3-Hydroxyanthralinic acid metabolism controls the hepatic SREBP/lipoprotein axis, inhibits inflammasome activation in macrophages, and decreases atherosclerosis in Ldlr−/− mice

Author:

Berg Martin1ORCID,Polyzos Konstantinos A1ORCID,Agardh Hanna1,Baumgartner Roland1,Forteza Maria J1ORCID,Kareinen Ilona1ORCID,Gisterå Anton1ORCID,Bottcher Gerhard2ORCID,Hurt-Camejo Eva3,Hansson Göran K1,Ketelhuth Daniel F J1ORCID

Affiliation:

1. Cardiovascular Medicine Unit, Department of Medicine, Center for Molecular Medicine, Karolinska Institute, Karolinska University Hospital, SE-17176 Stockholm, Sweden

2. Pathology, Drug Safety and Metabolism, IMED Biotech Unit, AstraZeneca, SE-43189 Gothenburg, Sweden

3. Cardiovascular, Renal and Metabolic Diseases, Innovative Medicines and Early Development Biotech Unit, AstraZeneca, SE-43183 Gothenburg, Sweden

Abstract

AbstractAimsAtherosclerosis is a chronic inflammatory disease involving immunological and metabolic processes. Metabolism of tryptophan (Trp) via the kynurenine pathway has shown immunomodulatory properties and the ability to modulate atherosclerosis. We identified 3-hydroxyanthranilic acid (3-HAA) as a key metabolite of Trp modulating vascular inflammation and lipid metabolism. The molecular mechanisms driven by 3-HAA in atherosclerosis have not been completely elucidated. In this study, we investigated whether two major signalling pathways, activation of SREBPs and inflammasome, are associated with the 3-HAA-dependent regulation of lipoprotein synthesis and inflammation in the atherogenesis process. Moreover, we examined whether inhibition of endogenous 3-HAA degradation affects hyperlipidaemia and plaque formation.Methods and resultsIn vitro, we showed that 3-HAA reduces SREBP-2 expression and nuclear translocation and apolipoprotein B secretion in HepG2 cell cultures, and inhibits inflammasome activation and IL-1β production by macrophages. Using Ldlr−/− mice, we showed that inhibition of 3-HAA 3,4-dioxygenase (HAAO), which increases the endogenous levels of 3-HAA, decreases plasma lipids and atherosclerosis. Notably, HAAO inhibition led to decreased hepatic SREBP-2 mRNA levels and lipid accumulation, and improved liver pathology scores.ConclusionsWe show that the activity of SREBP-2 and the inflammasome can be regulated by 3-HAA metabolism. Moreover, our study highlights that targeting HAAO is a promising strategy to prevent and treat hypercholesterolaemia and atherosclerosis.

Funder

AstraZeneca

Swedish Heart-Lung Foundation

Novo Nordisk Foundation

Karolinska Institute Cardiovascular Programme Young investigator Career Development

CERIC Linnaeus Programme

Swedish Research Council-Medicine

Stockholm County Council

European Union’s Seventh Framework Programme

Alexander S. Onassis Foundation

Publisher

Oxford University Press (OUP)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine,Physiology

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