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.

Abstract

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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