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Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Dominant negative PPARγ promotes atherosclerosis, vascular dysfunction, and hypertension through distinct effects in
Christopher J Pelham1, Henry L Keen, Steven R Lentz
1Departments of Molecular Physiology and Biophysics, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA.
Abstract:
Agonists of the nuclear hormone receptor peroxisome proliferator-activated receptor γ (PPARγ) have potent insulin-sensitizing effects and inhibit atherosclerosis progression in patients with Type II diabetes. Conversely, missense mutations in the ligand-binding domain of PPARγ that render the transcription factor dominant negative (DN) cause early-onset hypertension and Type II diabetes. We tested the hypothesis that DN PPARγ-mediated interference of endogenous wild-type PPARγ in the endothelium and vascular smooth muscle exacerbates atherosclerosis in apolipoprotein E-deficient (ApoE(-/-)) mice. Endothelium-specific expression of DN PPARγ on the ApoE(-/-) background unmasked significant impairment of endothelium-dependent relaxation in aortic rings, increased systolic blood pressure, altered expression of atherogenic markers (e.g., Cd36, Mcp1, Catalase), and enhanced diet-induced atherosclerotic lesion formation in aorta. Smooth muscle-specific expression of DN PPARγ, which induces aortic dysfunction and increased systolic blood pressure at baseline, also resulted in enhanced diet-induced atherosclerotic lesion formation in aorta on the ApoE(-/-) background that was associated with altered expression of a shared, yet distinct, set of atherogenic markers (e.g., Cd36, Mcp1, Osteopontin, Vcam1). In particular, induction of Osteopontin expression by smooth muscle-specific DN PPARγ correlated with increased plaque calcification. These data demonstrate that inhibition of PPARγ function specifically in the vascular endothelium or smooth muscle may contribute to cardiovascular disease.
Insights
Dominant-negative PPARγ in blood vessels worsens atherosclerosis and hypertension in mice. This suggests blocking PPARγ in the endothelium or smooth muscle may drive cardiovascular disease.
Area of Science:
- Cardiovascular Biology
- Endocrinology
- Molecular Biology
Background:
- Nuclear hormone receptor agonists, peroxisome proliferator-activated receptor γ (PPARγ), improve insulin sensitivity and slow atherosclerosis in Type II diabetes.
- Dominant-negative (DN) PPARγ mutations cause hypertension and Type II diabetes, suggesting a critical role for functional PPARγ in vascular health.
Purpose of the Study:
- To investigate if DN PPARγ in vascular endothelium and smooth muscle exacerbates atherosclerosis in apolipoprotein E-deficient (ApoE(-/-)) mice.
- To determine the impact of DN PPARγ on vascular function, blood pressure, and atherogenic marker expression.
Main Methods:
- Generated ApoE(-/-) mice with endothelium-specific or smooth muscle-specific expression of DN PPARγ.
- Assessed vascular function via aortic ring relaxation assays.
- Measured systolic blood pressure.
- Analyzed the expression of atherogenic markers (e.g., Cd36, Mcp1, Osteopontin, Vcam1, Catalase) and atherosclerotic lesion formation in the aorta.
Main Results:
- Endothelium-specific DN PPARγ impaired endothelium-dependent relaxation, increased systolic blood pressure, altered atherogenic marker expression, and enhanced diet-induced atherosclerosis.
- Smooth muscle-specific DN PPARγ also increased systolic blood pressure and aortic dysfunction, leading to enhanced atherosclerosis.
- Smooth muscle-specific DN PPARγ altered distinct atherogenic markers, including Osteopontin, correlating with increased plaque calcification.
Conclusions:
- Inhibition of PPARγ function in the vascular endothelium or smooth muscle exacerbates atherosclerosis.
- DN PPARγ-mediated interference with wild-type PPARγ in these vascular cells contributes to cardiovascular disease development.
- Targeting PPARγ in specific vascular cells may offer therapeutic strategies for atherosclerosis and related cardiovascular complications.
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