Circulation. 2025 Dec 18.
Jie Zhang,
Liwen Yu,
Wei Yang,
Lei Cao,
Xiaohong Wang,
Chunyu Kao,
Zijing Li,
Ruiqing Ren,
Wenqian Qi,
Lijuan Lyu,
Wenjing Xiong,
Wenhai Sui,
Xiao Wu,
Na Li,
Bingjie Liu,
Shasha Wang,
Peili Bu,
Yun Zhang,
Chengjiang Gao,
Cheng Zhang,
Meng Zhang.
BACKGROUND: Atherosclerosis is a chronic inflammatory disease marked by lipid accumulation and immune cell infiltration in arterial walls. Macrophages contribute by internalizing oxidized low-density lipoprotein, forming foam cells, and driving inflammation. The ubiquitin-proteasome system regulates immune and inflammatory responses in atherosclerosis. This study investigated the protective role of TRIM31 (tripartite motif-containing 31), an E3 ubiquitin ligase, in macrophage lipid metabolism and inflammation through selective regulation of LOX-1 (lectin-like oxidized low-density lipoprotein receptor-1).
METHODS: Transcriptomic profiling, macrophage-specific Trim31 knockout (Trim31fl/flLyz2cre) and overexpression (Trim31Lyz2-KI) mice, and LOX-1 knockout (Lox-1-/-) models were used to examine the impact of TRIM31 in vivo (n=8 per group). TRIM31 substrates were identified using single-cell RNA sequencing of atherosclerotic aortas and proteomic/immunoprecipitation-mass spectrometry analyses. Functional assays were performed in both mouse and human macrophages (n=5-6 per group). Ubiquitination mechanisms were clarified through immunoprecipitation and site-directed mutagenesis. Rescue experiments involved LOX-1 knockdown or reconstitution with wild-type and lysine 12 to arginine variant (K12R) LOX-1 and TRIM31 overexpression in Lox-1-/- or Apoe-/-Lox-1-/- mice to evaluate the functional importance of LOX-1 ubiquitination in vivo (n=8 per group) and in vitro (n=5 per group).
RESULTS: TRIM31 was selectively upregulated in macrophages under oxidized low-density lipoprotein stimulation and in atherosclerosis plaques. TRIM31 deficiency exacerbated plaque burden, foam cell formation, and inflammatory signaling (n=8 per group). Single-cell analysis revealed enrichment of lipid transport and inflammatory pathways in TRIM31-deficient plaques. LOX-1 was identified as a key TRIM31 substrate. TRIM31 promoted K48-linked ubiquitination of LOX-1 at lysine 12, facilitating its degradation. The atheroprotective effects of TRIM31 were abolished in Lox-1-/- or K12R-variant rescue models. The TRIM31-LOX-1 axis was also confirmed by human macrophages in regulating lipid uptake and inflammation.
CONCLUSIONS: TRIM31, an inducible, macrophage-enriched protective factor in atherosclerosis, restricts foam cell formation and inflammation by targeting LOX-1 for proteasomal degradation. These findings position TRIM31 as a promising therapeutic target for macrophage-driven atherogenesis.
Keywords: atherosclerosis; foam cells; inflammation; macrophages; ubiquitination