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Published on: December 10, 2021
Absence of heme oxygenase-1 exacerbates atherosclerotic lesion formation and vascular remodeling
Shaw-Fang Yet1, Matthew D Layne, Xiaoli Liu
1Pulmonary and Critical Care Division, Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA. syet@rics.bwh.harvard.edu.
Insights
Heme oxygenase-1 (HO-1) deficiency accelerates atherosclerosis and vein graft stenosis in mice. Loss of HO-1 increases vascular smooth muscle cell death, highlighting its protective role in vascular disease.
Area of Science:
- Cardiovascular Biology
- Vascular Pathophysiology
- Enzymology
Background:
- Heme oxygenase-1 (HO-1) is an enzyme involved in cellular protection.
- Vascular diseases like atherosclerosis and vein graft stenosis pose significant health challenges.
- The specific role of HO-1 in these vascular pathologies requires further elucidation.
Purpose of the Study:
- To investigate the role of heme oxygenase-1 (HO-1) in the pathophysiology of atherosclerosis.
- To determine the impact of HO-1 deficiency on vein graft stenosis.
- To assess the protective mechanisms of HO-1 in vascular disease models.
Main Methods:
- Generation of HO-1 deficient apolipoprotein E knockout mice (HO-1-/-apoE-/-).
- Analysis of atherosclerotic lesion formation and composition in hypercholesterolemic mice.
- Evaluation of neointimal formation and vascular smooth muscle cell (VSMC) death in a mouse vein graft stenosis model.
Main Results:
- HO-1 deficient mice exhibited accelerated and more advanced atherosclerotic lesion formation compared to controls.
- Vein grafts in HO-1 deficient mice showed increased neointima formation, followed by substantial VSMC death.
- HO-1 deficient VSMC were more susceptible to oxidant stress-induced cell death.
Conclusions:
- Heme oxygenase-1 (HO-1) plays a critical protective role in preventing atherosclerosis.
- HO-1 deficiency exacerbates vein graft stenosis, primarily through increased VSMC death.
- HO-1 is essential for vascular health and protection against oxidative stress in vascular diseases.
Abstract:
To examine the role of heme oxygenase (HO)-1 in the pathophysiology of vascular diseases, we generated mice deficient in both HO-1 and apolipoprotein E (HO-1-/-apoE-/-). Despite similar total plasma cholesterol levels in response to hypercholesterolemia, HO-1-/-apoE-/- mice, in comparison with HO-1+/+apoE-/- mice, had an accelerated and more advanced atherosclerotic lesion formation. In addition to greater lipid accumulation, these advanced lesions from HO-1-/-apoE-/- mice contained macrophages and smooth muscle alpha-actin-positive cells. We further tested the role of HO-1 on neointimal formation in a mouse model of vein graft stenosis. Autologous vein grafts in HO-1-/- mice showed robust neointima consisting of alpha-actin-positive vascular smooth muscle cells (VSMC) 10 days after surgery in comparison to the smaller neointima formed in autologous vein grafts in HO-1+/+ mice. However, at 14 days after surgery, the neointima from composite vessels of HO-1-/- mice was composed mainly of acellular material, indicative of substantial VSMC death. VSMC isolated from HO-1-/- mice were susceptible to oxidant stress, leading to cell death. Our data demonstrate that HO-1 plays an essential protective role in the pathophysiology of atherosclerosis and vein graft stenosis.
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