04.01.2013 Views

Medicinus - Dexa Medica

Medicinus - Dexa Medica

Medicinus - Dexa Medica

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

18<br />

Bioactive Protein Fraction DLBS1033<br />

Exerts its Positive Pleiotropic Effects in<br />

the Vascular Cells via Down Regulation<br />

of Gene Expression<br />

Frans Kurnia* , ** and Raymond R. Tjandrawinata**<br />

* Department of Protein Biochemistry, Division of Protein Biochemistry and Molecular Pharmacology<br />

** <strong>Dexa</strong> Laboratories of Biomolecular Sciences (DLBS), Industri Selatan V Block PP No. 7,<br />

Jababeka Industrial II, Cikarang, Bekasi 17520, Indonesia<br />

ABSTRACT<br />

There is accumulating evidence suggesting that cardio- and cerebrovascular diseases have a positive correlation with the events of inflammation<br />

that in addition to plaque instability occurs in the vasculature. Providing a therapy that exerts its anti-inflammatory action and inhibition<br />

of proliferation and migration of smooth muscle cells may be promising and effective in fighting the cardiovascular disease (CVD). The<br />

bioactive protein fraction DLBS1033 is shown to posses such activities. DLBS1033 down-regulates inflammatory markers including JAK1,<br />

STAT1, TNFα, NF-kB as well as decreasing vascular smooth muscle cells proliferation and migration. As Matrix Metaloproteinase-9 (MMP-9)<br />

expression was downregulated by DLBS1033, it was suggested that DLBS1033 also permitted plaque stabilization to occur in the vasculature.<br />

Taken together, these data suggest DLBS1033 exerts its positive pleiotropic effects on the vascular cells primarily via its anti inflammatory<br />

activities, plaque stabilization, vascular smooth muscle cells inhibition of proliferation and migration.<br />

INTRODUCTION<br />

Cardiovascular disease (CVD) is one of the leading<br />

causes of death worldwide. CVD covers a wide array<br />

of disorders, including diseases of the cardiac muscle<br />

and other vascular system supplying the heart,<br />

brain, and other vital organs. CVD related with occlusion<br />

of a blood vessel (thrombus) or the rupture of<br />

a blood vessel. 1 Several studies have demonstrated<br />

that inflammation is also involved in development<br />

of CVD. Increased plasma levels of inflammation<br />

markers have been identified in patients with a risk<br />

of atherosclerotic diseases. Activated leukocytes<br />

emigrate, adhere to the endothelial wall and migrate<br />

through the arterial wall, resulting in the transfer<br />

of macrophages rich in oxidized lipoproteins that<br />

trigger the onset of atherosclerotic plaque formation.<br />

Atherosclerosis is also characterized by degeneration<br />

of extracellular matrix (ECM). The resulting is<br />

dissolution and fragmentation of collagen and elastin,<br />

leading to invasion of vessel wall, that could lead<br />

to development of atherosclerotic plaque. 2<br />

Thickening of the intimal area in blood vessels<br />

MEDICINUS 24(1), January 2011<br />

original article<br />

research<br />

occur spontaneously with age or in response to increased<br />

intraluminal pressure. 3 Intimal thickening<br />

can also be triggered in response to injury, for example,<br />

after balloon dilatation, stent implantation or<br />

during atherosclerosis formation. 3,4 All these forms<br />

of intimal thickening are associated with increases<br />

in numbers of vascular smooth muscle cells (VSMC)<br />

and the amount of VSMC-associated extracellular<br />

matrix (ECM). Most intimal VSMC probably originate<br />

by migration from the underlying media. Intimal<br />

thickening occurs in blood vessels in response to injury<br />

or atherosclerosis. The balance of migration and<br />

proliferation of vascular smooth muscle cells (VSMC)<br />

over death by apoptosis has an important impact on<br />

the final size of intimal thickening and may also affect<br />

atherosclerotic plaque stability. 5<br />

Treatment of the disease involves medical therapies<br />

that restore blood flow by inhibiting platelet<br />

aggregation or dissolving the thrombus occluding<br />

the arterial lumen. 1 Thrombolytic agents, such as<br />

streptokinase and urokinase have been used to treat<br />

stroke and cardiovascular disease. Those enzymes<br />

could dissolve blood fibrin clots and, to a certain

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!