T cell cholesterol efflux suppresses apoptosis and senescence and increases atherosclerosis in middle aged mice
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Abstract
ABSTRACT Atherosclerosis is a chronic inflammatory disease driven by hypercholesterolemia. During aging, T-cells accumulate cholesterol, which could lead to a pro-inflammatory phenotype. However, the role of cholesterol efflux pathways mediated by ATP-binding cassette A1 and G1 (ABCA1/ABCG1) in T-cell-dependent age-related inflammation and atherosclerosis remains poorly understood. In this study, we generated mice with T-cell-specific Abca1/Abcg1 -deficiency on the low-density-lipoprotein-receptor deficient ( Ldlr -/- ) background. T-cell Abca1/Abcg1 -deficiency decreased blood, lymph node, and splenic T-cells, and increased T-cell activation and apoptosis. T-cell Abca1/Abcg1 -deficiency induced a premature T-cell aging phenotype in middle-aged (12-13 months) Ldlr -/- mice, reflected by upregulation of senescence markers. Despite T-cell senescence and enhanced T-cell activation, T-cell Abca1/Abcg1 -deficiency decreased atherosclerosis and aortic inflammation in middle-aged Ldlr -/- mice, accompanied by decreased T-cells in atherosclerotic plaques. We attribute these effects to T-cell apoptosis downstream of T-cell activation. Collectively, T-cell cholesterol efflux pathways are critical for maintaining T-cell numbers, suppress senescence, and induce atherosclerosis in middle-aged Ldlr -/- mice.
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T cell specific knockout of ABCA1 and ABCG1 mice had decreased T cell numbers but increased activation, resulting in decreased atherosclerosis and aortic inflammation.
“T cell specific knockout of ABCA1 and ABCG1 mice had decreased T cell numbers but increased activation, resulting in decreased atherosclerosis and aortic inflammation (71).”
From Cholesterol efflux protein, ABCA1, supports anticancer functions of myeloid immune cells (2026) · cites this paper as [71]
The Results sections on peripheral T cells and activation report fewer T cells and increased activation after T cell-specific Abca1/Abcg1 deletion (page unavailable). The section on middle-aged Ldlr−/− mice reports smaller atherosclerotic lesions and changes consistent with reduced aortic inflammation, but attributes these effects primarily to increased T cell apoptosis and reduced inflammatory signaling—not increased activation. The paper also reports no change in lesion size in the other Ldlr−/− mice studied, so the claim omits an important age qualification. (LLM, conf=0.90)
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Cited by
Sorted by citations
Cholesterol efflux protein, ABCA1, supports anticancer functions of myeloid immune cells
Bendre, S. V., Wang, Y., Hajyousif, B., K C, R., Bhogale, S. G., Pradeep, D., Krawczynska, N., Schane, C. P., Weisser, E., Singh, A., et al. (2026) · Science Advances · doi:10.1126/sciadv.adx5490 · Cited by 8 · see citing works
“T cell–specific knockout of ABCA1 and ABCG1 mice had decreased T cell numbers but increased activation, resulting in decreased atherosclerosis and aortic inflammation ( 83 ).”
- Authors
- Bazioti, V., La Rose, A. M., Maassen, S., Bianchi, F., de Boer, R., Halmos, B., Dabral, D., Guilbaud, E., Flohr-Svendsen, A., Groenen, A. G., Marmolejo-Garza, A., Koster, M. H., Kloosterhuis, N. J., Havinga, R., Pranger, A. T., Langelaar-Makkinje, M., de Bruin, A., van de Sluis, B., Kohan, A. B., Yvan-Charvet, L., van den Bogaart, G., & Westerterp, M.
- Affiliations
- University Medical Center Groningen (NL)
- University of Groningen (NL)
- Inserm (FR)
- University of Pittsburgh (US)
- Corresponding author
- Westerterp, Marit
- ORCID
- Bazioti, Venetia
- La Rose, Anouk M.
- Maassen, Sjors
- Bianchi, Frans
- Halmos, Benedek
- Dabral, Deepti
- Guilbaud, Emma
- Flohr-Svendsen, Arthur
- Groenen, Anouk G.
- Marmolejo-Garza, Alejandro
- Koster, Mirjam H.
- Kloosterhuis, Niels J.
- van de Sluis, Bart
- Kohan, Alison B.
- Yvan-Charvet, Laurent
- van den Bogaart, Geert
- Westerterp, Marit
- Venue
- Nature Communications
- Published
- 2022-07-01
- Volume
- 13
- Issue
- 1
- Pages
- 3799-3799
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC9249754
- OpenAlex
- W4283743523
- Cited by
- 65
- References
- 9
- Citations by year
- 2026: 13 · 2025: 16 · 2024: 17 · 2023: 19
- FWCI
- 4.97
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nature Communications (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by)
- Funders
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek (VIDI grant 917.15.350)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
- Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Keywords
- ABCA1, ABCG1, T cell apoptosis, T cell senescence, atherosclerosis, age-related inflammation, hypercholesterolemia, Ldlr-deficient mice, T cell activation, aortitis, atherosclerotic plaque
- MeSH terms
- Animals, Biological Transport, Immunologic Deficiency Syndromes, Inflammation, T-Lymphocytes, Thymus Gland, Apoptosis, Atherosclerosis, Mice
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