Macrophage-derived GSDMD promotes abdominal aortic aneurysm and aortic smooth muscle cells pyroptosis

Bozhi Ye1, Xiaoxi Fan1, Zimin Fang1

  • 1Department of Cardiology and The Key Laboratory of Cardiovascular Disease of Wenzhou, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.

PubMed

Insights

Macrophage-derived Gasdermin D (GSDMD) drives abdominal aortic aneurysm (AAA) by promoting pyroptosis and cytokine release. Inhibiting GSDMD in macrophages may offer a new therapeutic strategy for AAA.

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Cell Death Mechanisms

Background:

  • Macrophage infiltration and activation are critical in abdominal aortic aneurysm (AAA) pathogenesis.
  • Pyroptosis, a pro-inflammatory programmed cell death, is implicated in AAA development.
  • Gasdermin D (GSDMD) is a key mediator of pyroptosis.

Purpose of the Study:

  • To investigate the role of macrophage-derived GSDMD in AAA development.
  • To elucidate the mechanisms by which GSDMD influences cellular crosstalk in the aorta.
  • To evaluate GSDMD as a potential therapeutic target for AAA.

Main Methods:

  • Utilized Gsdmd knockout (Gsdmd-/-) ApoE-/- mice and adeno-associated virus (AAV)-mediated short hairpin RNA (shRNA) targeting GSDMD in macrophages (AAV-F4/80-shGSDMD) for in vivo studies.
  • Performed in vitro pyroptosis assays on primary mouse peritoneal macrophages (MPMs) and murine aortic vascular smooth muscle cells (MOVAS).
  • Analyzed cytokine secretion using a mouse cytokine antibody array.

Main Results:

  • Aortic macrophages were identified as the primary source of GSDMD in AAA.
  • Macrophage-specific GSDMD deficiency attenuated Ang II-induced AAA and aortic pyroptosis in vivo.
  • GSDMD promoted pyroptosis in MPMs, MOVAS, and primary smooth muscle cells.
  • Gsdmd deficiency reduced LPS + nigericin-induced cytokine secretion from MPMs.
  • GSDMD mediates crosstalk between macrophages and smooth muscle cells via cytokine release.

Conclusions:

  • Macrophage-derived GSDMD is a key driver of AAA pathogenesis through pyroptosis and inflammatory cytokine secretion.
  • Targeting macrophage GSDMD presents a novel therapeutic avenue for abdominal aortic aneurysm.

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