SORBS2 as a molecular target for atherosclerosis in patients with familial hypercholesterolemia

J Transl Med. 2022 May 19;20(1):233. doi: 10.1186/s12967-022-03381-z.

Abstract

Background: Familial hypercholesterolemia (FH) is a metabolic disease in which patients are prone to develop premature atherosclerosis (AS). Sorbin and SH3 Domain Containing 2 (SORBS2) is known to play a role in coronary heart disease (CHD). However, the mechanism underlying SORBS2 involvement in the development of hypercholesterolemia remains unknown. Here, we investigated the effects of SORBS2 on inflammation and foam cell formation and its underlying mechanisms.

Methods: Using Bioinformatics analysis, we established that SORBS2 is upregulated in patients with FH. Circulating concentrations of SORBS2 were measured using ELISA kit (n = 30). The association between circulating SORBS2 levels and inflammatory factors or lipid indexes were conducted using Spearman correlation analysis. We further conducted in vitro experiments that the expression of SORBS2 were analyzed, and SORBS2 siRNA were transfected into oxidized LDL (OxLDL)-induced macrophages, followed by western blot and immunofluorescence.

Results: Circulating SORBS2 levels were positively associated with inflammatory factors and lipid indexes. We also observed that high in vitro expression of SORBS2 in OxLDL-induced macrophages. After SORBS2 silencing, Nod like receptor family pyrin domain-containing 3 protein(NLRP3)-Caspase1 activation and NF-κB activation were attenuated, and secretion of pro-inflammatory cytokines (IL-1β and IL-18) was decreased. Moreover, SORBS2 silencing blocked reactive oxygen species (ROS) production and lipid accumulation, and promoted cholesterol efflux through ABCG1-PPARγ pathway.

Conclusions: SORBS2 regulates lipid-induced inflammation and foam cell formation, and is a potential therapeutic target for hypercholesterolemia.

Keywords: Cholesterol efflux; NLRP3 inflammasome; Oxidized low density lipoprotein; ROS; SORBS2.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptor Proteins, Signal Transducing / metabolism
  • Atherosclerosis* / complications
  • Atherosclerosis* / metabolism
  • Humans
  • Hypercholesterolemia* / complications
  • Hyperlipoproteinemia Type II* / complications
  • Hyperlipoproteinemia Type II* / genetics
  • Inflammasomes / metabolism
  • Inflammation / complications
  • Inflammation / metabolism
  • Lipoproteins, LDL / metabolism
  • NLR Family, Pyrin Domain-Containing 3 Protein / metabolism
  • RNA-Binding Proteins
  • Reactive Oxygen Species / metabolism

Substances

  • Adaptor Proteins, Signal Transducing
  • Inflammasomes
  • Lipoproteins, LDL
  • NLR Family, Pyrin Domain-Containing 3 Protein
  • RNA-Binding Proteins
  • Reactive Oxygen Species
  • SORBS2 protein, human