1. Enhancement of high-density lipoprotein-associated protease inhibitor activity prevents atherosclerosis progression.
- Author
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Mobilia M, Karakashian A, Neupane KR, Hage O, Whitus C, Carter A, Voy C, Johnson LA, Graf GA, and Gordon SM
- Subjects
- Animals, Humans, Mice, Inbred C57BL, Mice, Mice, Knockout, ApoE, Plaque, Atherosclerotic, Male, Pancreatic Elastase metabolism, Aorta pathology, Aorta drug effects, Aorta enzymology, Aorta metabolism, Aortic Diseases prevention & control, Aortic Diseases pathology, Aortic Diseases enzymology, Aortic Diseases metabolism, Protease Inhibitors pharmacology, alpha 1-Antitrypsin pharmacology, alpha 1-Antitrypsin metabolism, Atherosclerosis pathology, Atherosclerosis prevention & control, Atherosclerosis enzymology, Atherosclerosis metabolism, Atherosclerosis drug therapy, Lipoproteins, HDL metabolism, Disease Progression, Disease Models, Animal
- Abstract
Background and Aims: Inflammatory cells within atherosclerotic lesions secrete proteolytic enzymes that contribute to lesion progression and destabilization, increasing the risk for an acute cardiovascular event. Elastase is a serine protease, secreted by macrophages and neutrophils, that may contribute to the development of unstable plaque. We previously reported interaction of endogenous protease-inhibitor proteins with high-density lipoprotein (HDL), including alpha-1-antitrypsin, an inhibitor of elastase. These findings support a potential role for HDL as a modulator of protease activity. In this study, we test the hypothesis that enhancement of HDL-associated elastase inhibitor activity is protective against atherosclerotic lesion progression., Methods: We designed an HDL-targeting protease inhibitor (HTPI) that binds to HDL and confers elastase inhibitor activity. Lipoprotein binding and the impact of HTPI on atherosclerosis were examined using mouse models. Histology and immunofluorescence staining of aortic root sections were used to examine the impact of HTPI on lesion morphology and inflammatory features., Results: HTPI is a small (1.6 kDa) peptide with an elastase inhibitor domain, a soluble linker, and an HDL-targeting domain. When incubated with human plasma ex vivo, HTPI predominantly binds to HDL. Intravenous administration of HTPI to mice resulted in its binding to plasma HDL and increased elastase inhibitor activity on isolated HDL. Accumulation of HTPI within plaque was observed after administration to Apoe
-/- mice. To examine the effect of HTPI treatment on atherosclerosis, prevention and progression studies were performed using Ldlr-/- mice fed Western diet. In both study designs, HTPI-treated mice had reduced lipid deposition in plaque., Conclusions: These data support the hypothesis that HDL-associated anti-elastase activity can improve the atheroprotective potential of HDL and highlight the potential utility of HDL enrichment with anti-protease activity as an approach for stabilization of atherosclerotic lesions., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)- Published
- 2024
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