Macrophage Inflammation, Erythrophagocytosis, and Accelerated Atherosclerosis in Jak2 V617F Mice

The mechanisms driving atherothrombotic risk in individuals with JAK2 ( Jak2 ) positive clonal hematopoiesis or myeloproliferative neoplasms are poorly understood. The goal of this study was to assess atherosclerosis and underlying mechanisms in hypercholesterolemic mice with hematopoietic Jak2 expr...

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Veröffentlicht in:Circulation research 2018-11, Vol.123 (11), p.e35-e47
Hauptverfasser: Wang, Wei, Liu, Wenli, Fidler, Trevor, Wang, Ying, Tang, Yang, Woods, Brittany, Welch, Carrie, Cai, Bishuang, Silvestre-Roig, Carlos, Ai, Ding, Yang, Yong-Guang, Hidalgo, Andres, Soehnlein, Oliver, Tabas, Ira, Levine, Ross L, Tall, Alan R, Wang, Nan
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container_end_page e47
container_issue 11
container_start_page e35
container_title Circulation research
container_volume 123
creator Wang, Wei
Liu, Wenli
Fidler, Trevor
Wang, Ying
Tang, Yang
Woods, Brittany
Welch, Carrie
Cai, Bishuang
Silvestre-Roig, Carlos
Ai, Ding
Yang, Yong-Guang
Hidalgo, Andres
Soehnlein, Oliver
Tabas, Ira
Levine, Ross L
Tall, Alan R
Wang, Nan
description The mechanisms driving atherothrombotic risk in individuals with JAK2 ( Jak2 ) positive clonal hematopoiesis or myeloproliferative neoplasms are poorly understood. The goal of this study was to assess atherosclerosis and underlying mechanisms in hypercholesterolemic mice with hematopoietic Jak2 expression. Irradiated low-density lipoprotein receptor knockout ( Ldlr ) mice were transplanted with bone marrow from wild-type or Jak2 mice and fed a high-fat high-cholesterol Western diet. Hematopoietic functions and atherosclerosis were characterized. After 7 weeks of Western diet, Jak2 mice showed increased atherosclerosis. Early atherosclerotic lesions showed increased neutrophil adhesion and content, correlating with lesion size. After 12 weeks of Western diet, Jak2 lesions showed increased complexity, with larger necrotic cores, defective efferocytosis, prominent iron deposition, and costaining of erythrocytes and macrophages, suggesting erythrophagocytosis. Jak2 erythrocytes were more susceptible to phagocytosis by wild-type macrophages and showed decreased surface expression of CD47, a "don't-eat-me" signal. Human JAK2VF erythrocytes were also more susceptible to erythrophagocytosis. Jak2 macrophages displayed increased expression and production of proinflammatory cytokines and chemokines, prominent inflammasome activation, increased p38 MAPK (mitogen-activated protein kinase) signaling, and reduced levels of MerTK (c-Mer tyrosine kinase), a key molecule mediating efferocytosis. Increased erythrophagocytosis also suppressed efferocytosis. Hematopoietic Jak2 expression promotes early lesion formation and increased complexity in advanced atherosclerosis. In addition to increasing hematopoiesis and neutrophil infiltration in early lesions, Jak2 caused cellular defects in erythrocytes and macrophages, leading to increased erythrophagocytosis but defective efferocytosis. These changes promote accumulation of iron in plaques and increased necrotic core formation which, together with exacerbated proinflammatory responses, likely contribute to plaque instability.
doi_str_mv 10.1161/CIRCRESAHA.118.313283
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The goal of this study was to assess atherosclerosis and underlying mechanisms in hypercholesterolemic mice with hematopoietic Jak2 expression. Irradiated low-density lipoprotein receptor knockout ( Ldlr ) mice were transplanted with bone marrow from wild-type or Jak2 mice and fed a high-fat high-cholesterol Western diet. Hematopoietic functions and atherosclerosis were characterized. After 7 weeks of Western diet, Jak2 mice showed increased atherosclerosis. Early atherosclerotic lesions showed increased neutrophil adhesion and content, correlating with lesion size. After 12 weeks of Western diet, Jak2 lesions showed increased complexity, with larger necrotic cores, defective efferocytosis, prominent iron deposition, and costaining of erythrocytes and macrophages, suggesting erythrophagocytosis. Jak2 erythrocytes were more susceptible to phagocytosis by wild-type macrophages and showed decreased surface expression of CD47, a "don't-eat-me" signal. Human JAK2VF erythrocytes were also more susceptible to erythrophagocytosis. Jak2 macrophages displayed increased expression and production of proinflammatory cytokines and chemokines, prominent inflammasome activation, increased p38 MAPK (mitogen-activated protein kinase) signaling, and reduced levels of MerTK (c-Mer tyrosine kinase), a key molecule mediating efferocytosis. Increased erythrophagocytosis also suppressed efferocytosis. Hematopoietic Jak2 expression promotes early lesion formation and increased complexity in advanced atherosclerosis. In addition to increasing hematopoiesis and neutrophil infiltration in early lesions, Jak2 caused cellular defects in erythrocytes and macrophages, leading to increased erythrophagocytosis but defective efferocytosis. 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The goal of this study was to assess atherosclerosis and underlying mechanisms in hypercholesterolemic mice with hematopoietic Jak2 expression. Irradiated low-density lipoprotein receptor knockout ( Ldlr ) mice were transplanted with bone marrow from wild-type or Jak2 mice and fed a high-fat high-cholesterol Western diet. Hematopoietic functions and atherosclerosis were characterized. After 7 weeks of Western diet, Jak2 mice showed increased atherosclerosis. Early atherosclerotic lesions showed increased neutrophil adhesion and content, correlating with lesion size. After 12 weeks of Western diet, Jak2 lesions showed increased complexity, with larger necrotic cores, defective efferocytosis, prominent iron deposition, and costaining of erythrocytes and macrophages, suggesting erythrophagocytosis. Jak2 erythrocytes were more susceptible to phagocytosis by wild-type macrophages and showed decreased surface expression of CD47, a "don't-eat-me" signal. 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The goal of this study was to assess atherosclerosis and underlying mechanisms in hypercholesterolemic mice with hematopoietic Jak2 expression. Irradiated low-density lipoprotein receptor knockout ( Ldlr ) mice were transplanted with bone marrow from wild-type or Jak2 mice and fed a high-fat high-cholesterol Western diet. Hematopoietic functions and atherosclerosis were characterized. After 7 weeks of Western diet, Jak2 mice showed increased atherosclerosis. Early atherosclerotic lesions showed increased neutrophil adhesion and content, correlating with lesion size. After 12 weeks of Western diet, Jak2 lesions showed increased complexity, with larger necrotic cores, defective efferocytosis, prominent iron deposition, and costaining of erythrocytes and macrophages, suggesting erythrophagocytosis. Jak2 erythrocytes were more susceptible to phagocytosis by wild-type macrophages and showed decreased surface expression of CD47, a "don't-eat-me" signal. Human JAK2VF erythrocytes were also more susceptible to erythrophagocytosis. Jak2 macrophages displayed increased expression and production of proinflammatory cytokines and chemokines, prominent inflammasome activation, increased p38 MAPK (mitogen-activated protein kinase) signaling, and reduced levels of MerTK (c-Mer tyrosine kinase), a key molecule mediating efferocytosis. Increased erythrophagocytosis also suppressed efferocytosis. Hematopoietic Jak2 expression promotes early lesion formation and increased complexity in advanced atherosclerosis. In addition to increasing hematopoiesis and neutrophil infiltration in early lesions, Jak2 caused cellular defects in erythrocytes and macrophages, leading to increased erythrophagocytosis but defective efferocytosis. These changes promote accumulation of iron in plaques and increased necrotic core formation which, together with exacerbated proinflammatory responses, likely contribute to plaque instability.</abstract><cop>United States</cop><pmid>30571460</pmid><doi>10.1161/CIRCRESAHA.118.313283</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Animals
Atherosclerosis - blood
Atherosclerosis - genetics
Atherosclerosis - metabolism
c-Mer Tyrosine Kinase - metabolism
CD47 Antigen - genetics
CD47 Antigen - metabolism
Cytokines - genetics
Cytokines - metabolism
Erythrocytes - metabolism
Female
Hematopoiesis
Humans
Iron - metabolism
Janus Kinase 2 - genetics
Macrophages - metabolism
Male
Medicin och hälsovetenskap
Mice
Mice, Inbred C57BL
Middle Aged
Neutrophils - metabolism
p38 Mitogen-Activated Protein Kinases - metabolism
Phagocytosis
title Macrophage Inflammation, Erythrophagocytosis, and Accelerated Atherosclerosis in Jak2 V617F Mice
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