Macrophage ATP citrate lyase deficiency stabilizes atherosclerotic plaques

J Baardman, SGS Verberk, S Van der Velden… - Nature …, 2020 - nature.com
J Baardman, SGS Verberk, S Van der Velden, MJJ Gijbels, CPPA van Roomen, JC Sluimer…
Nature communications, 2020nature.com
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 …
Abstract
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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