Quinic acid regulated TMA/TMAO-related lipid metabolism and vascular endothelial function through gut microbiota to inhibit atherosclerotic

J Transl Med. 2024 Apr 15;22(1):352. doi: 10.1186/s12967-024-05120-y.

Abstract

Background: Quinic acid (QA) and its derivatives have good lipid-lowering and hepatoprotective functions, but their role in atherosclerosis remains unknown. This study attempted to investigate the mechanism of QA on atherogenesis in Apoe-/- mice induced by HFD.

Methods: HE staining and oil red O staining were used to observe the pathology. The PCSK9, Mac-3 and SM22a expressions were detected by IHC. Cholesterol, HMGB1, TIMP-1 and CXCL13 levels were measured by biochemical and ELISA. Lipid metabolism and the HMGB1-SREBP2-SR-BI pathway were detected by PCR and WB. 16 S and metabolomics were used to detect gut microbiota and serum metabolites.

Results: QA or low-frequency ABX inhibited weight gain and aortic tissue atherogenesis in HFD-induced Apoe-/- mice. QA inhibited the increase of cholesterol, TMA, TMAO, CXCL13, TIMP-1 and HMGB1 levels in peripheral blood of Apoe-/- mice induced by HFD. Meanwhile, QA or low-frequency ABX treatment inhibited the expression of CAV-1, ABCA1, Mac-3 and SM22α, and promoted the expression of SREBP-1 and LXR in the vascular tissues of HFD-induced Apoe-/- mice. QA reduced Streptococcus_danieliae abundance, and promoted Lactobacillus_intestinalis and Ileibacterium_valens abundance in HFD-induced Apoe-/- mice. QA altered serum galactose metabolism, promoted SREBP-2 and LDLR, inhibited IDOL, FMO3 and PCSK9 expression in liver of HFD-induced Apoe-/- mice. The combined treatment of QA and low-frequency ABX regulated microbe-related Glycoursodeoxycholic acid and GLYCOCHENODEOXYCHOLATE metabolism in HFD-induced Apoe-/- mice. QA inhibited TMAO or LDL-induced HCAECs damage and HMGB1/SREBP2 axis dysfunction, which was reversed by HMGB1 overexpression.

Conclusions: QA regulated the gut-liver lipid metabolism and chronic vascular inflammation of TMA/TMAO through gut microbiota to inhibit the atherogenesis in Apoe-/- mice, and the mechanism may be related to the HMGB1/SREBP2 pathway.

Keywords: Atherosclerosis; Gut microbiota; Metabolism; Quinic acid; TMAO.

MeSH terms

  • Animals
  • Apolipoproteins E / metabolism
  • Atherosclerosis* / pathology
  • Cholesterol
  • Gastrointestinal Microbiome*
  • HMGB1 Protein* / metabolism
  • Inflammation
  • Lipid Metabolism
  • Methylamines*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout, ApoE
  • Proprotein Convertase 9
  • Quinic Acid
  • Sterol Regulatory Element Binding Protein 1 / metabolism
  • Tissue Inhibitor of Metalloproteinase-1 / metabolism

Substances

  • trimethyloxamine
  • PCSK9 protein, human
  • Proprotein Convertase 9
  • HMGB1 Protein
  • Quinic Acid
  • Sterol Regulatory Element Binding Protein 1
  • Tissue Inhibitor of Metalloproteinase-1
  • Cholesterol
  • Apolipoproteins E
  • Methylamines