Rogers Maximillian A, Atkins Samantha K, Zheng Kang H, Singh Sasha A, Chelvanambi Sarvesh, Pham Tan H, Kuraoka Shiori, Stroes Erik S G, Aikawa Masanori, Aikawa Elena
Center for Interdisciplinary Cardiovascular Sciences, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, United States.
Department of Vascular Medicine, Academic Medical Center, Amsterdam UMC, Amsterdam, Netherlands.
Front Cardiovasc Med. 2022 Jan 28;9:778919. doi: 10.3389/fcvm.2022.778919. eCollection 2022.
Lipoprotein(a) (Lp[a]) blood levels >50 mg/dL is a major cardiovascular disease risk factor in humans. Lp(a) associates with increased cardiovascular calcification, a critical pathology with no clinically available drug therapies. The mechanisms through which Lp(a) increases cardiovascular calcification risk remain undefined. We hypothesized that Lp(a) promotes the release of calcifying extracellular vesicles (EVs) that contribute to formation of microcalcification in cardiovascular tissues. Here, we show Lp(a) increased calcification in both primary human smooth muscle cells (SMCs) and valvular interstitial cells (VICs), potentially through inflammation-related mechanisms that were suppressed with E06 antibody that neutralizes pro-inflammatory oxidized phospholipids. Incubating human SMCs and VICs with Lp(a) altered the composition of EVs, increasing CD29/tetraspanin microvesicle release, demonstrated with a tailored single-EV microarray assay that can distinguish multivesicular body-derived exosomes and plasma membrane budded microvesicles at a single-vesicle level. Lp(a) stimulation led to release of SMC and VIC EVs that readily calcified in acellular 3D-collagen hydrogels mimicking formation of ectopic microcalcification occurring in extracellular matrix of human atherosclerotic arteries and stenotic aortic valves. Our study mechanistically demonstrates that Lp(a) partially mediates cardiovascular calcification formation via inducing the release of calcifying EVs. Additionally, we provide a customized method to assess calcifying EVs at a single-vesicle level that can be more broadly applied to assist in quantitatively differentiating exosome and microvesicle EV subpopulations.
脂蛋白(a) [Lp(a)] 血液水平>50 mg/dL是人类主要的心血管疾病风险因素。Lp(a)与心血管钙化增加相关,心血管钙化是一种严重的病理状态,目前尚无临床可用的药物治疗方法。Lp(a)增加心血管钙化风险的机制尚不清楚。我们推测Lp(a)促进钙化细胞外囊泡 (EV) 的释放,这些囊泡有助于心血管组织中微钙化的形成。在此,我们发现Lp(a)可增加原代人平滑肌细胞 (SMC) 和瓣膜间质细胞 (VIC) 的钙化,这可能是通过炎症相关机制实现的,而用中和促炎氧化磷脂的E06抗体可抑制该机制。用Lp(a)孵育人SMC和VIC会改变EV的组成,增加CD29/四跨膜蛋白微囊泡的释放,这通过一种定制的单EV微阵列检测得以证明,该检测可在单囊泡水平区分多泡体衍生的外泌体和质膜出芽的微囊泡。Lp(a)刺激导致SMC和VIC EV的释放,这些EV在模拟人动脉粥样硬化动脉和狭窄主动脉瓣细胞外基质中异位微钙化形成的无细胞3D胶原蛋白水凝胶中容易发生钙化。我们的研究从机制上证明Lp(a)通过诱导钙化EV的释放部分介导心血管钙化的形成。此外,我们提供了一种在单囊泡水平评估钙化EV的定制方法,该方法可更广泛地应用于协助定量区分外泌体和微囊泡EV亚群。
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