TET1 Functions as an Oxidized LDL Dependent Early-Stage Inducer of Atherosclerosis by Initiating Foam Cell Formation in Macrophages

Atherosclerosis is a condition characterized by plaque growths in arteries, consisting of oxidized LDL (low-density lipoprotein) and localized cell cumulation. By the time of diagnosis for patients with atherosclerosis, the disease has often progressed into advanced stages. Statins are commonly prescribed; however, while these drugs can lower blood cholesterol levels, they cannot regress or stop the plaque growth. Currently, there are no treatments available to prevent the formation of new plaques. Such treatment options would require the identification of proteins that act during disease onset, initiating molecular mechanisms that promote plaque formation. Histone deacetylases (HDACs) and Ten Eleven Translocation (TET) demethylases are two important classes of epigenetic mediators. Some isoforms of these two classes of proteins have been found to transcriptionally regulate cellular inflammation, which may favor plaque formation. These transcriptional regulators seem to function early in the molecular mechanisms that are involved in disease progression. In the present work, we identified a clear role of these epigenetic proteins in foam cell formation. Foam cells have been implicated as part of the early steps which ultimately lead to atherosclerosis. Here we showed that in the presence of OxLDL (oxidized LDL), the protein isoform TET1 has a direct role in foam cell formation, while HDAC2 adopts a more indirect role. Using specific inhibitors of TET1 and HDAC2, we showed the inter-regulated molecular mechanisms between these proteins and how they regulate foam cell formation in vitro. In this study, we found that upon inhibition of TET1 in U937-derived macrophages, and subsequent foam cell formation via OxLDL treatment, a lower percentage of foam cells was observed. However, TET2 inhibition under the same treatment conditions had no effect on the inhibition of foam cell formation.