Introduction:
Recent studies show the contribution of innate immunity system to the pathogenesis of inflammatory diseases, including atherosclerosis. Stimulation of interferon genes (STING), originally known as a cytosolic DNA sensor, recognizes cytosolic DNA fragments, activating innate immunity. Here, we investigated whether STING contributes to the development of vascular inflammation and atherogenesis in apolipoprotein E-deficient (Apoe
–/–
) mice.
Methods and Results:
The expression of STING increased in the atherosclerotic aorta in both gene and protein expression levels. STING-deficient Apoe
–/–
(STING
–/–
Apoe
–/–
) mice reduced atherosclerotic lesions in the aortic arch (
P
<0.05), along with the reduction of lipid and macrophage accumulation in atherosclerotic plaques (
P
<0.05, respectively), and inflammatory molecule expression in the aorta compared with those in Apoe
–/–
mice after 20 weeks on a western-type diet. Also, pharmacologic blockade of STING in Apoe
–/–
mice for 12 weeks treatment attenuated atherogenesis in the aortic arch (
P
<0.05), reduced the accumulation of lipid in atherosclerotic plaques (
P
<0.05) with no alteration of metabolic parameters. Restoration of STING in bone marrow in STING
–/–
Apoe
–/–
mice promoted atherogenesis (
P
<0.05), lipid deposition (
P
<0.05), and vascular inflammation. cGAMP, a specific STING agonist, or mitochondrial DNA extracted from macrophages promoted expression of inflammatory molecules more effectively in Apoe
-/-
macrophages than in STING
–/–
Apoe
–/–
macrophages, while C-176, a specific STING inhibitor, attenuated these inflammatory responses. The results of western blotting showed the involvement of NF-κB and IRF-3 signaling in STING-associated vascular inflammation and macrophage activation. Furthermore, in humans, STING expression was confirmed in atherosclerotic lesions in the carotid artery.
Conclusion:
STING signaling activates macrophages, promotes vascular inflammation and atherosclerosis in Apoe
-/-
mice. Our results suggest that STING may serve as a potential therapeutic target for atherosclerosis.