Abstract:
:In advanced atherosclerosis, macrophage apoptosis coupled with defective phagocytic clearance of the apoptotic cells (efferocytosis) promotes plaque necrosis, which precipitates acute atherothrombotic cardiovascular events. Oxidative and endoplasmic reticulum (ER) stress in macrophages are important causes of advanced lesional macrophage apoptosis. We now show that proapoptotic oxidative/ER stress inducers trigger another stress reaction in macrophages, autophagy. Inhibition of autophagy by silencing ATG5 or other autophagy mediators enhances apoptosis and NADPH oxidase-mediated oxidative stress while at the same time rendering the apoptotic cells less well recognized by efferocytes. Most importantly, macrophage ATG5 deficiency in fat-fed Ldlr(-/-) mice increases apoptosis and oxidative stress in advanced lesional macrophages, promotes plaque necrosis, and worsens lesional efferocytosis. These findings reveal a protective process in oxidatively stressed macrophages relevant to plaque necrosis, suggesting a mechanism-based strategy to therapeutically suppress atherosclerosis progression and its clinical sequelae.
journal_name
Cell Metabjournal_title
Cell metabolismauthors
Liao X,Sluimer JC,Wang Y,Subramanian M,Brown K,Pattison JS,Robbins J,Martinez J,Tabas Idoi
10.1016/j.cmet.2012.01.022subject
Has Abstractpub_date
2012-04-04 00:00:00pages
545-53issue
4eissn
1550-4131issn
1932-7420pii
S1550-4131(12)00062-9journal_volume
15pub_type
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