Cell-specific and divergent roles of the CD40L-CD40 axis in atherosclerotic vascular disease

Nat Commun. 2021 Jun 18;12(1):3754. doi: 10.1038/s41467-021-23909-z.

Abstract

Atherosclerosis is a major underlying cause of cardiovascular disease. Previous studies showed that inhibition of the co-stimulatory CD40 ligand (CD40L)-CD40 signaling axis profoundly attenuates atherosclerosis. As CD40L exerts multiple functions depending on the cell-cell interactions involved, we sought to investigate the function of the most relevant CD40L-expressing cell types in atherosclerosis: T cells and platelets. Atherosclerosis-prone mice with a CD40L-deficiency in CD4+ T cells display impaired Th1 polarization, as reflected by reduced interferon-γ production, and smaller atherosclerotic plaques containing fewer T-cells, smaller necrotic cores, an increased number of smooth muscle cells and thicker fibrous caps. Mice with a corresponding CD40-deficiency in CD11c+ dendritic cells phenocopy these findings, suggesting that the T cell-dendritic cell CD40L-CD40 axis is crucial in atherogenesis. Accordingly, sCD40L/sCD40 and interferon-γ concentrations in carotid plaques and plasma are positively correlated in patients with cerebrovascular disease. Platelet-specific deficiency of CD40L does not affect atherogenesis but ameliorates atherothrombosis. Our results establish divergent and cell-specific roles of CD40L-CD40 in atherosclerosis, which has implications for therapeutic strategies targeting this pathway.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Atherosclerosis / pathology*
  • Blood Platelets / metabolism
  • CD4-Positive T-Lymphocytes / cytology
  • CD4-Positive T-Lymphocytes / metabolism*
  • CD40 Antigens / metabolism*
  • CD40 Ligand / metabolism*
  • Cardiovascular Diseases / pathology
  • Dendritic Cells / immunology
  • Interferon-gamma / metabolism*
  • Mice
  • Mice, Knockout
  • Myocytes, Smooth Muscle / cytology
  • Plaque, Atherosclerotic / pathology*
  • Signal Transduction / physiology
  • Thrombosis / pathology

Substances

  • CD40 Antigens
  • IFNG protein, mouse
  • CD40 Ligand
  • Interferon-gamma