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. 2023 Sep 29;14:1244098. doi: 10.3389/fphar.2023.1244098

TABLE 2.

Overview of the pleiotropic effects of rivaroxaban in endothelial cells (ECs) in vitro.

Endothelial cell type Rivaroxaban dose Stimulation factor Cellular effects of rivaroxaban Biological/Pleiotropic effects Reference
EA.hy926 500 nM FXa ↑ Tube formation Angiogenic effects Lange et al. (2014)
HUVECs 10 μM FXa (10 nM) ↑ Proliferation Proliferative action Sanada et al. (2016)
↑ Tubular length Angiogenic effects
CDKN2A, CDKN1C, EGR1, IGFBP-5, IL-1β, IL-6, CCL2, ICAM1 expression Anti-inflammatory effects
HUVECs 500 nM FXa (50 and 100 nM) ICAM1, CCL2, IL-8 expression Anti-inflammatory effects Seki et al. (2017)
↓ CCL2 secretion
HaECs 1 μM FXa (50 nM) IL-1β, IL-6, IL-8, CCL2, ICAM1, VCAM1, MMP2 expression Anti-inflammatory effects Ding et al. (2021)
↓ Monocytes adhesion to ECs
HUVECs 50 nM FXa (9 nM) ↑ Proliferation Proliferative action Álvarez et al. (2018)
↑ Migration Angiogenic effects
EDN2, SELE, CCL5, VCAM1, MMP2, u-PA expression, platelet adhesion Anti-inflammatory effects
↑ u-PA activity
HCAECs and HDBECs 137.9, 1379 nM FXa (10 nM) ↓ Endothelial permeability Stabilizes endothelial integrity Benelhaj et al. (2019)
HUVECs 30 nM AGEs + 3% citrated-plasma MOK, CCL2, ICAM expression Anti-inflammatory effects Ishibashi et al. (2014)
↓ ROS generation, THP-1 cell adhesion Anti-oxidant effects
HUVECs 30 nM + Ang II AGEs TFPI expression and activity Angiotensin II-mediated anticoagulant effects Yang et al. (2017)
HUVECs 50, 500 nM High glucose (22 mM) ↓ Senescence, p53, p16 expression Anti-senescence effects Maeda et al. (2019)
↑ Telomerase activity and telomere length
↑ NOx, NOS3 expression Anti-atherosclerotic effects
↓ ROS generation, p22phox, ICAM1, VCAM1, PAR-1 expression
HCAECs 50 nM + Aspirin D-Glucose (30 mM) ↑ PRKN, PINK1 expression Promote mitophagy Zekri-Nechar et al. (2022a)
↓ ROS generation Anti-oxidant effects
EPCs 5, 10, 20 μM High glucose (20 mM) ↑ Proliferation, migration, tube formation, NOS3, AKT1, p-NOS3, VEGFA expression Angiogenic effects on diabetes Wu et al. (2015)
↓ Senescence
HCMECs 1 μM Hypoxia ↓ PAR-2, MAPK1/2, NF-κB expression Anti-fibrotic and anti-oxidant effects Imano et al. (2018)
HCMECs 1 μM Hypoxia + sugen5416 ↓ PAR-2, p-JNK, p-SMAD3, p-ERK-1/2, p-NF-kB expression Anti-fibrotic effects Imano et al. (2021)
HUVECs 920 nM Hypoxia-reoxygenation (H/R) No effect on ICAM1 and VCAM1, THBD, and EPCR expression No protective impact on H/R conditions Guillou et al. (2020)
HUVECs 229, 1150 nM 25-hydroxycholesterol (25 μΜ) ↓Endothelial permeability, TF, ICAM1, VEGFA, IL-33, CCL2, TNF expression Stabilizes endothelial integrity, anti-inflammatory effects Gorzelak-Pabis et al. (2021)
↑ CDH5 expression
HUVECs 1 μM FXa (10 nM) + LPS ↓ PAR-2, NF-κB, IL-1b, TNF, IL-6, p-MAP3K7, p-P65 expression, apoptosis, migration, permeability Anti-inflammatory effects on ALI Shi et al. (2018)
↑Viability
HPMEC 50 nM LPS (1 μg/mL) + SARS-CoV-2 Subunits S1 and S2 (10 nM) ↑ Mitochondrial membrane potential Covid-19-induced mitochondrial shift prevention effects Zekri-Nechar et al. (2022b)
↓Cytochrome C oxidase activity, LDH activity, UCP2 expression
HBEC-5i + Human Astrocytes 10 μM NA P-gp and BRCA-mediated BBB transportation ABC transportation Puech et al. (2018)

EA.hy926, Immortalized Human Umbilical Vein Endothelial Cell Line; HUVECs, Human Umbilical Vein Endothelial Cells; HaECs, Human Aortic Endothelial Cells; HCAECs, Human Coronary Artery Endothelial Cells; HDBECs, Human Dermal Blood Endothelial Cells; HCMECs, Human Cardiac Microvascular Endothelial Cells; EPCs, Endothelial Progenitor Cells; HPMEC, Human Pulmonary Microvascular Endothelial Cells; HBEC-5i, Human Brain Endothelial Cells-5 immortalized; FXa, Factor Xa; AGEs, Advanced Glycation End Products; LPS, Lipopolysaccharide; SARS-CoV-2, Severe Acute Respiratory Syndrome Coronavirus 2; CDKN2A, Cyclin-Dependent Kinase Inhibitor 2A; CDKN1C, Cyclin-Dependent Kinase Inhibitor 1C; EGR1, Early Growth Response 1; IGFBP-5, Insulin-Like Growth Factor-Binding Protein 5; IL-1β, Interleukin-1 beta; CCL2, C-C Motif Chemokine Ligand 2; ICAM1, Intercellular Adhesion Molecule-1; VCAM1, Vascular Cell Adhesion Molecule-1; MMP2, Matrix Metalloproteinase-2; EDN2, Endothelin-2; SELE, Selectin E; u-PA, urokinase Plasminogen Activator; MOK, Mitogen-Activated Protein Kinase Kinase; ROS, Reactive Oxygen Species; THP-1, Human Monocytic Cell Line; TFPI, Tissue Factor Pathway Inhibitor; NOx, Nitrogen Oxides; NOS3, Nitric Oxide Synthase 3; PRKN, Parkin RBR E3 Ubiquitin Protein Ligase; PINK1, PTEN-Induced Kinase 1; AKT1, Protein Kinase B; VEGFA, Vascular Endothelial Growth Factor A; PAR, Proteinase-Activated Receptor; p-MAPK1/2, Phosphorylated Mitogen-Activated Protein Kinase 1/2; NF-κB, Nuclear Factor Kappa B; JNK, c-Jun N-Terminal Kinase; SMAD3, Mothers Against Decapentaplegic Homolog 3; ERK-1/2, Extracellular Signal-Regulated Kinase 1/2; EPCR, Endothelial Protein C Receptor; TF, Tissue Factor; TNF, Tumor Necrosis Factor; CDH5, Cadherin 5; LDH, Lactate Dehydrogenase; UCP2, Uncoupling Protein 2; P-gp, P-Glycoprotein; BRCA, Breast Cancer Resistance Protein; BBB, Blood-Brain Barrier; ALI, Acute Lung Injury; COVID-19, Coronavirus Disease 2019; ABC, ATP-Binding Cassette.