Growth differentiation factor 15 deficiency protects against atherosclerosis by attenuating CCR2-mediated macrophage chemotaxis

SCA De Jager, B Bermúdez, I Bot, RR Koenen… - Journal of Experimental …, 2011 - rupress.org
SCA De Jager, B Bermúdez, I Bot, RR Koenen, M Bot, A Kavelaars, V De Waard, CJ Heijnen…
Journal of Experimental Medicine, 2011rupress.org
Growth differentiation factor (GDF) 15 is a member of the transforming growth factor β (TGF-
β) superfamily, which operates in acute phase responses through a currently unknown
receptor. Elevated GDF-15 serum levels were recently identified as a risk factor for acute
coronary syndromes. We show that GDF-15 expression is up-regulated as disease
progresses in murine atherosclerosis and primarily colocalizes with plaque macrophages.
Hematopoietic GDF-15 deficiency in low density lipoprotein receptor−/− mice led to impaired …
Growth differentiation factor (GDF) 15 is a member of the transforming growth factor β (TGF-β) superfamily, which operates in acute phase responses through a currently unknown receptor. Elevated GDF-15 serum levels were recently identified as a risk factor for acute coronary syndromes. We show that GDF-15 expression is up-regulated as disease progresses in murine atherosclerosis and primarily colocalizes with plaque macrophages. Hematopoietic GDF-15 deficiency in low density lipoprotein receptor−/− mice led to impaired initial lesion formation and increased collagen in later lesions. Although lesion burden in GDF-15−/− chimeras was unaltered, plaques had reduced macrophage infiltrates and decreased necrotic core formation, all features of improved plaque stability. In vitro studies pointed to a TGFβRII-dependent regulatory role of GDF-15 in cell death regulation. Importantly, GDF-15−/− macrophages displayed reduced CCR2 expression, whereas GDF-15 promoted macrophage chemotaxis in a strictly CCR2- and TGFβRII-dependent manner, a phenomenon which was not observed in G protein–coupled receptor kinase 2+/− macrophages. In conclusion, GDF-15 deletion has a beneficial effect both in early and later atherosclerosis by inhibition of CCR2-mediated chemotaxis and by modulating cell death. Our study is the first to identify GDF-15 as an acute phase modifier of CCR2/TGFβRII-dependent inflammatory responses to vascular injury.
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