Myeloid PHD2 deficiency accelerates neointima formation via Hif-1α.

Abstract

The key players of the hypoxic response are the hypoxia-inducible factors (Hif), whose α-subunits are tightly regulated by Prolyl-4-hydroxylases (PHD), predominantly by PHD2. Monocytes/Macrophages are involved in atherosclerosis but also restenosis and were found at hypoxic and sites of the lesion. Little is known about the role of the myeloid PHD2 in atherosclerosis and neointima formation. The study aimed to investigate the consequences of a myeloid deficiency of PHD2 in the process of neointima formation using an arterial denudation model. LysM-cre mice were crossed with PHD2fl/fl, PHD2fl/fl/Hif1αfl/fl and PHD2fl/fl/Hif2αfl/fl to get myeloid specific knockout of PHD2 and the Hif-α subunits. Denudation of the femoral artery was performed and animals were fed a western type diet afterwards with analysis of neointima formation 5 and 35 days after denudation. Increased neointima formation in myeloid PHD2 knockouts was observed, which was blunted by double-knockout of PHD2 and Hif1α whereas double knockout of PHD2 and Hif-2α showed comparable lesions to the PHD2 knockouts. Macrophage infiltration was comparable to the neointima formation, suggesting a more inflammatory reaction, and was accompanied by increased intimal VEGF-A expression. Collagen-content inversely correlated to the extent of neointima formation suggesting a destabilization of the plaque. This effect might be triggered by macrophage polarization. Therefore, in vitro results showed a distinct expression pattern in differentially polarized macrophages with high expression of Hif-1α, VEGF and MMP-1 in proinflammatory M1 macrophages. In conclusion, the results show that myeloid Hif-1α is involved in neointima hyperplasia. Our in vivo and in vitro data reveal a central role for this transcription factor in driving plaque-vascularization accompanied by matrix-degradation leading to plaque destabilization.

• Authors: Marian Christoph, Christian Pfluecke, Matthias Mensch, Antje Augstein, Stefanie Jellinghaus, Georg Ende, Johannes Mierke, Kristin Franke, Ben Wielockx, Karim Ibrahim, David M Poitz
• Journal: Molecular immunology (Mol Immunol) Vol. 149 Pg. 48-58 (09 2022) ISSN: 1872-9142 [Electronic] England
• PMID: 35724581 (Publication Type: Journal Article)
• Copyright: Copyright © 2022 Elsevier Ltd. All rights reserved.

Chemical References

• Basic Helix-Loop-Helix Transcription Factors
• Hypoxia-Inducible Factor 1, alpha Subunit
• endothelial PAS domain-containing protein 1
• Procollagen-Proline Dioxygenase
• Egln1 protein, mouse
• Hypoxia-Inducible Factor-Proline Dioxygenases

Topics

• Animals
• Atherosclerosis (genetics, metabolism)
• Basic Helix-Loop-Helix Transcription Factors (genetics, metabolism)
• Femoral Artery (injuries, metabolism)
• Hypoxia-Inducible Factor 1, alpha Subunit
• Hypoxia-Inducible Factor-Proline Dioxygenases (deficiency, genetics, metabolism)
• Macrophages (metabolism)
• Mice
• Neointima (genetics, metabolism)
• Neovascularization, Pathologic (genetics, metabolism)
• Plaque, Atherosclerotic (genetics, metabolism)
• Procollagen-Proline Dioxygenase (genetics)