Aortic & peripheral vascular disease

Hypertriglyceridemia as a Key Contributor to Abdominal Aortic Aneurysm Development and Rupture: Insights From Genetic and Experimental Models

CirculationPublished Mechanistic study

Authors' conclusion

These findings identify hypertriglyceridemia as a key contributor to AAA pathogenesis

Study context

Population
Mendelian randomization of abdominal aortic aneurysm (AAA) risk; hypertriglyceridemic mouse models (Lpl-deficient, Apoa5-deficient, human APOC3 transgenic) in the angiotensin II infusion AAA model
Methodological detailsMendelian randomization, mouse models
  • Mendelian randomization
  • Mouse models

Main finding

As reported in the abstract

  • MR: causal relationships between elevated TG-rich lipoproteins, TG metabolism-related proteins/metabolites and AAA risk
  • Lpl-deficient mice (severely elevated TG): most died of aortic rupture
  • Apoa5-deficient mice (moderately elevated TG): accelerated AAA
  • Human APOC3 transgenic mice (dramatically elevated TG): aortic dissection and rupture
  • Elevated TG and palmitate inhibited lysyl oxidase (LOX) maturation and reduced LOX activity
  • Local LOX overexpression eliminated the proaneurysmal effect of hypertriglyceridemia in human APOC3 transgenic mice
  • Angptl3-targeting antisense oligonucleotide profoundly attenuated AAA progression in human APOC3 transgenic and Apoe-deficient mice

Original publication

Hypertriglyceridemia as a Key Contributor to Abdominal Aortic Aneurysm Development and Rupture: Insights From Genetic and Experimental Models. Circulation. Published 5 August 2025. doi:10.1161/circulationaha.125.074737

Summarised from the published abstract; every number is checked against it

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