PMID- 32641587 OWN - NLM STAT- MEDLINE DCOM- 20210609 LR - 20240329 IS - 2379-3708 (Electronic) IS - 2379-3708 (Linking) VI - 5 IP - 13 DP - 2020 Jul 9 TI - RAGE impairs murine diabetic atherosclerosis regression and implicates IRF7 in macrophage inflammation and cholesterol metabolism. LID - 137289 [pii] LID - 10.1172/jci.insight.137289 [doi] LID - e137289 AB - Despite advances in lipid-lowering therapies, people with diabetes continue to experience more limited cardiovascular benefits. In diabetes, hyperglycemia sustains inflammation and preempts vascular repair. We tested the hypothesis that the receptor for advanced glycation end-products (RAGE) contributes to these maladaptive processes. We report that transplantation of aortic arches from diabetic, Western diet-fed Ldlr-/- mice into diabetic Ager-/- (Ager, the gene encoding RAGE) versus WT diabetic recipient mice accelerated regression of atherosclerosis. RNA-sequencing experiments traced RAGE-dependent mechanisms principally to the recipient macrophages and linked RAGE to interferon signaling. Specifically, deletion of Ager in the regressing diabetic plaques downregulated interferon regulatory factor 7 (Irf7) in macrophages. Immunohistochemistry studies colocalized IRF7 and macrophages in both murine and human atherosclerotic plaques. In bone marrow-derived macrophages (BMDMs), RAGE ligands upregulated expression of Irf7, and in BMDMs immersed in a cholesterol-rich environment, knockdown of Irf7 triggered a switch from pro- to antiinflammatory gene expression and regulated a host of genes linked to cholesterol efflux and homeostasis. Collectively, this work adds a new dimension to the immunometabolic sphere of perturbations that impair regression of established diabetic atherosclerosis and suggests that targeting RAGE and IRF7 may facilitate vascular repair in diabetes. FAU - Senatus, Laura AU - Senatus L AD - Diabetes Research Program, Division of Endocrinology, Diabetes and Metabolism, Department of Medicine. FAU - Lopez-Diez, Raquel AU - Lopez-Diez R AD - Diabetes Research Program, Division of Endocrinology, Diabetes and Metabolism, Department of Medicine. FAU - Egana-Gorrono, Lander AU - Egana-Gorrono L AD - Diabetes Research Program, Division of Endocrinology, Diabetes and Metabolism, Department of Medicine. FAU - Liu, Jianhua AU - Liu J AD - Marc and Ruti Bell Program in Vascular Biology, Leon H. Charney Division of Cardiology, Department of Medicine. FAU - Hu, Jiyuan AU - Hu J AD - Division of Biostatistics, Department of Population Health, and Department of Environmental Medicine, and. FAU - Daffu, Gurdip AU - Daffu G AD - Diabetes Research Program, Division of Endocrinology, Diabetes and Metabolism, Department of Medicine. FAU - Li, Qing AU - Li Q AD - Diabetes Research Program, Division of Endocrinology, Diabetes and Metabolism, Department of Medicine. FAU - Rahman, Karishma AU - Rahman K AD - Marc and Ruti Bell Program in Vascular Biology, Leon H. Charney Division of Cardiology, Department of Medicine. FAU - Vengrenyuk, Yuliya AU - Vengrenyuk Y AD - Marc and Ruti Bell Program in Vascular Biology, Leon H. Charney Division of Cardiology, Department of Medicine. FAU - Barrett, Tessa J AU - Barrett TJ AD - Marc and Ruti Bell Program in Vascular Biology, Leon H. Charney Division of Cardiology, Department of Medicine. FAU - Dewan, M Zahidunnabi AU - Dewan MZ AD - Experimental Pathology Research Laboratory, Department of Pathology, New York University (NYU) Langone Medical Center, New York, New York, USA. FAU - Guo, Liang AU - Guo L AD - CVPath Institute, Gaithersburg, Maryland, USA. FAU - Fuller, Daniela AU - Fuller D AD - CVPath Institute, Gaithersburg, Maryland, USA. FAU - Finn, Aloke V AU - Finn AV AD - CVPath Institute, Gaithersburg, Maryland, USA. FAU - Virmani, Renu AU - Virmani R AD - CVPath Institute, Gaithersburg, Maryland, USA. FAU - Li, Huilin AU - Li H AD - Division of Biostatistics, Department of Population Health, and Department of Environmental Medicine, and. FAU - Friedman, Richard A AU - Friedman RA AD - Biomedical Informatics Shared Resource, Herbert Irving Comprehensive Cancer Center, and Department of Biomedical Informatics, Columbia University Irving Medical Center, New York, New York, USA. FAU - Fisher, Edward A AU - Fisher EA AD - Marc and Ruti Bell Program in Vascular Biology, Leon H. Charney Division of Cardiology, Department of Medicine. FAU - Ramasamy, Ravichandran AU - Ramasamy R AD - Diabetes Research Program, Division of Endocrinology, Diabetes and Metabolism, Department of Medicine. FAU - Schmidt, Ann Marie AU - Schmidt AM AD - Diabetes Research Program, Division of Endocrinology, Diabetes and Metabolism, Department of Medicine. LA - eng GR - P01 HL131481/HL/NHLBI NIH HHS/United States GR - R01 HL136314/HL/NHLBI NIH HHS/United States GR - P01 HL146367/HL/NHLBI NIH HHS/United States GR - R01 HL141425/HL/NHLBI NIH HHS/United States GR - R01 HL132516/HL/NHLBI NIH HHS/United States GR - R01 HL084312/HL/NHLBI NIH HHS/United States GR - P30 CA016087/CA/NCI NIH HHS/United States GR - 17SFRN33490004/AHA/American Heart Association-American Stroke Association/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20200709 PL - United States TA - JCI Insight JT - JCI insight JID - 101676073 RN - 0 (AGER protein, human) RN - 0 (IRF7 protein, human) RN - 0 (Interferon Regulatory Factor-7) RN - 0 (Irf7 protein, mouse) RN - 0 (Receptor for Advanced Glycation End Products) RN - 97C5T2UQ7J (Cholesterol) SB - IM MH - Animals MH - Atherosclerosis/*metabolism MH - Cholesterol/*metabolism MH - Humans MH - Inflammation/*metabolism MH - Interferon Regulatory Factor-7/*metabolism MH - Macrophages/*metabolism MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Receptor for Advanced Glycation End Products/genetics/metabolism PMC - PMC7406264 OTO - NOTNLM OT - Atherosclerosis OT - Diabetes OT - Inflammation OT - Innate immunity OT - Vascular Biology COIS- Conflict of interest: AMS and RR are inventors on awarded (US 9,353,3078, US 9364472) and pending (US 16/094270, Europe 177864360.0) patent applications assigned to NYU Grossman Medical Center. EAF served as an expert witness on a patent case involving fish oils and received NIH funding. AVF and RV have grant/research/clinical trial support from Leducq Foundation Grant; 480 Biomedical; 4C Medical; 4Tech; Abbott; Accu Medical Inc.; Amgen; Biosensors; Boston Scientific; Cardiac Implants; CeloNova Biosciences; Claret Medical; Concept Medical; Cook; CSI; DuNing, Inc.; Edwards Lifesciences; Emboline; Endotronix; Envision Scientific; Lutonix, BD; Gateway; LifeTech Scientific Corporation; LimFlow; MedAlliance; Medtronic; Mercator; Merill; Microport Medical; Microvention; Mitralign; MitrAssist; NAMSA; Nanova, Inc.; Neovasc; NIPRO; Novogate Medical; Occlutech; OrbusNeich Medical; Phenox; Profusa; Protembis; Qool; ReCor Medical; Senseonics; Shockwave; Sino Medical Sciences Technology Inc.; Spectranetics; Surmodics; Symic; Vesper; W.L. Gore; and Xeltis. AVF has served Abbott Vascular (speaker's bureau [SB] and consultant/advisory board [CAB]); Amgen (CAB); Biosensors (SB); Boston Scientific (SB and CAB); CeloNova Biosciences (SB and CAB); Cook Medical (SB and CAB); CSI (SB); Lutonix, BD (SB and CAB); Sino Medical Sciences Technology Inc. (SB and CAB); and Terumo Corporation (SB). RV has served Abbott Vascular (SB and CAB); Biosensors (SB); Boston Scientific; CeloNova Biosciences; Cook Medical; Cordis; CSI (SB and CAB for previous 5); Edwards Lifescience (CAB); Lutonix, BD; Medtronic; OrbusNeich Medical; ReCor Medical; Sino Medical Sciences Technology Inc.; Spectranetics (SB and CAB for previous 6); Surmodics (CAB); Terumo Corporation (SB and CAB); W.L. Gore (SB and CAB); and Xeltis (CAB). EDAT- 2020/07/10 06:00 MHDA- 2021/06/10 06:00 PMCR- 2020/07/09 CRDT- 2020/07/10 06:00 PHST- 2020/02/24 00:00 [received] PHST- 2020/05/21 00:00 [accepted] PHST- 2020/07/10 06:00 [entrez] PHST- 2020/07/10 06:00 [pubmed] PHST- 2021/06/10 06:00 [medline] PHST- 2020/07/09 00:00 [pmc-release] AID - 137289 [pii] AID - 10.1172/jci.insight.137289 [doi] PST - epublish SO - JCI Insight. 2020 Jul 9;5(13):e137289. doi: 10.1172/jci.insight.137289.