Abstract:Aim To explore the effects of pyruvate dehydrogenase kinase isoenzyme 1 (PDK1) on endothelial cell injury and dysfunction. Methods siRNA-PDK1 was used to knock down PDK1 expression, and human umbilical vein endothelial cells (HUVEC) were treated with phosphate-buffered saline (PBS) or oxidized low density lipoprotein (ox-LDL) to investigate the role of PDK1 in ox-LDL-induced vascular endothelial cell injury and its biological dysfunction.Reactive oxygen species (ROS) production and mitochondrial damage in HUVEC were detected using ROS and mitochondrial activity staining kits. The apoptosis levels of HUVEC were detected via flow cytometry apoptosis assay kit, and the damage of HUVEC and its changes in recruitment and adhesion ability to THP-1 cells were detected through crystal violet staining and Dil staining. The mRNA and protein expression of CD86, CD206, NOD-like receptor protein 3 (NLRP3), interleukin-1β (IL-1β) and monocyte chemoattractant protein-1 (MCP-1) were detected by Western blot and RT-qPCR.The expression levels of CD86 and CD206 were evaluated by immunofluorescence staining. Superoxide dismutase (SOD) and malondialdehyde (MDA) concentrations were measured with corresponding kits, while the secretions of cytokines including MCP-1, intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1) were detected with ELISA kits. Results Compared with HUVEC treated with ox-LDL, knocking down PDK1 expression resulted in reduced ROS production, reduced mitochondrial damage, restored SOD activity, decreased MDA concentrations, decreased apoptosis levels, inhibited activation of nuclear factor-κB (NF-κB) and NLRP3 inflammasomes, decreased release of inflammatory factors (IL-1β and IL-18) and chemokines (MCP-1, ICAM-1 and VCAM-1), decreased number of THP-1 cells, increased expression of CD206 and arginine-1 (Arg-1) in THP-1 cells, and inhibited expression of CD86 and inducible nitric oxide synthase (iNOS) in THP-1 cells (all P<0.05). Conclusion Knocking down the expression of PDK1 in endothelial cells can reduce oxidative stress and inflammatory response caused by ox-LDL, thereby improving the biological function of endothelial cells.