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APRIL limits atherosclerosis by binding to heparan sulfate proteoglycans.

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Tsiantoulas, Dimitrios  ORCID logo  https://orcid.org/0000-0002-7743-3192
Eslami, Mahya 
Obermayer, Georg 
Clement, Marc 
Smeets, Diede 

Abstract

Atherosclerotic cardiovascular disease causes heart attacks and strokes, which are the leading causes of mortality worldwide1. The formation of atherosclerotic plaques is initiated when low-density lipoproteins bind to heparan-sulfate proteoglycans (HSPGs)2 and become trapped in the subendothelial space of large and medium size arteries, which leads to chronic inflammation and remodelling of the artery wall2. A proliferation-inducing ligand (APRIL) is a cytokine that binds to HSPGs3, but the physiology of this interaction is largely unknown. Here we show that genetic ablation or antibody-mediated depletion of APRIL aggravates atherosclerosis in mice. Mechanistically, we demonstrate that APRIL confers atheroprotection by binding to heparan sulfate chains of heparan-sulfate proteoglycan 2 (HSPG2), which limits the retention of low-density lipoproteins, accumulation of macrophages and formation of necrotic cores. Indeed, antibody-mediated depletion of APRIL in mice expressing heparan sulfate-deficient HSPG2 had no effect on the development of atherosclerosis. Treatment with a specific anti-APRIL antibody that promotes the binding of APRIL to HSPGs reduced experimental atherosclerosis. Furthermore, the serum levels of a form of human APRIL protein that binds to HSPGs, which we termed non-canonical APRIL (nc-APRIL), are associated independently of traditional risk factors with long-term cardiovascular mortality in patients with atherosclerosis. Our data reveal properties of APRIL that have broad pathophysiological implications for vascular homeostasis.

Description

Keywords

Animals, Atherosclerosis, B-Cell Maturation Antigen, Binding Sites, Cardiovascular Diseases, Female, Heparan Sulfate Proteoglycans, Humans, Male, Mice, Mice, Inbred C57BL, Protein Binding, Transmembrane Activator and CAML Interactor Protein, Tumor Necrosis Factor Ligand Superfamily Member 13

Journal Title

Nature

Conference Name

Journal ISSN

0028-0836
1476-4687

Volume Title

597

Publisher

Springer Science and Business Media LLC

Rights

All rights reserved
Sponsorship
British Heart Foundation (FS/15/38/31516)
British Heart Foundation (RE/18/1/34212)
British Heart Foundation (CH/10/001/27642)
Helle