The LOX-1 receptor ectopically expressed in the liver alleviates atherosclerosis by clearing Ox-LDL from the

Zhiwen Wang1, Juan Chen1, Zhuanglin Zeng2

  • 1Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Abstract

Insights

Introducing lectin-like oxidized low density lipoprotein receptor (LOX-1) into the liver clears circulating oxidized low-density lipoprotein (Ox-LDL). This approach reduces atherosclerosis progression by preventing Ox-LDL deposition in blood vessels.

Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • Atherosclerosis Research

Background:

  • Oxidized low-density lipoprotein (Ox-LDL) is a key driver of atherosclerosis.
  • Current therapies targeting Ox-LDL elimination are limited.
  • Understanding mechanisms to clear Ox-LDL is crucial for developing new treatments.

Purpose of the Study:

  • To investigate the potential of ectopically expressed lectin-like oxidized low density lipoprotein receptor (LOX-1) in the liver for eliminating circulating Ox-LDL.
  • To determine if liver-specific LOX-1 expression can prevent Ox-LDL deposition in vascular walls and alleviate atherosclerosis progression.

Main Methods:

  • Apolipoprotein E-deficient (ApoE-/-) mice were used and divided into control, eGFP, and LOX-1 groups.
  • Adeno-associated virus serotype 8 (AAV8) vectors were employed for liver-specific gene delivery.
  • Assays included immunofluorescence, western blot, ELISA, blood lipid analysis, Oil red O staining, and immunohistochemistry to assess LOX-1 expression, Ox-LDL levels, and atherosclerotic lesion development.

Main Results:

  • Stable ectopic expression of LOX-1 in the liver was achieved within 4 weeks.
  • Liver LOX-1 effectively phagocytosed and degraded Ox-LDL, reducing circulating levels without significantly altering blood lipids.
  • Reduced VCAM-1 expression and macrophage migration in atherosclerotic plaques were observed, indicating alleviated atherosclerosis.

Conclusions:

  • Ectopic liver-specific expression of LOX-1 receptor alleviates atherosclerosis progression.
  • This is achieved by enhancing the metabolic clearance of circulating Ox-LDL via hepatocytes.
  • Upregulation of hepatobiliary sterol transporters (ABCG5/G8) may contribute to this clearance mechanism.

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