Trained Immunity in Perivascular Adipose Tissue of Abdominal Aortic Aneurysm—A Novel Concept for a Still Elusive Disease

Abdominal aortic aneurysm (AAA) is a chronic, life-threatening vascular disease whose only therapeutic option is a surgical repair to prevent vessel rupture. The lack of medical therapy results from an inadequate understanding of the etiopathogenesis of AAA. Many studies in animal and human models i...

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Main Authors: Luca Piacentini, Chiara Vavassori, Gualtiero I. Colombo
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Cell and Developmental Biology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcell.2022.886086/full
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author Luca Piacentini
Luca Piacentini
Chiara Vavassori
Chiara Vavassori
Gualtiero I. Colombo
author_facet Luca Piacentini
Luca Piacentini
Chiara Vavassori
Chiara Vavassori
Gualtiero I. Colombo
author_sort Luca Piacentini
collection DOAJ
description Abdominal aortic aneurysm (AAA) is a chronic, life-threatening vascular disease whose only therapeutic option is a surgical repair to prevent vessel rupture. The lack of medical therapy results from an inadequate understanding of the etiopathogenesis of AAA. Many studies in animal and human models indicate a ‘short-circuiting’ of the regulation of the inflammatory-immune response as a major player in the AAA chronic process. In this regard, perivascular adipose tissue (PVAT) has received increasing interest because its dysfunction affects large arteries primarily through immune cell infiltration. Consistently, we have recently produced evidence that innate and adaptive immune cells present in the PVAT of AAAs contribute to sustaining a damaging inflammatory loop. However, it is still unclear how the complex crosstalk between adaptive and innate immunity can be self-sustaining. From our perspective, trained immunity may play a role in this crosstalk. Trained immunity is defined as a form of innate immune memory resulting in enhanced responsiveness to repeated triggers. Specific innate stimuli and epigenetic and metabolic reprogramming events induce and shape trained immunity in myeloid progenitor cells improving host defense, but also contributing to the progression of immune-mediated and chronic inflammatory diseases. Here we present this hypothesis with data from the literature and our observations to support it.
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spelling doaj.art-0cc8f9aeedcb4bda8a1f2a47be797c242022-12-22T03:23:11ZengFrontiers Media S.A.Frontiers in Cell and Developmental Biology2296-634X2022-05-011010.3389/fcell.2022.886086886086Trained Immunity in Perivascular Adipose Tissue of Abdominal Aortic Aneurysm—A Novel Concept for a Still Elusive DiseaseLuca Piacentini0Luca Piacentini1Chiara Vavassori2Chiara Vavassori3Gualtiero I. Colombo4Immunology and Functional Genomics Unit, Centro Cardiologico Monzino IRCCS, Milano, ItalyBioinformatics and Artificial Intelligence Facility, Centro Cardiologico Monzino IRCCS, Milano, ItalyImmunology and Functional Genomics Unit, Centro Cardiologico Monzino IRCCS, Milano, ItalyDepartment of Clinical Sciences and Community Health, Cardiovascular Section, University of Milano, Milan, ItalyImmunology and Functional Genomics Unit, Centro Cardiologico Monzino IRCCS, Milano, ItalyAbdominal aortic aneurysm (AAA) is a chronic, life-threatening vascular disease whose only therapeutic option is a surgical repair to prevent vessel rupture. The lack of medical therapy results from an inadequate understanding of the etiopathogenesis of AAA. Many studies in animal and human models indicate a ‘short-circuiting’ of the regulation of the inflammatory-immune response as a major player in the AAA chronic process. In this regard, perivascular adipose tissue (PVAT) has received increasing interest because its dysfunction affects large arteries primarily through immune cell infiltration. Consistently, we have recently produced evidence that innate and adaptive immune cells present in the PVAT of AAAs contribute to sustaining a damaging inflammatory loop. However, it is still unclear how the complex crosstalk between adaptive and innate immunity can be self-sustaining. From our perspective, trained immunity may play a role in this crosstalk. Trained immunity is defined as a form of innate immune memory resulting in enhanced responsiveness to repeated triggers. Specific innate stimuli and epigenetic and metabolic reprogramming events induce and shape trained immunity in myeloid progenitor cells improving host defense, but also contributing to the progression of immune-mediated and chronic inflammatory diseases. Here we present this hypothesis with data from the literature and our observations to support it.https://www.frontiersin.org/articles/10.3389/fcell.2022.886086/fullabdominal aortic aneurysmperivascular adipose tissueimmune responsetrained immunityepigenetic markers
spellingShingle Luca Piacentini
Luca Piacentini
Chiara Vavassori
Chiara Vavassori
Gualtiero I. Colombo
Trained Immunity in Perivascular Adipose Tissue of Abdominal Aortic Aneurysm—A Novel Concept for a Still Elusive Disease
Frontiers in Cell and Developmental Biology
abdominal aortic aneurysm
perivascular adipose tissue
immune response
trained immunity
epigenetic markers
title Trained Immunity in Perivascular Adipose Tissue of Abdominal Aortic Aneurysm—A Novel Concept for a Still Elusive Disease
title_full Trained Immunity in Perivascular Adipose Tissue of Abdominal Aortic Aneurysm—A Novel Concept for a Still Elusive Disease
title_fullStr Trained Immunity in Perivascular Adipose Tissue of Abdominal Aortic Aneurysm—A Novel Concept for a Still Elusive Disease
title_full_unstemmed Trained Immunity in Perivascular Adipose Tissue of Abdominal Aortic Aneurysm—A Novel Concept for a Still Elusive Disease
title_short Trained Immunity in Perivascular Adipose Tissue of Abdominal Aortic Aneurysm—A Novel Concept for a Still Elusive Disease
title_sort trained immunity in perivascular adipose tissue of abdominal aortic aneurysm a novel concept for a still elusive disease
topic abdominal aortic aneurysm
perivascular adipose tissue
immune response
trained immunity
epigenetic markers
url https://www.frontiersin.org/articles/10.3389/fcell.2022.886086/full
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