Life Sciences & Biomedicine Medicine, Research & Experimental Research & Experimental Medicine Science & Technology
Arterial stiffening is a consequence of aging and a cholesterol-independent risk factor for cardiovascular disease (CVD). Arterial stiffening and CVD show a sex bias, with men more susceptible than premenopausal women. How arterial stiffness and sex interact at a molecular level to confer risk of CVD is not well understood. Here, we used the sexual dimorphism in LDLR-null mice to show that the protective effect of female sex on atherosclerosis is linked to reduced aortic stiffness and reduced expression of matrix metalloproteinase-12 (MMP12) by lesional macrophages. Deletion of MMP12 in LDLR-null mice attenuated the male sex bias for both arterial stiffness and atherosclerosis, and these effects occurred despite high serum cholesterol. Mechanistically, we found that oxidized LDL stimulates secretion of MMP12 in human as well as mouse macrophages. Estrogen antagonizes this effect by downregulating MMP12 expression. Our data support cholesterol-independent causal relationships between estrogen, oxidized LDL-induced secretion of macrophage MMP12, and arterial stiffness that protect against atherosclerosis in females and emphasize that reduced MMP12 functionality can confer atheroprotection to males.
Cardiovascular protection in females linked to estrogen-dependent inhibition of arterial stiffening and macrophage MMP12
Creators
Shu-lin Liu - Translational Therapeutics
Anamika Bajpai - Drexel University
Elizabeth A. Hawthorne - Translational Therapeutics
Yongho Bae - Translational Therapeutics
Paola Castagnino - Translational Therapeutics
James Monslow - University of Pennsylvania
Ellen Pure - University of Pennsylvania
Kara L. Spiller - Drexel University
Richard K. Assoian - Translational Therapeutics
Publication Details
JCI insight, v 4(1)
Publisher
Amer Soc Clinical Investigation Inc
Number of pages
11
Grant note
Drexel Neuroinflammation and Gender Research Program
R01HL130037 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
AG047373; HL130037 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
CMMI-1548571 / National Science Foundation Science and Technology Center for Engineering MechanoBiology award
Resource Type
Journal article
Language
English
Academic Unit
School of Biomedical Engineering, Science, and Health Systems
Web of Science ID
WOS:000455454900005
Scopus ID
2-s2.0-85070661212
Other Identifier
991019168520904721
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Collaboration types
Domestic collaboration
Web of Science research areas
Medicine, Research & Experimental
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