PMID- 34478920 OWN - NLM STAT- MEDLINE DCOM- 20211026 LR - 20211026 IS - 1879-1484 (Electronic) IS - 0021-9150 (Linking) VI - 334 DP - 2021 Oct TI - The regulation of Ero1-alpha in homocysteine-induced macrophage apoptosis and vulnerable plaque formation in atherosclerosis. PG - 39-47 LID - S0021-9150(21)01276-4 [pii] LID - 10.1016/j.atherosclerosis.2021.08.015 [doi] AB - BACKGROUND AND AIMS: Hyperhomocysteinemia (HHcy) is an independent risk factor for atherosclerosis and plaque vulnerability. Macrophage apoptosis mediated by endoplasmic reticulum (ER) stress plays an important role in the pathogenesis of HHcy-aggravated atherosclerosis. Endoplasmic reticulum oxidoreductase 1alpha (Ero1alpha) is critical for ER stress-induced apoptosis. We hypothesized that Ero1alpha may contribute to ER-stress induced macrophage apoptosis and plaque stability in advanced atherosclerotic lesions by HHcy. METHODS: Apoe(-/-) mice were maintained on drinking water containing homocysteine (Hcy, 1.8 g/L) to establish HHcy atherosclerotic models. The role of Ero1alpha in atherosclerotic plaque stability, macrophage apoptosis and ER stress were monitored in the plaque of aortic roots in HHcy Apoe(-/-) mice with or without silence or overexpression of Ero1alpha through lentivirus. Mouse peritoneal macrophages were used to confirm the regulation of Ero1alpha on ER stress dependent apoptosis in the presence of HHcy. RESULTS: Atherosclerotic plaque vulnerability and macrophage apoptosis were promoted in Apoe(-/-) mice by high Hcy diet, accompanied by the upregulation of Ero1alpha expression and ER stress. Inhibition of Ero1alpha prevented macrophage apoptosis and atherosclerotic plaque vulnerability, and vice versa. Consistently, in mouse peritoneal macrophages, ER stress and apoptosis were attenuated by Ero1alpha deficiency, but enhanced by Ero1alpha overexpression. CONCLUSIONS: Hcy, via upregulation of Ero1alpha expression, activates ER stress-dependent macrophage apoptosis to promote vulnerable plaque formation in atherosclerosis. Ero1alpha may be a potential therapeutic target for atherosclerosis induced by Hcy. CI - Copyright (c) 2021 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Zhang, Na AU - Zhang N AD - Department of Clinical Medicine, Ningxia Medical University, Yinchuan, Ningxia, 750001, PR China. FAU - Zhu, Lili AU - Zhu L AD - Heart Centre, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, 750001, PR China. FAU - Wu, Xianxian AU - Wu X AD - Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical Collage (PUMC), Beijing, 100021, PR China. FAU - Yan, Ru AU - Yan R AD - Institute of Cardiovascular Diseases, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, 750001, PR China. FAU - Yang, Shaobing AU - Yang S AD - Heart Centre, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, 750001, PR China. FAU - Jiang, Xiaoliang AU - Jiang X AD - Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical Collage (PUMC), Beijing, 100021, PR China. FAU - Liu, Xing AU - Liu X AD - Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical Collage (PUMC), Beijing, 100021, PR China. FAU - Liu, Xue AU - Liu X AD - Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical Collage (PUMC), Beijing, 100021, PR China. FAU - Yan, Ning AU - Yan N AD - Heart Centre, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, 750001, PR China. FAU - Cong, Guangzhi AU - Cong G AD - Heart Centre, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, 750001, PR China. FAU - Yang, Zhiwei AU - Yang Z AD - Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences (CAMS) & Peking Union Medical Collage (PUMC), Beijing, 100021, PR China. Electronic address: yangzhiwei@cnilas.pumc.edu.cn. FAU - Jia, Shaobin AU - Jia S AD - Heart Centre, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, 750001, PR China; Institute of Cardiovascular Diseases, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, 750001, PR China. Electronic address: jsbxn@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210811 PL - Ireland TA - Atherosclerosis JT - Atherosclerosis JID - 0242543 RN - 0 (Apolipoproteins E) RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Animals MH - Apolipoproteins E/genetics MH - Apoptosis MH - *Atherosclerosis/genetics MH - Endoplasmic Reticulum Stress MH - *Homocysteine MH - Macrophages, Peritoneal MH - Mice OTO - NOTNLM OT - Endoplasmic reticulum oxidoreductase 1alpha OT - Endoplasmic reticulum stress OT - Hyperhomocysteinemia OT - Macrophage apoptosis OT - Vulnerable plaque EDAT- 2021/09/04 06:00 MHDA- 2021/10/27 06:00 CRDT- 2021/09/03 20:15 PHST- 2021/01/16 00:00 [received] PHST- 2021/07/28 00:00 [revised] PHST- 2021/08/10 00:00 [accepted] PHST- 2021/09/04 06:00 [pubmed] PHST- 2021/10/27 06:00 [medline] PHST- 2021/09/03 20:15 [entrez] AID - S0021-9150(21)01276-4 [pii] AID - 10.1016/j.atherosclerosis.2021.08.015 [doi] PST - ppublish SO - Atherosclerosis. 2021 Oct;334:39-47. doi: 10.1016/j.atherosclerosis.2021.08.015. Epub 2021 Aug 11.