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Updated: Oct 2, 2025

Quantitative Analysis of Cellular Composition in Advanced Atherosclerotic Lesions of Smooth Muscle Cell Lineage-Tracing Mice
Published on: February 20, 2019
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.
Abstract:
Fragile X Mental Retardation protein (FMRP), widely known for its role in hereditary intellectual disability, is an RNA-binding protein (RBP) that controls translation of select mRNAs. We discovered that endoplasmic reticulum (ER) stress induces phosphorylation of FMRP on a site that is known to enhance translation inhibition of FMRP-bound mRNAs. We show ER stress-induced activation of Inositol requiring enzyme-1 (IRE1), an ER-resident stress-sensing kinase/endoribonuclease, leads to FMRP phosphorylation and to suppression of macrophage cholesterol efflux and apoptotic cell clearance (efferocytosis). Conversely, FMRP deficiency and pharmacological inhibition of IRE1 kinase activity enhances cholesterol efflux and efferocytosis, reducing atherosclerosis in mice. Our results provide mechanistic insights into how ER stress-induced IRE1 kinase activity contributes to macrophage cholesterol homeostasis and suggests IRE1 inhibition as a promising new way to counteract atherosclerosis.
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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