Hypoxia-Inducible Factor Prolyl 4-Hydroxylase-2 Inhibition Protects Against Development of Atherosclerosis

Autor: Elitsa Y. Dimova, Gail Walkinshaw, Jukka Hakkola, Helena Gylling, Sohvi Hörkkö, Peppi Koivunen, Lea Rahtu-Korpela, Kari I. Kivirikko, Raisa Serpi, Jenni Määttä, Johanna Myllyharju
Rok vydání: 2016
Předmět:
0301 basic medicine
Male
Time Factors
White adipose tissue
Weight Gain
chemistry.chemical_compound
Adipocyte
Basic Helix-Loop-Helix Transcription Factors
Enzyme Inhibitors
Aorta
Cells
Cultured

Adiposity
Mice
Knockout

Protein Stability
Plaque
Atherosclerotic

Lipoproteins
LDL

Cholesterol
Liver
lipids (amino acids
peptides
and proteins)

medicine.symptom
Inflammation Mediators
Cardiology and Cardiovascular Medicine
medicine.medical_specialty
Adipose Tissue
White

Aortic Diseases
Inflammation
Biology
Hypoxia-Inducible Factor-Proline Dioxygenases
03 medical and health sciences
Insulin resistance
Internal medicine
medicine
Animals
Autoantibodies
Macrophages
Lipid metabolism
medicine.disease
Atherosclerosis
Hypoxia-Inducible Factor 1
alpha Subunit

Immunity
Innate

Mice
Inbred C57BL

Disease Models
Animal

030104 developmental biology
Endocrinology
chemistry
Gene Expression Regulation
Receptors
LDL

biology.protein
Insulin Resistance
Lipoprotein
EGLN1
Zdroj: Arteriosclerosis, thrombosis, and vascular biology. 36(4)
ISSN: 1524-4636
Popis: Objective— Small-molecule hypoxia-inducible factor prolyl 4-hydroxylase (HIF-P4H) inhibitors are being explored in clinical studies for the treatment of anemia. HIF-P4H-2 (also known as PHD2 or EglN1) inhibition improves glucose and lipid metabolism and protects against obesity and metabolic dysfunction. We studied here whether HIF-P4H-2 inhibition could also protect against atherosclerosis. Approach and Results— Atherosclerosis development was studied in low-density lipoprotein (LDL) receptor–deficient mice treated with an oral HIF-P4H inhibitor, FG-4497, and in HIF-P4H-2-hypomorphic/C699Y-LDL receptor–mutant mice, all mice being fed a high-fat diet. FG-4497 administration to LDL receptor–deficient mice reduced the area of atherosclerotic plaques by ≈50% when compared with vehicle-treated controls and also reduced their weight gain, insulin resistance, liver and white adipose tissue (WAT) weights, adipocyte size, number of inflammation-associated WAT macrophage aggregates and the high-fat diet–induced increases in serum cholesterol levels. The levels of atherosclerosis-protecting circulating autoantibodies against copper-oxidized LDL were increased. The decrease in atherosclerotic plaque areas correlated with the reductions in weight, serum cholesterol levels, and WAT macrophage aggregates and the autoantibody increase. FG-4497 treatment stabilized HIF-1α and HIF-2α and altered the expression of glucose and lipid metabolism and inflammation-associated genes in liver and WAT. The HIF-P4H-2-hypomorphic/C699Y-LDL receptor–mutant mice likewise had a ≈50% reduction in atherosclerotic plaque areas, reduced WAT macrophage aggregate numbers, and increased autoantibodies against oxidized LDL, but did not have reduced serum cholesterol levels. Conclusions— HIF-P4H-2 inhibition may be a novel strategy for protecting against the development of atherosclerosis. The mechanisms involve beneficial modulation of the serum lipid profile and innate immune system and reduced inflammation.
Databáze: OpenAIRE