PMID- 30315930 OWN - NLM STAT- MEDLINE DCOM- 20200304 LR - 20200304 IS - 1879-260X (Electronic) IS - 0925-4439 (Linking) VI - 1865 IP - 7 DP - 2019 Jul 1 TI - Aldehyde dehydrogenase 2 deficiency promotes atherosclerotic plaque instability through accelerating mitochondrial ROS-mediated vascular smooth muscle cell senescence. PG - 1782-1792 LID - S0925-4439(18)30376-4 [pii] LID - 10.1016/j.bbadis.2018.09.033 [doi] AB - Previous evidence has indicated a beneficial role for aldehyde dehydrogenase 2 (ALDH2) in suppressing atherosclerotic plaque progression and instability. However, the underlying mechanism remains somewhat elusive. This study was designed to examine the effect of ALDH2 deficiency on high-cholesterol diet-induced atherosclerotic plaque progression and plaque vulnerability in atherosclerosis-prone ApoE knockout (ApoE(-/-)) mice with a focus on foam cell formation in macrophages and senescence of vascular smooth muscle cells (VSMCs). Serum lipid profile, plaque progression, and plaque vulnerability were examined in ApoE(-/-) and ALDH2/ApoE double knockout (ALDH2(-/-)ApoE(-/-)) mice after high-cholesterol diet intake for 8 weeks. ALDH2 deficiency increased the serum levels of triglycerides while it decreased levels of total cholesterol and high-density lipoprotein cholesterol. Unexpectedly, ALDH2 deficiency reduced the plaque area by 58.9% and 37.5% in aorta and aortic sinus, respectively. Plaque instability was aggravated by ALDH2 deficiency along with the increased necrotic core size, decreased collagen content, thinner fibrous cap area, decreased VSMC content, and increased macrophage content. In atherosclerotic lesions, ALDH2 protein was located in both macrophages and VSMCs. Further results revealed downregulated ALDH2 expression in aorta of aged ApoE(-/-) mice compared with young mice. However, in vitro study suggested that ALDH2 expression was upregulated in bone marrow-derived macrophages (BMDMs) with an opposite effect in VSMCs following 80 mug/ml oxidized low-density lipoprotein (oxLDL) treatment. Interestingly, ALDH2 deficiency displayed little effect in oxLDL-induced foam cell formation from BMDMs, while ALDH2 knockdown by siRNA and ALDH2 overexpression by lentivirus infection promoted and retarded oxLDL-induced VSMC senescence, respectively. Mechanistically, ALDH2 mitigated oxLDL-induced overproduction of mitochondrial reactive oxygen species (mROS) and activation of downstream p53/p21/p16 pathway. Clearance of mROS by mitoTEMPO significantly reversed the promotive effect of ALDH2 knockdown on VSMC senescence. Taken together, our data revealed that ALDH2 deficiency suppressed atherosclerotic plaque area while facilitating plaque instability possibly through accelerating mROS-mediated VSMC senescence. This article is part of a Special Issue entitled: Genetic and epigenetic regulation of aging and longevity edited by Jun Ren & Megan Yingmei Zhang. CI - Copyright (c) 2018 Elsevier B.V. All rights reserved. FAU - Zhu, Hong AU - Zhu H AD - Shanghai Institute of Cardiovascular Disease, Zhongshan Hospital & Institute of Biomedical Sciences, Fudan University, Shanghai 200032, China. FAU - Wang, Zeng AU - Wang Z AD - Shanghai Institute of Cardiovascular Disease, Zhongshan Hospital & Institute of Biomedical Sciences, Fudan University, Shanghai 200032, China. FAU - Dong, Zhen AU - Dong Z AD - Shanghai Institute of Cardiovascular Diseases, Department of Cardiology, Zhongshan Hospital, Fudan University Shanghai 200032, China. FAU - Wang, Cong AU - Wang C AD - Shanghai Institute of Cardiovascular Diseases, Department of Cardiology, Zhongshan Hospital, Fudan University Shanghai 200032, China. FAU - Cao, Quan AU - Cao Q AD - Shanghai Institute of Cardiovascular Diseases, Department of Cardiology, Zhongshan Hospital, Fudan University Shanghai 200032, China. FAU - Fan, Fan AU - Fan F AD - Shanghai Institute of Cardiovascular Diseases, Department of Cardiology, Zhongshan Hospital, Fudan University Shanghai 200032, China. FAU - Zhao, Jingjing AU - Zhao J AD - Department of Cardiology, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China. FAU - Liu, Xiangwei AU - Liu X AD - Shanghai Institute of Cardiovascular Diseases, Department of Cardiology, Zhongshan Hospital, Fudan University Shanghai 200032, China. FAU - Yuan, Meng AU - Yuan M AD - Shanghai Institute of Cardiovascular Diseases, Department of Cardiology, Zhongshan Hospital, Fudan University Shanghai 200032, China. FAU - Sun, Xiaolei AU - Sun X AD - Shanghai Institute of Cardiovascular Disease, Zhongshan Hospital & Institute of Biomedical Sciences, Fudan University, Shanghai 200032, China. FAU - Peng, Xiuhua AU - Peng X AD - Shanghai Public Health Clinical Center, Fudan University, Shanghai 200032, China. FAU - Zou, Yunzeng AU - Zou Y AD - Shanghai Institute of Cardiovascular Disease, Zhongshan Hospital & Institute of Biomedical Sciences, Fudan University, Shanghai 200032, China. FAU - Zhou, Jingmin AU - Zhou J AD - Shanghai Institute of Cardiovascular Diseases, Department of Cardiology, Zhongshan Hospital, Fudan University Shanghai 200032, China. FAU - Ge, Junbo AU - Ge J AD - Shanghai Institute of Cardiovascular Disease, Zhongshan Hospital & Institute of Biomedical Sciences, Fudan University, Shanghai 200032, China. FAU - Zhou, Xiaohui AU - Zhou X AD - Shanghai Public Health Clinical Center, Fudan University, Shanghai 200032, China. Electronic address: zhouxiaohui@shphc.org.cn. FAU - Zhang, Yingmei AU - Zhang Y AD - Shanghai Institute of Cardiovascular Diseases, Department of Cardiology, Zhongshan Hospital, Fudan University Shanghai 200032, China. Electronic address: zhang.yingmei@zs-hospital.sh.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20181011 PL - Netherlands TA - Biochim Biophys Acta Mol Basis Dis JT - Biochimica et biophysica acta. Molecular basis of disease JID - 101731730 RN - 0 (Apolipoproteins E) RN - 0 (Reactive Oxygen Species) RN - EC 1.2.1.3 (ALDH2 protein, mouse) RN - EC 1.2.1.3 (Aldehyde Dehydrogenase, Mitochondrial) SB - IM MH - Aldehyde Dehydrogenase, Mitochondrial/*genetics/metabolism MH - Animals MH - Apolipoproteins E/genetics MH - Cellular Senescence MH - Gene Deletion MH - Gene Knockdown Techniques MH - Mice, Inbred C57BL MH - Mitochondria/genetics/metabolism/pathology MH - Muscle, Smooth, Vascular/metabolism/*pathology MH - Plaque, Atherosclerotic/genetics/*pathology MH - Reactive Oxygen Species/*metabolism OTO - NOTNLM OT - ALDH2 OT - Atherosclerosis OT - Macrophage OT - Mitochondrial ROS OT - Senescence OT - VSMC EDAT- 2018/10/14 06:00 MHDA- 2020/03/05 06:00 CRDT- 2018/10/14 06:00 PHST- 2018/07/31 00:00 [received] PHST- 2018/09/26 00:00 [revised] PHST- 2018/09/27 00:00 [accepted] PHST- 2018/10/14 06:00 [pubmed] PHST- 2020/03/05 06:00 [medline] PHST- 2018/10/14 06:00 [entrez] AID - S0925-4439(18)30376-4 [pii] AID - 10.1016/j.bbadis.2018.09.033 [doi] PST - ppublish SO - Biochim Biophys Acta Mol Basis Dis. 2019 Jul 1;1865(7):1782-1792. doi: 10.1016/j.bbadis.2018.09.033. Epub 2018 Oct 11.