Yale Cardiovascular Research Center, Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University, New Haven, CT 06511, USA.
Department of Genetics, Yale University, New Haven, CT 06511, USA.
Nat Aging. 2023 Jan;3(1):64-81. doi: 10.1038/s43587-022-00342-5. Epub 2023 Jan 9.
Aging is the predominant risk factor for atherosclerosis, the leading cause of death. Rare smooth muscle cell (SMC) progenitors clonally expand giving rise to up to ~70% of atherosclerotic plaque cells; however, the effect of age on SMC clonality is not known. Our results indicate that aged bone marrow (BM)-derived cells non-cell autonomously induce SMC polyclonality and worsen atherosclerosis. Indeed, in myeloid cells from aged mice and humans, TET2 levels are reduced which epigenetically silences integrin β3 resulting in increased tumor necrosis factor [TNF]-α signaling. TNFα signals through TNF receptor 1 on SMCs to promote proliferation and induces recruitment and expansion of multiple SMC progenitors into the atherosclerotic plaque. Notably, integrin β3 overexpression in aged BM preserves dominance of the lineage of a single SMC progenitor and attenuates plaque burden. Our results demonstrate a molecular mechanism of aged macrophage-induced SMC polyclonality and atherogenesis and suggest novel therapeutic strategies.
衰老是动脉粥样硬化的主要危险因素,也是主要的致死原因。罕见的平滑肌细胞 (SMC) 祖细胞克隆扩增,导致多达约 70%的动脉粥样硬化斑块细胞;然而,年龄对 SMC 克隆性的影响尚不清楚。我们的研究结果表明,衰老的骨髓 (BM) 来源细胞非细胞自主诱导 SMC 多克隆性并加重动脉粥样硬化。事实上,在衰老的小鼠和人类的骨髓细胞中,TET2 水平降低,这会导致整合素 β3 的表观遗传沉默,从而增加肿瘤坏死因子 [TNF]-α信号。TNFα 通过 SMC 上的 TNF 受体 1 信号转导促进增殖,并诱导多个 SMC 祖细胞募集和扩张到动脉粥样硬化斑块中。值得注意的是,衰老的 BM 中整合素 β3 的过表达可以维持单个 SMC 祖细胞谱系的主导地位,并减轻斑块负担。我们的研究结果表明了衰老的巨噬细胞诱导 SMC 多克隆性和动脉粥样硬化形成的分子机制,并提出了新的治疗策略。
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