Targeted Knockdown of Hepatic SOAT2 With Antisense Oligonucleotides Stabilizes Atherosclerotic Plaque in ApoB100-only

John T Melchior1, John D Olson1, Kathryn L Kelley1

  • 1From the Department of Pathology, Section on Lipid Sciences (J.T.M., K.L.K., M.D.W., J.K.S., L.L.R.), and Department of Radiology, Center for Biomolecular Imaging (J.D.O., K.M.L.), Wake Forest University Health Sciences, Winston-Salem, NC.

Abstract

Insights

Targeting sterol-O-acyltransferase 2 (SOAT2) by reducing its activity in the liver can halt the growth of atherosclerotic lesions. This approach stabilizes existing plaques, offering a potential treatment for atherosclerosis.

Area of Science:

  • Cardiovascular Science
  • Molecular Biology
  • Pharmacology

Background:

  • Atherosclerosis is characterized by the buildup of plaques in arteries.
  • Cholesterol esterification, mediated by sterol-O-acyltransferase 2 (SOAT2), is crucial for packaging lipids into apoB-containing lipoproteins.
  • Inhibition of this process may impact atherosclerotic lesion progression.

Purpose of the Study:

  • To investigate whether inhibiting cholesterol oleate packaging into lipoproteins can arrest the progression of pre-existing atherosclerotic lesions.
  • To evaluate the therapeutic potential of targeting hepatic SOAT2 in atherosclerosis.

Main Methods:

  • Atherosclerosis was induced in LDL receptor-deficient mice (apoB-100 only, LDLr(-/-)) using a high cis-monounsaturated fatty acid diet.
  • Mice received treatments including diets enriched in n-3 polyunsaturated fatty acids or antisense oligonucleotides targeting hepatic SOAT2.
  • Lesion progression was monitored using in vivo MRI and ex vivo histological and immunochemical analyses.

Main Results:

  • Hepatic knockdown of SOAT2 using antisense oligonucleotides effectively arrested the growth of atherosclerotic lesions.
  • SOAT2 inhibition led to the stabilization of existing aortic atherosclerotic lesions.
  • Mice treated with SOAT2 antisense oligonucleotides showed a stable plaque phenotype.

Conclusions:

  • Hepatic SOAT2 knockdown promotes the remodeling of aortic atherosclerotic lesions towards a stable phenotype.
  • SOAT2 represents a promising molecular target for the development of novel atherosclerosis therapies.
  • Inhibition of SOAT2 offers a potential strategy to manage and stabilize atherosclerotic disease.