Abstract

Background: Atherosclerosis is a chronic inflammatory disease where macrophages participate in the progression of the disease. However, the role of resident-like macrophages (res-like) in the atherosclerotic aorta is not completely understood. Methods: A single-cell RNA sequencing analysis of CD45+ leukocytes in the atherosclerotic aorta of apolipoprotein E–deficient (Apoe−/−) mice on a normal cholesterol diet (NCD) or a high cholesterol diet (HCD), respecting the side-to-specific predisposition to atherosclerosis, was performed. A population of res-like macrophages expressing hyaluronan receptor LYVE-1 was investigated via flow cytometry, co-culture experiments, and immunofluorescence in human atherosclerotic plaques from carotid artery disease patients (CAD). Results: We identified 12 principal leukocyte clusters with distinct atherosclerosis disease-relevant gene expression signatures. LYVE-1+ res-like macrophages, expressing a high level of CC motif chemokine ligand 24 (CCL24, eotaxin-2), expanded under hypercholesteremia in Apoe−/− mice and promoted VSMC phenotypic modulation to osteoblast/chondrocyte-like cells, ex vivo, in a CCL24-dependent manner. Moreover, the abundance of LYVE-1+CCL24+ macrophages and elevated systemic levels of CCL24 were associated with vascular calcification and CAD events. Conclusions: LYVE-1 res-like macrophages, via the secretion of CCL24, promote the transdifferentiation of VSMC to osteogenic-like cells with a possible role in vascular calcification and likely a detrimental role in atherosclerotic plaque destabilization.

Highlights

  • Macrophages represent an immune cell population of major interest in the progression of chronic inflammation-driven diseases, such as atherosclerosis [1]

  • The Fluidigm C1 platform for RNA sequencing of single cells was used to reveal the transcriptional profiles of viable individual CD45+ aorta cells isolated from the arch and root (AA&R) and descending thoracic aorta (DT) aortas of Apoe−/− mice, fed either an normal cholesterol diet (NCD) for 16 weeks or an high cholesterol diet (HCD) for 11 weeks (Figure 1A)

  • Among the gene sets revealed by the GO term enrichment analysis of the cells derived from the DT aortas of Apoe−/− mice on HCD versus NCD, there were genes involved in T-cell activation, the positive regulation of defense response, the regulation of the immune effector process, the positive regulation of cytokine production, and the regulation of protein serine/threonine kinase activity, which could have an important implications for the regulation of the T-cell response [41] (Figure 1F)

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Summary

Introduction

Macrophages represent an immune cell population of major interest in the progression of chronic inflammation-driven diseases, such as atherosclerosis [1]. Three macrophage subsets have been shown to express Lyve in atherosclerotic plaques of Ldlr−/− mice using scRNAseq [6] It has been suggested that atherosclerotic aortas contain resident macrophages originating from an embryonic pool, which, upon atherosclerosis development, are replaced by, or accompanied by, recruited monocyte-derived macrophages that adopt a resident-like macrophage phenotype and who play a role in endocytosis [7]. A population of res-like macrophages expressing hyaluronan receptor LYVE-1 was investigated via flow cytometry, co-culture experiments, and immunofluorescence in human atherosclerotic plaques from carotid artery disease patients (CAD). LYVE-1+ res-like macrophages, expressing a high level of CC motif chemokine ligand 24 (CCL24, eotaxin-2), expanded under hypercholesteremia in Apoe−/− mice and promoted VSMC phenotypic modulation to osteoblast/chondrocyte-like cells, ex vivo, in a CCL24-dependent manner. Conclusions: LYVE-1 res-like macrophages, via the secretion of CCL24, promote the transdifferentiation of VSMC to osteogenic-like cells with a possible role in vascular calcification and likely a detrimental role in atherosclerotic plaque destabilization

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