南方医科大学学报 ›› 2026, Vol. 46 ›› Issue (10): 2338-2356.doi: 10.12122/j.issn.1673-4254.2026.10.05

• 基础研究 • 上一篇    

PGAM5缺失增强肝窦内皮细胞内吞功能并重塑循环脂质代谢改善脂质沉积

谭慧心1(), 金军国2, 杨曼其3, 王京丽3, 周凤华4(), 曾平1(), 孙学刚4()   

  1. 1.南方医科大学附属广东省人民医院(广东省医学科学院)心血管内科,广东 广州 510080
    2.北京大学附属第一医院心血管内科,北京 100034
    3.广东省心血管病研究所,广东省人民医院(广东省医学科学院)心血管内科,广东 广州 510080
    4.南方医科大学中医药学院,广东 广州 510515
  • 收稿日期:2026-04-11 出版日期:2026-10-20 发布日期:2026-10-26
  • 通讯作者: 周凤华,曾平,孙学刚 E-mail:tanhuixinx@163.com;Wendyzhou515@126.com;zengping@gdph.org.cn;sun_smu@126.com
  • 作者简介:谭慧心,在读硕士研究生,E-mail: tanhuixinx@163.com
  • 基金资助:
    国家重点研发计划“中医药现代化”重点专项(2023YFC3502800);国家自然科学基金(82074295);国家自然科学基金(82374192);广东省自然科学基金(2024A1515011435);广东省自然科学基金(2025A1515220005);广东特支计划(0920260109);羊城中医药创新人才团队(2026RC004)

PGAM5 deficiency attenuates atherosclerosis, enhances oxidized LDL uptake by liver sinusoidal endothelial cells and reshapes circulating lipidome in mice

Huixin TAN1(), Junguo JIN2, Manqi YANG3, Jingli WANG3, Fenghua ZHOU4(), Ping ZENG1(), Xuegang SUN4()   

  1. 1.Department of Cardiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou 510080, China
    2.Department of Cardiology, Peking University First Hospital, Beijing 100034, China
    3.Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, China
    4.School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, China
  • Received:2026-04-11 Online:2026-10-20 Published:2026-10-26
  • Contact: Fenghua ZHOU, Ping ZENG, Xuegang SUN E-mail:tanhuixinx@163.com;Wendyzhou515@126.com;zengping@gdph.org.cn;sun_smu@126.com
  • Supported by:
    National Natural Science Foundation of China(82074295)

摘要:

目的 探讨线粒体磷酸甘油酸变位酶5(PGAM5)缺失对肝窦内皮细胞(LSECs)内吞功能及循环脂质重塑的影响,及其与动脉粥样硬化(AS)的关联。 方法 采用尾静脉注射AAV-PCSK9联合西方饮食(WD)构建AS小鼠模型。实验共分为5组:阴性对照组(NC组,普通饲料喂养)、普通喂养组(ND组,注射AAV-PCSK9后普通饲料喂养)、WD组(注射AAV-PCSK9后WD喂养)、阿托伐他汀灌胃组(ATOR组,注射AAV-PCSK9后WD喂养并给予阿托伐他汀钙灌胃)及PGAM5 KO组(PGAM5-/-小鼠,注射AAV-PCSK9后WD喂养)。通过油红O、HE及Masson染色评估主动脉斑块形成及肝脏脂质沉积情况,检测血浆脂质水平变化。使用肝脏蛋白质组学和单细胞RNA测序来筛选通路并分析细胞亚群。通过血浆代谢组与脂质组学筛选关键差异代谢物;体外在永生化人肝窦内皮细胞(HLSECs)中敲低PGAM5,以评估在代谢物干预下的氧化低密度脂蛋白(oxLDL)摄取情况。 结果 AS状态下PGAM5在肝脏组织中整体表达水平升高(P<0.01)。与NC组相比,WD组小鼠主动脉斑块负荷显著增加(P<0.0001)、肝脏脂肪变性显著加重(P<0.0001)及LDL-C异常(P<0.0001)。与WD组相比,PGAM5 KO组小鼠主动脉脂质沉积明显减少(P<0.0001),斑块稳定性增强,血浆低密度脂蛋白胆固醇(LDL-C)水平显著降低(P<0.01),肝脏脂肪变性明显改善(P<0.0001)。肝脏蛋白质组学分析显示差异蛋白显著富集于脂肪酸代谢及内吞作用相关通路。肝脏单细胞RNA测序分析显示,PGAM5缺失后LSECs的相对比例发生改变。血浆代谢组学分析发现,PGAM5-/-小鼠血浆的棕榈酰肉碱(P<0.001)和花生四烯酸(P<0.01)等脂质代谢物水平显著降低。血浆脂质组学分析显示PGAM5缺失后血浆脂质谱发生改变。体外实验表明,敲低PGAM5可增强HLSECs对oxLDL的摄取能力,AA或L-PC处理可抑制该过程。 结论 PGAM5缺失伴随LSECs内吞增强和循环脂质重塑,可能有助于改善AS。

关键词: 磷酸甘油酸变位酶5, 动脉粥样硬化, 肝窦内皮细胞, 内吞作用

Abstract:

Objective To investigate the effects of mitochondrial phosphoglycerate mutase 5 (PGAM5) deficiency on endocytic function of liver sinusoidal endothelial cells (LSECs) and circulating lipid remodeling and their association with atherosclerosis (AS). Methods AS was induced by tail vein injection of AAV-PCSK9 combined with Western diet (WD) feeding. Mice were divided into 5 groups: NC (negative control, normal chow feeding), ND (normal chow feeding after AAV-PCSK9 injection), WD (WD feeding after AAV-PCSK9 injection), ATOR (WD feeding plus atorvastatin calcium gavage after AAV-PCSK9 injection), and PGAM5 KO (PGAM5-/- mice fed WD after AAV-PCSK9 injection). Aortic plaques, hepatic lipid deposition, and plasma lipids were assessed by Oil Red O, HE, Masson staining, and lipid assays. Liver proteomics and single-cell RNA-seq were used to screen the pathways and analyze cell subsets. Plasma metabolomics and lipidomics screened key differential metabolites. In immortalized human LSECs (HLSECs), PGAM5 knockdown was used to assess oxidized low-density lipoprotein (oxLDL) uptake under metabolite interventions. Results Hepatic PGAM5 expression increased in AS. Compared with NC, WD mice showed increased aortic plaque burden, hepatic steatosis, and LDL-C abnormalities. Compared with WD, PGAM5 KO mice showed reduced aortic lipid deposition, enhanced plaque stability, decreased plasma low-density lipoprotein cholesterol (LDL-C) levels, and improved hepatic steatosis. Liver proteomics revealed differential protein enrichment in fatty acid metabolism and endocytosis pathways. Single-cell RNA-seq showed altered relative LSEC proportions following PGAM5 deficiency. Plasma metabolomics showed decreased L-palmitoylcarnitine (L-PC) and arachidonic acid (AA) levels in PGAM5-/- mice. Plasma lipidomics showed altered lipid profiles following PGAM5 deficiency. PGAM5 knockdown enhanced oxLDL uptake by HLSECs, while AA or L-PC inhibited this process. Conclusion PGAM5 deficiency is associated with enhanced endocytic function of LSECs and circulating lipid remodeling, which may contribute to ameliorated AS.

Key words: mitochondrial phosphoglycerate mutase 5, atherosclerosis, liver sinusoidal endothelial cells, endocytosis