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Global Translational Medicine





                                        ORIGINAL RESEARCH ARTICLE
                                        The vasculoprotective effects of resveratrol are

                                        mediated via Kruppel-like factor 2 dependent
                                        protection of endothelial barrier function



                                                               4†
                                        Xianming Zhou 1,2† , Lily Lin , and Hong Shi 1,3,4 *
                                        1 Case Cardiovascular Research Institute, Case Western Reserve University School of Medicine,
                                        Cleveland, OH, USA
                                        2 Department of Cardiovascular Surgery, Union Hospital,  Tongji Medical College, Huazhong
                                        University of Science and Technology, Wuhan, China
                                        3 Division of Rheumatology, Medical College of Georgia at Augusta University, Augusta, GA,
                                        USA
                                        4 Vascular Biology Center, Medical College of Georgia at Augusta University, Augusta, GA, USA




                                        Abstract
                                        Resveratrol is a naturally occurring polyphenolic compound that is thought to
                                        have vasculoprotective properties. Its observed effects are proposed, in part, to
                                        be mediated through the induction of endothelial Krϋppel-like factor 2 (KLF2)
                                        expression. KLF2 is a nuclear transcription factor that is highly expressed within
                                        the vascular endothelium. Studies from our laboratory and others have shown that
            † These authors contributed equally   this protein mediates vascular function through its transactivation domain, and its
            to this work.               targeted expression promotes vascular health, notably by acting as an important
            *Corresponding author:      positive regulator  of  endothelial  barrier  function.  In  this  study,  we  demonstrate
            Hong Shi                    that resveratrol possesses endothelial barrier protective effects dependent on the
            (hoshi@augusta.edu)         presence of KLF2, with several key endothelial tight junction proteins expressed in
            Citation: Zhou X, Lin L, Shi H,   a KLF2-dependent manner. Collectively, our findings identify KLF2 as essential for
            2023, The vasculoprotective   resveratrol-mediated endothelial barrier protection, thus further implicating KLF2 as
            effects of resveratrol are mediated   a critical vasculoprotective factor.
            via Kruppel-like factor 2 dependent
            protection of endothelial barrier
            function. Global Transl Med, 2(1):
            218.                        Keywords: Resveratrol; Krϋppel-like factor 2; Barrier function
            https://doi.org/10.36922/gtm.v2i1.218
            Received: October 11, 2022
            Accepted: November 24, 2022
            Published Online: January 10,   1. Introduction
            2023
                                        Resveratrol (3,5,4′-trihydroxy-trans-stilbene), a polyphenol that is notably present at
            Copyright: © 2023 Author(s).
            This is an Open Access article   high concentrations in grapes and red wine, is occasionally used as a dietary supplement,
            distributed under the terms of the   although its beneficial effects remain unproven. It has generated a significant amount of
            Creative Commons Attribution   clinical interest for its many beneficial effects on multiple pathologic processes, including
            License, permitting distribution,
            and reproduction in any medium,   hypertension, diabetic cardiomyopathy, atherosclerosis, heart failure, and several types
            provided the original work is   of cancer [1,2] . Studies performed in rodent models have added to a growing body of
            properly cited.             evidence that suggests the presence of resveratrol which is vasculoprotective. Resveratrol
            Publisher’s Note: AccScience   has been shown to improve endothelial dysfunction and decrease vascular inflammation,
            Publishing remains neutral with   resulting in reduced ischemic damage in vital organs [2-4] . Recently, resveratrol has been
            regard to jurisdictional claims in   identified as having protective effects on endothelial barrier function in the vasculature
            published maps and institutional
            affiliations.               of the brain and retina [5,6] . However, the detailed molecular mechanisms by which


            Volume 2 Issue 1 (2023)                         1                      https://doi.org/10.36922/gtm.v2i1.218
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