Department of Pharmaceutical Sciences, University of Kentucky College of Pharmacy, Lexington, KY 40536; and.
Saha Cardiovascular Research Center, University of Kentucky, Lexington, KY 40536.
Immunohorizons. 2020 Aug 5;4(8):455-463. doi: 10.4049/immunohorizons.2000027.
Atherosclerosis is responsible for a large percentage of all-cause mortality worldwide, but it is only now beginning to be understood as a complex disease process involving metabolic insult, chronic inflammation, and multiple immune mechanisms. Abs targeting apolipoprotein A-I (ApoA-I) have been found in patients with cardiovascular disease, autoimmune conditions, as well as those with no documented history of either. However, relatively little is known about how these Abs are generated and their relationship to diet and sex. In the current study, we modeled this aspect of autoimmunity using anti-ApoA-I immunization of male and female C57BL/6 mice. Unexpectedly, we found that autoantibodies directed against a single, previously unknown, epitope within the ApoA-I protein developed irrespective of immunization status or dyslipidemia in mice. When total IgG subclasses were analyzed over the course of time, we observed that rather than driving an increase in inflammatory IgG subclasses, consumption of Western diet suppressed age-dependent increases in IgG2b and IgG2c in male mice only. The lack of change observed in female mice suggested that diet and sex might play a combined role in Th1/Th2 balance and, ultimately, in immunity to pathogen challenge. This report demonstrates the need for inclusion of both sexes in studies pertaining to diet and aging and suggests that further study of immunogenic epitopes present in ApoA-I is warranted.
动脉粥样硬化是导致全球全因死亡率的主要原因之一,但直到现在,人们才开始认识到它是一种涉及代谢损伤、慢性炎症和多种免疫机制的复杂疾病过程。在心血管疾病、自身免疫性疾病以及没有明确病史的患者中,都发现了针对载脂蛋白 A-I (ApoA-I) 的抗体。然而,人们对这些抗体是如何产生的,以及它们与饮食和性别之间的关系,了解甚少。在当前的研究中,我们使用抗 ApoA-I 免疫接种雄性和雌性 C57BL/6 小鼠来模拟这种自身免疫的情况。出乎意料的是,我们发现,针对 ApoA-I 蛋白内一个先前未知的单一表位的自身抗体,无论免疫状态或小鼠的血脂异常如何,都会产生。当分析整个 IgG 亚类随时间的变化时,我们观察到,与促炎 IgG 亚类的增加无关,西方饮食的消耗仅抑制了雄性小鼠中年龄相关的 IgG2b 和 IgG2c 的增加。在雌性小鼠中观察到的变化缺失表明,饮食和性别可能在 Th1/Th2 平衡中发挥联合作用,最终影响对病原体挑战的免疫。本报告表明,在与饮食和衰老相关的研究中,需要纳入两性,并且表明进一步研究 ApoA-I 中存在的免疫原性表位是有必要的。