Key result
Aggregated LDL accumulation downregulates essential cardiac genes controlling insulin response, calcium cycling, and cholesterol efflux.
Why the study?
Although cholesteryl ester accumulation alters cardiac insulin response, and insulin regulates the calcium cycle and cardiac contractility, the effects of lipid accumulation on cardiac functional gene expression remained to be defined.
p-value: p=<0.01
Intracellular lipid accumulation from aggregated LDL impairs gene expression profiles essential for cardiac functionality and insulin response, providing a mechanistic link between lipid overload and cardiovascular disease.
Lipid overload may impair cardiac gene programs in models; leaves open relevance to human cardiomyopathy progression.
Cardiovascular disease (CVD) is a multisystemic and multicellular pathology that is generally associated with high levels of atherogenic lipoproteins in circulation. These lipoproteins tend to be retained and modified, for example, aggregated low-density lipoprotein (aggLDL), in the extracellular matrix of different tissues, such as the vascular wall and heart. The uptake of aggLDL generates a significant increase in cholesteryl ester (CE) in these tissues. We previously found that the accumulation of CE generates alterations in the insulin response in the heart. Although the insulin response is mainly associated with the uptake and metabolism of glucose, other studies have shown that insulin would fulfill functions in this tissue, such as regulating the calcium cycle and cardiac contractility. Here, we found that aggLDL induced-lipid accumulation altered the gene expression profile involved in processes essential for cardiac functionality, including insulin response and glucose uptake (Insr, Ins1, Pik3ip1, Slc2a4 gene expression), calcium cycle (Cacna1s and Gjc2 gene expression) and calcium-dependent cardiac contractility (Myh3), and cholesterol efflux (Abca1), in HL-1 cardiomyocytes. These observations were recapitulated using an in vivo model of hypercholesterolemic ApoE-KO mice. Altogether, these results may explain the deleterious effect of lipid accumulation in the myocardium, with important implications for lipid-overloaded associated CVD, including impaired insulin response, disrupted lipid metabolism, altered cardiac structure, and increased susceptibility to cardiovascular events.
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Dato et al. (2023) studied Hypercholesterolemia and myocardial lipid accumulation (n=12). Aggregated LDL (aggLDL) vs. Vehicle (control) was evaluated on Differentially expressed genes (DEGs) related to insulin response, calcium cycle, and cholesterol efflux (p=<0.01). Aggregated LDL-induced lipid accumulation significantly downregulated the expression of genes essential for cardiac functionality, including insulin response, glucose uptake, calcium cycle, and cholesterol efflux.
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