Key result
In murine models of lupus, active disease was associated with inflamed, dysfunctional perivascular adipose tissue that exacerbated impaired endothelium-dependent vasorelaxation.
Why the study?
Lupus patients have increased thoracic aortic perivascular adipose tissue that associates with vascular calcification, but the biological and functional role of PVAT in SLE has not been directly investigated.
Dysfunctional, inflamed perivascular adipose tissue in murine lupus exacerbates endothelial dysfunction, suggesting a mechanism for the accelerated cardiovascular disease observed in systemic lupus erythematosus.
Answers are grounded in this paper and cite their sources.
Dysfunctional PVAT may exacerbate endothelial dysfunction in murine lupus; hypothesis-generating for perivascular inflammation as CVD target in human SLE.
Introduction: Patients with systemic lupus erythematosus (SLE) are at elevated risk for Q10 cardiovascular disease (CVD) due to accelerated atherosclerosis. Compared to heathy control subjects, lupus patients have higher volumes and densities of thoracic aortic perivascular adipose tissue (PVAT), which independently associates with vascular calcification, a marker of subclinical atherosclerosis. However, the biological and functional role of PVAT in SLE has not been directly investigated. Methods: Using mouse models of lupus, we studied the phenotype and function of PVAT, and the mechanisms linking PVAT and vascular dysfunction in lupus disease. Results and discussion: Lupus mice were hypermetabolic and exhibited partial lipodystrophy, with sparing of thoracic aortic PVAT. Using wire myography, we found that mice with active lupus exhibited impaired endothelium-dependent relaxation of thoracic aorta, which was further exacerbated in the presence of thoracic aortic PVAT. Interestingly, PVAT from lupus mice exhibited phenotypic switching, as evidenced by "whitening" and hypertrophy of perivascular adipocytes along with immune cell infiltration, in association with adventitial hyperplasia. In addition, expression of UCP1, a brown/beige adipose marker, was dramatically decreased, while CD45-positive leukocyte infiltration was increased, in PVAT from lupus mice. Furthermore, PVAT from lupus mice exhibited a marked decrease in adipogenic gene expression, concomitant with increased pro-inflammatory adipocytokine and leukocyte marker expression. Taken together, these results suggest that dysfunctional, inflamed PVAT may contribute to vascular disease in lupus.
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Shi et al. (2023) studied Systemic lupus erythematosus (murine model). Active lupus and presence of perivascular adipose tissue vs. Control mice and absence of perivascular adipose tissue was evaluated on Endothelium-dependent vasorelaxation to acetylcholine. In murine models of lupus, active disease was associated with inflamed, dysfunctional perivascular adipose tissue that exacerbated impaired endothelium-dependent vasorelaxation.
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