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Publication : Dysregulated oxalate metabolism is a driver and therapeutic target in atherosclerosis.

First Author  Liu Y Year  2021
Journal  Cell Rep Volume  36
Issue  4 Pages  109420
PubMed ID  34320345 Mgi Jnum  J:321711
Mgi Id  MGI:6876888 Doi  10.1016/j.celrep.2021.109420
Citation  Liu Y, et al. (2021) Dysregulated oxalate metabolism is a driver and therapeutic target in atherosclerosis. Cell Rep 36(4):109420
abstractText  Dysregulated glycine metabolism is emerging as a common denominator in cardiometabolic diseases, but its contribution to atherosclerosis remains unclear. In this study, we demonstrate impaired glycine-oxalate metabolism through alanine-glyoxylate aminotransferase (AGXT) in atherosclerosis. As found in patients with atherosclerosis, the glycine/oxalate ratio is decreased in atherosclerotic mice concomitant with suppression of AGXT. Agxt deletion in apolipoprotein E-deficient (Apoe(-/-)) mice decreases the glycine/oxalate ratio and increases atherosclerosis with induction of hepatic pro-atherogenic pathways, predominantly cytokine/chemokine signaling and dysregulated redox homeostasis. Consistently, circulating and aortic C-C motif chemokine ligand 5 (CCL5) and superoxide in lesional macrophages are increased. Similar findings are observed following dietary oxalate overload in Apoe(-/-) mice. In macrophages, oxalate induces mitochondrial dysfunction and superoxide accumulation, leading to increased CCL5. Conversely, AGXT overexpression in Apoe(-/-) mice increases the glycine/oxalate ratio and decreases aortic superoxide, CCL5, and atherosclerosis. Our findings uncover dysregulated oxalate metabolism via suppressed AGXT as a driver and therapeutic target in atherosclerosis.
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