Abstract:Objective To explore the effect of trimethylamine-N-oxide (TMAO) on mitochondrial function of vascular endothelial cells.Methods Human umbilical vein endothelial cells (HUVEC) were either stimulated with varying concentrations of TMAO (50, 100, and 150 mmol/L) for 24 hours or treated with 100 mmol/L TMAO for 12, 24, and 36 hours. Cell viability was assessed using the CCK-8 assay. Apoptosis levels were measured by Annexin V-FITC/PI double staining. Levels of endothelin-1 (ET-1), interleukin-18 (IL-18), interleukin-1β (IL-1β), interleukin-6 (IL-6), and interleukin-10 (IL-10) in cell culture supernatants were quantified via enzyme-linked immunosorbent assay (ELISA). Mitochondrial membrane potential (MMP) was detected using a rhodamine-123 probe. Mitochondrial reactive oxygen species (mtROS) were measured with a MitoSOX Red probe. The degree of mitochondrial permeability transition pore (MPTP) opening was evaluated by Calcein AM staining.Results Cell viability decreased in a dose-dependent manner starting at TMAO concentrations of 50 mmol/L (P < 0.05). After 12 hours of TMAO exposure, cell viability significantly decreased in a time-dependent manner (P < 0.05). The cell viability in TMAO-treated groups was higher than that in the control group across all concentrations (P <0.05). ET-1 levels in the control group were lower than those in TMAO-treated groups at different TMAO concentrations (P < 0.05). IL-18, IL-1β, and IL-6 levels in the control group were lower than those in TMAO-treated groups at different TMAO concentrations (P < 0.05), while IL-10 levels were higher in the control group than in TMAO-treated groups (P < 0.05). The relative expression of rhodamine-123 in TMAO-treated groups at different concentrations was lower than that in the control group (P < 0.05). The relative expression of rhodamine-123 in the 24- and 36-hour TMAO-treated groups was lower than that in the control group (P < 0.05). The relative expression of MitoSOX in the 100- and 150-mmol/L TMAO-treated groups was higher than that in the control group (P < 0.05). The relative expression of MitoSOX in TMAO-treated groups at different intervention times was higher than that in the control group (P < 0.05). The relative expression of Calcein AM in TMAO-treated groups at different TMAO concentrations was lower than that in the control group (P < 0.05). At different intervention times, the relative expression of Calcein AM in TMAO-treated groups was lower than that in the control group (P < 0.05).Conclusions TMAO induces mitochondrial dysfunction in vascular endothelial cells.