Opposite Roles of IL-32α Versus IL-32β/γ Isoforms in Promoting Monocyte-Derived Osteoblast/Osteoclast Differentiation

Hardik Ramani1,2, Aurélie Cleret-Buhot2,3, Mohamed Sylla2

  • 1Département de Microbiologie, Infectiologie et Immunologie, Faculté de Médecine, Université de Montréal, Montréal, QC H3C 3J7, Canada.

Cells
|April 11, 2025
PubMed

Insights

People with HIV (PWH) have higher cardiovascular disease (CVD) risk. Proinflammatory cytokine IL-32 influences immune cells, promoting vascular calcification and worsening CVD in PWH.

Area of Science:

  • Immunology
  • Cardiovascular Medicine
  • Molecular Biology

Background:

  • People with HIV (PWH) exhibit elevated cardiovascular disease (CVD) risk.
  • The proinflammatory cytokine IL-32 is upregulated in PWH and linked to arterial stiffness and subclinical atherosclerosis.
  • Mechanisms underlying IL-32's role in PWH CVD pathogenesis are not fully understood.

Purpose of the Study:

  • To elucidate the mechanisms by which IL-32 contributes to CVD pathogenesis in PWH.
  • To investigate the differential effects of IL-32 isoforms on monocyte differentiation.
  • To correlate IL-32's effects with vascular calcification biomarkers in PWH.

Main Methods:

  • Assessed the impact of IL-32 isoforms (IL-32α, IL-32β, IL-32γ) on human classical monocyte differentiation into osteoclasts and osteoblasts.
  • Measured plasma levels of osteoprotegerin (OPG), a vascular calcification biomarker.
  • Correlated OPG levels with subclinical coronary artery atherosclerosis and calcium scores in PWH.

Main Results:

  • The less expressed IL-32α isoform promoted monocyte differentiation into osteoclasts.
  • Dominantly expressed IL-32β and IL-32γ isoforms inhibited osteoclastogenesis and promoted osteoblast differentiation via TGF-β inhibition.
  • Elevated plasma OPG levels were observed in PWH and associated with coronary artery calcification.

Conclusions:

  • IL-32 isoforms differentially regulate monocyte differentiation, impacting vascular calcification.
  • IL-32 promotes vascular calcification in PWH, contributing to their increased CVD risk.
  • Targeting IL-32 may offer a novel therapeutic strategy for CVD in people with HIV.

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