Abstract:Aim To investigate the effects of TFPIct32, a 32-amino acid peptide segment of tissue factor pathway inhibitor C-terminal (TFPIct), on the progression of atherosclerosis (As) lesions in ApoE-/- mice and its preliminary mechanisms. Methods ApoE-/- mice were fed with a high-fat diet for 10 weeks to establish an As animal model.Mice successfully modeled were randomly divided into four groups of 10 (n=10) each:model group, saline group (tail vein injection of saline on top of the model), TFPI group (negative control peptide group, 2.5 nmol/g TFPI per week, tail vein injection), TFPIct32 group (2.5 nmol/g TFPIct32 per week, tail vein injection). All groups received continuous treatment for 4 weeks. After treatment completion, tail bleed time was measured in mice from each group; Serum samples were collected to measure serum levels of total cholesterol (TC), triglyceride (TG), low density lipoprotein cholesterol (LDLC), and high density lipoprotein cholesterol (HDLC). Mouse aortas were isolated and stained with oil red O. Sections of aortic sinus tissue were stained with hematoxylin and eosin (HE), Masson's trichrome, and oil red O. A cell proliferation and migration model was established using platelet-derived growth factor-BB (PDGF-BB) treatment on vascular smooth muscle cells (VSMC), divided into control group, PDGF-BB group, PDGF-BB+TFPI group, PDGF-BB+TFPIct32 group, PDGF-BB+protein kinase B (Akt) agonist SC79 group and PDGF-BB+TFPIct32+SC79 group. Cell proliferation was assessed using the CCK-8 assay, while cell migration was evaluated via the scratch assay and Transwell method. Protein expression levels of proliferating cell nuclear antigen (PCNA), phosphoinositide 3-kinase (PI3K), phosphorylated Akt (p-AKT), and total Akt (t-Akt) were detected by Western blot analysis. Results Animal experimental results showed that, compared with the saline group and the TFPI group, the TFPIct32 group significantly reduced serum LDLC levels in ApoE-/- mice (P<0.05), while simultaneously decreased plaque area in the aortic wall and aortic sinus (both P<0.01). TFPIct32 significantly inhibited PDGF-BB-induced proliferation and migration of VSMC (both P<0.05), while the Akt-specific agonist SC79 partially restored the TFPIct32-inhibited VSMC proliferation and migration (P<0.05). These findings suggested that the PI3K/Akt pathway played a crucial role in the regulation of TFPIct32-mediated inhibition of VSMC proliferation, migration, and subsequent atherosclerosis progression. Conclusion TFPIct32 significantly slows the progression of atherosclerotic lesions in ApoE-/- mice fed a high-fat diet, a mechanism likely involving the inhibition of VSMC proliferation and migration.