Department of Cardiology, Zhongshan Hospital, Shanghai Institute of Cardiovascular Diseases, Fudan University, Shanghai, China.
Inflamm Res. 2024 Sep;73(9):1445-1458. doi: 10.1007/s00011-024-01906-4. Epub 2024 Jun 19.
Macrophage-mediated cleaning up of dead cells is a crucial determinant in reducing coronary artery inflammation and maintaining vascular homeostasis. However, this process also leads to programmed death of macrophages. So far, the role of macrophage death in the progression of atherosclerosis remains controversial. Also, the underlying mechanism by which transcriptional regulation and reprogramming triggered by macrophage death pathways lead to changes in vascular inflammation and remodeling are still largely unknown. TRIM25-mediated RIG-I signaling plays a key role in regulation of macrophages fate, however the role of TRIM25 in macrophage death-mediated atherosclerotic progression remains unclear. This study aims to investigate the relationship between TRIM25 and macrophage death in atherosclerosis.
A total of 34 blood samples of patients with coronary stent implantation, including chronic total occlusion (CTO) leisions (n = 14) or with more than 50% stenosis of a coronary artery but without CTO leisions (n = 20), were collected, and the serum level of TRIM25 was detected by ELISA. Apoe mice with or without TRIM25 gene deletion were fed with the high-fat diet (HFD) for 12 weeks and the plaque areas, necrotic core size, aortic fibrosis and inflammation were investigated. TRIM25 wild-type and deficient macrophages were isolated, cultured and stimulated with ox-LDL, RNA-seq, real-time PCR, western blot and FACS experiments were used to screen and validate signaling pathways caused by TRIM25 deletion.
Downregulation of TRIM25 was observed in circulating blood of CTO patients and also in HFD-induced mouse aortas. After HFD for 12 weeks, TRIM25ApoeE mice developed smaller atherosclerotic plaques, less inflammation, lower collagen content and aortic fibrosis compared with TRIM25ApoeE mice. By RNA-seq and KEGG enrichment analysis, we revealed that deletion of TRIM25 mainly affected pyroptosis and necroptosis pathways in ox-LDL-induced macrophages, and the expressions of PARP1 and RIPK3, were significantly decreased in TRIM25 deficient macrophages. Overexpression of TRIM25 promoted M1 polarization and necroptosis of macrophages, while inhibition of PARP1 reversed this process. Further, we observed that XRCC1, a repairer of DNA damage, was significantly upregulated in TRIM25 deficient macrophages, inhibiting PARP1 activity and PARP1-mediated pro-inflammatory change, M1 polarization and necroptosis of macrophages. By contrast, TRIM25 overexpression mediated ubiquitination of XRCC1, and the inhibition of XRCC1 released PARP1, and activated macrophage M1 polarization and necroptosis, which accelerated aortic inflammation and atherosclerotic plaque progression.
Our study has uncovered a crucial role of the TRIM25-XRCC1-PARP1-RIPK3 axis in regulating macrophage death during atherosclerosis, and we highlight the potential therapeutic significance of macrophage reprogramming regulation in preventing the development of atherosclerosis.
巨噬细胞介导的清除死亡细胞是减少冠状动脉炎症和维持血管内稳态的关键决定因素。然而,这一过程也导致巨噬细胞程序性死亡。到目前为止,巨噬细胞死亡在动脉粥样硬化进展中的作用仍存在争议。此外,由巨噬细胞死亡途径引发的转录调控和重编程导致血管炎症和重塑变化的潜在机制在很大程度上仍然未知。TRIM25 介导的 RIG-I 信号在调节巨噬细胞命运方面发挥着关键作用,然而 TRIM25 在巨噬细胞死亡介导的动脉粥样硬化进展中的作用尚不清楚。本研究旨在探讨 TRIM25 与动脉粥样硬化中巨噬细胞死亡之间的关系。
共收集 34 例接受冠状动脉支架植入术的患者的血液样本,包括慢性完全闭塞(CTO)病变(n=14)或冠状动脉狭窄超过 50%但无 CTO 病变(n=20),通过 ELISA 检测 TRIM25 血清水平。用高脂饮食(HFD)喂养apoE 基因敲除或野生型小鼠 12 周,观察斑块面积、坏死核心大小、主动脉纤维化和炎症情况。分离培养 TRIM25 野生型和缺陷型巨噬细胞,用 ox-LDL 刺激,进行 RNA-seq、实时 PCR、western blot 和 FACS 实验,筛选和验证 TRIM25 缺失引起的信号通路。
CTO 患者的循环血液和 HFD 诱导的小鼠主动脉中均观察到 TRIM25 的下调。在 HFD 喂养 12 周后,与 TRIM25ApoeE 小鼠相比,TRIM25ApoeE 小鼠的动脉粥样硬化斑块较小,炎症、胶原含量和主动脉纤维化程度较低。通过 RNA-seq 和 KEGG 富集分析,我们发现 TRIM25 缺失主要影响 ox-LDL 诱导的巨噬细胞中的焦亡和坏死性凋亡途径,TRIM25 缺陷型巨噬细胞中 PARP1 和 RIPK3 的表达明显降低。TRIM25 的过表达促进了巨噬细胞的 M1 极化和坏死性凋亡,而 PARP1 的抑制则逆转了这一过程。此外,我们观察到,在 TRIM25 缺陷型巨噬细胞中,DNA 损伤修复剂 XRCC1 的表达明显上调,抑制了 PARP1 的活性和 PARP1 介导的促炎变化、M1 极化和坏死性凋亡。相比之下,TRIM25 的过表达介导了 XRCC1 的泛素化,抑制了 XRCC1 的释放,激活了巨噬细胞的 M1 极化和坏死性凋亡,从而加速了主动脉炎症和动脉粥样硬化斑块的进展。
本研究揭示了 TRIM25-XRCC1-PARP1-RIPK3 轴在动脉粥样硬化中调节巨噬细胞死亡的关键作用,并强调了通过调节巨噬细胞重编程来预防动脉粥样硬化发展的潜在治疗意义。