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El Bounkari, Omar ORCID logoORCID: https://orcid.org/0000-0002-3051-2096; Zan, Chunfang; Yang, Bishan; Ebert, Simon ORCID logoORCID: https://orcid.org/0009-0004-5776-2089; Wagner, Jonas; Bugar, Elina; Kramer, Naomi; Bourilhon, Priscila; Kontos, Christos; Zarwel, Marlies; Sinitski, Dzmitry; Milic, Jelena; Jansen, Yvonne; Kempf, Wolfgang E.; Sachs, Nadja ORCID logoORCID: https://orcid.org/0000-0001-8031-017X; Maegdefessel, Lars ORCID logoORCID: https://orcid.org/0000-0001-5228-2634; Ji, Hao; Gokce, Ozgun ORCID logoORCID: https://orcid.org/0000-0001-6319-404X; Riols, Fabien; Haid, Mark ORCID logoORCID: https://orcid.org/0000-0001-6118-1333; Gerra, Simona; Hoffmann, Adrian ORCID logoORCID: https://orcid.org/0009-0000-0661-2321; Brandhofer, Markus ORCID logoORCID: https://orcid.org/0000-0002-1629-8353; Avdic, Maida; Bucala, Richard; Megens, Remco T. A. ORCID logoORCID: https://orcid.org/0000-0001-9871-6696; Willemsen, Nienke; Messerer, Denise; Schulz, Christian ORCID logoORCID: https://orcid.org/0000-0002-8149-0747; Bartelt, Alexander ORCID logoORCID: https://orcid.org/0000-0001-7840-3991; Harm, Tobias; Rath, Dominik; Döring, Yvonne ORCID logoORCID: https://orcid.org/0000-0001-9307-3396; Gawaz, Meinrad ORCID logoORCID: https://orcid.org/0000-0003-1124-9592; Weber, Christian ORCID logoORCID: https://orcid.org/0000-0003-4610-8714; Kapurniotu, Aphrodite ORCID logoORCID: https://orcid.org/0000-0001-6124-7232 und Bernhagen, Jürgen ORCID logoORCID: https://orcid.org/0000-0003-2996-2652 (2025): An atypical atherogenic chemokine that promotes advanced atherosclerosis and hepatic lipogenesis. In: Nature Communications, Bd. 16, 2297 [PDF, 6MB]

Abstract

Atherosclerosis is the underlying cause of myocardial infarction and ischemic stroke. It is a lipid-triggered and cytokine/chemokine-driven arterial inflammatory condition. We identify D-dopachrome tautomerase/macrophage migration-inhibitory factor-2 (MIF-2), a paralog of the cytokine MIF, as an atypical chemokine promoting both atherosclerosis and hepatic lipid accumulation. In hyperlipidemic Apoe–/– mice, Mif-2-deficiency and pharmacological MIF-2-blockade protect against lesion formation and vascular inflammation in early and advanced atherogenesis. MIF-2 promotes leukocyte migration, endothelial arrest, and foam-cell formation, and we identify CXCR4 as a receptor for MIF-2. Mif-2-deficiency in Apoe–/– mice leads to decreased plasma lipid levels and suppressed hepatic lipid accumulation, characterized by reductions in lipogenesis-related pathways, tri-/diacylglycerides, and cholesterol-esters, as revealed by hepatic transcriptomics/lipidomics. Hepatocyte cultures and FLIM-FRET-microscopy suggest that MIF-2 activates SREBP-driven lipogenic genes, mechanistically involving MIF-2-inducible CD74/CXCR4 complexes and PI3K/AKT but not AMPK signaling. MIF-2 is upregulated in unstable carotid plaques from atherosclerotic patients and its plasma concentration correlates with disease severity in patients with coronary artery disease. These findings establish MIF-2 as an atypical chemokine linking vascular inflammation to metabolic dysfunction in atherosclerosis.

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