Cell Reports (Nov 2024)

Nanoparticle-based itaconate treatment recapitulates low-cholesterol/low-fat diet-induced atherosclerotic plaque resolution

  • Natalie E. Hong,
  • Alice Chaplin,
  • Lin Di,
  • Anastasia Ravodina,
  • Graham H. Bevan,
  • Huiyun Gao,
  • Courteney Asase,
  • Roopesh Singh Gangwar,
  • Mark J. Cameron,
  • Matthew Mignery,
  • Olga Cherepanova,
  • Aloke V. Finn,
  • Lalitha Nayak,
  • Andrew A. Pieper,
  • Andrei Maiseyeu

Journal volume & issue
Vol. 43, no. 11
p. 114911

Abstract

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Summary: Current pharmacologic treatments for atherosclerosis do not completely protect patients; additional protection can be achieved by dietary modifications, such as a low-cholesterol/low-fat diet (LCLFD), that mediate plaque stabilization and inflammation reduction. However, this lifestyle modification can be challenging for patients. Unfortunately, incomplete understanding of the underlying mechanisms has thwarted efforts to mimic the protective effects of a LCLFD. Here, we report that the tricarboxylic acid cycle intermediate itaconate (ITA), produced by plaque macrophages, is key to diet-induced plaque resolution. ITA is produced by immunoresponsive gene 1 (IRG1), which we observe is highly elevated in myeloid cells of vulnerable plaques and absent from early or stable plaques in mice and humans. We additionally report development of an ITA-conjugated lipid nanoparticle that accumulates in plaque and bone marrow myeloid cells, epigenetically reduces inflammation via H3K27ac deacetylation, and reproduces the therapeutic effects of LCLFD-induced plaque resolution in multiple atherosclerosis models.

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