Tamai, S., 2001. Impaired
17
endothelium-dependent vasodilation in the brachial artery in variant angina pectoris
18
and the effect of intravenous administration of vitamin C. Am. J. Cardiol. 87,
19
1154-1159, https://doi.org/10.1016/S0002-9149(01)01485-0.
20
Jia, Y., Huang, F., Zhang, S., Leung, S. W., 2012. Is danshen (Salvia miltiorrhiza)
21
dripping pill more effective than isosorbide dinitrate in treating angina pectoris? A 24
1
systematic review of randomized controlled trials. Int. J. Cardiol. 157, 330-340,
2
https://doi.org/10.1016/j.ijcard.2010.12.073.
3
Khasnis, M., Nakatomi, A., Gumpper, K., Eto, M., 2014. Reconstituted human myosin
4
light chain phosphatase reveals distinct roles of two inhibitory phosphorylation sites
5
of
6
https://doi.org/10.1021/bi5001728.
7 8
the
regulatory
subunit,
MYPT1.
Biochemistry
53,
2701-2709,
Kloner, R. A., Chaitman, B., 2017. Angina and Its Management. J. Cardiovasc. Phamacol. Ther. 22, 199-209, https://doi.org/10.1177/1074248416679733.
9
Lin, G., Fandel, T. M., Shindel, A.W., Wang, G., Banie, L., Ning, H., Lue, T.F., Lin, C.S.,
10
2011. Modulation of smooth muscle tonus in the lower urinary tract: interplay of
11
myosin light-chain kinase (MLCK) and MLC phosphatase (MLCP). BJU Int. 108,
12
E66-E70, https://doi.org/10.1111/j.1464-410X.2010.09819.x.
13
Lind, L., Syvanen, A.-C., Axelsson, T., Lundmark, P., Hagg, S., Larsson, A., 2013.
14
Variation in genes in the endothelin pathway and endothelium-dependent and
15
endothelium-independent vasodilation in an elderly population. Acta. physiol. 208,
16
88-94, https://doi.org/10.1111/apha.12068.
17
Luo, J., Xu, H., Chen, K. J., 2013. Systematic review of compound danshen dropping
18
pill: a chinese patent medicine for acute myocardial infarction. Evid. Based
19
complement Alternat. Med. 2013, 1-15, https://doi.org/10.1155/2013/808076.
20
Ma, X. J., Espana-Serrano, L., Kim, W., Purayil, H. T., Nie, Z., Daaka, Y., 2014.
21
betaArrestin1 regulates the guanine nucleotide exchange factor RasGRF2 expression 25
1
and the small GTPase Rac-mediated formation of membrane protrusion and cell
2
motility. J. Biol. Chem. 289, 13638-13650, https://doi.org/10.1242/jcs.044537.
3
Maseri, A., Beltrame, J. F., Shimokawa, H., 2009. Role of coronary vasoconstriction in
4
ischemic heart disease and search for novel therapeutic targets. Circ. J. 73, 394-403,
5
https://doi.org/10.1253/circj.cj-09-0325.
6
Matsuo, Y., Kuwabara, M., Tanakatotoribe, N., Kanai, T., Nakamura, E., Gamon,
7
A.Suzuki, S., Asada, Y., Hisa, H., Yamamoto, R., 2011. The defective protein level
8
of myosin light chain phosphatase (MLCP) in the isolated saphenous vein, as a
9
vascular conduit in coronary artery bypass grafting (CABG), harvested from patients
10
with diabetes mellitus (DM). Biochem. Biophys. Res. Commun. 412, 323-327,
11
https://doi.org/10.1016/j.bbrc.2011.07.097.
12
Mazzuca, M. Q., Khalil, R. A., 2012. Vascular endothelin receptor type B: structure,
13
function and dysregulation in vascular disease. Biochem. pharmacol. 84, 147-162,
14
https://doi.org/10.1016/j.bcp.2012.03.020.
15
Morikawa, Y., Mizuno, Y., Harada, E., Katoh, D., Kashiwagi, Y., Morita, S., Yoshimura,
16
M., Uemura, S., Saito, Y., Yasue, H., 2013. Aerobic interval exercise training in the
17
afternoon reduces attacks of coronary spastic angina in conjunction with
18
improvement in endothelial function, oxidative stress, and inflammation. Coron.
19
Arter. Dis. 24, 177-182, https://doi.org/10.1097/MCA.0b013e32835cbef5.
20
Parrinello, R., Sestito, A., Di, F. A., Russo, G., Villano, A., Figliozzi, S., Nerla, R.,
21
Tarzia, P., Stazi, A., Lanza, G. A., Crea, F., 2014. Peripheral arterial function and 26
1
coronary microvascular function in patients with variant angina. Cardiology 129,
2
20-24, https://doi.org/10.1159/000362380.
3
Petriz, B.A., de Almeida, J. A., Migliolo, L., Franco, O. L., 2013. Pharmacological
4
potential of exercise and RAS vasoactive peptides for prevention of diseases. Curr.
5
Protein Pept. Sci. 14, 459-471, https://doi.org/10.2174/13892037113149990063.
6
Shao, H., Zhao, L., Chen, F., Zeng, S., Liu, S., Li, J., 2015. Efficacy of Ligustrazine
7
Injection as Adjunctive Therapy for Angina Pectoris: A Systematic Review and
8
Meta-Analysis.
9
https://doi.org/10.12659/MSM.895362..
10 11
Med.
Sci.
Monit.
21,
3704-3715,
Tobin, K. J., 2010. Stable angina pectoris: what does the current clinical evidence tell us?. J. Am. Osteopath. Assoc. 110, 364-370, PMID: 20693568.
12
Wang, Y., Ren, Y., Xing, L. L., Dai, X.D., Liu, S., Yu, B., 2016. Endothelium-dependent
13
vasodilation effects of Panax notoginseng and its main components are mediated by
14
nitric oxide and cyclooxygenase pathways. Exp. Ther. Med. 12, 3998-4006,
15
https://doi.org/10.3892/etm.2016.3890.
16
Xin, X., Zou, H. M., Zheng, N.N., Xu, X. C., Liu, Y. M., Wang, X.X., Wu, H.B., Lu, L.
17
Su, J., Qiu, M. F., Wang, X. Y., 2013. Metabonomic strategy to the evaluation of
18
chinese medicine compound danshen dripping pills interfering myocardial ischemia
19
in
20
https://doi.org/10.1155/2013/718305.
rats,
J.
Evid.
Based
complement
Alternat.
Med.
2013,
1-10,
27
1
Xu, H., Wang, D., Peng, C., Huang, X., Ou, M., Wang, N., Wang, P., Zhou, L., Ye, X.,
2
2014. Rabbit sera containing compound danshen dripping pill attenuate leukocytes
3
adhesion to TNF-alpha--activated human umbilical vein endothelial cells by
4
suppressing endothelial ICAM-1 and VCAM-1 expression through NF-kappaB
5
signaling
6
https://doi.org/10.1097/FJC.0000000000000046
pathway.
J.
Cardiovasc.
Pharmacol.
63,
323-332,
7
Yao, Y. N., Feng, Y. M., Lin, W., 2015. Systematic review and meta-analysis of
8
randomized controlled trials comparing compound danshen dripping pills and
9
isosorbide dinitrate in treating angina pectoris. Int. J. Cardiol. 182, 46-47,
10
https://doi.org/10.1016/j.ijcard.2014.12.112.
11
Yi, J., Yuan, C. J., Ai, Q., Deng, L. X., Yu, G. L., 2014. The effects of compound danshen
12
dripping pills and human umbilical cord blood mononuclear cell transplant after
13
acute myocardial infarction. Exp. Clin. Transplant. 12, 123-128, https://doi.org/
14
10.6002/ect.2013.0204.
15
Zhan, J. F., Su, J. Z., 2008. The Relaxation of Compound Danshen Dripping Pill on
16
Excised Thoracic Aorta Annulations in Rats. Journal of Fujian Medical University
17
42, 316-318, https://doi.org/10.3969/j.issn.1672-4194.2008.04.008.
18
Zhou, X.L., Chan, S.W., Tseng, H. L., Deng, Y., Hoi, P. M., Choi, P. S., Or, P. M., Yang, J.
19
M., Lam, F. F., Lee, S. M., Leung, G. P., Kong, S. K., Ho, H. P., Kwan, Y. W., Yeung,
20
J. H., 2012. Danshensu is the major marker for the antioxidant and vasorelaxation
21
effects of Danshen (Salvia miltiorrhiza) water-extracts produced by different heat 28
1
water-extractions.
Phytomedicine
2
10.1016/j.phymed.2012.08.011.
19,
1263-1269,
https://doi.org/
3
Zhu, K. F., Wang, Y. M., Zhu, J. Z., Zhou, Q. Y., Wang, N. F., 2016. National prevalence
4
of coronary heart disease and its relationship with human development index: A
5
systematic
6
https://doi.org/10.1177/2047487315587402.
review.
Eur.
J.
Prev.
Cardiol.
23,
530-543,
29
1
Table 1 Differentially expressed proteins of quantitative results Gene Name
1
2
Description
MW [kDa]
Sodium-dependent phosphate Slc17a2 48.268 transport protein 2A Immunoglobulin Jchain 17.773 joining chain
CDDP
Ratio
P value
78.200 121.800 1.558
0.037
82.933 117.067 1.412
0.035
Protein Vps18
110.116
86.933 113.067 1.301
0.028
4
Uncharacterized protein
14.274
87.267 112.700 1.291
0.010
5 Gnpnat1
Gnpnat1 protein
20.808
87.600 112.400 1.283
0.005
87.967 112.067 1.274
0.010
88.067 111.900 1.271
0.047
88.400 111.600 1.262
0.028
3
Vps18
Control
Putative sodium-coupled 6 Slc38a10 118.723 neutral amino acid transporter 10 Putative Lipt2 lipoyltransferase 25.181 7 2, mitochondrial Endothelin B 8 Ednrb 49.422 receptor 9 Tmbim1
Protein Tmbim1
34.271
88.433 111.567 1.262
0.041
10 Dopey2
Protein Dopey2
257.592
88.967 111.067 1.248
0.028
11
Nf2
Merlin
69.16
89.367 110.633 1.238
0.005
12
Cmc1
Protein Cmc1
12.563
89.600 110.400 1.232
0.002
13
Rbm3
RNA-binding protein 3
16.845
89.767 110.233 1.228
0.026
14
Numbl
Numb-like protein 68.584
89.800 110.167 1.227
0.001
30
15
Cpsf6
Cleavage and polyadenylation specific factor 6
16
Clec2g
Protein Clec2g
17
18
19
20
21
59.143
90.800 109.233 1.203
0.003
25.021
90.800 109.200 1.203
0.015
60.753
109.200 90.800
0.832
0.045
38.308
109.200 90.800
0.832
0.002
27.765
109.200 90.800
0.832
0.014
37.488
109.367 90.600
0.828
0.042
73.284
109.467 90.567
0.827
0.032
181.62
109.467 90.533
0.827
0.036
BET1-like protein 12.402
109.467 90.533
0.827
0.048
41.91
109.767 90.200
0.822
0.024
24.581
109.800 90.167
0.821
0.016
60.469
110.167 89.833
0.815
0.004
38.568
110.467 89.500
0.810
0.026
62.874
110.533 89.467
0.809
0.038
EH Ehd3 domain-containing protein 3 3-hydroxybutyrate Bdh1 dehydrogenas RWD Rwdd1 domain-containing protein 1 Serine/threonine-p rotein phosphatase Ppp1ca PP1-alpha catalytic subunit ATP-dependent DDX3Y RNA helicase DDX3Y
22
Prex2
23
Bet1l
Protein Prex2
Endothelial cell-selective 24 Esam adhesion molecule ADP-ribosylation factor-like protein 25 Arl6ip6 6-interacting protein 6 Sialate Siae 26 O-acetylesterase Antigen-presentin g glycoprotein 27 Cd1d1 CD1d Transmembrane 28 Tmem209 protein 20
31
5-demethoxyubiqu inone 29 Coq7 20.113 hydroxylase, mitochondrial LOC10255 Protein 30 10.81 0385 LOC102550385 31 32
33
34
35
36
37
Myo1g
110.633 89.367
0.808
0.018
111.033 88.967
0.801
0.024
116.625 111.100 88.900
0.800
0.007
27.486
111.200 88.800
0.799
0.043
22.644
111.300 88.733
0.797
0.016
35.152
111.500 88.533
0.794
0.047
47.301
111.700 88.333
0.791
0.016
42.232
112.467 87.500
0.778
0.040
73.852
112.767 87.233
0.774
0.034
33.15
115.067 84.900
0.738
0.010
Parvalbumin alpha 11.918
120.967 79.000
0.653
0.013
170.652 122.367 77.600
0.634
0.019
0.565
0.031
0.557
0.030
Protein Myo1g
Centromere protein V ADP-ribosylation Arfrp1 factor-related protein 1 rRNA adenine Dimt1 N(6)-methyltransf erase RILP-like protein Rilpl1 1 RNA-binding Rbmx motif protein, X chromosome Similar to ATP-binding cassette, Abcg3l4 sub-family G (WHITE), member 3 Cenpv
38 Gimap9 39
Pvalb
40
Aqr
GIMAP9
Aqr protein
N-alpha-acetyltran sferase 35, NatC 83.155 127.767 72.233 41 Naa35 auxiliary subunit Ras-specific guanine 42 Rasgrf2 135.741 128.433 71.600 nucleotide-releasi
32
ng factor 2
1
33
Highlights
1. CDDP can inhibit norepinephrine induced aortic contraction tension. 2. Target-fishing combined iTRAQ revealed the mechanism of CDDP on vasodilation. 3. PP1α, Ednrb and Rasgrf1 were the regulating proteins of CDDP.
Declaration of interests ☒ The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. ☐The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: