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
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(
)
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:
Huixin TAN1(
), Junguo JIN2, Manqi YANG3, Jingli WANG3, Fenghua ZHOU4(
), Ping ZENG1(
), Xuegang SUN4(
)
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: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。
谭慧心, 金军国, 杨曼其, 王京丽, 周凤华, 曾平, 孙学刚. 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[J]. 南方医科大学学报, 2026, 46(10): 2338-2356.
Huixin TAN, Junguo JIN, Manqi YANG, Jingli WANG, Fenghua ZHOU, Ping ZENG, Xuegang SUN. PGAM5 deficiency attenuates atherosclerosis, enhances oxidized LDL uptake by liver sinusoidal endothelial cells and reshapes circulating lipidome in mice[J]. Journal of Southern Medical University, 2026, 46(10): 2338-2356.
| Primers | Sequence | Length (bp) |
|---|---|---|
| β-actin | Upstream5'-CACCCAGCACAATGAAGATC AAGAT-3' Downstream5'CCAGTTTTTAAATCCTGAGT CAAGC-3' | 317 |
| PGAM5 | Upstream5'-CTCAATAATGGCAGCATCACCC-3' Downstream5'-ATCTTGTCGGGAGGCATGAA-3' | 98 |
表1 引物序列
Tab.1 Primer sequences
| Primers | Sequence | Length (bp) |
|---|---|---|
| β-actin | Upstream5'-CACCCAGCACAATGAAGATC AAGAT-3' Downstream5'CCAGTTTTTAAATCCTGAGT CAAGC-3' | 317 |
| PGAM5 | Upstream5'-CTCAATAATGGCAGCATCACCC-3' Downstream5'-ATCTTGTCGGGAGGCATGAA-3' | 98 |
图1 动脉粥样硬化小鼠肝脏中PGAM5表达升高
Fig.1 Increased hepatic PGAM5 expression in atherosclerotic mice. A: Immunofluorescence staining with DAPI (blue) and PGAM5 (red) of mouse liver tissues (Original magnification: ×100; inset magnification: ×600). B: Quantitative analysis of relative mean fluorescence intensity (MFI) of PGAM5 in mouse liver tissues (n=4). **P<0.01 vs NC group.
图2 PGAM5缺失改善动脉粥样硬化表型
Fig.2 PGAM5 deficiency attenuates atherosclerosis in mice. A: Oil Red O staining of mouse whole aorta. B: Oil Red O, HE, and Masson staining of mouse aortic root sections (×60). C: Quantification of aortic root lipid deposition with the lesion area presented as percentage of total vessel area (NC, n=3; ND, n=4; WD, n=6; ATOR, n=5; PGAM5 KO, n=3). D: Quantification of aortic root lesion area in HE staining (NC, n=5; ND, n=4; WD, n=6; ATOR, n=5; PGAM5 KO, n=5). ***P<0.001, ****P<0.0001 vs NC group; ####P<0.0001 vs WD group.
图3 PGAM5缺失改善动脉粥样硬化小鼠的肝脏脂质沉积和血浆脂质异常
Fig.3 PGAM5 deficiency alleviates hepatic lipid deposition and plasma lipid abnormalities in atherosclerotic mice. A: Oil Red O staining and HE staining of mouse liver tissues (×20). B: Quantitative analysis of hepatic lipid accumulation area (expressed as the percentage of lipid-positive area relative to total tissue area) (NC, n=7; ND, n=3; WD, n=7; ATOR, n=3; PGAM5 KO, n=5). C: Plasma levels of LDL-C (n=6), TC (n=6), TG (n=6), and HDL-C (NC, n=7; ND, n=6; WD, n=6; ATOR, n=6; PGAM5 KO, n=6) in mice of each group. *P<0.05, ***P<0.001, ****P<0.0001 vs NC group; ##P<0.01, ###P<0.001, ####P<0.0001 vs WD group.
图5 小鼠肝脏单细胞RNA测序分析
Fig.5 Single-cell RNA sequencing analysis of mouse liver tissues. A: UMAP visualization of major hepatic cell clusters in WD and PGAM5 KO groups. B: Marker gene expression used for cell-type annotation. C: Proportional distribution of major cell populations between groups (n=4).
图6 内皮细胞与肝脏其他细胞差异基因的GO与KEGG富集分析
Fig.6 GO and KEGG enrichment analysis of differential genes between endothelial cells and other hepatic cell populations. A-C: Gene Ontology (GO) enrichment analysis of differentially expressed genes in ECs, including biological process (A), cellular component (B), and molecular function (C). D: Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis of differentially expressed genes in ECs.
图7 肝脏内皮细胞亚群的转录特征
Fig.7 Transcriptional characteristics of hepatic endothelial subpopulations. A: UMAP dimensionality reduction plot of liver endothelial cells subpopulations. B: Proportional distribution of different endothelial cells subpopulations across samples. C: Heatmap of differentially expressed genes among endothelial cells subpopulations.
图8 肝脏内皮细胞亚群标志基因表达图谱
Fig.8 Expression of marker genes in hepatic endothelial subpopulations. A: UMAP visualization and violin plots of Lyve1, Fcgr2b, Flt4, and Stab2 expression across clusters. B: UMAP visualization and violin plots of Vwf and Pecam1 expression across clusters.
图9 中心静脉内皮细胞标志基因表达图谱
Fig.9 Expression of central vein endothelial cells marker genes. A: UMAP visualization and violin plots of Rspo3 and Wnt9b expression across clusters. B: UMAP visualization and violin plots of Wnt2, Kit, Cdh13, Thbd, Fabp4, Plpp1, Gas6, and Lhx6 expression across clusters.
图10 动脉样内皮细胞标志基因表达图谱
Fig.10 Expression profile of marker genes in arterial-like endothelial cells. A: UMAP visualization and violin plots of Dll4 and Efnb2 expression across clusters. B: UMAP visualization and violin plots of Msr1, Ltbp4, Ntn4, Adam23, Ldb2, Adgrg6, and Aass expression across clusters.
图11 肝窦内皮细胞差异基因的GO与KEGG富集分析
Fig.11 GO/KEGG enrichment analysis of differential genes in LSECs. A-C: Gene Ontology enrichment analysis of differentially expressed genes in LSECs, including biological process (A), cellular component (B), and molecular function (C). D: KEGG pathway enrichment analysis of differentially expressed genes in LSECs.
图12 HLSECs中PGAM5敲降效果验证
Fig.12 Validation of PGAM5 knockdown in HLSECs. A: Representative fluorescence images (×100) showing viral transduction efficiency in HLSECs. B: Western blotting of PGAM5 protein and quantitative analysis (n=3). C: Relative PGAM5 mRNA expression levels (n=3). ****P<0.0001 vs NC group.
图14 PGAM5缺失显著改变AS小鼠血浆代谢物谱
Fig.14 PGAM5 deficiency reshapes plasma metabolite profile in AS mice. A: Relative abundance of L-palmitoylcarnitine. B: Relative abundance of arachidonic acid. C: Pathway enrichment analysis of top differential metabolites (n=5). ##P<0.01, ###P<0.001 vs WD group.
图16 PGAM5缺失显著改变AS小鼠血浆代谢物谱
Fig.16 PGAM5 deficiency significantly alters the plasma metabolite profile in AS mice. A: Heatmap of the representative differential lipids. B: Distribution of differential lipid classes. C: Distribution of differential lipid subclasses.
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