Intercepting IRE1 kinase-FMRP signaling prevents atherosclerosis progression

Zehra Yildirim1,2, Sabyasachi Baboo3, Syed M Hamid1

  • 1Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

EMBO Molecular Medicine
|February 22, 2022
PubMed

Insights

Endoplasmic reticulum (ER) stress triggers Fragile X Mental Retardation protein (FMRP) phosphorylation, impairing macrophage function. Inhibiting Inositol requiring enzyme-1 (IRE1) enhances cholesterol efflux and efferocytosis, reducing atherosclerosis.

Area of Science:

  • Molecular Biology
  • Cell Biology
  • Immunology

Background:

  • Fragile X Mental Retardation protein (FMRP) is an RNA-binding protein crucial for intellectual development.
  • Endoplasmic reticulum (ER) stress is implicated in various diseases, including atherosclerosis.
  • Macrophage cholesterol homeostasis and efferocytosis are key processes in preventing atherosclerosis.

Purpose of the Study:

  • To investigate the role of ER stress in regulating FMRP activity.
  • To elucidate the mechanism by which ER stress affects macrophage function.
  • To explore the therapeutic potential of targeting ER stress pathways in atherosclerosis.

Main Methods:

  • Western blotting to detect FMRP phosphorylation.
  • Macrophage cholesterol efflux and efferocytosis assays.
  • Atherosclerosis mouse models with FMRP deficiency or IRE1 inhibition.

Main Results:

  • ER stress induces FMRP phosphorylation via Inositol requiring enzyme-1 (IRE1) kinase activation.
  • This phosphorylation suppresses macrophage cholesterol efflux and efferocytosis.
  • FMRP deficiency or IRE1 inhibition improves macrophage function and reduces atherosclerosis in mice.

Conclusions:

  • ER stress-induced IRE1 kinase activity impairs macrophage cholesterol homeostasis and efferocytosis.
  • Targeting IRE1 kinase activity offers a novel therapeutic strategy for atherosclerosis.
  • FMRP plays a critical role in mediating the effects of ER stress on macrophages.

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