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Published on: February 15, 2022
Cross-Talk Between PCSK9 and Damaged mtDNA in Vascular Smooth Muscle Cells: Role in Apoptosis
Zufeng Ding1,2, Shijie Liu1, Xianwei Wang1
11 Central Arkansas Veterans Healthcare System, The University of Arkansas for Medical Sciences , Little Rock, Arkansas.
Aims:
The present study was designed to investigate a possible interaction between vascular smooth muscle cell (SMC)-derived proprotein convertase subtilisin/kexin type 9 (PCSK9) and mitochondrial DNA (mtDNA) damage.
Results:
Treatment of cultured SMCs with the proinflammatory stimulus lipopolysaccharide (LPS) stimulated PCSK9 release and induced mtDNA damage. PCSK9 inhibition by its siRNA reduced, and its enhancement increased, mtDNA damage. Induction of mitochondria-derived reactive oxygen species (mtROS) (by rotenone, thenoyltrifluoroacetone, or antimycin A) enhanced mtDNA damage as well as PCSK9 release, suggesting a role of mtROS in PCSK9-mtDNA damage interplay. Induction of mtDNA damage (with the autophagy inhibitor, 3-methyladenine, or DNase II inhibition) enhanced PCSK9 expression, and inhibition of mtDNA damage (with the autophagy inducer, rapamycin) reduced PCSK9 expression, indicating bidirectional interplay between PCSK9 and mtDNA damage. Other studies showed that p38 MAPK is involved in PCSK9-induced mtDNA damage, and mammalian target of rapamycin activation plays a role in mtDNA damage-induced PCSK9 release. Functional impact of PCSK9-mtDNA damage cross-talk was evident in the form of SMC apoptosis, which was enhanced in cells treated with recombinant human PCSK9, but inhibited in cells treated with PCSK9 siRNA. Last, LPS administration in wild-type mice resulted in simultaneous PCSK9 release and mtDNA damage, but mtDNA damage was minimal in PCSK9-null mice given LPS.
Innovation:
Vascular SMC-derived PCSK9 induces mtDNA damage, and damaged mtDNA fragments stimulate PCSK9 release mediated, at least in part, by mtROS.
Conclusions:
These observations suggest positive feedback interplay between SMC-derived PCSK9 and mtDNA damage in the proinflammatory milieu involving mtROS. This interaction results in cellular injury, characterized by apoptosis-a hallmark of atherosclerosis. Antioxid. Redox Signal. 25, 997-1008.
Insights
Vascular smooth muscle cell (SMC)-derived proprotein convertase subtilisin/kexin type 9 (PCSK9) induces mitochondrial DNA (mtDNA) damage. This damage, in turn, stimulates further PCSK9 release, creating a cycle that promotes cellular injury and atherosclerosis.
Area of Science:
- Cardiovascular Biology
- Mitochondrial Medicine
- Molecular Cardiology
Background:
- Vascular smooth muscle cells (SMCs) play a critical role in vascular health.
- Proprotein convertase subtilisin/kexin type 9 (PCSK9) is primarily known for its role in cholesterol metabolism.
- Mitochondrial DNA (mtDNA) damage is implicated in various cellular pathologies.
Purpose of the Study:
- To investigate the potential interaction between SMC-derived PCSK9 and mtDNA damage.
- To elucidate the mechanisms underlying this interplay and its functional consequences.
Main Methods:
- In vitro studies using cultured SMCs treated with lipopolysaccharide (LPS), PCSK9 siRNA, and various mitochondrial toxins.
- Assessment of mtDNA damage, PCSK9 release, and reactive oxygen species (ROS) production.
- In vivo studies using wild-type and PCSK9-null mice administered LPS.
- Analysis of signaling pathways including p38 MAPK and mammalian target of rapamycin (mTOR).
Main Results:
- Lipopolysaccharide (LPS) stimulated both PCSK9 release and mtDNA damage in SMCs.
- PCSK9 inhibition reduced mtDNA damage, while enhancement increased it.
- Mitochondria-derived ROS (mtROS) were involved in the interplay between PCSK9 and mtDNA damage.
- Bidirectional interplay was observed: mtDNA damage induced PCSK9 expression, and vice versa.
- SMC apoptosis was increased by recombinant PCSK9 and decreased by PCSK9 siRNA.
- LPS induced simultaneous PCSK9 release and mtDNA damage in mice, with reduced damage in PCSK9-null mice.
Conclusions:
- Vascular SMC-derived PCSK9 directly induces mtDNA damage.
- Damaged mtDNA fragments stimulate further PCSK9 release, partly mediated by mtROS.
- A positive feedback loop exists between PCSK9 and mtDNA damage in a proinflammatory setting.
- This interaction contributes to cellular injury and apoptosis, hallmarks of atherosclerosis.
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