南方医科大学学报 ›› 2025, Vol. 45 ›› Issue (6): 1131-1142.doi: 10.12122/j.issn.1673-4254.2025.06.03
夏冰1(
), 彭进1,2, 丁九阳1, 王杰1, 唐国伟3, 刘国杰4, 王沄4, 万昌武1(
), 乐翠云1(
)
收稿日期:2025-01-05
出版日期:2025-06-20
发布日期:2025-06-27
通讯作者:
万昌武,乐翠云
E-mail:372732293@qq.com;wcw005@sina.com;675493755@qq.com
作者简介:夏 冰,主任法医师,E-mail: 372732293@qq.com
基金资助:
Bing XIA1(
), Jin PENG1,2, Jiuyang DING1, Jie WANG1, Guowei TANG3, Guojie LIU4, Yun WANG4, Changwu WAN1(
), Cuiyun LE1(
)
Received:2025-01-05
Online:2025-06-20
Published:2025-06-27
Contact:
Changwu WAN, Cuiyun LE
E-mail:372732293@qq.com;wcw005@sina.com;675493755@qq.com
Supported by:摘要:
目的 探讨转录激活因子3(ATF3)在动脉粥样硬化斑块内的表达及其调控炎症反应参与动脉粥样硬化(AS)进程的机制。 方法 收集尸检案例中的人冠状动脉标本,免疫荧光和Western blotting检测ATF3蛋白表达及分布;高脂饮食12周后的载脂蛋白E基因敲除(ApoE-/-)小鼠尾静脉注射9型腺相关病毒(AAV9)敲低ATF3的表达,继续高脂喂养5周构建ATF3基因敲除的动脉粥样硬化ApoE-/-小鼠模型。麻醉处死后观察主动脉斑块结构改变,检测斑块内ATF3、炎症相关因子及NF-κB信号通路蛋白表达改变,并在体外构建ATF3的过表达质粒及siRNA干预THP-1诱导的泡沫细胞模型验证ATF3与NF-κB信号通路间关系。 结果 在人冠状动脉粥样硬化斑块内,ATF3的表达增高(P<0.05),且与CD68呈部分共表达;在ATF3基因敲除后,小鼠的主动脉斑块体积增大(P<0.05),斑块内炎症相关因子(CD45、CD68、IL-1β、TNF-α)表达增强(P<0.05),NF-κB信号通路相关蛋白(P-IKKα/β、P-NF-κB p65)表达增高(P<0.05),VCAM1、MMP9及MMP2表达增强(P<0.05);在离体THP-1细胞实验中验证了沉默ATF3后NF-κB信号通路进一步激活,而过表达ATF3后NF-κB信号受到抑制。 结论 动脉粥样硬化诱导ATF3的表达,ATF3的缺乏会促进AS的发生,增强斑块内炎症反应,其机制可能是通过进一步激活NF-κB信号通路导致,ATF3可能是AS潜在的治疗靶点。
夏冰, 彭进, 丁九阳, 王杰, 唐国伟, 刘国杰, 王沄, 万昌武, 乐翠云. ATF3通过NF-κB信号通路调控动脉粥样硬化斑块内的炎症反应[J]. 南方医科大学学报, 2025, 45(6): 1131-1142.
Bing XIA, Jin PENG, Jiuyang DING, Jie WANG, Guowei TANG, Guojie LIU, Yun WANG, Changwu WAN, Cuiyun LE. ATF3 regulates inflammatory response in atherosclerotic plaques in mice through the NF-κB signaling pathway[J]. Journal of Southern Medical University, 2025, 45(6): 1131-1142.
图1 人冠状动脉实验
Fig.1 Examinations of human coronary arteries. A: Human coronary artery tissue specimens. B: Microscopic observation of coronary atherosclerosis (AS; HE staining, scale bar=1 mm). C: Partial co-localization of ATF3 (red) and CD68 (green) in the plaques (arrow,scale bar=50 μm). D: Western blotting for detecting ATF3 and CD68 expressions in the plaques. All experiments were repeated at least 3 times, and data are presented as Mean±SD (n=20). *P<0.05 vs Con group.
图2 ApoE-/-小鼠ATF3基因敲除模型鉴定
Fig.2 Verification of ATF3 gene knockout in ApoE-/- mice. A: Schematic diagram of mouse grouping and treatment. B: Observation of a mouse aorta. The yellow lines indicate the sampling site, and the red box indicates the tissues used for preparing frozen sections or paraffin sections. C: Expression of eGFP in the aortic vessels. After masking autofluorescence in the mouse aortas with pontamine sky blue, no fluorescence signals were detected in the vessels in the control group, but eGFP expression (arrows) was observed in the aortic plaques in AAV9-eGFP group. D: Immunohistochemical staining for detecting distribution of ATF3 expression in the aorta (a1-d1 are enlarged images of the boxed areas in a-d. Scale bar=50 μm, n=6). E: Western blotting for detecting aortic ATF3 protein content (n=6). Data are presented as Mean±SD. *P<0.05 vs Con group; #P<0.05 vs AS or AAV9-eGFP group.
图3 ATF3基因敲除后ApoE-/-小鼠主动脉斑块改变
Fig.3 Changes in mouse aortic plaques after ATF3 gene knockout. A: Gross oil red O staining of the aorta showing lipid deposition in the total vascular area (n=6). B: Oil red O staining of cross-sections within the plaque area showing lipid deposition in the aortic lumen (n=3). C: HE staining of the aortic plaque area (n=6). Scale bar=50 μm. Data are presented as Mean±SD. *P<0.05 vs Con group, #P<0.05 vs AS or AAV9-eGFP group.
图4 ATF3基因敲除后斑块内炎症因子表达增强
Fig.4 ATF3 gene knockout increases expressions of inflammatory factors in aortic plaques of the mice. A: Immunohistochemical staining for detecting aortic CD45, CD68, IL-1β and TNF-α protein expressions and MOD value statistics (scale bar=50 μm, n=6). B: Western blotting of aortic CD45, CD68, IL-1β and TNF-α protein expressions (n=6). Data are presented as Mean±SD. *P<0.05 vs Con group, #P<0.05 vs Con, AS or AAV9-eGFP group.
图5 ATF3基因敲除后斑块内VCAM1、MMP-2和MMP-9蛋白增强
Fig. 5 ATF3 knockout increases expressions of VCAM1, MMP-2 and MMP-9 in aortic plaques of the mice. A: Immunohistochemical staining for detecting aortic VCAM1, MMP-2 and MMP-9 protein expressions and MOD value statistics (scale bar=50 μm, n=6). B: Western blotting for detecting aortic VCAM1, MMP-2 and MMP-9 protein expressions (n=6). Data are presented as Mean±SD. *P<0.05 vs Con group, #P<0.05 vs AS or AAV9-eGFP group.
图6 ATF3基因敲除后NF-κB信号通路激活
Fig.6 ATF3 knockout activates the NF-κB signaling pathway in aortic plaques of the mice. A: Immunohistochemical staining for detecting aortic p-IKKα/β and p-NF-κB P65 protein expressions and MOD value statistics (scale bar=50 μm, n=6). B: Western blotting for detecting aortic IKKα/β, p-IKKα/β, NF-κB P65 and p-NF-κB P65 expressions (n=6). Data are presented as Mean±SD. *P<0.05 vs Con group, #P<0.05 vs AS or AAV9-eGFP group.
图7 细胞实验结果
Fig.7 Cell experiment results. A: THP-1 cells, macrophages and foam cells stained with oil red O to identify lipid deposition (scale bar=50 μm). B: Western blotting for detecting ATF3 silencing efficiency and IKKα/β, p-IKKα/β, NF-κB P65, and p-NF-κB P65 protein expressions. C: Western blotting for detecting ATF3 overexpression efficiency and IKKα/β, p-IKKα/β, NF-κB P65, and p-NF-κB P65 protein expressions. Data are presented as Mean±SD. *P<0.05 vs PMA group, #P<0.05 vs PMA+Ox-LDL, PMA+Ox-LDL+Lip3000 or PMA+Ox-LDL+OE-vector group.
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