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Updated: Nov 14, 2025

A Human Ex Vivo Atherosclerotic Plaque Model to Study Lesion Biology
Published on: May 6, 2014
Prosaposin mediates inflammation in atherosclerosis
Mandy M T van Leent1,2, Thijs J Beldman2,3, Yohana C Toner1
1Biomedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Targeting mTOR signaling in macrophages reduces atherosclerosis. Inhibition of prosaposin (Psap) suppresses cellular metabolism and decreases plaque inflammation in mouse models, with relevance to human disease.
Area of Science:
- Immunology
- Metabolic pathways
- Cardiovascular disease research
Background:
- Macrophages are key players in atherosclerosis pathogenesis.
- Cellular metabolism, regulated by mechanistic target of rapamycin (mTOR) signaling, dictates macrophage inflammatory properties.
Purpose of the Study:
- To investigate the role of mTOR signaling and identify novel therapeutic targets in atherosclerosis.
- To explore the link between mTOR signaling and the lysosomal protein prosaposin (Psap).
Main Methods:
- Utilized myeloid cell-specific nanobiologics in apolipoprotein E-deficient (Apoe-/-) mice to target mTOR and S6K1 pathways.
- Analyzed transcriptome modifications to identify genes related to mTOR signaling.
- Conducted in vitro experiments and bone marrow transplantation studies in low-density lipoprotein receptor knockout (Ldlr-/-) mice.
- Examined PSAP expression in human carotid atherosclerotic plaques.
Main Results:
- Targeting mTOR/S6K1 pathways rapidly reduced inflammatory activity of plaque macrophages.
- Identified Psap as a gene closely related to mTOR signaling.
- Psap inhibition suppressed glycolysis and oxidative phosphorylation in vitro.
- Psap deficiency reduced atherosclerosis development and plaque inflammation in Ldlr-/- mice.
- Confirmed a correlation between PSAP expression and inflammation in human atherosclerotic plaques.
Conclusions:
- mTOR signaling is a critical regulator of macrophage metabolism and inflammation in atherosclerosis.
- Prosaposin (Psap) is mechanistically linked to mTOR signaling and macrophage bioenergetics.
- Psap represents a potential therapeutic target for reducing atherosclerosis and plaque inflammation.
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