Completed Lungs & Breathing Heart, Stroke & Blood

Defining the role(s) of selective subsets of antigen presenting cells in promoting or preventing atherosclerosis (renewal)

In plain English

AI plain-English summary

Atherosclerosis—the artery-clogging process behind most heart attacks and strokes—is driven in part by immune cells attacking low-density lipoproteins (LDL), but the specific cells that orchestrate this attack have remained unidentified. The problem is that while researchers know that certain T cells promote atherosclerosis and others protect against it, they do not know which antigen-presenting cells (APCs) are instructing those T cells. This gap has blocked efforts to develop immune-based treatments that could selectively dampen the harmful response without suppressing the entire immune system. The team recently discovered that one APC type—plasmacytoid dendritic cells—unexpectedly drives pro-atherogenic immunity, overturning previous assumptions. This project will use advanced genetic tools to systematically disable specific APC subsets in mice, revealing exactly which cells promote or prevent the disease. If successful, the work could identify new molecular targets for drugs that block the immune system’s contribution to atherosclerosis while leaving protective immunity intact. The research is fundamental science—it will not produce a treatment tomorrow—but understanding which cells orchestrate arterial inflammation is a prerequisite for designing therapies that stop it.

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The identification of distinct roles for T helper (Th) and regulatory (Treg) cell subsets in the process of atherogenesis and its complications has generated an immense hope for new strategies to treat atherosclerosis based on manipulation of selective adaptive immune responses in an antigen-specific manner. A big hurdle however towards achieving that aim is our ignorance of the antigen presenting cell (APC) subsets that mediate pro- versus anti-atherogenic immunity. This is highlighted by a recent discovery from our group identifying a previously unsuspected role for plasmacytoid dendritic cells (pDCs) in driving major histocompatibility (MHC)II-restricted proatherogenic immunity in response to low-density lipoproteins (LDL), thereby challenging existing paradigms about the role of DC subsets in atherogenesis. The overall aim of this programme of work is to revisit and re-define the roles of DCs in atherogenesis using state-of-the-art genetic manipulations that disrupt the development and/or (innate or adaptive) functions of selective APC/DC subsets. We expect that the results will allow us to propose new unforeseen strategies to limit the development and progression of atherosclerosis through the targeting of selective APC subsets or functions.

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Researchers

Ziad Mallat (EPMC Awardee)

Related Research

Grants with similar aims, by meaning.

Defining innate and adaptive immune functions of plasmacytoid dendritic cells in atherosclerosis
Dissecting the contribution of regulatory lymphocytes in human atherosclerosis: exploring new avenues to clinical applications
Targeting migration of CD4+CD28null T lymphocytes in atherosclerosis (Ms Danielle Lezama)
Understanding the pathogenic role of B cells in atherosclerosis
Metabolic Programming of arterial wall dendritic cell differentiation as a key event in the development of vascular inflammation in atherosclerosis

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