Loss of Macrophage mTORC2 Drives Atherosclerosis via FoxO1 and IL-1β Signaling

Xiangyu Zhang1,2, Trent D Evans2, Sunny Chen2

  • 1Department of Medicine and Vascular Medicine Institute, University of Pittsburgh School of Medicine and UPMC, PA (X.Z., Y.-S.Y., B.R.).

Circulation Research
|June 23, 2023
PubMed
Abstract

Insights

Targeting the mechanistic target of rapamycin (mTOR) pathway in macrophages has opposing effects on atherosclerosis. mTORC1 blockade is protective, while mTORC2 deficiency promotes plaque development by increasing inflammation.

Area of Science:

  • Cardiovascular Biology
  • Cellular Signaling
  • Immunology

Background:

  • The mechanistic target of rapamycin (mTOR) pathway regulates key cellular processes.
  • mTOR signaling is implicated in atherosclerosis, but its specific roles in plaque macrophages are unclear.
  • Previous work showed mTOR complex 1 (mTORC1) activation promotes atherosclerosis via reduced autophagy and increased macrophage apoptosis.

Purpose of the Study:

  • To investigate the distinct roles of mTOR complex 2 (mTORC2) signaling in macrophage-driven atherogenesis.
  • To elucidate the molecular mechanisms by which mTORC2 influences vascular inflammation and plaque progression.

Main Methods:

  • Utilized macrophage-specific Rictor- and mTOR-deficient mouse models.
  • Examined atherosclerotic lesion development and macrophage apoptosis in vivo.
  • Investigated mTORC2 signaling effects on FoxO1 transcription factor and inflammatory pathways in cultured macrophages.

Main Results:

  • Macrophage-specific mTORC2 deficiency exacerbated atherosclerosis, leading to larger, more complex plaques and increased cell death.
  • mTORC2 signaling suppresses proinflammatory pathways, including the inflammasome/IL-1β response, by inhibiting FoxO1.
  • FoxO1 inhibition rescued the pro-inflammatory phenotype in mTORC2-deficient macrophages both in vitro and in vivo.
  • Simultaneous deletion of mTORC1 and mTORC2 in macrophages resulted in minimal changes in plaque characteristics, highlighting their opposing roles.

Conclusions:

  • This study provides the first mechanistic insights into the dual roles of macrophage mTOR signaling in atherosclerosis.
  • Therapeutic strategies targeting mTOR in atherosclerosis must consider the opposing functions of mTORC1 and mTORC2.
  • Modulating mTORC2 signaling offers a potential avenue for controlling vascular inflammation and plaque progression.

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