1. Early intermittent hyperlipidaemia alters tissue macrophages to fuel atherosclerosis.
- Author
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Takaoka M, Zhao X, Lim HY, Magnussen CG, Ang O, Suffee N, Schrank PR, Ong WS, Tsiantoulas D, Sommer F, Mohanta SK, Harrison J, Meng Y, Laurans L, Wu F, Lu Y, Masters L, Newland SA, Denti L, Hong M, Chajadine M, Juonala M, Koskinen JS, Kähönen M, Pahkala K, Rovio SP, Mykkänen J, Thomson R, Kaisho T, Habenicht AJR, Clement M, Tedgui A, Ait-Oufella H, Zhao TX, Nus M, Ruhrberg C, Taleb S, Williams JW, Raitakari OT, Angeli V, and Mallat Z
- Subjects
- Adolescent, Adult, Animals, Child, Child, Preschool, Female, Humans, Male, Mice, Middle Aged, Young Adult, Cholesterol, LDL blood, Cholesterol, LDL metabolism, Finland epidemiology, Genome-Wide Association Study, Incidence, Mice, Inbred C57BL, Phenotype, Plaque, Atherosclerotic epidemiology, Plaque, Atherosclerotic etiology, Plaque, Atherosclerotic genetics, Plaque, Atherosclerotic metabolism, Plaque, Atherosclerotic pathology, Time Factors, Atherosclerosis epidemiology, Atherosclerosis etiology, Atherosclerosis genetics, Atherosclerosis metabolism, Atherosclerosis pathology, Diet, Western adverse effects, Diet, Western statistics & numerical data, Hyperlipidemias complications, Hyperlipidemias epidemiology, Hyperlipidemias genetics, Hyperlipidemias metabolism, Hyperlipidemias pathology, Macrophages metabolism, Macrophages pathology
- Abstract
Hyperlipidaemia is a major risk factor of atherosclerotic cardiovascular disease (ASCVD). Risk of cardiovascular events depends on cumulative lifetime exposure to low-density lipoprotein cholesterol (LDL-C) and, independently, on the time course of exposure to LDL-C, with early exposure being associated with a higher risk
1 . Furthermore, LDL-C fluctuations are associated with ASCVD outcomes2-4 . However, the precise mechanisms behind this increased ASCVD risk are not understood. Here we find that early intermittent feeding of mice on a high-cholesterol Western-type diet (WD) accelerates atherosclerosis compared with late continuous exposure to the WD, despite similar cumulative circulating LDL-C levels. We find that early intermittent hyperlipidaemia alters the number and homeostatic phenotype of resident-like arterial macrophages. Macrophage genes with altered expression are enriched for genes linked to human ASCVD in genome-wide association studies. We show that LYVE1+ resident macrophages are atheroprotective, and identify biological pathways related to actin filament organization, of which alteration accelerates atherosclerosis. Using the Young Finns Study, we show that exposure to cholesterol early in life is significantly associated with the incidence and size of carotid atherosclerotic plaques in mid-adulthood. In summary, our results identify early intermittent exposure to cholesterol as a strong determinant of accelerated atherosclerosis, highlighting the importance of optimal control of hyperlipidaemia early in life, and providing insights into the underlying biological mechanisms. This knowledge will be essential to designing effective therapeutic strategies to combat ASCVD., (© 2024. The Author(s).)- Published
- 2024
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