The Journal of Experimental Medicine
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Published online 17 January 2006 doi:10.1084/jem.20051062
Rockefeller University Press, 0022-1007 $8.00
JEM, Volume 203, Number 1, 239-250
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ARTICLE

TRAIL-expressing T cells induce apoptosis of vascular smooth muscle cells in the atherosclerotic plaque

Kayoko Sato1, Alexander Niessner1, Stephen L. Kopecky2, Robert L. Frye2, Jörg J. Goronzy1, and Cornelia M. Weyand1

1 Department of Medicine, Kathleen B. and Mason I. Lowance Center for Human Immunology, Emory School of Medicine, Atlanta, GA 30322
2 Division of Cardiovascular Disease, Mayo Clinic, Rochester, MN 55905

CORRESPONDENCE Cornelia M. Weyand: cweyand{at}emory.edu

Acute coronary syndromes (ACS) are precipitated by a rupture of the atherosclerotic plaque, often at the site of T cell and macrophage infiltration. Here, we show that plaque-infiltrating CD4 T cells effectively kill vascular smooth muscle cells (VSMC). VSMCs sensitive to T cell–mediated killing express the death receptor DR5 (TNF-related apoptosis-inducing ligand [TRAIL] receptor 2), and anti-TRAIL and anti-DR5 antibodies block T cell–mediated apoptosis. CD4 T cells that express TRAIL upon stimulation are expanded in patients with ACS and more effectively induce VSMC apoptosis. Adoptive transfer of plaque-derived CD4 T cells into immunodeficient mice that are engrafted with human atherosclerotic plaque results in apoptosis of VSMCs, which was prevented by coadministration of anti-TRAIL antibody. These data identify that the death pathway is triggered by TRAIL-producing CD4 T cells as a direct mechanism of VSMC apoptosis, a process which may lead to plaque destabilization.


Abbreviations used: ACS, acute coronary syndrome; FADD, Fas-associated death domain; COR-SMC, coronary artery smooth muscle cell; LDH, lactate dehydrogenase; DN, dominant negative; NC, normal control; TRAIL, TNF-related apoptosis-inducing ligand; VSMC, vascular smooth muscle cell.


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