Gut microbial co-metabolite 2-methylbutyrylcarnitine exacerbates thrombosis via binding to and activating integrin α2β1

Copyright © 2024 Elsevier Inc. All rights reserved..

Thrombosis represents the leading cause of death and disability upon major adverse cardiovascular events (MACEs). Numerous pathological conditions such as COVID-19 and metabolic disorders can lead to a heightened thrombotic risk; however, the underlying mechanisms remain poorly understood. Our study illustrates that 2-methylbutyrylcarnitine (2MBC), a branched-chain acylcarnitine, is accumulated in patients with COVID-19 and in patients with MACEs. 2MBC enhances platelet hyperreactivity and thrombus formation in mice. Mechanistically, 2MBC binds to integrin α2β1 in platelets, potentiating cytosolic phospholipase A2 (cPLA2) activation and platelet hyperresponsiveness. Genetic depletion or pharmacological inhibition of integrin α2β1 largely reverses the pro-thrombotic effects of 2MBC. Notably, 2MBC can be generated in a gut-microbiota-dependent manner, whereas the accumulation of plasma 2MBC and its thrombosis-aggravating effect are largely ameliorated following antibiotic-induced microbial depletion. Our study implicates 2MBC as a metabolite that links gut microbiota dysbiosis to elevated thrombotic risk, providing mechanistic insight and a potential therapeutic strategy for thrombosis.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:36

Enthalten in:

Cell metabolism - 36(2024), 3 vom: 05. März, Seite 598-616.e9

Sprache:

Englisch

Beteiligte Personen:

Huang, Kan [VerfasserIn]
Li, Zilun [VerfasserIn]
He, Xi [VerfasserIn]
Dai, Jun [VerfasserIn]
Huang, Bingding [VerfasserIn]
Shi, Yongxia [VerfasserIn]
Fan, Dongxiao [VerfasserIn]
Zhang, Zefeng [VerfasserIn]
Liu, Yunchong [VerfasserIn]
Li, Na [VerfasserIn]
Zhang, Zhongyu [VerfasserIn]
Peng, Jiangyun [VerfasserIn]
Liu, Chenshu [VerfasserIn]
Zeng, Renli [VerfasserIn]
Cen, Zhipeng [VerfasserIn]
Wang, Tengyao [VerfasserIn]
Yang, Wenchao [VerfasserIn]
Cen, Meifeng [VerfasserIn]
Li, Jingyu [VerfasserIn]
Yuan, Shuai [VerfasserIn]
Zhang, Lu [VerfasserIn]
Hu, Dandan [VerfasserIn]
Huang, Shuxiang [VerfasserIn]
Chen, Pin [VerfasserIn]
Lai, Peilong [VerfasserIn]
Lin, Liyan [VerfasserIn]
Wen, Jielu [VerfasserIn]
Zhao, Zhengde [VerfasserIn]
Huang, Xiuyi [VerfasserIn]
Yuan, Lining [VerfasserIn]
Zhou, Lifang [VerfasserIn]
Wu, Haoliang [VerfasserIn]
Huang, Lihua [VerfasserIn]
Feng, Kai [VerfasserIn]
Wang, Jian [VerfasserIn]
Liao, Baolin [VerfasserIn]
Cai, Weiping [VerfasserIn]
Deng, Xilong [VerfasserIn]
Li, Yueping [VerfasserIn]
Li, Jianping [VerfasserIn]
Hu, Zhongwei [VerfasserIn]
Yang, Li [VerfasserIn]
Li, Jiaojiao [VerfasserIn]
Zhuo, Youguang [VerfasserIn]
Zhang, Fuchun [VerfasserIn]
Lin, Lin [VerfasserIn]
Luo, Yifeng [VerfasserIn]
Zhang, Wei [VerfasserIn]
Ni, Qianlin [VerfasserIn]
Hong, Xiqiang [VerfasserIn]
Chang, Guangqi [VerfasserIn]
Zhang, Yang [VerfasserIn]
Guan, Dongxian [VerfasserIn]
Cai, Weikang [VerfasserIn]
Lu, Yutong [VerfasserIn]
Li, Fang [VerfasserIn]
Yan, Li [VerfasserIn]
Ren, Meng [VerfasserIn]
Li, Linghua [VerfasserIn]
Chen, Sifan [VerfasserIn]

Links:

Volltext

Themen:

2-methylbutyrylcarnitine
9007-34-5
BTT 3033
Collagen
Gut microbial metabolite
Integrin α2β1
Integrin alpha2beta1
Journal Article
Platelet hyperreactivity
Research Support, Non-U.S. Gov't
Thrombosis

Anmerkungen:

Date Completed 08.03.2024

Date Revised 20.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.cmet.2024.01.014

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368915239