Abstract

Abdominal aortic aneurysm (AAA) is a cardiovascular disease characterized by accumulation of immune cells, inflammation, and degradation of medial layer of the abdominal aorta. Angiotensin II (Ang II) plays a key role in controlling blood pressure but is also able to regulate various immune and non-immune cells. While some studies suggested the role of Ang II in dysbiosis, the link between alteration of intestinal microbiota and AAA is largely unexplored. Cytokines are established regulators of inflammatory milieu in the aortic wall in AAA, but their distant contribution, for example via control of intestinal microbial homeostasis and cooperation with Ang II, has never been explored. Interleukin (IL)27 is a member of the IL6/IL12 superfamily that regulates various immune and non-immune cells. We previously showed that IL27R signaling cooperates with Ang II in the regulation of myelopoiesis thereby promoting AAA. Myeloid progenitor expansion and myeloid cell production driven by AngII are blunted in Apoe -/- Il27ra -/- mice. Here we found that Apoe -/- Il27ra -/- mice were also protected from gut dysbiosis and contain less pro-inflammatory bacterial genera in their colons. Unexpectedly, microbiota depletion accelerated AAA development in Apoe -/- Il27ra -/- mice, while Apoe -/- controls were protected from the disease. RNA seq analysis revealed upregulation of inflammatory pathways and downregulation in tight junctions and collagen in colons of Apoe -/- Il27ra -/- mice with ablated microbiota. Transcriptomic analysis of Apoe -/- colonic organoids stimulated with recIL27 shows upregulation of pathways linked to cell proliferation, cell cycle, and junction genes, indicating direct role of IL27. The analysis of the bone marrow revealed elevation of early myeloid progenitors which correlated with heightened circulating monocytes and neutrophils in Apoe -/- Il27ra -/- mice with ablated microbiota. Non-targeted metabolomics revealed microbiota and IL27R signaling-dependent alteration of serum metabolites likely mediating the effect on myeloid cells and AAA. Overall, our work uncovers novel role of IL27R signaling in the regulation of AAA, mechanistically connecting intestinal barrier and microbiota to the pathogenesis of this CVD.

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