Disruption of adipocyte HIF-1 α improves atherosclerosis through the inhibition of ceramide generation
- Acta Pharm Sin B. 2022 Apr;12(4):1899-1912. doi: 10.1016/j.apsb.2021.10.001.
- 1. Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Peking University, Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Beijing 100191, China.
- 2. Center of Basic Medical Research, Institute of Medical Innovation and Research, Peking University Third Hospital, Beijing 100191 China.
- 3. Center for Obesity and Metabolic Disease Research, School of Basic Medical Sciences, Peking University, Beijing 100191, China.
- 4. General Surgery Department, Peking University Third Hospital, Beijing 100191, China.
- 5. Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191 China.
Atherosclerosis is a chronic multifactorial Cardiovascular Disease. Western diets have been reported to affect atherosclerosis through regulating adipose function. In high Cholesterol diet-fed apoE -/- mice, adipocyte HIF-1α deficiency or direct inhibition of HIF-1α by the selective pharmacological HIF-1α inhibitor PX-478 alleviates high Cholesterol diet-induced atherosclerosis by reducing adipose ceramide generation, which lowers Cholesterol levels and reduces inflammatory responses, resulting in improved dyslipidemia and atherogenesis. Smpd3, the gene encoding neutral sphingomyelinase, is identified as a new target gene directly regulated by HIF-1α that is involved in ceramide generation. Injection of lentivirus-SMPD3 in epididymal adipose tissue reverses the decrease in ceramides in adipocytes and eliminates the improvements on atherosclerosis in the adipocyte HIF-1α-deficient mice. Therefore, HIF-1α inhibition may constitute a novel approach to slow atherosclerotic progression.
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