Aim:Interleukin-1 receptor-associated kinase 1 (IRAK1) and IRAK4 play essential roles in the induction of inflammatory gene products. We aimed to investigate the effect of the inhibition of IRAK1 and IRAK4 kinase activities on neointimal formation in rats with carotid artery balloon injuries using the IRAK1/4 inhibitor N-(2-Morpholinylethyl)-2-(3-nitrobenzoylamido)-benzimidazole, a cell-permeable benzimidazole compound. Methods: Wistar rats and vascular smooth muscle cells (VSMCs) isolated from the thoracic aortas were used. Toll-like receptor 4 (TLR4)-mediated nuclear factor kappa B (NF B) signaling pathway was revealed by microarrays analysis. In addition, the differential expression of the TLR4 pathway genes, including TLR4, IRAK1, I B , and interleukin-1 (IL-1 ), was confirmed by quantitative real-time polymerase chain reaction. Immunohistochemical staining, elastic-van Gieson and Masson staining, 5-ethynyl-2´-deoxyuridine staining, enzyme-linked immunosorbent assay, transwell migration assay and western blotting were also contributed for relevant detection.
Results:The expression of TLR4 protein gradually increased at days 1, 3, 7, and 21 after balloon injury compared with the uninjured group. The dual inhibition of IRAK1 and IRAK4 attenuated neointimal formation and fibrotic remodeling after injury in vivo and suppressed VSMC proliferation and migration in vitro. The production of mediators such as tumor necrosis factor-and IL-1 in injured arteries were also reduced by the inhibition of IRAK1 and IRAK4. The expression of NF B p65-and F4/80-positive cells in inhibitor rats were fewer than those in control rats at day 7, while IRAK1 expression was markedly higher at day 3 in inhibitor rats. Furthermore, western blotting analysis revealed that the IRAK1/4 inhibitor suppressed the IRAK1 and IRAK4 kinase activities and the activation of the TLR4-mediated NF B pathway in vivo and in vitro. Conclusions: This study suggested that IRAK1/4 could serve as a potential therapeutic target to suppress neointimal formation in carotid arteries after balloon injury through the TLR4/NF B signaling pathway.
IntroductionRestenosis is a healing response of the arterial wall to mechanical injury after percutaneous coronary intervention (PCI). Vascular smooth muscle cell (VSMC) proliferation and migration are critical to 1318 tion of IRAK1 and IRAK4 kinase activities would be predicted to leave some degree of host defense intact while still reducing inflammatory responses 18) . A novel cell-permeable benzimidazole compound can act as a potent and selective inhibitor of IRAK1 and IRAK4 and has been tested in plasmacytoid dendritic cells from systemic lupus erythematosus and rheumatoid arthritis patients 19) , human primary small airway epithelial cells in chronic obstructive pulmonary disease 20) , and rat brain hypoxia/ischemiainduced neuronal injury 21) ; however, it has not yet been employed in vascular research. To the best of our knowledge, there are no published studies on the role of IRAK1 and IRAK4 kinase activities in...