Peripheral artery disease (PAD) is linked with obesity-induced complications. Obesity induced by a high-fat diet (HFD) modulates myelopoiesis of hematopoietic stem and progenitor cells (HSPCs) and innate immune responses in a long-term. Here we show that, in a mouse hindlimb ischemia, normal mice transplanted HSPCs from HFD mice exhibit persistent inflammation and impaired healing using three-dimensional magnetic resonance images, compared to mice transplanted HSPCs from mice fed a normal diet (ND). Bone marrow cell population analysis revealed HFD induces expansion of myeloid progenitor cells in steady state and prolonged activity of more primitive HSPCs following hindlimb ischemia. Ex vivo culture of HSPCs revealed that HFD increases monocyte generation by damage-associated toll-like receptor stimulation, suggesting that HFD promotes myelopoiesis in a HSPC-intrinsic manner. This notion was confirmed by adoptive transfer of HSPCs from HFD mice in a mouse after hindlimb ischemia that contribute to monocyte generation in vivo. Mechanistically, HFD-induced oxidative stress is associated with increased histone-3 lysine-4 trimethylation (H3K4me3), an activating histone methylation, in HSPCs potentially through KDM5 histone demethylase, as a reduction of oxidative stress by cyclosporine A or MitoTEMPO decreased H3K4me3 and increased KDM5 activity in HSPCs. In myeloid progeny of HSPCs from HFD mice, we found enhanced gene expressions of inflammatory Tnfa and Il6, and increased H3K4me3-marks in KDM5 targets, compared to those from ND mice. Our results suggest that HFD-induced oxidative stress in HSPCs modulates their myelopoiesis and phenotype of their progeny via epigenetic reprogramming that, in turn, persistent inflammatory monocyte/macrophage response in an acute ischemic event of PAD.
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