Norepinephrine promotes the proliferation, migration, and phenotypic transformation of renal artery vascular smooth muscle cells via ROCK1

Document Type : Original Article

Authors

1 Department of Cardiology,The First Affiliated Hospital, Harbin Medical University, Harbin 150088, China

2 Department of Geriatrics,The First Affiliated Hospital, Harbin Medical University, Harbin 150088, China

3 The Key Laboratory of Cardiovascular Disease Acousto-Optic Electromagnetic Diagnosis and Treatment in Heilongjiang Province, The First Affiliated Hospital, Harbin Medical University, Harbin 150088, China

4 Department of endocrinology, Heilongjiang Province Hospital, Harbin 150088, China

10.22038/ijbms.2026.90472.19527

Abstract

Objective(s): This study investigated the role of norepinephrine (NE) and ROCK1 in regulating renal artery vascular smooth muscle cells (rVSMCs).
Materials and Methods: rVSMCs were treated with NE, and ROCK1 expression was assessed. Cell proliferation, migration, and phenotypic switching were evaluated using EdU incorporation and wound-healing assays. ROCK1 was silenced by siRNA. Mitochondrial membrane potential and morphology were analyzed to determine NE-induced mitochondrial alterations.
Results: NE significantly up-regulated ROCK1 expression in rVSMCs. It promoted proliferation, migration, and phenotypic switching, as indicated by increased expression of proliferative and migratory markers, whereas ROCK1 silencing attenuated these effects. NE also reduced mitochondrial membrane potential and induced mitochondrial fission, suggesting an additional mechanism contributing to vascular remodeling.
Conclusion: NE promotes rVSMCs proliferation, migration, and phenotypic switching through ROCK1 activation and alters mitochondrial dynamics. These findings identify the NE–ROCK1 axis as a critical mediator of vascular remodeling in hypertensive nephropathy and suggest it may serve as a promising therapeutic target.

Graphical Abstract

Norepinephrine promotes the proliferation, migration, and phenotypic transformation of renal artery vascular smooth muscle cells via ROCK1

Keywords

Main Subjects


1. Leontsinis I, Mantzouranis M, Tsioufis P, Andrikou I, Tsioufis C. Recent advances in managing primary hypertension. Fac Rev 2020; 9: 4.
2. Burnier M, Damianaki A. Hypertension as cardiovascular risk factor in chronic kidney disease. Circ Res 2023; 132: 1050-1063.
3. Xie T, Bai Z, Chen Z, Liang H, Liu T, Lam LK, et al. Inhibition of ferroptosis ameliorates hypertensive nephropathy through p53/Nrf2/p21 pathway by Taohongsiwu decoction: Based on network pharmacology and experimental validation. J Ethnopharmacol 2023; 312: 116506.
4. Mancia G. Renal nerve ablation. Eur Heart J 2018; 39: 4060-4061.
5. Hoogerwaard AF, Elvan A. Is renal denervation still a treatment option in cardiovascular disease? Trends Cardiovasc Med 2020; 30: 189-195.
6. Isingrini E, Guinaudie C, Perret L, Guma E, Gorgievski V, Blum ID, et al. Behavioral and transcriptomic changes following brain-specific loss of noradrenergic transmission. Biomolecules 2023; 13: 511.
7. Slater C, Wang Q. Alzheimer’s disease: An evolving understanding of noradrenergic involvement and the promising future of electroceutical therapies. Clin Transl Med 2021; 11: e397.
8. Van Egroo M, Koshmanova E, Vandewalle G, Jacobs HIL. Importance of the locus coeruleus-norepinephrine system in sleep-wake regulation: Implications for aging and Alzheimer’s disease. Sleep Med Rev 2022; 62: 101592.
9. Ma J, Li Y, Yang X, Liu K, Zhang X, Zuo X, et al. Signaling pathways in vascular function and hypertension: Molecular mechanisms and therapeutic interventions. Signal Transduct Target Ther 2023; 8: 168.
10. Brown IAM, Diederich L, Good ME, DeLalio LJ, Murphy SA, Cortese-Krott MM, et al. Vascular smooth muscle remodeling in conductive and resistance arteries in hypertension. Arterioscler Thromb Vasc Biol 2018; 38: 1969-1985.
11. Zhang J, Yin Z, Xu Y, Wei C, Peng S, Zhao M, et al. Resolvin E1/ChemR23 protects against hypertension and vascular remodeling in angiotensin II–induced hypertensive mice. Hypertension 2023; 80: 2650-2664.
12. Thompson JM, Landman J, Razorenova OV. Targeting the RhoGTPase/ROCK pathway for the treatment of VHL/HIF pathway-driven cancers. Small GTPases 2020; 11:32-38.
13. Barcelo J, Samain R, Sanz-Moreno V. Preclinical to clinical utility of ROCK inhibitors in cancer. Trends Cancer 2023; 9: 250-263.
14. King KE, Losier TT, Russell RC. Regulation of autophagy enzymes by nutrient signaling. Trends Biochem Sci 2021; 46: 687-700.
15. Li M, Lyu X, Liao J, Werth VP, Liu M-L. Rho Kinase regulates neutrophil NET formation that is involved in UVB-induced skin inflammation. Theranostics 2022; 12: 2133-2149.
16. Tang L, Dai F, Liu Y, Yu X, Huang C, Wang Y, et al. RhoA/ROCK signaling regulates smooth muscle phenotypic modulation and vascular remodeling via the JNK pathway and vimentin cytoskeleton. Pharmacol Res 2018; 133: 201-212.
17. Wang Y, Zheng XR, Riddick N, Bryden M, Baur W, Zhang X, et al. ROCK isoform regulation of myosin phosphatase and contractility in vascular smooth muscle cells. Circ Res 2009; 104: 531-540.
18. Fu P, Liu F, Su S, Wang W, Huang XR, Entman ML, et al. Signaling mechanism of renal fibrosis in unilateral ureteral obstructive kidney disease in ROCK1 knockout mice. J Am Soc Nephrol 2006; 17: 3105-3114.
19. Peng H, Li Y, Wang C, Zhang J, Chen Y, Chen W, et al. ROCK1 induces endothelial-to-mesenchymal transition in glomeruli to aggravate albuminuria in diabetic nephropathy. Sci Rep 2016; 6: 20304.
20. Zhang J, Chen S, Xiang H, Xiao J, Zhao S, Shu Z, et al. S1PR2/Wnt3a/RhoA/ROCK1/beta-catenin signaling pathway promotes diabetic nephropathy by inducting endothelial mesenchymal transition and impairing endothelial barrier function. Life Sci 2023; 328: 121853.
21. Huang C, Zhou Y, Huang H, Zheng Y, Kong L, Zhang H, et al. Islet transplantation reverses podocyte injury in diabetic nephropathy or induced by high glucose via inhibiting RhoA/ROCK/NF-kappaB signaling pathway. J Diabetes Res 2021; 2021: 9570405.
22. Liu S, Li X, Wen R, Chen L, Yang Q, Song S, et al. Increased thromboxane/prostaglandin receptors contribute to high glucose-induced podocyte injury and mitochondrial fission through ROCK1-Drp1 signaling. Int J Biochem Cell Biol 2022; 151: 106281.
23. Yuan N, Diao J, Dong J, Yan Y, Chen Y, Yan S, et al. Targeting ROCK1 in diabetic kidney disease: Unraveling mesangial fibrosis mechanisms and introducing myricetin as a novel antagonist. Biomed Pharmacother 2024; 171: 116208.
24. Liu X, Zhang W, Luo J, Shi W, Zhang X, Li Z, et al. TRIM21 deficiency protects against atrial inflammation and remodeling post myocardial infarction by attenuating oxidative stress. Redox Biol 2023; 62: 102679.
25. Keefe JA, Aguilar-Sanchez Y, Navarro-Garcia JA, Ong I, Li L, Paasche A, et al. Macrophage-mediated IL-6 signaling drives ryanodine receptor-2 calcium leak in postoperative atrial fibrillation. J Clin Invest 2025; 135: e187711.
26. Choi JH, Moon CM, Shin TS, Kim EK, McDowell A, Jo MK, et al. Lactobacillus paracasei-derived extracellular vesicles attenuate the intestinal inflammatory response by augmenting the endoplasmic reticulum stress pathway. Exp Mol Med 2020; 52: 423-437.
27. Fu J, Tang Y, Zhang Z, Tong L, Yue R, Cai L. Gastrin exerts a protective effect against myocardial infarction via promoting angiogenesis. Mol Med 2021; 27: 90.
28. Xiong G, Yun F, Jiang L, Yi Z, Yi X, Yang L, et al. NDUFS3 promotes proliferation via glucose metabolism reprogramming inducing AMPK phosphorylating PRPS1 to increase the purine nucleotide synthesis in melanoma. Cell Death Differ 2025; 32: 2193-2209.
29. Zhang L, Luo Y, Lv L, Chen S, Liu G, Zhao T. TRAP1 inhibits MARCH5-mediated MIC60 degradation to alleviate mitochondrial dysfunction and apoptosis of cardiomyocytes under diabetic conditions. Cell Death Differ 2023; 30: 2336-2350.
30. Ke M, Chong C-M, Zeng H, Huang M, Huang Z, Zhang K, et al. Azoramide protects iPSC-derived dopaminergic neurons with PLA2G6 D331Y mutation through restoring ER function and CREB signaling. Cell Death Dis 2020; 11: 130.
31. Chen X, Tian J, Zhao C, Wu Y, Li J, Ji Z, et al. Resveratrol, a novel inhibitor of fatty acid binding protein 5, inhibits cervical cancer metastasis by suppressing fatty acid transport into nucleus and downstream pathways. Br J Pharmacol 2024; 181: 1614-1634.
32. Xu W, Yao H, Wu Z, Yan X, Jiao Z, Liu Y, et al. Oncoprotein SET-associated transcription factor ZBTB11 triggers lung cancer metastasis. Nat Commun 2024; 15: 1362.
33. Furmanik M, Chatrou M, van Gorp R, Akbulut A, Willems B, Schmidt H, et al. Reactive oxygen-forming Nox5 links vascular smooth muscle cell phenotypic switching and extracellular vesicle-mediated vascular calcification. Circ Res 2020; 127: 911-927.
34. Li J, Li X, Song S, Sun Z, Li Y, Yang L, et al. Mitochondria spatially and temporally modulate VSMC phenotypes via interacting with cytoskeleton in cardiovascular diseases. Redox Biol 2023; 64: 102778.
35. Sun J, Shao Y, Pei L, Zhu Q, Yu X, Yao W. AKAP1 alleviates VSMC phenotypic modulation and neointima formation by inhibiting Drp1-dependent mitochondrial fission. Biomed Pharmacother 2024; 176: 116858.
36. Kraus F, Roy K, Pucadyil TJ, Ryan MT. Function and regulation of the divisome for mitochondrial fission. Nature 2021; 590: 57-66.
37. Quiles JM, Gustafsson ÅB. The role of mitochondrial fission in cardiovascular health and disease. Nat Rev Cardiol 2022; 19:723-736.
38. Gao S, Hu J. Mitochondrial fusion: The machineries in and out. Trends Cell Biol 2021; 31: 62-74.
39. Chandhok G, Lazarou M, Neumann B. Structure, function, and regulation of mitofusin‐2 in health and disease. Biol Rev Camb Philos Soc 2017; 93: 933-949.
40. Siddiqui MR, Akhtar S, Shahid M, Tauseef M, McDonough K, Shanley TP. miR-144–mediated inhibition of ROCK1 protects against LPS-induced lung endothelial hyperpermeability. Am J Respir Cell Mol Biol 2019; 61: 257-265.
41. Lin D, Luo C, Wei P, Zhang A, Zhang M, Wu X, et al. YAP1 recognizes inflammatory and mechanical cues to exacerbate benign prostatic hyperplasia via promoting cell survival and fibrosis. Adv Sci (Weinh) 2024; 11: e2304274.
42. Mendez-Barbero N, Oller J, Sanz AB, Ramos AM, Ortiz A, Ruiz-Ortega M, et al. Mitochondrial dysfunction in the cardio-renal axis. Int J Mol Sci 2023; 24: 8209.
43. Li XL, Liu XW, Liu WL, Lin YQ, Liu J, Peng YS, et al. Inhibition of TMEM16A improves cisplatin-induced acute kidney injury via preventing DRP1-mediated mitochondrial fission. Acta Pharmacol Sin 2023; 44: 2230-2242.
44. Cavarape A, Endlich N, Assaloni R, Bartoli E, Steinhausen M, Parekh N, et al. Rho-kinase inhibition blunts renal vasoconstriction induced by distinct signaling pathways in vivo. J Am Soc Nephrol 2003; 14: 37-45.
45. Liu P, Huang W, Ding Y, Wu J, Liang Z, Huang Z, et al. Fasudil dichloroacetate alleviates SU5416/hypoxia-induced pulmonary arterial hypertension by ameliorating dysfunction of pulmonary arterial smooth muscle cells. Drug Des Devel Ther 2021; 15: 1653-1666.
46. Wang B, Wang Y, Tan Y, Guo J, Chen H, Wu PY, et al. Assessment of fasudil on contrast-associated acute kidney injury using multiparametric renal MRI. Front Pharmacol 2022; 13: 905547.
47. Vukadinovic D, Lauder L, Kandzari DE, Bhatt DL, Kirtane AJ, Edelman ER, et al. Effects of catheter-based renal denervation in hypertension: A systematic review and meta-analysis. Circulation 2024; 150: 1599-1611.