Key result
Myotoxin III stimulates VSMCs to form lipid droplets and transdifferentiate into macrophage-like foam cells.
Why the study?
Inflammatory GIIA sPLA2s are highly expressed in VSMCs in atherosclerosis, but their actions in these cells were unknown.
A secreted phospholipase A2 (MT-III) induces vascular smooth muscle cells to transdifferentiate into macrophage-like foam cells, highlighting a potential mechanism in atherosclerosis.
May implicate MT-III in atherosclerosis via VSMC foam cell formation; leaves open relevance to human plaque progression.
Vascular smooth muscle cells (VSMCs) loaded with lipid droplets (LDs) are markers of atherosclerosis. In this disease, inflammatory Group IIA-secreted phospholipase A2s (GIIA sPLA2s) are highly expressed in VSMCs, but their actions in these cells are unknown. Here, we investigated the ability of myotoxin III (MT-III), an ophidian GIIA sPLA2 sharing structural and functional features with mammalian GIIA sPLA2s, to induce LD formation and lipid metabolism factors involved in this effect. Modulation of VSMC phenotypes by this sPLA2 was also evaluated. Incubation of VSMCs with MT-III significantly increased the number of LDs. MT-III upregulated scavenger receptor type 1 (SR-A1) and lectin-like oxidized low-density lipoprotein receptor-1 (LOX-1) protein expression and enhanced acetylated-low density lipoprotein (acLDL) uptake by VSMCs, revealing the ability of a GIIA PLA2 to modulate scavenger receptor activities. MT-III induced translocation and protein expression of PPAR-γ and -β/δ. Inhibition of peroxisome proliferator-activated receptors (PPARs) and diacylglycerol O-acyltransferase (DGAT) and acyl-CoA:cholesterolacyltransferase (ACAT) enzymes abrogated MT-III-induced LD formation. Moreover, in response to MT-III, VSMCs acquired phagocytic activity and expressed macrophage markers CD68 and MAC-2. In conclusion, MT-III is able to stimulate VSMCs and recruit factors involved in lipid uptake and metabolism, leading to the formation of VSMC-derived foam cells with acquisition of macrophage-like markers and functions.
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Giannotti et al. (2019) studied Atherosclerosis. Myotoxin III (MT-III) was evaluated on Lipid droplet formation and acquisition of macrophage-like markers. Myotoxin III stimulated vascular smooth muscle cells to upregulate lipid uptake factors, leading to lipid droplet formation and transdifferentiation into macrophage-like foam cells.
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