Evidence map›Paper›PMID 42323431›Full record

ArticleInflammation research : official journal of the European Histamine Research Society ... [et al.]2026

MLK3 promotes atherosclerosis by regulating ferroptosis in macrophages.

Hongkui Chen, Jiabin Tu, Ziqing Ruan, Wenjia Liang, Chun Chen, Yansong Guo

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Article in Inflammation research : official journal of the European Histamine Research Society ... [et al.], 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hongkui Chen *Department of Cardiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China.
Jiabin Tu *Department of Cardiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China.
Ziqing Ruan *Department of Cardiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China.
Wenjia LiangDepartment of Cardiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China.
Chun ChenSchool of Pharmacy, Fujian Medical University, Fuzhou, China. chenchun-0428@163.com.
Yansong GuoDepartment of Cardiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China. ysguo1234@126.com.

Funding

Heart Failure Center Research Foundation of Fujian Provincial Hospital Fujian Provincial Department of FinanceNational Natural Science Foundation of China General Program 82171569, 82470335
6 · The paper itself

Abstract

backgroundAtherosclerosis (AS) is the leading cause of cardiovascular death worldwide. Macrophage ferroptosis is implicated in AS progression. The precise mechanism by which mixed lineage kinase 3 (MAP3K11, MLK3) regulates macrophage ferroptosis in atherosclerosis is poorly understood.

methodsFrom the Gene Expression Omnibus (GEO) database, bulk and single-cell RNA-sequencing (scRNA-seq) datasets from vascular tissues were obtained. MLK3 was discovered to be a crucial ferroptosis-related gene (FRG) implicated in AS by means of differential analysis, weighted gene co-expression network analysis (WGCNA), and a ferroptosis gene set. Macrophages were shown to be the main cell type that expressed MLK3 when immune-infiltration profiling and single-cell RNA sequencing were combined. In vitro, macrophages were treated with Oxidized low-density lipoprotein (ox-LDL) or erastin, with or without MLK3 knockdown. Animal models assessed AS progression, ferroptosis, collagen deposition, and JNK/p53 activation. Immunofluorescence and clinical plasma MLK3 assays were performed.

resultsMLK3 was predominantly expressed in plaque macrophages. Ox-LDL upregulated MLK3 and induced ferroptosis, while MLK3 knockdown attenuated ox-LDL-induced ferroptosis by suppressing JNK/p53 signaling, without affecting erastin-induced ferroptosis. Animal models showed increased MLK3 expression, ferroptosis, JNK/p53 activation, plaque area, and collagen deposition during AS progression. Immunofluorescence confirmed MLK3 co-localization with ferroptosis-associated proteins in plaque macrophages. Plasma MLK3 levels were consistently elevated in AS patients.

conclusionMLK3 accelerates the development of atherosclerotic lesions by driving macrophage ferroptosis through JNK/p53 signaling.

Indexed as

AtherosclerosisFerroptosisMacrophagesMAP Kinase Kinase KinasesAnimalsHumansLipoproteins, LDLMaleMiceMice, Inbred C57BLMitogen-Activated Protein Kinase Kinase Kinase 11Tumor Suppressor Protein p53Lipoproteins, LDLMAP Kinase Kinase KinasesMitogen-Activated Protein Kinase Kinase Kinase 11oxidized low density lipoproteinTumor Suppressor Protein p53AtherosclerosisFerroptosisMacrophageMLK3

Identifiers

PMID42323431

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.