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Publication : Macrophage ATP citrate lyase deficiency stabilizes atherosclerotic plaques.

First Author  Baardman J Year  2020
Journal  Nat Commun Volume  11
Issue  1 Pages  6296
PubMed ID  33293558 Mgi Jnum  J:300980
Mgi Id  MGI:6504576 Doi  10.1038/s41467-020-20141-z
Citation  Baardman J, et al. (2020) Macrophage ATP citrate lyase deficiency stabilizes atherosclerotic plaques. Nat Commun 11(1):6296
abstractText  Macrophages represent a major immune cell population in atherosclerotic plaques and play central role in the progression of this lipid-driven chronic inflammatory disease. Targeting immunometabolism is proposed as a strategy to revert aberrant macrophage activation to improve disease outcome. Here, we show ATP citrate lyase (Acly) to be activated in inflammatory macrophages and human atherosclerotic plaques. We demonstrate that myeloid Acly deficiency induces a stable plaque phenotype characterized by increased collagen deposition and fibrous cap thickness, along with a smaller necrotic core. In-depth functional, lipidomic, and transcriptional characterization indicate deregulated fatty acid and cholesterol biosynthesis and reduced liver X receptor activation within the macrophages in vitro. This results in macrophages that are more prone to undergo apoptosis, whilst maintaining their capacity to phagocytose apoptotic cells. Together, our results indicate that targeting macrophage metabolism improves atherosclerosis outcome and we reveal Acly as a promising therapeutic target to stabilize atherosclerotic plaques.
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