AIM2 Inflammasome Activation Contributes to Aortic Dissection in a Sporadic Aortic Disease Mouse Model

Waleed Ageedi1, Chen Zhang1, William Case Frankel1

  • 1Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.

Abstract

Insights

The absent in melanoma 2 (AIM2) inflammasome promotes pyroptosis, contributing to aortic dissection. AIM2-deficient mice showed reduced aortic dissection, highlighting AIM2

Area of Science:

  • Immunology
  • Cardiovascular Biology
  • Cellular Biology

Background:

  • The absent in melanoma 2 (AIM2) inflammasome is known to induce pyroptosis, inflammation, and extracellular matrix destruction.
  • Aortic aneurysm and dissection (AAD) involve complex inflammatory processes and tissue degradation.
  • The specific role of the AIM2 inflammasome in AAD pathogenesis remained unclear.

Purpose of the Study:

  • To investigate the hypothesis that the AIM2 inflammasome contributes to the development of aortic aneurysm and dissection (AAD).
  • To determine if AIM2 promotes pyroptosis in smooth muscle cells (SMCs) within the context of AAD.
  • To evaluate the therapeutic potential of targeting the AIM2 inflammasome pathway.

Main Methods:

  • Examined AIM2 expression in human aortic tissues from patients with ascending thoracic aortic aneurysm (ATAA) and aortic dissection (ATAD) and controls.
  • Evaluated the role of AIM2 in a mouse model of sporadic AAD using AIM2-deficient mice fed a high-fat diet and infused with angiotensin II.
  • Investigated the direct effects of double-stranded DNA (dsDNA) on SMC death and pyroptosis markers in vitro.

Main Results:

  • AIM2 expression and markers of pyroptosis (cleaved caspase-1, cleaved gasdermin-D) were significantly increased in human ATAD tissues.
  • AIM2-deficient mice exhibited a significant reduction in aortic dissection, but not aneurysm formation, compared to wild-type mice in the AAD model.
  • In vitro, dsDNA induced AIM2 expression and pyroptosis in human aortic SMCs, effects attenuated by AIM2 and caspase-1 gene silencing.

Conclusions:

  • Activation of the AIM2 inflammasome cascade is implicated in aortic degeneration and dissection.
  • Pyroptosis, driven by the AIM2 inflammasome, plays a partial role in the pathogenesis of AAD.
  • Targeting the AIM2 inflammasome may offer a novel therapeutic strategy for preventing aortic dissection.

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