DeWitt Daughtry Family Department of Surgery, Leonard M. Miller School of Medicine, University of Miami, Miami, FL, USA.
Bruce W. Carter Veterans Affairs Medical Center, Miami, FL, USA.
Atherosclerosis. 2024 Oct;397:118582. doi: 10.1016/j.atherosclerosis.2024.118582. Epub 2024 Aug 31.
BACKGROUND AND AIMS: Lysyl oxidase (LOX) catalyzes the crosslinking of collagen and elastin to maintain tensile strength and structural integrity of the vasculature. Excessive LOX activity increases vascular stiffness and the severity of occlusive diseases. Herein, we investigated the mechanisms by which LOX controls atherogenesis and osteogenic differentiation of vascular smooth muscle cells (SMC) in hyperlipidemic mice. METHODS: Gene inactivation of Lox in SMC was achieved in conditional knockout mice after tamoxifen injections. Atherosclerosis burden and vascular calcification were assessed in hyperlipidemic conditional [LoxMyh11-CreERApoE] and sibling control mice [LoxMyh11-CreERApoE]. Mechanistic studies were performed with primary aortic SMC from Lox mutant and wild type mice. RESULTS: Inactivation of Lox in SMCs decreased > 70 % its RNA expression and protein level in the aortic wall and significantly reduced LOX activity without compromising vascular structure and function. Moreover, LOX deficiency protected mice against atherosclerotic burden (13 ± 2 versus 23 ± 1 %, p < 0.01) and plaque calcification (5 ± 0.4 versus 11.8 ± 3 %, p < 0.05) compared to sibling controls. Interestingly, gene inactivation of Lox in SMCs preserved the contractile phenotype of vascular SMC under hyperlipidemic conditions as demonstrated by single-cell RNA sequencing and immunofluorescence. Mechanistically, the absence of LOX in SMC prevented excessive collagen crosslinking and the subsequent activation of the pro-osteogenic FAK/β-catenin signaling axis. CONCLUSIONS: Lox inactivation in SMC protects mice against atherosclerosis and plaque calcification by reducing SMC modulation and FAK/β-catenin signaling.
背景与目的:赖氨酰氧化酶(LOX)可催化胶原蛋白和弹性蛋白的交联,以维持血管的拉伸强度和结构完整性。LOX 活性过度增加会导致血管僵硬和阻塞性疾病的严重程度增加。在此,我们研究了 LOX 通过何种机制控制高脂血症小鼠血管平滑肌细胞(SMC)的动脉粥样硬化形成和成骨分化。
方法:采用他莫昔芬注射的条件性敲除小鼠,实现 SMC 中 Lox 的基因失活。在高脂血症条件性 [LoxMyh11-CreERApoE]和同窝对照小鼠 [LoxMyh11-CreERApoE]中评估动脉粥样硬化负担和血管钙化。采用来自 Lox 突变和野生型小鼠的原代主动脉 SMC 进行机制研究。
结果:SMC 中 Lox 的失活使主动脉壁中的其 RNA 表达和蛋白水平降低了 >70%,并显著降低了 LOX 活性,而不影响血管结构和功能。此外,与同窝对照相比,LOX 缺乏可保护小鼠免受动脉粥样硬化负担(13 ± 2%对 23 ± 1%,p < 0.01)和斑块钙化(5 ± 0.4%对 11.8 ± 3%,p < 0.05)。有趣的是,SMC 中 Lox 的基因失活在高脂血症条件下保持了血管 SMC 的收缩表型,这一点通过单细胞 RNA 测序和免疫荧光证实。在机制上,SMC 中 LOX 的缺失可防止胶原过度交联和随后的促成骨 FAK/β-catenin 信号通路的激活。
结论:SMC 中 Lox 的失活可通过减少 SMC 调节和 FAK/β-catenin 信号通路来保护小鼠免受动脉粥样硬化和斑块钙化。
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