RT Journal Article SR Electronic T1 Bone marrow age dictates clonality of smooth muscle-derived cells in the atherosclerotic plaque JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.01.18.476756 DO 10.1101/2022.01.18.476756 A1 Inamul Kabir A1 Xinbo Zhang A1 Jui Dave A1 Raja Chakraborty A1 Rihao Qu A1 Rachana R. Chandran A1 Aglaia Ntokou A1 Binod Aryal A1 Noemi Rotllan A1 Rolando Garcia-Milian A1 John Hwa A1 Yuval Kluger A1 Kathleen A. Martin A1 Carlos Fernández-Hernando A1 Daniel M. Greif YR 2022 UL http://biorxiv.org/content/early/2022/01/21/2022.01.18.476756.abstract AB Aging is the predominant risk factor for atherosclerosis, the leading cause of death. Rare smooth muscle cells (SMCs) clonally expand giving rise to up to ∼70% of atherosclerotic plaque cells; however, the effect of age on SMC clonality is not known. Our results indicate that aging induces SMC polyclonality and worsens atherosclerosis through non-cell autonomous effects of aged bone marrow-derived cells. Indeed, in myeloid cells from aged mice and humans, TET2 levels are reduced which epigenetically silences integrin β3 resulting in increased cytokine (e.g., tumor necrosis factor [TNF]-α) signaling. In turn, TNFα induces recruitment and expansion of multiple SMCs into the atherosclerotic plaque. Recent studies demonstrate that normal aging is characterized by somatic mutations and clonal expansion of epithelial cells of diverse tissues (e.g., esophagus, endometrium, skin); extrapolating beyond atherogenesis, our results call for future studies evaluating the role of aged myeloid cells in regulating this epithelial cell clonal expansion.Competing Interest StatementThe authors have declared no competing interest.