Cited by 600Inflammasome and immune disordersAtherosclerosis and Cardiovascular DiseasesNitric Oxide and Endothelin Effects

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Trimethylamine‐N‐Oxide Induces Vascular Inflammation by Activating the NLRP3 Inflammasome Through the SIRT3‐SOD2‐mtROS Signaling Pathway

Open access
Chen, Ming‐liang, Zhu, Xiao‐hui, Ran, Li, Lang, He‐dong, Yi, Long, Mi, Man‐tian·2017·Journal of the American Heart Association

Abstract

Background: Trimethylamine‐N‐oxide ( TMAO ) has recently been identified as a novel and independent risk factor for promoting atherosclerosis through inducing vascular inflammation. However, the exact mechanism is currently unclear. Studies have established a central role of nucleotide‐binding oligomerization domain–like receptor family pyrin domain–containing 3 ( NLRP 3) inflammasome in the pathogenesis of vascular inflammation. Here, we examined the potential role of the NLRP 3 inflammasome in TMAO ‐induced vascular inflammation in vitro and in vivo and the underlying mechanisms. Methods and Results: Experiments using liquid chromatography‐tandem mass spectrometry, Western blot, and fluorescent probes showed that TMAO ‐induced inflammation in human umbilical vein endothelial cells ( HUVEC s) and aortas from ApoE −/− mice. Moreover, TMAO promoted NLRP 3 and activated caspase‐1 p20 expression and caspase‐1 activity in vitro and in vivo. Notably, a caspase‐1 inhibitor ( YVAD ), an NLRP 3 inhibitor ( MCC 950), as well as NLRP 3 short interfering RNA attenuated TMAO ‐induced activation of the NLRP 3 inflammasome, subsequently leading to suppression of inflammation in HUVEC s. TMAO additionally stimulated reactive oxygen species ( ROS ) generation, in particular, mitochondrial ROS , while inhibiting manganese superoxide dismutase 2 (SOD2) activation and sirtuin 3 ( SIRT 3) expression in HUVEC s and aortas from ApoE −/− mice. TMAO ‐induced endothelial NLRP 3 inflammasome activation was ameliorated by the mitochondrial ROS scavenger Mito‐ TEMPO , or SIRT 3 overexpression in HUVEC s. Conversely, TMAO failed to further inhibit SOD2 and activate the NLRP 3 inflammasome or induce inflammation in SIRT 3 short interfering RNA –treated HUVEC s and aortas from SIRT 3 −/− mice. Conclusions: TMAO promoted vascular inflammation by activating the NLRP 3 inflammasome, and the NLRP 3 inflammasome activation in part was mediated through inhibition of the SIRT 3‐ SOD 2–mitochondrial ROS signaling pathway.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

TMAO promotes vascular inflammation by activating the NLRP3 inflammasome, mediated in part through inhibition of the SIRT3-SOD2-mtROS signaling pathway. In HUVECs and mouse aortas, TMAO increased NLRP3/caspase-1 p20 and inflammatory markers, while SIRT3 overexpression or mtROS scavenging attenuated these effects.

Key findings

  • TMAO (600 μmol/L for 24 hours) increased IL-1β, ICAM-1, and MMP-9 expression and monocyte adhesion in HUVECs without significantly affecting cell viability; TMAO also promoted NLRP3 and caspase-1 p20 expression and caspase-1 activity in concentration- and time-dependent manners.
  • NLRP3 inhibition with MCC950 (10 μmol/L), caspase-1 inhibition with YVAD (10 μmol/L), or NLRP3 siRNA attenuated TMAO-induced NLRP3/caspase-1 p20 and inflammatory protein expression, as well as monocyte adhesion.
  • TMAO increased total ROS and mitochondrial ROS (mtROS); the mtROS scavenger Mito-TEMPO (TEMPO, 50 μmol/L) inhibited TMAO-induced NLRP3 inflammasome activation and inflammation. TMAO suppressed SOD2 activity and SIRT3 expression and increased SOD2 acetylation; SIRT3 siRNA mimicked TMAO effects, whereas SIRT3 overexpression diminished them.
  • In vivo, 1% choline for 4 months in ApoE−/− mice increased plasma TMAO, atherosclerotic lesion areas in whole aorta and aortic root, and aortic NLRP3, caspase-1 p20, caspase-1 activity, IL-1β, ICAM-1, and MMP-9; SIRT3−/− mice showed similar inflammasome activation even on chow diet.

Methods

  • In vitro: HUVECs were treated with TMAO (0, 150, 300, 600, 900 μmol/L) for 24 hours or 600 μmol/L for 0, 4, 12, and 24 hours; interventions included YVAD (10 μmol/L), MCC950 (10 μmol/L), TEMPO (50 μmol/L), NLRP3 siRNA, SIRT3 siRNA, and SIRT3 overexpression plasmid. Assays included Western blot, caspase-1 activity, SOD2 activity, DCFH-DA/MitoSOX ROS detection, and monocyte adhesion.
  • In vivo: 8-week-old female 129/SvJ wild-type, ApoE−/−, and SIRT3−/− mice were fed standard chow or 1% choline-supplemented chow for 4 months; n=10 per group. Analyses included plasma TMAO by liquid chromatography-tandem mass spectrometry, aortic Western blot, caspase-1 and SOD2 activity, ultrasound of aortic sinus, and Oil-red O lesion quantification.
  • Statistics: data presented as means±SE of 3 experiments; t test and 1-way ANOVA with Tukey-Kramer post hoc test, significance at P<0.05.

Limitations

  • Stated by the paper: the 600 μmol/L TMAO concentration used for in vitro time-course and mechanism studies was higher than that in humans; the exact role of NF-κB in TMAO-induced NLRP3 inflammasome activation needs further studies.
  • Evident from the text: in vivo experiments used dietary choline as a TMAO precursor rather than direct TMAO administration, and only female mice were studied; no human intervention data are presented.

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Integrity signals

Registry

Crossref · 10.1161/jaha.117.006347

Cites

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Figures

Figure 1 Trimethylamine‐N‐oxide (TMAO)‐induced inflammation in endothelial cells. A, Human umbilical vein endothelial cells (HUVECs) were incubated with different concentrations of TMAO (50, 100, 200, 300, 400, 600, 800, 1000, and 2000 μmol/L) for 24 hours. Thereafter, cell viability was determined. B, Cells were treated with TMAO (600 μmol/L) for different time‐periods (4, 8, 12, 24, 36, 48, and 72 hours), and cell viability was detected. C, Cells were treated as described in A, and the expression of IL‐1β, ICAM‐1, and MMP‐9 was detected via Western blot. D, Bar charts show the quantification of the indicated proteins. E, Cells were treated as described in B, and the expression of IL‐1β, ICAM‐1, and MMP‐9 was analyzed via Western blot. F, Bar graphs show the quantification of the indicated proteins. Values are presented as means±SE (n=3); a P<0.05, b P<0.01 vs the vehicle‐treated control group; AU indicates arbitrary units; ICAM, intercellular adhesion molecule; IL, interleukin; MMP, matrix metallopeptidase.
Figure 1 Trimethylamine‐N‐oxide (TMAO)‐induced inflammation in endothelial cells. A, Human umbilical vein endothelial cells (HUVECs) were incubated with different concentrations of TMAO (50, 100, 200, 300, 400, 600, 800, 1000, and 2000 μmol/L) for 24 hours. Thereafter, cell viability was determined. B, Cells were treated with TMAO (600 μmol/L) for different time‐periods (4, 8, 12, 24, 36, 48, and 72 hours), and cell viability was detected. C, Cells were treated as described in A, and the expression of IL‐1β, ICAM‐1, and MMP‐9 was detected via Western blot. D, Bar charts show the quantification of the indicated proteins. E, Cells were treated as described in B, and the expression of IL‐1β, ICAM‐1, and MMP‐9 was analyzed via Western blot. F, Bar graphs show the quantification of the indicated proteins. Values are presented as means±SE (n=3); a P<0.05, b P<0.01 vs the vehicle‐treated control group; AU indicates arbitrary units; ICAM, intercellular adhesion molecule; IL, interleukin; MMP, matrix metallopeptidase.CC BY-NC · PubMed Central
Figure 2 Trimethylamine‐N‐oxide (TMAO)‐induced inflammation via nucleotide‐binding oligomerization domain–like receptor family pyrin domain–containing 3 (NLRP3) inflammasome activation in endothelial cells. A, Cells were treated with TMAO at a series of concentrations (150, 300, 600, and 900 μmol/L) for 24 hours, and the expression of NLRP3 and caspase‐1 p20 was detected via Western blot. B, Bar charts showing quantification of endogenous NLRP3 and caspase‐1 p20. C, Cells were incubated with 600 μmol/L TMAO for different time intervals (4, 8, 12, and 24 hours), and the expression of NLRP3 and caspase‐1 p20 was detected via Western blot. D, Bar charts showing quantification of endogenous NLRP3 and caspase‐1 p20. Cells were treated as described for A and B. Thereafter, caspase‐1 activity was measured using caspase‐1 activity kits (E and F). G, Cells were pretreated with YVAD (10 μmol/L) or MCC950 (10 μmol/L) for 2 hours, and then exposed to TMAO (600 μmol/L) for a further 24 hours. Expression of IL‐1β, ICAM‐1, MMP‐9, and caspase‐1 p20 was detected via Western blot. H, Bar charts showing quantification of the indicated proteins. I, Human umbilical vein endothelial cells (HUVECs) were transfected with NLRP3 siRNA as described in Materials and Methods. After 24 hours, cells were incubated with TMAO (600 μmol/L) for 24 hours, and the expression of IL‐1β, ICAM‐1, MMP‐9 and Casp1 p20 was detected via Western blot. J, Bar charts showing quantification of indicated proteins. Values are expressed as means±SE (n=3). a P<0.05, b P<0.01 vs vehicle‐treated control group; c P<0.01 vs TMAO‐treated group; AU indicates arbitrary units; ICAM, intercellular adhesion molecule; IL, interleukin; MMP, matrix metallopeptidase.
Figure 2 Trimethylamine‐N‐oxide (TMAO)‐induced inflammation via nucleotide‐binding oligomerization domain–like receptor family pyrin domain–containing 3 (NLRP3) inflammasome activation in endothelial cells. A, Cells were treated with TMAO at a series of concentrations (150, 300, 600, and 900 μmol/L) for 24 hours, and the expression of NLRP3 and caspase‐1 p20 was detected via Western blot. B, Bar charts showing quantification of endogenous NLRP3 and caspase‐1 p20. C, Cells were incubated with 600 μmol/L TMAO for different time intervals (4, 8, 12, and 24 hours), and the expression of NLRP3 and caspase‐1 p20 was detected via Western blot. D, Bar charts showing quantification of endogenous NLRP3 and caspase‐1 p20. Cells were treated as described for A and B. Thereafter, caspase‐1 activity was measured using caspase‐1 activity kits (E and F). G, Cells were pretreated with YVAD (10 μmol/L) or MCC950 (10 μmol/L) for 2 hours, and then exposed to TMAO (600 μmol/L) for a further 24 hours. Expression of IL‐1β, ICAM‐1, MMP‐9, and caspase‐1 p20 was detected via Western blot. H, Bar charts showing quantification of the indicated proteins. I, Human umbilical vein endothelial cells (HUVECs) were transfected with NLRP3 siRNA as described in Materials and Methods. After 24 hours, cells were incubated with TMAO (600 μmol/L) for 24 hours, and the expression of IL‐1β, ICAM‐1, MMP‐9 and Casp1 p20 was detected via Western blot. J, Bar charts showing quantification of indicated proteins. Values are expressed as means±SE (n=3). a P<0.05, b P<0.01 vs vehicle‐treated control group; c P<0.01 vs TMAO‐treated group; AU indicates arbitrary units; ICAM, intercellular adhesion molecule; IL, interleukin; MMP, matrix metallopeptidase.CC BY-NC · PubMed Central
Figure 3 Mitochondrial reactive oxygen species (mtROS) played a key role in trimethylamine‐N‐oxide (TMAO)‐induced activation of the nucleotide‐binding oligomerization domain–like receptor family pyrin domain–containing 3 (NLRP3) inflammasome in endothelial cells. Cells were treated with TMAO at a series of concentrations (150, 300, 600, and 900 μmol/L) for 24 hours or 600 μmol/L TMAO for the indicated time intervals (4, 8, 12, and 24 hours). A and B, Total ROS levels were detected via DCFH‐DA. C and D, mtROS levels were detected with MitoSOX ™ Red. Human umbilical vein endothelial cells (HUVECs) were pretreated with TEMPO (50 μmol/L) for 2 hours followed by the addition of TMAO (600 μmol/L) for a further 24 hours. E, mtROS and (F) expression of the indicated protein were detected. Values are expressed as means±SE (n=3). a P<0.05, b P<0.01 vs the vehicle‐treated control group; c P<0.01 vs TMAO‐treated group; AU, arbitrary units.
Figure 3 Mitochondrial reactive oxygen species (mtROS) played a key role in trimethylamine‐N‐oxide (TMAO)‐induced activation of the nucleotide‐binding oligomerization domain–like receptor family pyrin domain–containing 3 (NLRP3) inflammasome in endothelial cells. Cells were treated with TMAO at a series of concentrations (150, 300, 600, and 900 μmol/L) for 24 hours or 600 μmol/L TMAO for the indicated time intervals (4, 8, 12, and 24 hours). A and B, Total ROS levels were detected via DCFH‐DA. C and D, mtROS levels were detected with MitoSOX ™ Red. Human umbilical vein endothelial cells (HUVECs) were pretreated with TEMPO (50 μmol/L) for 2 hours followed by the addition of TMAO (600 μmol/L) for a further 24 hours. E, mtROS and (F) expression of the indicated protein were detected. Values are expressed as means±SE (n=3). a P<0.05, b P<0.01 vs the vehicle‐treated control group; c P<0.01 vs TMAO‐treated group; AU, arbitrary units.CC BY-NC · PubMed Central
Figure 4 Trimethylamine‐N‐oxide (TMAO) exposure decreased superoxide dismutase (SOD)2 activity and sirtuin‐3 (SIRT3) expression. Cells were treated with TMAO at a series of concentrations (150, 300, 600, and 900 μmol/L) for 24 hours or incubated with 600 μmol/L TMAO at indicated time intervals (4, 8, 12, and 24 hours). A and B, SOD2 enzymatic activity was assayed using SOD1 and SOD2 Assay Kits with WST‐8 following the manufacturer's instructions. C and E, Western blot analysis of Ac‐SOD2 and SOD2 expression. D and F, The bar graph shows quantification of endogenous Ac‐SOD2 and SOD2. G and I, SIRT3 expression was detected via Western blot. H and J, The bar graph shows quantification of endogenous SIRT3. Values are expressed as means±SE (n=3); a P<0.05, b P<0.01 vs the vehicle‐treated control group; AU, arbitrary units.
Figure 4 Trimethylamine‐N‐oxide (TMAO) exposure decreased superoxide dismutase (SOD)2 activity and sirtuin‐3 (SIRT3) expression. Cells were treated with TMAO at a series of concentrations (150, 300, 600, and 900 μmol/L) for 24 hours or incubated with 600 μmol/L TMAO at indicated time intervals (4, 8, 12, and 24 hours). A and B, SOD2 enzymatic activity was assayed using SOD1 and SOD2 Assay Kits with WST‐8 following the manufacturer's instructions. C and E, Western blot analysis of Ac‐SOD2 and SOD2 expression. D and F, The bar graph shows quantification of endogenous Ac‐SOD2 and SOD2. G and I, SIRT3 expression was detected via Western blot. H and J, The bar graph shows quantification of endogenous SIRT3. Values are expressed as means±SE (n=3); a P<0.05, b P<0.01 vs the vehicle‐treated control group; AU, arbitrary units.CC BY-NC · PubMed Central
Figure 5 Trimethylamine‐N‐oxide (TMAO) induced mitochondrial reactive oxygen species (mtROS) accumulation via the sirtuin‐3–superoxide dismutase‐2 (SIRT3‐SOD2) pathway in endothelial cells. Human umbilical vein endothelial cells (HUVECs) were transfected with SIRT3 siRNA or a plasmid overexpressing SIRT3 as described in Materials and Methods. After 24 hours, cells were incubated with 600 μmol/L TMAO for 24 hours. A, Assay of SOD2 enzymatic activity using SOD1 and SOD2 Assay Kits with WST‐8 following the manufacturer's instructions. B, Detection of mtROS levels with MitoSOX ™ Red. C, Detection of total ROS levels using DCFH‐DA. D, Measurement of caspase‐1 activity with a caspase‐1 activity assay kit. E, Western blot analysis of caspase‐1 p20, nucleotide‐binding oligomerization domain–like receptor family pyrin domain–containing 3 (NLRP3), Ac‐SOD2, SOD2, and SIRT3 contents. F, Bar graphs showing quantification of the indicated proteins. G, Western blot analysis of IL‐1β, ICAM‐1, and MMP‐9 expression. H, Bar graphs showing quantification of the indicated proteins. Values are expressed as means±SE (n=3); b P<0.01 vs the vehicle‐treated control group; c P<0.01 vs TMAO‐treated group; AU, arbitrary units; ICAM, intercellular adhesion molecule; IL, interleukin; MMP, matrix metallopeptidase.
Figure 5 Trimethylamine‐N‐oxide (TMAO) induced mitochondrial reactive oxygen species (mtROS) accumulation via the sirtuin‐3–superoxide dismutase‐2 (SIRT3‐SOD2) pathway in endothelial cells. Human umbilical vein endothelial cells (HUVECs) were transfected with SIRT3 siRNA or a plasmid overexpressing SIRT3 as described in Materials and Methods. After 24 hours, cells were incubated with 600 μmol/L TMAO for 24 hours. A, Assay of SOD2 enzymatic activity using SOD1 and SOD2 Assay Kits with WST‐8 following the manufacturer's instructions. B, Detection of mtROS levels with MitoSOX ™ Red. C, Detection of total ROS levels using DCFH‐DA. D, Measurement of caspase‐1 activity with a caspase‐1 activity assay kit. E, Western blot analysis of caspase‐1 p20, nucleotide‐binding oligomerization domain–like receptor family pyrin domain–containing 3 (NLRP3), Ac‐SOD2, SOD2, and SIRT3 contents. F, Bar graphs showing quantification of the indicated proteins. G, Western blot analysis of IL‐1β, ICAM‐1, and MMP‐9 expression. H, Bar graphs showing quantification of the indicated proteins. Values are expressed as means±SE (n=3); b P<0.01 vs the vehicle‐treated control group; c P<0.01 vs TMAO‐treated group; AU, arbitrary units; ICAM, intercellular adhesion molecule; IL, interleukin; MMP, matrix metallopeptidase.CC BY-NC · PubMed Central
Figure 6 Trimethylamine‐N‐oxide (TMAO) induced vascular inflammation via nucleotide‐binding oligomerization domain–like receptor family pyrin domain–containing 3 (NLRP3) inflammasome activation in vivo. Eight‐week‐old female ApoE−/− mice (n=10 per group) were fed chow diet or chow diet combined with choline (1%) for 4 months. Mice were killed, and their blood and aorta samples were collected immediately, snap‐frozen in liquid nitrogen, and stored at −80°C until required. A, Ultrasound B‐mode images of aortic sinus and quantification. Arrows indicate the regions of interest. B, Oil‐red O staining of whole aortas, including aortic arch and thoracic and abdominal regions, and their quantitation. C, Oil‐red O–stained aortic root (counterstained with hematoxylin) and quantification. D, Western blot analysis of caspase‐1 p20, NLRP3, IL‐1β, ICAM‐1, and MMP‐9 contents in aortas. E, Bar graphs showing quantification of the indicated proteins. F, Caspase‐1 activity in aortas. G, Measurement of plasma TMAO levels using liquid chromatography–tandem mass spectrometry. Values are expressed as means±SE (n=10). *P<0.01 vs vehicle‐treated control group; AU, arbitrary units; ICAM, intercellular adhesion molecule; IL, interleukin; MMP, matrix metallopeptidase.
Figure 6 Trimethylamine‐N‐oxide (TMAO) induced vascular inflammation via nucleotide‐binding oligomerization domain–like receptor family pyrin domain–containing 3 (NLRP3) inflammasome activation in vivo. Eight‐week‐old female ApoE−/− mice (n=10 per group) were fed chow diet or chow diet combined with choline (1%) for 4 months. Mice were killed, and their blood and aorta samples were collected immediately, snap‐frozen in liquid nitrogen, and stored at −80°C until required. A, Ultrasound B‐mode images of aortic sinus and quantification. Arrows indicate the regions of interest. B, Oil‐red O staining of whole aortas, including aortic arch and thoracic and abdominal regions, and their quantitation. C, Oil‐red O–stained aortic root (counterstained with hematoxylin) and quantification. D, Western blot analysis of caspase‐1 p20, NLRP3, IL‐1β, ICAM‐1, and MMP‐9 contents in aortas. E, Bar graphs showing quantification of the indicated proteins. F, Caspase‐1 activity in aortas. G, Measurement of plasma TMAO levels using liquid chromatography–tandem mass spectrometry. Values are expressed as means±SE (n=10). *P<0.01 vs vehicle‐treated control group; AU, arbitrary units; ICAM, intercellular adhesion molecule; IL, interleukin; MMP, matrix metallopeptidase.CC BY-NC · PubMed Central
Figure 7 Trimethylamine‐N‐oxide (TMAO) induced vascular nucleotide‐binding oligomerization domain–like receptor family pyrin domain–containing 3 (NLRP3) inflammasome activation in a sirtuin‐3 (SIRT3)‐dependent manner in vivo. Eight‐week‐old female ApoE−/− mice were treated with or without 1% choline for 4 months. Mice were killed, and their aorta samples were collected immediately, snap‐frozen in liquid nitrogen, and stored at −80°C until required. A, Western blot detection of Ac‐SOD2, SOD2, and SIRT3 expression in aortas. B, Bar graphs showing quantification of the indicated proteins. Eight‐week‐old female wild type (WT) and SIRT3−/− mice were fed with or without 1% choline for 4 months. Mice were killed, and their aorta samples were collected immediately, snap‐frozen in liquid nitrogen, and stored at −80°C until required. C, Western blot analysis of caspase‐1 p20, NLRP3, Ac‐SOD2, SOD2, and SIRT3 contents in aortas. D, Bar graphs showing quantification of the indicated proteins. E, SOD2 enzymatic activity in aortas was assayed using a SOD1 and SOD2 Assay Kit with WST‐8 following the manufacturer's instructions. F, Measurement of caspase‐1 activity in aortas. G, Western blot analysis of IL‐1β, ICAM‐1, MMP‐9 and SIRT3 expression. H, Bar graphs showing quantification of the indicated proteins. Values are expressed as means±SE (n=10); *P<0.01 vs the vehicle‐treated control group; AU, arbitrary units; ICAM, intercellular adhesion molecule; IL, interleukin; MMP, matrix metallopeptidase; SOD, superoxide dismutase.
Figure 7 Trimethylamine‐N‐oxide (TMAO) induced vascular nucleotide‐binding oligomerization domain–like receptor family pyrin domain–containing 3 (NLRP3) inflammasome activation in a sirtuin‐3 (SIRT3)‐dependent manner in vivo. Eight‐week‐old female ApoE−/− mice were treated with or without 1% choline for 4 months. Mice were killed, and their aorta samples were collected immediately, snap‐frozen in liquid nitrogen, and stored at −80°C until required. A, Western blot detection of Ac‐SOD2, SOD2, and SIRT3 expression in aortas. B, Bar graphs showing quantification of the indicated proteins. Eight‐week‐old female wild type (WT) and SIRT3−/− mice were fed with or without 1% choline for 4 months. Mice were killed, and their aorta samples were collected immediately, snap‐frozen in liquid nitrogen, and stored at −80°C until required. C, Western blot analysis of caspase‐1 p20, NLRP3, Ac‐SOD2, SOD2, and SIRT3 contents in aortas. D, Bar graphs showing quantification of the indicated proteins. E, SOD2 enzymatic activity in aortas was assayed using a SOD1 and SOD2 Assay Kit with WST‐8 following the manufacturer's instructions. F, Measurement of caspase‐1 activity in aortas. G, Western blot analysis of IL‐1β, ICAM‐1, MMP‐9 and SIRT3 expression. H, Bar graphs showing quantification of the indicated proteins. Values are expressed as means±SE (n=10); *P<0.01 vs the vehicle‐treated control group; AU, arbitrary units; ICAM, intercellular adhesion molecule; IL, interleukin; MMP, matrix metallopeptidase; SOD, superoxide dismutase.CC BY-NC · PubMed Central
Figure 8 Trimethylamine‐N‐oxide (TMAO) mediated vascular inflammation by activating the nucleotide‐binding oligomerization domain–like receptor family pyrin domain–containing 3 (NLRP3) inflammasome via the sirtuin‐3 (SIRT3)–supeoxide dismutase (SOD)–mitochondrial reactive oxygen species (mtROS) signaling pathway.
Figure 8 Trimethylamine‐N‐oxide (TMAO) mediated vascular inflammation by activating the nucleotide‐binding oligomerization domain–like receptor family pyrin domain–containing 3 (NLRP3) inflammasome via the sirtuin‐3 (SIRT3)–supeoxide dismutase (SOD)–mitochondrial reactive oxygen species (mtROS) signaling pathway.CC BY-NC · PubMed Central

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  • It may state two separate claims as one. 27
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  • The authors state this as an assumption.

    Lower concentrations of TMAO would have some impact, although it may be hard to detect experimentally.

    “AS is a chronic disease that develops over many years, and one can assume that lower concentrations of TMAO would have some impact, although it may be hard to detect experimentally.”
  • The paper relies on this without support.

    Mitochondria are the major source of cellular ROS.

    “Importantly, mitochondria are the major source of cellular ROS.”
  • The paper relies on this without support.

    Blood levels of TMAO are causatively linked to AS risk.

    “Given that blood levels of TMAO are causatively linked to AS risk, the next obvious question is the mechanism by which circulating TMAO promotes AS, which is under active investigation.”
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Metadata

Authors
Chen, M., Zhu, X., Ran, L., Lang, H., Yi, L., & Mi, M.
Affiliations
  • Research Center for Nutrition and Food Safety, Institute of Military Preventive Medicine, Third Military Medical University, Chongqing, China
  • Army Medical University (CN)
Venue
Journal of the American Heart Association
Published
2017-09-22
Volume
6
Issue
9
ISSN
2047-9980 (ISSN-L)
OpenAlex
W2751157908
Cited by
600
References
47
Citations by year
2026: 80 · 2025: 86 · 2024: 70 · 2023: 82 · 2022: 88 · 2021: 82 · 2020: 54 · 2019: 32 · 2018: 25
FWCI
12.40
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Journal of the American Heart Association (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Inflammasome and immune disorders
  • Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
  • Health Sciences › Medicine › Physiology (medical) › Nitric Oxide and Endothelin Effects
Keywords
trimethylamine N-oxide, vascular inflammation, NLRP3 inflammasome, SIRT3, manganese superoxide dismutase, mitochondrial reactive oxygen species, caspase-1, endothelial cells, atherosclerosis, ApoE-deficient mice, MitoTEMPO, gut microbiota metabolites
MeSH terms
NLR Family, Pyrin Domain-Containing 3 Protein, Mice, Knockout, ApoE, Superoxide Dismutase 2, Animals, Antioxidants, Cells, Cultured, Disease Models, Animal, Dose-Response Relationship, Drug, Female, Humans, Methylamines, Mitochondria, Phenotype, Superoxide Dismutase, Time Factors, Transfection, Vasculitis, Signal Transduction, Reactive Oxygen Species, Inflammation Mediators, Genetic Predisposition to Disease, RNA Interference, Atherosclerosis, Apoptosis Regulatory Proteins, Sirtuin 3, Mice, 129 Strain, Inflammasomes, Human Umbilical Vein Endothelial Cells

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