Integrated multi-omics profiling reveals neutrophil extracellular traps potentiate Aortic dissection progression

Abstract Adverse aortic remodeling increases the risk of aorta-related adverse events (AAEs) after thoracic endovascular aortic repair (TEVAR) and affects the overall prognosis of aortic dissection (AD). It is imperative to delve into the exploration of prognostic indicators to streamline the identi...

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Main Authors: Yu-Fei Zhao, Zi-Ang Zuo, Zhe-Yun Li, Ye Yuan, Shi-Chai Hong, Wei-Guo Fu, Bin Zhou, Li-Xin Wang
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-024-55038-8
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author Yu-Fei Zhao
Zi-Ang Zuo
Zhe-Yun Li
Ye Yuan
Shi-Chai Hong
Wei-Guo Fu
Bin Zhou
Li-Xin Wang
author_facet Yu-Fei Zhao
Zi-Ang Zuo
Zhe-Yun Li
Ye Yuan
Shi-Chai Hong
Wei-Guo Fu
Bin Zhou
Li-Xin Wang
author_sort Yu-Fei Zhao
collection DOAJ
description Abstract Adverse aortic remodeling increases the risk of aorta-related adverse events (AAEs) after thoracic endovascular aortic repair (TEVAR) and affects the overall prognosis of aortic dissection (AD). It is imperative to delve into the exploration of prognostic indicators to streamline the identification of individuals at elevated risk for postoperative AAEs, and therapeutic targets to optimize the efficacy of TEVAR for patients with AD. Here, we perform proteomic and single-cell transcriptomic analyses of peripheral blood and aortic lesions, respectively, from patients with AD and healthy subjects. The integrated multi-omics profiling identifies that highly phenotype-associated macrophages orchestrate neutrophil extracellular traps (NETs) through CXCL3/CXCR2 axis, thereby promoting the development of AD. Increased NETs formation is a defining feature of systemic immunity and aortic microenvironment of AD. Inhibiting NETs formation through the blockade of citrullinated histone H3 or CXCL3/CXCR2 axis ameliorates the progression and rupture of aortic dissection in male mice. The plasma level of citrullinated histone H3 predicts AAEs following endovascular therapy, facilitating the risk stratification and prognostic evaluation for patients with AD.
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institution Kabale University
issn 2041-1723
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publisher Nature Portfolio
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series Nature Communications
spelling doaj-art-3bdfe7870b2d49aeb0da165653d911292025-01-05T12:35:42ZengNature PortfolioNature Communications2041-17232024-12-0115111810.1038/s41467-024-55038-8Integrated multi-omics profiling reveals neutrophil extracellular traps potentiate Aortic dissection progressionYu-Fei Zhao0Zi-Ang Zuo1Zhe-Yun Li2Ye Yuan3Shi-Chai Hong4Wei-Guo Fu5Bin Zhou6Li-Xin Wang7Department of Vascular Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Vascular Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Vascular Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Vascular Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Vascular Surgery (Xiamen), Zhongshan hospital, Fudan UniversityDepartment of Vascular Surgery, Zhongshan Hospital, Fudan UniversityState Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry and Cell Biology, Center for Excellence in Molecular Cell Science, Chinese Academy of Sciences, University of Chinese Academy of SciencesDepartment of Vascular Surgery, Zhongshan Hospital, Fudan UniversityAbstract Adverse aortic remodeling increases the risk of aorta-related adverse events (AAEs) after thoracic endovascular aortic repair (TEVAR) and affects the overall prognosis of aortic dissection (AD). It is imperative to delve into the exploration of prognostic indicators to streamline the identification of individuals at elevated risk for postoperative AAEs, and therapeutic targets to optimize the efficacy of TEVAR for patients with AD. Here, we perform proteomic and single-cell transcriptomic analyses of peripheral blood and aortic lesions, respectively, from patients with AD and healthy subjects. The integrated multi-omics profiling identifies that highly phenotype-associated macrophages orchestrate neutrophil extracellular traps (NETs) through CXCL3/CXCR2 axis, thereby promoting the development of AD. Increased NETs formation is a defining feature of systemic immunity and aortic microenvironment of AD. Inhibiting NETs formation through the blockade of citrullinated histone H3 or CXCL3/CXCR2 axis ameliorates the progression and rupture of aortic dissection in male mice. The plasma level of citrullinated histone H3 predicts AAEs following endovascular therapy, facilitating the risk stratification and prognostic evaluation for patients with AD.https://doi.org/10.1038/s41467-024-55038-8
spellingShingle Yu-Fei Zhao
Zi-Ang Zuo
Zhe-Yun Li
Ye Yuan
Shi-Chai Hong
Wei-Guo Fu
Bin Zhou
Li-Xin Wang
Integrated multi-omics profiling reveals neutrophil extracellular traps potentiate Aortic dissection progression
Nature Communications
title Integrated multi-omics profiling reveals neutrophil extracellular traps potentiate Aortic dissection progression
title_full Integrated multi-omics profiling reveals neutrophil extracellular traps potentiate Aortic dissection progression
title_fullStr Integrated multi-omics profiling reveals neutrophil extracellular traps potentiate Aortic dissection progression
title_full_unstemmed Integrated multi-omics profiling reveals neutrophil extracellular traps potentiate Aortic dissection progression
title_short Integrated multi-omics profiling reveals neutrophil extracellular traps potentiate Aortic dissection progression
title_sort integrated multi omics profiling reveals neutrophil extracellular traps potentiate aortic dissection progression
url https://doi.org/10.1038/s41467-024-55038-8
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