循环 CD63+ 细胞外囊泡水平降低与高胆固醇血症小鼠和人类的动脉粥样硬化有关。

IF 8.5 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Brachyahu M Kestecher, Krisztina Németh, Sayam Ghosal, Nabil V Sayour, Tamás G Gergely, Bernadett R Bodnár, András I Försönits, Barbara W Sódar, Johannes Oesterreicher, Wolfgang Holnthoner, Zoltán V Varga, Zoltán Giricz, Péter Ferdinandy, Edit I Buzás, Xabier Osteikoetxea
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引用次数: 0

摘要

目的:血浆中存在低密度脂蛋白(LDL)和细胞外囊泡(EVs)的关联和共分离。在此,我们探讨了这种关系,以更好地了解 EVs 在动脉粥样硬化中的作用:本研究使用了野生型(WT)、PCSK9-/- 和 LDLR-/- C57BL/6 小鼠。11周大的雄性小鼠以高脂肪饮食(HFD)喂养12周,或以正常饮食喂养至老龄(22个月)。用超声波评估心脏功能,用比色试剂盒定量检测胆固醇,用流式细胞术测量循环EV。对主动脉弓的斑块进行死后油-红-O染色分析。从正常和高胆固醇血症临床患者的血小板游离血浆样本中测量 EVs。根据附件素 V 和 CD63 染色,我们发现 LDLR-/- 和 PCSK9-/- 小鼠在高脂血症后 EV 含量显著增加,但 CD81 在两组中均无显著变化。高频分解后,斑块的形成没有明显变化。PCSK9-/- 小鼠在高频分解后显示出良好的心脏功能。在高频分解过程中,血液胆固醇水平逐渐升高,与 WT 动物相比,LDLR-/- 小鼠的血液胆固醇水平较高,而 PCSK9-/- 小鼠的血液胆固醇水平则明显降低。老年小鼠的胆固醇水平与年轻小鼠相似。在老年期,LDLR-/-小鼠的斑块明显增加。在老年期,各组小鼠的射血分数均下降,CD63+ EVs 也下降。与小鼠类似,高胆固醇血症患者的 CD63+ EVs 也明显减少:这项研究表明,循环中的 EVs 与胆固醇之间存在反比关系,这使得 EVs 成为心血管疾病(CVD)的潜在标志物。高密度脂蛋白胆固醇血症会导致心脏功能减退,但动脉粥样硬化的发展在高胆固醇血症模型中进展缓慢,而且只有在老年动物身上才能观察到。这些结果还进一步证明了使用 PCSK9 抑制剂作为心血管疾病治疗药物的益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reduced circulating CD63+ extracellular vesicle levels associate with atherosclerosis in hypercholesterolaemic mice and humans.

Aims: The association and co-isolation of low-density lipoproteins (LDL) and extracellular vesicles (EVs) have been shown in blood plasma. Here we explore this relationship to better understand the role of EVs in atherogenesis.

Methods and results: Wild type (WT), PCSK9-/-, and LDLR-/- C57BL/6 mice were used in this study. Eleven week-old male mice were fed high-fat diet (HFD) for 12 weeks or kept on normal diet until old age (22-months). Cardiac function was assessed by ultrasound, cholesterol was quantified with a colorimetric kit and circulating EVs were measured using flow cytometry. Plaques were analysed post-mortem using Oil-Red-O staining of the aortic arch. EVs were measured from platelet free blood plasma samples of normal and hypercholesterolaemic clinical patients. Based on annexin V and CD63 staining, we found a significant increase in EV levels in LDLR-/- and PCSK9-/- mice after HFD, but CD81 showed no significant change in either group. There was no significant change in plaque formation after HFD. PCSK9-/- mice show a favourable cardiac function after HFD. Blood cholesterol levels progressively increased during HFD, with LDLR-/- mice showing high levels while PCSK9-/- were significantly lowered compared to WT animals. In mice at old age, similar cholesterol levels were observed as in young mice. In old age, LDLR-/- mice showed significantly increased plaques. At old age, ejection fraction was decreased in all groups of mice, as were CD63+ EVs. Similarly to mice, in patients with hypercholesterolaemia, CD63+ EVs were significantly depleted.

Conclusions: This research demonstrates an inverse relationship between circulating EVs and cholesterol, making EVs a potential marker for cardiovascular disease (CVD). HFD causes reduced cardiac function, but atherosclerotic development is slowly progressing in hypercholesterolaemic models and only observed with old animals. These results also bring further evidence for the benefit of using of PCSK9 inhibitors as therapeutic agents in CVD.

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来源期刊
Cardiovascular Diabetology
Cardiovascular Diabetology 医学-内分泌学与代谢
CiteScore
12.30
自引率
15.10%
发文量
240
审稿时长
1 months
期刊介绍: Cardiovascular Diabetology is a journal that welcomes manuscripts exploring various aspects of the relationship between diabetes, cardiovascular health, and the metabolic syndrome. We invite submissions related to clinical studies, genetic investigations, experimental research, pharmacological studies, epidemiological analyses, and molecular biology research in this field.
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