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Deficiency of TDAG51 protects against atherosclerosis by modulating apoptosis, cholesterol efflux, and
Gazi S Hossain1, Edward G Lynn, Kenneth N Maclean
1Division of Nephrology, Department of Medicine, McMaster University and St. Joseph's Healthcare Hamilton, Ontario, Canada.
Insights
T-cell death-associated gene 51 (TDAG51) deficiency reduces atherosclerosis by enhancing cellular protection and reverse cholesterol transport. This suggests TDAG51 modulation may offer therapeutic benefits for cardiovascular disease (CVD).
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Cellular Stress Response
Background:
- Endoplasmic reticulum (ER) stress-induced apoptosis contributes to atherothrombosis, a key factor in cardiovascular disease (CVD).
- T-cell death-associated gene 51 (TDAG51) is upregulated by ER stress and promotes apoptosis, and is found in atherosclerotic lesions.
Purpose of the Study:
- To investigate the role of TDAG51 in the development of atherosclerosis.
- To explore the cellular mechanisms by which TDAG51 influences atherogenesis.
Main Methods:
- Generated and analyzed TDAG51-deficient and apolipoprotein E-deficient (TDAG51(-/-)/ApoE(-/-)) mice to assess atherosclerotic lesion progression.
- Examined phenotypic changes in macrophages and endothelial cells from TDAG51-deficient mice.
- Conducted case-control studies to evaluate the association of a TDAG51 gene variant with CVD.
Main Results:
- TDAG51 deficiency significantly reduced atherosclerotic lesion growth and necrosis in mice without altering plasma lipid or glucose levels.
- TDAG51 deficiency enhanced macrophage and endothelial cell cytoprotection against ER and oxidative stress.
- TDAG51 deficiency upregulated peroxiredoxin-1 (Prdx-1) and enhanced PPARγ-dependent reverse cholesterol transport.
- A genetic variant in the human TDAG51 gene region (rs2367446) was associated with an increased risk of CVD.
Conclusions:
- TDAG51 plays a significant role in atherogenesis by influencing cellular stress responses and lipid metabolism.
- Modulating TDAG51 expression or activity presents a potential therapeutic strategy for treating cardiovascular disease.
Background:
Apoptosis caused by endoplasmic reticulum (ER) stress contributes to atherothrombosis, the underlying cause of cardiovascular disease (CVD). T-cell death-associated gene 51 (TDAG51), a member of the pleckstrin homology-like domain gene family, is induced by ER stress, causes apoptosis when overexpressed, and is present in lesion-resident macrophages and endothelial cells.
Methods And Results:
To study the role of TDAG51 in atherosclerosis, male mice deficient in TDAG51 and apolipoprotein E (TDAG51(-/-)/ApoE(-/-)) were generated and showed reduced atherosclerotic lesion growth (56 ± 5% reduction at 40 weeks, relative to ApoE(-/-) controls, P<0.005) and necrosis (41 ± 4% versus 63 ± 8% lesion area in TDAG51(-/-)/ApoE(-/-) and ApoE(-/-), respectively; P<0.05) without changes in plasma levels of lipids, glucose, and inflammatory cytokines. TDAG51 deficiency caused several phenotypic changes in macrophages and endothelial cells that increase cytoprotection against oxidative and ER stress, enhance PPARγ-dependent reverse cholesterol transport, and upregulate peroxiredoxin-1 (Prdx-1), an antioxidant enzyme with antiatherogenic properties (1.8 ± 0.1-fold increase in Prdx-1 protein expression, relative to control macrophages; P<0.005). Two independent case-control studies found that a genetic variant in the human TDAG51 gene region (rs2367446) is associated with CVD (OR, 1.15; 95% CI, 1.07 to 1.24; P=0.0003).
Conclusions:
These findings provide evidence that TDAG51 affects specific cellular pathways known to reduce atherogenesis, suggesting that modulation of TDAG51 expression or its activity may have therapeutic benefit for the treatment of CVD.
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