Department of Life Science, College of Natural Sciences, Hanyang Institute of Bioscience and Biotechnology, Research Institute for Natural Sciences, Hanyang University, Seoul, 04763, Republic of Korea.
Department of Microbiology, College of Medicine, The Catholic University of Korea, Seoul, 06591, Republic of Korea.
Nat Commun. 2022 Sep 17;13(1):5461. doi: 10.1038/s41467-022-33202-2.
Valvular inflammation triggered by hyperlipidemia has been considered as an important initial process of aortic valve disease; however, cellular and molecular evidence remains unclear. Here, we assess the relationship between plasma lipids and valvular inflammation, and identify association of low-density lipoprotein with increased valvular lipid and macrophage accumulation. Single-cell RNA sequencing analysis reveals the cellular heterogeneity of leukocytes, valvular interstitial cells, and valvular endothelial cells, and their phenotypic changes during hyperlipidemia leading to recruitment of monocyte-derived MHC-II macrophages. Interestingly, we find activated PPARγ pathway in Cd36 valvular endothelial cells increased in hyperlipidemic mice, and the conservation of PPARγ activation in non-calcified human aortic valves. While the PPARγ inhibition promotes inflammation, PPARγ activation using pioglitazone reduces valvular inflammation in hyperlipidemic mice. These results show that low-density lipoprotein is the main lipoprotein accumulated in the aortic valve during hyperlipidemia, leading to early-stage aortic valve disease, and PPARγ activation protects the aortic valve against inflammation.
由高血脂引发的瓣膜炎症被认为是主动脉瓣疾病的一个重要初始过程;然而,细胞和分子证据仍不清楚。在这里,我们评估了血浆脂质与瓣膜炎症之间的关系,并发现了低密度脂蛋白与增加的瓣膜脂质和巨噬细胞积累之间的关联。单细胞 RNA 测序分析揭示了白细胞、瓣膜间质细胞和瓣膜内皮细胞的细胞异质性,以及它们在导致单核细胞衍生的 MHC-II 巨噬细胞募集的高脂血症期间的表型变化。有趣的是,我们发现在高脂血症小鼠中,Cd36 瓣膜内皮细胞中的激活的 PPARγ 途径增加,并且非钙化的人主动脉瓣中存在 PPARγ 激活的保守性。虽然 PPARγ 抑制会促进炎症,但使用吡格列酮激活 PPARγ 会减少高脂血症小鼠的瓣膜炎症。这些结果表明,低密度脂蛋白是高脂血症期间在主动脉瓣中积累的主要脂蛋白,导致早期主动脉瓣疾病,而 PPARγ 激活可保护主动脉瓣免受炎症。
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