Endothelial PHACTR1 Promotes Endothelial Activation and Atherosclerosis by Repressing PPARγ Activity Under Disturbed

Dongyang Jiang1, Hao Liu1, Guofu Zhu1

  • 1Department of Cardiology, Pan-Vascular Research Institute, Shanghai Tenth People's Hospital, Tongji University School of Medicine, China (D.J., H.L., G.Z., X.L., L.F., F.Z., C.X., Z.Y., Y.Y., J.G., Y.X.).

Insights

Endothelial PHACTR1 promotes atherosclerosis by acting as a PPARγ corepressor in disturbed flow regions. Targeting endothelial PHACTR1 offers a potential therapeutic strategy for treating coronary artery disease.

Area of Science:

  • Cardiovascular Biology
  • Molecular Mechanisms of Atherosclerosis

Background:

  • Single nucleotide polymorphisms (SNPs) at the PHACTR1 locus are strongly associated with coronary artery disease (CAD).
  • The precise biological role of PHACTR1 in cardiovascular disease, particularly in endothelial cells, remains largely uncharacterized.
  • This study investigates the contrasting roles of PHACTR1 in macrophages versus endothelial cells (ECs) in the context of atherosclerosis.

Purpose of the Study:

  • To elucidate the function of PHACTR1 in endothelial cells (ECs) and its contribution to atherosclerosis.
  • To identify the molecular pathways regulated by endothelial PHACTR1.
  • To evaluate endothelial PHACTR1 as a potential therapeutic target for atherosclerosis.

Main Methods:

  • Generated global and EC-specific PHACTR1 knockout (KO) mice, crossed with Apoe-deficient mice.
  • Induced atherosclerosis using high-fat/high-cholesterol diet and partial carotid artery ligation.
  • Investigated PHACTR1 localization, molecular function via RNA sequencing, and endothelial activation in vitro and in vivo.

Main Results:

  • EC-specific PHACTR1 deficiency significantly reduced atherosclerosis in disturbed flow regions.
  • PHACTR1 acts as a transcriptional corepressor for PPARγ, binding to it via corepressor motifs.
  • PHACTR1 deficiency inhibited endothelial activation, a key process in atherosclerosis development, particularly under disturbed flow conditions.
  • PPARγ activation is protective against atherosclerosis by suppressing endothelial activation, and its inhibition by PHACTR1 promotes disease.

Conclusions:

  • Endothelial PHACTR1 functions as a novel PPARγ corepressor, promoting atherosclerosis in disturbed flow areas.
  • Targeting endothelial PHACTR1 represents a promising therapeutic strategy for atherosclerosis treatment.
Abstract

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