Key result
Treatment with the HAAO inhibitor NCR-631 decreased the atherosclerotic lesion area in the aortic arch by approximately 50% compared with PBS control mice.
Why the study?
The molecular mechanisms driven by the tryptophan metabolite 3-hydroxyanthranilic acid (3-HAA) in atherosclerosis have not been completely elucidated.
Does HAAO inhibition with NCR-631 reduce atherosclerosis and improve lipid metabolism in a mouse model?
Does HAAO inhibition with NCR-631 reduce atherosclerosis and improve lipid metabolism in a mouse model?
Inhibition of endogenous 3-HAA degradation limits atherosclerosis, providing a potential novel pathway for the treatment of hypercholesterolemia and vascular inflammation.
Answers are grounded in this paper and cite their sources.
HAAO inhibition should not yet change practice; leaves open translation of atherosclerosis reduction to human hypercholesterolemia trials.
AIMS: Atherosclerosis is a chronic inflammatory disease involving immunological and metabolic processes. Metabolism of tryptophan (Trp) via the kynurenine pathway has shown immunomodulatory properties and the ability to modulate atherosclerosis. We identified 3-hydroxyanthranilic acid (3-HAA) as a key metabolite of Trp modulating vascular inflammation and lipid metabolism. The molecular mechanisms driven by 3-HAA in atherosclerosis have not been completely elucidated. In this study, we investigated whether two major signalling pathways, activation of SREBPs and inflammasome, are associated with the 3-HAA-dependent regulation of lipoprotein synthesis and inflammation in the atherogenesis process. Moreover, we examined whether inhibition of endogenous 3-HAA degradation affects hyperlipidaemia and plaque formation. METHODS AND RESULTS: In vitro, we showed that 3-HAA reduces SREBP-2 expression and nuclear translocation and apolipoprotein B secretion in HepG2 cell cultures, and inhibits inflammasome activation and IL-1β production by macrophages. Using Ldlr-/- mice, we showed that inhibition of 3-HAA 3,4-dioxygenase (HAAO), which increases the endogenous levels of 3-HAA, decreases plasma lipids and atherosclerosis. Notably, HAAO inhibition led to decreased hepatic SREBP-2 mRNA levels and lipid accumulation, and improved liver pathology scores. CONCLUSIONS: We show that the activity of SREBP-2 and the inflammasome can be regulated by 3-HAA metabolism. Moreover, our study highlights that targeting HAAO is a promising strategy to prevent and treat hypercholesterolaemia and atherosclerosis.
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Berg et al. (2019) studied Atherosclerosis (n=48). NCR-631 (HAAO inhibitor) vs. PBS was evaluated on Aortic arch lesion area (approximately 50% reduction, p=<0.01). Treatment with the HAAO inhibitor NCR-631 decreased the atherosclerotic lesion area in the aortic arch by approximately 50% compared with PBS control mice.
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