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Updated: Dec 26, 2025

A Human Ex Vivo Atherosclerotic Plaque Model to Study Lesion Biology
Published on: May 6, 2014
Nucleotide-binding oligomerization domain protein 2 deficiency enhances CHOP expression and plaque necrosis in
Min-Young Kwon1,2, Narae Hwang1, Sung Hoon Back1
1Laboratory of Molecular Immunology, Department of Biological Sciences, University of Ulsan, South Korea.
Abstract:
Endoplasmic reticulum (ER) stress-induced cell death of vascular smooth muscle cells (VSMCs) is extensively involved in atherosclerotic plaque stabilization. We previously reported that nucleotide-binding oligomerization domain protein 2 (NOD2) participated in vascular homeostasis and tissue injury. However, the role and underlying mechanisms of NOD2 remain unknown in ER stress-induced cell death of VSMC during vascular diseases, including advanced atherosclerosis. Here, we report that NOD2 specifically interacted with ER stress sensor activating transcription factor 6 (ATF6) and suppressed the expression of proapoptotic transcription factor CHOP (C/EBP homologous protein) during ER stress. CHOP-positive cells were increased in neointimal lesions after femoral artery injury in NOD2-deficient mice. In particular, a NOD2 ligand, MDP, and overexpression of NOD2 decreased CHOP expression in wild-type VSMCs. NOD2 interacted with an ER stress sensor molecule, ATF6, and acted as a negative regulator for ATF6 activation and its downstream target molecule, CHOP, that regulates ER stress-induced apoptosis. Moreover, NOD2 deficiency promoted disruption of advanced atherosclerotic lesions and CHOP expression in NOD2-/- ApoE-/- mice. Our findings indicate an unsuspected critical role for NOD2 in ER stress-induced cell death.
Insights
Nucleotide-binding oligomerization domain protein 2 (NOD2) protects against endoplasmic reticulum (ER) stress-induced cell death in vascular smooth muscle cells (VSMCs). NOD2 deficiency exacerbates atherosclerotic plaque instability and CHOP expression.
Area of Science:
- Cardiovascular Biology
- Molecular Cell Biology
- Immunology
Background:
- Endoplasmic reticulum (ER) stress contributes to vascular smooth muscle cell (VSMC) death and atherosclerotic plaque stabilization.
- Nucleotide-binding oligomerization domain protein 2 (NOD2) is implicated in vascular homeostasis and injury, but its role in ER stress-induced VSMC death is unclear.
Purpose of the Study:
- To investigate the role and mechanisms of NOD2 in ER stress-induced VSMC death during vascular diseases, particularly advanced atherosclerosis.
Main Methods:
- Investigated NOD2 interaction with ER stress sensor ATF6.
- Assessed CHOP expression in NOD2-deficient mice after femoral artery injury.
- Evaluated the effect of NOD2 ligand MDP and NOD2 overexpression on CHOP expression in VSMCs.
- Examined atherosclerotic lesions in NOD2-/- ApoE-/- mice.
Main Results:
- NOD2 directly interacted with ATF6, suppressing the expression of the proapoptotic factor CHOP during ER stress.
- NOD2 deficiency led to increased CHOP-positive cells in neointimal lesions and promoted atherosclerotic lesion disruption.
- NOD2 ligand MDP and NOD2 overexpression reduced CHOP expression in wild-type VSMCs.
Conclusions:
- NOD2 acts as a negative regulator of ER stress-induced apoptosis in VSMCs by inhibiting ATF6 activation and CHOP expression.
- NOD2 plays a critical role in stabilizing atherosclerotic plaques by mitigating ER stress-induced VSMC death.
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