SVEP1 is a human coronary artery disease locus that promotes atherosclerosis

Autor: Erica P. Young, Robert P. Mecham, Puja Kachroo, In Hyuk Jung, Katherine Santana, Arturo Alisio, Jared S. Elenbaas, Kory J. Lavine, Babak Razani, Chul Joo Kang, Nathan O. Stitziel
Rok vydání: 2021
Předmět:
Zdroj: Sci Transl Med
ISSN: 1946-6242
1946-6234
Popis: A low-frequency variant of sushi, von Willebrand factor type A, EGF and pentraxin domain containing protein 1 (SVEP1), an extracellular matrix protein, is associated with risk of coronary disease in humans independent of plasma lipids. Despite a robust statistical association, if and how SVEP1 might contribute to atherosclerosis remained unclear. Here, using Mendelian randomization and complementary mouse models, we provide evidence that SVEP1 promotes atherosclerosis in humans and mice and is expressed by vascular smooth muscle cells (VSMCs) within the atherosclerotic plaque. VSMCs also interact with SVEP1, causing proliferation and dysregulation of key differentiation pathways, including integrin and Notch signaling. Fibroblast growth factor receptor transcription increases in VSMCs interacting with SVEP1, and is further increased by the coronary disease-associated SVEP1 variant p.D2702G. These effects ultimately drive inflammation and promote atherosclerosis. Taken together, our results suggest that VSMC-derived SVEP1 is a pro-atherogenic factor, and support the concept that pharmacological inhibition of SVEP1 should protect against atherosclerosis in humans.
Databáze: OpenAIRE