<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Archiving and Interchange DTD with MathML3 v1.3 20210610//EN"  "JATS-archivearticle1-3-mathml3.dtd"><article xmlns:ali="http://www.niso.org/schemas/ali/1.0/" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="1.3"><front><journal-meta><journal-id journal-id-type="nlm-ta">elife</journal-id><journal-id journal-id-type="publisher-id">eLife</journal-id><journal-title-group><journal-title>eLife</journal-title></journal-title-group><issn publication-format="electronic" pub-type="epub">2050-084X</issn><publisher><publisher-name>eLife Sciences Publications, Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">103413</article-id><article-id pub-id-type="doi">10.7554/eLife.103413</article-id><article-id pub-id-type="doi" specific-use="version">10.7554/eLife.103413.3</article-id><article-version article-version-type="publication-state">version of record</article-version><article-categories><subj-group subj-group-type="display-channel"><subject>Research Article</subject></subj-group><subj-group subj-group-type="heading"><subject>Cell Biology</subject></subj-group><subj-group subj-group-type="heading"><subject>Medicine</subject></subj-group></article-categories><title-group><article-title>Disruption of the novel nested gene <italic>Aff3ir</italic> mediates disturbed flow-induced atherosclerosis in mice</article-title></title-group><contrib-group><contrib contrib-type="author" equal-contrib="yes"><name><surname>He</surname><given-names>Shuo</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0009-0004-5912-9930</contrib-id><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="fn" rid="equal-contrib1">†</xref><xref ref-type="fn" rid="con1"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" equal-contrib="yes"><name><surname>Huang</surname><given-names>Lei</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-3911-0915</contrib-id><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="fn" rid="equal-contrib1">†</xref><xref ref-type="fn" rid="con2"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author"><name><surname>Chen</surname><given-names>Zhuozheng</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="fn" rid="con3"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author"><name><surname>Yuan</surname><given-names>Ze</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="fn" rid="con4"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author"><name><surname>Zhao</surname><given-names>Yue</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-6818-2352</contrib-id><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="aff" rid="aff3">3</xref><xref ref-type="fn" rid="con5"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Zeng</surname><given-names>Lingfang</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-0390-4561</contrib-id><email>lingfang.zeng@kcl.ac.uk</email><xref ref-type="aff" rid="aff3">3</xref><xref ref-type="other" rid="fund5"/><xref ref-type="fn" rid="con6"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Zhu</surname><given-names>Yi</given-names></name><email>zhuyi@tmu.edu.cn</email><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="other" rid="fund1"/><xref ref-type="fn" rid="con7"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" corresp="yes"><name><surname>He</surname><given-names>Jinlong</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0001-7349-8135</contrib-id><email>hejinlong@tmu.edu.cn</email><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="other" rid="fund2"/><xref ref-type="other" rid="fund3"/><xref ref-type="other" rid="fund4"/><xref ref-type="fn" rid="con8"/><xref ref-type="fn" rid="conf1"/></contrib><aff id="aff1"><label>1</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/02mh8wx89</institution-id><institution>Province and Ministry Co-sponsored Collaborative Innovation Center for Medical Epigenetics; NHC Key Laboratory of Hormones and Development; Department of Physiology and Pathophysiology, Tianjin Medical University</institution></institution-wrap><addr-line><named-content content-type="city">Tianjin</named-content></addr-line><country>China</country></aff><aff id="aff2"><label>2</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/01y1kjr75</institution-id><institution>Department of Heart Center, The Third Central Hospital of Tianjin; Tianjin Universiy Central Hospital; Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases; Artificial Cell Engineering Technology Research Center; Tianjin Institute of Hepatobiliary Disease; Nankai University Affinity the Third Central Hospital</institution></institution-wrap><addr-line><named-content content-type="city">Tianjin</named-content></addr-line><country>China</country></aff><aff id="aff3"><label>3</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/0220mzb33</institution-id><institution>School of Cardiovascular and Metabolic Medicine and Sciences, King's College London British Heart Foundation Centre of Excellence, Faculty of Life Sciences and Medicine, King's College London</institution></institution-wrap><addr-line><named-content content-type="city">London</named-content></addr-line><country>United Kingdom</country></aff></contrib-group><contrib-group content-type="section"><contrib contrib-type="editor"><name><surname>Cerf</surname><given-names>Marlon</given-names></name><role>Reviewing Editor</role><aff><institution-wrap><institution-id institution-id-type="ror">https://ror.org/05q60vz69</institution-id><institution>South African Medical Research Council</institution></institution-wrap><country>South Africa</country></aff></contrib><contrib contrib-type="senior_editor"><name><surname>Ajijola</surname><given-names>Olujimi A</given-names></name><role>Senior Editor</role><aff><institution-wrap><institution-id institution-id-type="ror">https://ror.org/046rm7j60</institution-id><institution>University of California, Los Angeles</institution></institution-wrap><country>United States</country></aff></contrib></contrib-group><author-notes><fn fn-type="con" id="equal-contrib1"><label>†</label><p>These authors contributed equally to this work</p></fn></author-notes><pub-date publication-format="electronic" date-type="publication"><day>02</day><month>05</month><year>2025</year></pub-date><volume>13</volume><elocation-id>RP103413</elocation-id><history><date date-type="sent-for-review" iso-8601-date="2024-10-03"><day>03</day><month>10</month><year>2024</year></date></history><pub-history><event><event-desc>This manuscript was published as a preprint.</event-desc><date date-type="preprint" iso-8601-date="2024-10-04"><day>04</day><month>10</month><year>2024</year></date><self-uri content-type="preprint" xlink:href="https://doi.org/10.1101/2024.10.03.616505"/></event><event><event-desc>This manuscript was published as a reviewed preprint.</event-desc><date date-type="reviewed-preprint" iso-8601-date="2024-12-13"><day>13</day><month>12</month><year>2024</year></date><self-uri content-type="reviewed-preprint" xlink:href="https://doi.org/10.7554/eLife.103413.1"/></event><event><event-desc>The reviewed preprint was revised.</event-desc><date date-type="reviewed-preprint" iso-8601-date="2025-04-10"><day>10</day><month>04</month><year>2025</year></date><self-uri content-type="reviewed-preprint" xlink:href="https://doi.org/10.7554/eLife.103413.2"/></event></pub-history><permissions><copyright-statement>© 2024, He, Huang et al</copyright-statement><copyright-year>2024</copyright-year><copyright-holder>He, Huang et al</copyright-holder><ali:free_to_read/><license xlink:href="http://creativecommons.org/licenses/by/4.0/"><ali:license_ref>http://creativecommons.org/licenses/by/4.0/</ali:license_ref><license-p>This article is distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use and redistribution provided that the original author and source are credited.</license-p></license></permissions><self-uri content-type="pdf" xlink:href="elife-103413-v1.pdf"/><self-uri content-type="figures-pdf" xlink:href="elife-103413-figures-v1.pdf"/><abstract><p>Disturbed shear stress-induced endothelial atherogenic responses are pivotal in the initiation and progression of atherosclerosis, contributing to the uneven distribution of atherosclerotic lesions. This study investigates the role of <italic>Aff3ir-ORF2</italic>, a novel nested gene variant, in disturbed flow-induced endothelial cell activation and atherosclerosis. We demonstrate that disturbed shear stress significantly reduces <italic>Aff3ir-ORF2</italic> expression in athero-prone regions. Using three distinct mouse models with manipulated <italic>Aff3ir-ORF2</italic> expression, we demonstrate that <italic>Aff3ir-ORF2</italic> exerts potent anti-inflammatory and anti-atherosclerotic effects in <italic>Apoe<sup>-/-</sup></italic> mice. RNA sequencing revealed that interferon regulatory factor 5 (<italic>Irf5</italic>), a key regulator of inflammatory processes, mediates inflammatory responses associated with <italic>Aff3ir-ORF2</italic> deficiency. <italic>Aff3ir-ORF2</italic> interacts with <italic>Irf5</italic>, promoting its retention in the cytoplasm, thereby inhibiting the <italic>Irf5</italic>-dependent inflammatory pathways. Notably, <italic>Irf5</italic> knockdown in <italic>Aff3ir-ORF2</italic> deficient mice almost completely rescues the aggravated atherosclerotic phenotype. Moreover, endothelial-specific <italic>Aff3ir-ORF2</italic> supplementation using the CRISPR/Cas9 system significantly ameliorated endothelial activation and atherosclerosis. These findings elucidate a novel role for <italic>Aff3ir-ORF2</italic> in mitigating endothelial inflammation and atherosclerosis by acting as an inhibitor of <italic>Irf5</italic>, highlighting its potential as a valuable therapeutic approach for treating atherosclerosis.</p></abstract><kwd-group kwd-group-type="author-keywords"><kwd>shear stress</kwd><kwd>endothelial cell activation</kwd><kwd>atherosclerosis</kwd><kwd>nested gene</kwd><kwd>IRF5</kwd><kwd>human</kwd></kwd-group><kwd-group kwd-group-type="research-organism"><title>Research organism</title><kwd>Mouse</kwd></kwd-group><funding-group><award-group id="fund1"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/501100001809</institution-id><institution>National Natural Science Foundation of China</institution></institution-wrap></funding-source><award-id>82330012 and 82127808</award-id><principal-award-recipient><name><surname>Zhu</surname><given-names>Yi</given-names></name></principal-award-recipient></award-group><award-group id="fund2"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/501100001809</institution-id><institution>National Natural Science Foundation of China</institution></institution-wrap></funding-source><award-id>82422006</award-id><principal-award-recipient><name><surname>He</surname><given-names>Jinlong</given-names></name></principal-award-recipient></award-group><award-group id="fund3"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/501100001809</institution-id><institution>National Natural Science Foundation of China</institution></institution-wrap></funding-source><award-id>32471166</award-id><principal-award-recipient><name><surname>He</surname><given-names>Jinlong</given-names></name></principal-award-recipient></award-group><award-group id="fund4"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/501100001809</institution-id><institution>National Natural Science Foundation of China</institution></institution-wrap></funding-source><award-id>82270516</award-id><principal-award-recipient><name><surname>He</surname><given-names>Jinlong</given-names></name></principal-award-recipient></award-group><award-group id="fund5"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/501100000274</institution-id><institution>British Heart Foundation</institution></institution-wrap></funding-source><award-id>FS-15/74/31669</award-id><principal-award-recipient><name><surname>Zeng</surname><given-names>Lingfang</given-names></name></principal-award-recipient></award-group><award-group id="fund6"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/501100006606</institution-id><institution>Natural Science Foundation of Tianjin Municipality</institution></institution-wrap></funding-source><award-id>24JCJQJC00060</award-id><principal-award-recipient><name><surname>He</surname><given-names>Jinlong</given-names></name></principal-award-recipient></award-group><award-group id="fund7"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/501100006606</institution-id><institution>Natural Science Foundation of Tianjin Municipality</institution></institution-wrap></funding-source><award-id>21JCYBJC01590</award-id><principal-award-recipient><name><surname>Huang</surname><given-names>Lei</given-names></name></principal-award-recipient></award-group><award-group id="fund8"><funding-source><institution-wrap><institution>Key Research Project in Traditional Chinese Medicine of Tianjin</institution></institution-wrap></funding-source><award-id>2023013</award-id><principal-award-recipient><name><surname>Huang</surname><given-names>Lei</given-names></name></principal-award-recipient></award-group><funding-statement>The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.</funding-statement></funding-group><custom-meta-group><custom-meta specific-use="meta-only"><meta-name>Author impact statement</meta-name><meta-value>Endothelial-specific supplementation with <italic>Aff3ir-ORF2</italic> significantly ameliorated disturbed flow-induced endothelial activation and the development of atherosclerotic plaques, highlighting its promising therapeutic potential for the treatment of atherosclerosis.</meta-value></custom-meta><custom-meta specific-use="meta-only"><meta-name>publishing-route</meta-name><meta-value>prc</meta-value></custom-meta></custom-meta-group></article-meta></front><body><sec id="s1" sec-type="intro"><title>Introduction</title><p>Atherosclerosis, characterized by the formation of fibrofatty lesions in the arterial wall, is a leading cause of morbidity and mortality worldwide, contributing to most myocardial infarctions and many strokes (<xref ref-type="bibr" rid="bib17">Herrington et al., 2016</xref>; <xref ref-type="bibr" rid="bib29">Libby et al., 2019</xref>). The activation of vascular endothelial cells (ECs), induced by various chemical and mechanical stimuli, such as lipopolysaccharide and shear stress, is an initial step in the development of atherosclerosis (<xref ref-type="bibr" rid="bib10">Davignon and Ganz, 2004</xref>). Consequently, atherosclerotic lesions preferentially develop at the branches and curvatures of the arterial tree, where blood flow is disturbed (<xref ref-type="bibr" rid="bib11">Davis et al., 2023</xref>). For decades, researchers have been interested in exploring the mechanisms underlying mechanotransduction during endothelial activation caused by disturbed flow (<xref ref-type="bibr" rid="bib11">Davis et al., 2023</xref>). Several mechanosensitive proteins, such as Yap/Taz (<xref ref-type="bibr" rid="bib26">Li et al., 2019</xref>), Annexin A2 (<xref ref-type="bibr" rid="bib53">Zhang et al., 2020</xref>), Bmp4 (<xref ref-type="bibr" rid="bib44">Sorescu et al., 2004</xref>), and Nad(p)h oxidase (<xref ref-type="bibr" rid="bib19">Hwang et al., 2003</xref>; <xref ref-type="bibr" rid="bib20">Jo et al., 2006</xref>), have been identified as key regulators of disturbed shear stress in ECs and have been implicated in the progression of atherosclerosis. Emerging evidence has revealed that pharmacological or genetic inhibition of endothelial <italic>Yap</italic> activation ameliorates the progression of atherosclerotic plaques in mice (<xref ref-type="bibr" rid="bib26">Li et al., 2019</xref>; <xref ref-type="bibr" rid="bib47">Wang et al., 2016</xref>; <xref ref-type="bibr" rid="bib52">Yang et al., 2021</xref>), indicating that targeting disturbed flow-induced endothelial activation could be a promising therapeutic strategy for atherosclerosis. However, the precise mechanisms by which the disturbed flow exerts detrimental effects remain unclear.</p><p>The interferon regulatory factor (IRF) family of transcription factors, comprising nine members (<italic>Irf1-Irf9</italic>) in mammals, is primarily characterized by its role in mediating antiviral responses and type I interferon production (<xref ref-type="bibr" rid="bib41">Sato et al., 2001</xref>). Although these members share a conserved DNA-binding domain in their N-terminal region that recognizes similar DNA sequences, <italic>Irf5</italic> plays a central role in inflammation (<xref ref-type="bibr" rid="bib1">Almuttaqi and Udalova, 2019</xref>; <xref ref-type="bibr" rid="bib46">Takaoka et al., 2005</xref>). <italic>Irf5</italic> mediates the production of proinflammatory cytokines, including <italic>Il12b</italic> and <italic>Il23a</italic>, and promotes the expression of inflammatory genes (<xref ref-type="bibr" rid="bib5">Cai et al., 2017</xref>; <xref ref-type="bibr" rid="bib40">Saliba et al., 2014</xref>; <xref ref-type="bibr" rid="bib48">Weiss et al., 2013</xref>). It promotes inflammatory responses in various immune cells, including macrophages (<xref ref-type="bibr" rid="bib43">Seneviratne et al., 2017</xref>), neutrophils (<xref ref-type="bibr" rid="bib49">Weiss et al., 2015</xref>), and B cells (<xref ref-type="bibr" rid="bib42">Savitsky et al., 2010</xref>). Global or myeloid-specific knockouts of <italic>Irf5</italic> have been shown to exert anti-atherosclerotic effects (<xref ref-type="bibr" rid="bib25">Leipner et al., 2021</xref>; <xref ref-type="bibr" rid="bib43">Seneviratne et al., 2017</xref>). Despite the established importance of <italic>Irf5</italic> in immune cells, its restrictively regulatory mechanism and role in shear stress-induced endothelial activation remain unknown.</p><p>We recently reported that a novel protein-coding nested gene, <italic>Aff3ir</italic>, contributes to endothelial maintenance by promoting the differentiation of vascular stem/progenitor cells (SPCs) into ECs (<xref ref-type="bibr" rid="bib54">Zhao et al., 2025</xref>). <italic>Aff3ir-ORF2</italic>, encoded by the <italic>Aff3ir</italic> transcript variant 2, is predominantly expressed in the EC layer of the mouse aorta (<xref ref-type="bibr" rid="bib54">Zhao et al., 2025</xref>). Notably, our recent study indicated that the overexpression of <italic>Aff3ir-ORF2</italic> could enhance laminar flow-induced mRNA levels of essential EC markers in SPCs (<xref ref-type="bibr" rid="bib54">Zhao et al., 2025</xref>), suggesting that <italic>Aff3ir-ORF2</italic> may be a novel mechanotransduction protein in ECs. However, the regulation of <italic>Aff3ir-ORF2</italic> under disturbed flow and its role in atherosclerosis remain unclear.</p><p>In this study, we aimed to elucidate the mechanism by which disturbed blood flow induces endothelial activation and atherosclerosis. Our study showed that disrupted <italic>Aff3ir-ORF2</italic> expression in athero-prone regions led to inflammatory responses and development of atherosclerosis. <italic>Aff3ir-ORF2</italic>, the expression of which is reduced by disturbed shear stress, exerts critical anti-inflammatory effects by binding to <italic>Irf5</italic> and mitigating disturbed shear stress-induced <italic>Irf5</italic> activation. Additionally, we demonstrated that endothelial-specific supplementation with <italic>Aff3ir-ORF2</italic> significantly ameliorated disturbed flow-induced endothelial activation and the development of atherosclerotic plaques, highlighting its promising therapeutic potential for the treatment of atherosclerosis.</p></sec><sec id="s2" sec-type="results"><title>Results</title><sec id="s2-1"><title>Disturbed shear stress reduces the expression of <italic>Aff3ir-ORF2</italic></title><p>Our recent study showed the active participation of <italic>Aff3ir</italic> in EC differentiation from vascular SPCs induced by laminar shear stress (<xref ref-type="bibr" rid="bib54">Zhao et al., 2025</xref>), suggesting the potential involvement of this novel protein-encoding nested gene in mediating hemodynamic stimulation. To further elucidate the functional role of <italic>Aff3ir</italic> and its encoded proteins in disturbed shear stress-induced EC activation, we examined the expression of <italic>Aff3</italic> and <italic>Aff3ir</italic> in the intima of mouse aorta. We found that the mRNA level of <italic>Aff3ir</italic>, but not its parent gene <italic>Aff3</italic>, was significantly lower in the intima of the aortic arch, an area exposed to disturbed shear stress, compared to the intima of the thoracic aorta, which was exposed to steady unidirectional shear stress (<xref ref-type="bibr" rid="bib26">Li et al., 2019</xref>; <xref ref-type="fig" rid="fig1">Figure 1A</xref>). <italic>Aff3ir</italic> transcript variants can generate two proteins (<xref ref-type="bibr" rid="bib54">Zhao et al., 2025</xref>), therefore, we measured the protein levels of <italic>Aff3ir-ORF1</italic> and <italic>Aff3ir-ORF2</italic>. While <italic>Aff3ir-ORF1</italic> and <italic>Aff3</italic> showed comparable expression levels in the intima of aortic arch and thoracic aorta of mice, the expression of <italic>Aff3ir-ORF2</italic> showed an 87% reduction in the intima of aortic arch compared to the intima of thoracic aorta (<xref ref-type="fig" rid="fig1">Figure 1B and C</xref>), suggesting that <italic>Aff3ir-ORF2</italic> may be a novel mechanosensitive protein that responds to disturbed shear stress. Enface immunofluorescence staining confirmed a marked reduction in <italic>Aff3ir-ORF2</italic> expression in the inner curvature of aortic arch compared to both the outer curvature of aortic arch and the thoracic aorta (<xref ref-type="fig" rid="fig1">Figure 1D and E</xref>). Moreover, to demonstrate the change in <italic>Aff3ir-ORF2</italic> within the same visual field, we examined its expression in longitudinal sections of the mouse aorta (<xref ref-type="bibr" rid="bib26">Li et al., 2019</xref>). We found that the expression of <italic>Aff3ir-ORF2</italic>, but not <italic>Aff3</italic>, was notably downregulated in athero-prone regions (the inner curvature of the aortic arch and bifurcation of the carotid artery) compared to that in the protective region in the outer curvature of the aortic arch (<xref ref-type="fig" rid="fig1">Figure 1F</xref>). Additionally, we found that the expression of <italic>Aff3</italic>, <italic>Aff3ir-ORF1</italic>, and <italic>Aff3ir-ORF2</italic> in the media and adventitia was comparable between the aortic arch and the thoracic aorta (<xref ref-type="fig" rid="fig1s1">Figure 1—figure supplement 1A, B</xref>).</p><fig-group><fig id="fig1" position="float"><label>Figure 1.</label><caption><title>Disturbed shear stress reduces the expression of Aff3ir-ORF2 in vivo and in vitro.</title><p>(<bold>A</bold>) RT-PCR analysis of the mRNA levels of <italic>Aff3ir-ORF2</italic> and AF4/FMR2 family member 3 (<italic>Aff3</italic>) in the intima of thoracic aorta (TA) and aortic arch (AA) of C57BL/6 mice. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test. (<bold>B, C</bold>) Western blot analysis of the expression of the indicated proteins in the intima of TA and AA of C57BL/6 mice. Protein levels were normalized to those of <italic>Gapdh</italic>, and the relative expression values were compared to those of the TA group. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test. (<bold>D, E</bold>) En-face immunofluorescence staining of <italic>Aff3ir-ORF2</italic>, VE-cadherin, and DAPI, and quantification of <italic>Aff3ir-ORF2</italic> expression in inner curvature of the AA (AA inner), outer curvature of the AA (AA outer), and TA of C57BL/6 mice. Scale bar, 20 μm. The immunofluorescence intensity of <italic>Aff3ir-ORF2</italic> was normalized to that of DAPI, and the relative expression values were compared to that of the TA group. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, one-way ANOVA with Tukey post-test. (<bold>F</bold>) Representative immunofluorescent staining for von Willebrand factor (vWF), <italic>Aff3ir-ORF2</italic>, and <italic>Aff3</italic> in longitudinal aortic sections of C57BL/6 mice. n=6 mice per group. Scale bar, 25 μm. Inner, inner curvature of the AA; outer, outer curvature of the AA; BIF, Bifurcation. (<bold>G, H</bold>) Mouse embryonic fibroblasts (MEFs) isolated from the embryo of C57BL/6 mice were subjected to static (ST) or oscillatory shear stress (OSS, 0.5±4 dyn/cm<sup>2</sup>, 1 Hz) for indicated time. Western blot analysis of the indicated proteins. Protein levels were normalized to <italic>Gapdh</italic> and the relative expression values were compared to that of the ST group. Data are mean ± SEM (n=6 independent experiments). *p&lt;0.05, one-way ANOVA with Tukey post-test. (<bold>I</bold>) MEFs were subjected to ST or oscillatory shear stress (OSS) treatment for 6 hr. RT-PCR analysis of the mRNA levels of <italic>Aff3ir</italic>, <italic>Aff3,</italic> intercellular adhesion molecule 1 (<italic>Icam1</italic>), and vascular cell adhesion molecule 1 (<italic>Vcam1</italic>) in MEFs. Data are mean ± SEM (n=6 independent experiments). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test.</p><p><supplementary-material id="fig1sdata1"><label>Figure 1—source data 1.</label><caption><title>The table summarizes the data in the statistical graph for <xref ref-type="fig" rid="fig1">Figure 1A, C, E, H and I</xref>.</title></caption><media mimetype="application" mime-subtype="xlsx" xlink:href="elife-103413-fig1-data1-v1.xlsx"/></supplementary-material></p><p><supplementary-material id="fig1sdata2"><label>Figure 1—source data 2.</label><caption><title>The original file of the full raw uncropped, unedited polyacrylamide gels for <xref ref-type="fig" rid="fig1">Figure 1B</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig1-data2-v1.zip"/></supplementary-material></p><p><supplementary-material id="fig1sdata3"><label>Figure 1—source data 3.</label><caption><title>Figures with the uncropped polyacrylamide gels with the relevant bands clearly labeled for <xref ref-type="fig" rid="fig1">Figure 1B</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig1-data3-v1.zip"/></supplementary-material></p><p><supplementary-material id="fig1sdata4"><label>Figure 1—source data 4.</label><caption><title>The original file of the full raw uncropped, unedited polyacrylamide gels for <xref ref-type="fig" rid="fig1">Figure 1G</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig1-data4-v1.zip"/></supplementary-material></p><p><supplementary-material id="fig1sdata5"><label>Figure 1—source data 5.</label><caption><title>Figures with the uncropped polyacrylamide gels with the relevant bands clearly labeled for <xref ref-type="fig" rid="fig1">Figure 1G</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig1-data5-v1.zip"/></supplementary-material></p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-103413-fig1-v1.tif"/></fig><fig id="fig1s1" position="float" specific-use="child-fig"><label>Figure 1—figure supplement 1.</label><caption><title>Disturbed shear stress does not reduce the expression of A3ir-ORF2 in the media and adventitia.</title><p>(<bold>A–B</bold>) Media and adventitia of aortas were isolated from the C57BL/6 mice. Western blot analysis of the expression of the indicated proteins in the media and adventitia of TA (thoracic aorta) and AA (aortic arch). Protein levels were normalized to <italic>Gapdh</italic>, and the relative expression values were compared to the TA group. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test.</p><p><supplementary-material id="fig1s1sdata1"><label>Figure 1—figure supplement 1—source data 1.</label><caption><title>The table summarizes the data in the statistical graph for <xref ref-type="fig" rid="fig1s1">Figure 1—figure supplement 1B</xref>.</title></caption><media mimetype="application" mime-subtype="xlsx" xlink:href="elife-103413-fig1-figsupp1-data1-v1.xlsx"/></supplementary-material></p><p><supplementary-material id="fig1s1sdata2"><label>Figure 1—figure supplement 1—source data 2.</label><caption><title>The original file of the full raw uncropped, unedited polyacrylamide gels for <xref ref-type="fig" rid="fig1s1">Figure 1—figure supplement 1A</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig1-figsupp1-data2-v1.zip"/></supplementary-material></p><p><supplementary-material id="fig1s1sdata3"><label>Figure 1—figure supplement 1—source data 3.</label><caption><title>Figures with the uncropped polyacrylamide gels with the relevant bands clearly labeled for <xref ref-type="fig" rid="fig1s1">Figure 1—figure supplement 1A</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig1-figsupp1-data3-v1.zip"/></supplementary-material></p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-103413-fig1-figsupp1-v1.tif"/></fig></fig-group><p>Next, we explored the impact of disturbed shear stress on <italic>Aff3ir-ORF2</italic> expression in vitro. Mouse embryonic fibroblasts (MEFs) exhibit responses consistent with those of ECs (<xref ref-type="bibr" rid="bib6">Chen et al., 2010</xref>; <xref ref-type="bibr" rid="bib50">Wen et al., 2013</xref>), therefore, we investigated <italic>Aff3ir-ORF2</italic> expression in MEFs from WT mice exposed to static or disturbed flow (0.5±4 dyn/cm<sup>2</sup>, 1 Hz). Consistent with our in vivo findings, while disturbed shear stress increased the expression of <italic>Vcam1</italic>, a critical inflammatory marker of ECs (<xref ref-type="bibr" rid="bib33">Nakashima et al., 1998</xref>), it significantly reduced both the protein and mRNA levels of <italic>Aff3ir-ORF2</italic> (<xref ref-type="fig" rid="fig1">Figure 1G–I</xref>). The expression of <italic>Aff3</italic> in response to the disturbed flow was minimally affected at both the mRNA and protein levels (<xref ref-type="fig" rid="fig1">Figure 1G–I</xref>). These results collectively demonstrate that disturbed shear stress induces a reduction in <italic>Aff3ir-ORF2</italic> expression both in vivo and in vitro.</p></sec><sec id="s2-2"><title><italic>Aff3ir-ORF2</italic> ameliorates disturbed shear stress-induced inflammation and atherosclerosis</title><p>Disturbed shear stress-induced atherogenic responses are initial events in atherosclerotic plaque formation (<xref ref-type="bibr" rid="bib11">Davis et al., 2023</xref>). To elucidate the regulatory role of <italic>Aff3ir-ORF2</italic> in disturbed shear stress-induced inflammation, we overexpressed <italic>Aff3ir-ORF2</italic> in MEFs. <italic>Aff3ir-ORF2</italic> overexpression attenuated <italic>Icam1</italic> expression induced by disturbed shear stress at both the protein and mRNA levels (<xref ref-type="fig" rid="fig2">Figure 2A, B</xref>, <xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1A</xref>). To further validate our findings in ECs, we overexpressed <italic>Aff3ir-ORF2</italic> in human umbilical vein endothelial cells (HUVECs). Consistent with our previous results, <italic>Aff3ir-ORF2</italic> overexpression reduced the protein level of <italic>Icam1</italic> induced by disturbed shear stress in HUVECs (<xref ref-type="fig" rid="fig2">Figure 2C–D</xref>). Moreover, <italic>Aff3ir-ORF2</italic> overexpression attenuated disturbed shear stress-induced expression of several inflammatory genes, including <italic>Vcam1</italic>, <italic>Il6</italic>, and <italic>Il1b</italic>, in both MEFs and ECs. (<xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1A–B</xref>). Interestingly, we found that <italic>Aff3ir-ORF2</italic> overexpression did not affect the basal expression of these inflammatory genes under ST conditions (<xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1A–B</xref>), likely due to the relatively low levels of inflammatory gene expression under ST compared to OSS conditions. Notably, despite the significant anti-inflammatory effects of <italic>Aff3ir-ORF2</italic>, the sequence of this gene is not conserved in <italic>Homo sapiens</italic>. Furthermore, we measured the concentrations of inflammatory factors, including <italic>Il6</italic> and <italic>Il1b</italic>, in the culture medium of MEFs. As expected, while <italic>Aff3ir-ORF2</italic> overexpression had little effect on the concentrations of <italic>Il6</italic> and <italic>Il1b</italic> under ST condition, it significantly reduced their release induced by disturbed shear stress (<xref ref-type="fig" rid="fig2">Figure 2E</xref>).</p><fig-group><fig id="fig2" position="float"><label>Figure 2.</label><caption><title><italic>Aff3ir-ORF2</italic> overexpression alleviates disturbed flow-induced inflammation and atherosclerosis.</title><p>(<bold>A–B</bold>) Mouse embryonic fibroblasts (MEFs) isolated from C57BL/6 mice were infected with indicated adenoviruses (Ad-Scramble or Ad-<italic>Aff3ir-ORF2</italic>) for 48 h and then exposed to static (ST) or oscillatory shear stress (OSS, 0.5±4 dyn/cm<sup>2</sup>, 1 Hz) for another 6 hr. Western blot analysis of the indicated proteins and quantification of their relative expression levels are shown. The protein levels were normalized to <italic>Gapdh</italic> and the relative expression values were compared to MEFs infected with Ad-Scramble and treated with ST. Data are presented as mean ± SEM (n=6 independent experiments). *p&lt;0.05, two-way ANOVA with Tukey post-test. (<bold>C–D</bold>) Human umbilical vein endothelial cells (HUVECs) were infected with Ad-Scramble or Ad-<italic>Aff3ir-ORF2</italic> for 48 h and then exposed to ST or OSS for an additional 6 hr. Western blot analysis of the indicated proteins and quantification of their relative expression levels are shown. The protein levels were normalized to <italic>Gapdh</italic> and the relative expression values were compared to HUVECs infected with Ad-Scramble and treated with ST. Data are presented as mean ± SEM (n=6 independent experiments). *p&lt;0.05, two-way ANOVA with Tukey post-test. (<bold>E</bold>) MEFs were infected with Ad-Scramble or Ad-<italic>Aff3ir-ORF2</italic> for 48 h and then exposed to ST or OSS for another 6 hr. The concentration of <italic>Il6</italic> and <italic>Il1b</italic> in cell culture medium were detected with ELISA. The relative cytokine levels are relative to MEFs infected with Ad-Scramble and treated with ST. Data are presented as mean ± SEM (n=6 independent experiments). *p&lt;0.05, two-way ANOVA with Tukey post-test. (<bold>F–J</bold>) Eight-wk-old male <italic>Apoe<sup>−/−</sup></italic> mice were subjected to partial ligation of the carotid artery along with 10 μL of adenovirus suspension at 1×10<sup>8</sup> transducing units (TU)/mL was instilled into the left carotid artery (LCA). The mice were then fed high-fat diet for 4 wk. (<bold>F</bold>) Arterial tissues were isolated to examine the atherosclerotic lesions. Scale bar, 2 mm. (<bold>G, H</bold>) LCAs were sectioned for hematoxylin and eosin staining. Quantification of the lesion area in LCAs was shown. Scale bar, 25 μm. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test. (<bold>I</bold>, <bold>J</bold>) Immunofluorescence staining for vWF, <italic>Vcam1</italic>, and DAPI in the LCAs, and quantification of the relative fluorescent intensity of <italic>Vcam1</italic>. The immunofluorescence intensity of <italic>Vcam1</italic> was normalized to DAPI, and the relative expression values were compared to that of the Ad-Scramble group. Scale bar, 50 μm. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test.</p><p><supplementary-material id="fig2sdata1"><label>Figure 2—source data 1.</label><caption><title>The table summarizes the data in the statistical graph for <xref ref-type="fig" rid="fig2">Figure 2B, D, E, H and J</xref>.</title></caption><media mimetype="application" mime-subtype="xlsx" xlink:href="elife-103413-fig2-data1-v1.xlsx"/></supplementary-material></p><p><supplementary-material id="fig2sdata2"><label>Figure 2—source data 2.</label><caption><title>The original file of the full raw uncropped, unedited polyacrylamide gels for <xref ref-type="fig" rid="fig2">Figure 2A</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig2-data2-v1.zip"/></supplementary-material></p><p><supplementary-material id="fig2sdata3"><label>Figure 2—source data 3.</label><caption><title>Figures with the uncropped polyacrylamide gels with the relevant bands clearly labeled for <xref ref-type="fig" rid="fig2">Figure 2A</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig2-data3-v1.zip"/></supplementary-material></p><p><supplementary-material id="fig2sdata4"><label>Figure 2—source data 4.</label><caption><title>The original file of the full raw uncropped, unedited polyacrylamide gels for <xref ref-type="fig" rid="fig2">Figure 2C</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig2-data4-v1.zip"/></supplementary-material></p><p><supplementary-material id="fig2sdata5"><label>Figure 2—source data 5.</label><caption><title>Figures with the uncropped polyacrylamide gels with the relevant bands clearly labeled for <xref ref-type="fig" rid="fig2">Figure 2C</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig2-data5-v1.zip"/></supplementary-material></p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-103413-fig2-v1.tif"/></fig><fig id="fig2s1" position="float" specific-use="child-fig"><label>Figure 2—figure supplement 1.</label><caption><title><italic>Aff3ir-ORF2</italic> overexpression alleviates disturbed flow-induced inflammation in endothelial cells (ECs).</title><p>(<bold>A</bold>) Mouse embryonic fibroblasts (MEFs) isolated from C57BL/6 mice were infected with indicated adenoviruses (Ad-Scramble or Ad-<italic>Aff3ir-ORF2</italic>) for 48 hr and then exposed to static (ST) or oscillatory shear stress (OSS, 0.5±4 dyn/cm<sup>2</sup>, 1 Hz) for another 6 hr. RT-PCR analysis of mRNA levels of <italic>Aff3</italic>, <italic>Vcam1</italic>, <italic>Icam1</italic>, interleukin-6 (<italic>Il6</italic>), and interleukin-1 beta (<italic>Il1b</italic>). The relative expression values were compared to MEFs infected with Ad-Scramble and treated with ST. Data are presented as mean ± SEM (n=6 independent experiments). *p&lt;0.05, two-way ANOVA with Tukey post-test. (<bold>B</bold>) Human umbilical vein endothelial cells (HUVECs) were infected with Ad-Scramble or Ad-<italic>Aff3ir-ORF2</italic> for 48 hr and then exposed to ST or OSS for another 6 hr. RT-PCR analysis of mRNA levels of <italic>Aff3</italic>, <italic>Vcam1</italic>, <italic>Icam1</italic>, <italic>Il6</italic>, and <italic>Il1b</italic>. The relative expression values were compared to HUVECs infected with Ad-Scramble and treated with ST. Data are presented as mean ± SEM (n=6 independent experiments). *p&lt;0.05, two-way ANOVA with Tukey post-test. (<bold>C–D</bold>) Enface immunofluorescence staining of <italic>Aff3ir-ORF2</italic>, VE-cadherin, and DAPI and quantification of <italic>Aff3ir-ORF2</italic> expression. Scale bar, 20 μm. The immunofluorescence intensity of <italic>Aff3ir-ORF2</italic> was normalized to DAPI and the relative expression values were compared to that of the Ad-Scramble group. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test. (<bold>E</bold>), Eight-wk-old male <italic>Apoe<sup>−/−</sup></italic> mice were subjected to partial ligation of the carotid artery along with 10 μL of adenovirus suspension at 1×10<sup>8</sup> transducing units (TU)/mL was instilled into the left carotid arteries. The mice were then fed high-fat diet for 4 wk. Right carotid arteries were sectioned for hematoxylin and eosin staining.</p><p><supplementary-material id="fig2s1sdata1"><label>Figure 2—figure supplement 1—source data 1.</label><caption><title>The table summarizes the data in the statistical graph for <xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1A, B and D</xref>.</title></caption><media mimetype="application" mime-subtype="xlsx" xlink:href="elife-103413-fig2-figsupp1-data1-v1.xlsx"/></supplementary-material></p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-103413-fig2-figsupp1-v1.tif"/></fig></fig-group><p>Given the anti-inflammatory effects of <italic>Aff3ir-ORF2</italic>, we speculated that it may ameliorate disturbed shear stress-induced inflammation and atherosclerosis in vivo. Apoe knockout (<italic>Apoe<sup>-/-</sup></italic>) mice were subjected to partial ligation surgery to induce disturbed flow in the left carotid arteries (LCAs). The endothelium of the LCAs was intravascularly infected with adenovirus (Ad-Scramble or Ad-<italic>Aff3ir-ORF2</italic>) prior to surgery (<xref ref-type="bibr" rid="bib34">Nam et al., 2009</xref>; <xref ref-type="bibr" rid="bib53">Zhang et al., 2020</xref>). Enface immunofluorescence staining confirmed the successful <italic>Aff3ir-ORF2</italic> overexpression in the left carotid artery (<xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1C–D</xref>). Mice infected with Ad-<italic>Aff3ir-ORF2</italic> exhibited a significant decrease in lesion area in the LCAs compared to those infected with Ad-Scramble (23 ± 17% vs 63 ± 14%) (<xref ref-type="fig" rid="fig2">Figure 2F–H</xref>), with no obvious plaque formation observed in the right carotid arteries (<xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1E</xref>). Overexpression of <italic>Aff3ir-ORF2</italic> also attenuated disturbed flow-induced inflammatory responses, as evidenced by decreased <italic>Vcam1</italic> expression in the endothelium of LCAs (<xref ref-type="fig" rid="fig2">Figure 2I–J</xref>). These findings suggested that <italic>Aff3ir-ORF2</italic> ameliorates shear stress-induced inflammation and atherosclerosis.</p></sec><sec id="s2-3"><title><italic>Aff3ir-ORF2</italic> deficiency aggravates inflammation and atherosclerotic lesions in <italic>Apoe<sup>-/-</sup></italic> mice</title><p>To explore the effects of <italic>Aff3ir-ORF2</italic> on inflammation and atherosclerosis, we generated <italic>Aff3ir-ORF2</italic> global knockout (<italic>Aff3ir-ORF2<sup>-/-</sup></italic>) mice. Genotyping PCR (<xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1A</xref>) and western blot analysis of <italic>Aff3ir-ORF2</italic> expression in mouse aortas (<xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1B–C</xref>) confirmed the successful knockout. No obvious phenotypic abnormalities were observed in <italic>Aff3ir-ORF2<sup>-/-</sup></italic> mice up to 20 wk of age and monitoring was discontinued thereafter. Additionally, <italic>Aff3ir-ORF2</italic> deficiency did not alter systolic blood pressure, diastolic blood pressure, or mean arterial pressure (<xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1D</xref>), suggesting that <italic>Aff3ir-ORF2</italic> is dispensable for physiological blood pressure maintenance. We then isolated MEFs from WT and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> mice. RT-PCR analysis confirmed the deficiency of <italic>Aff3ir-ORF2</italic> in <italic>Aff3ir-ORF2<sup>-/-</sup></italic> MEFs (<xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1E</xref>). Interestingly, the <italic>Aff3ir-ORF2</italic> knockdown efficiency showed discrepancies between the western blot (<xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1B</xref>) and RT-PCR results (<xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1E</xref>). In addition to the technical differences between PCR and western blot, the characteristics of <italic>Aff3ir-ORF2</italic> may also contribute to this inconsistency. The parent gene, <italic>Aff3</italic>, is located in a genetically variable region, and it can be excised via intron 5 to form a replicable transposon that translocates to other chromosomes, potentially contributing to leukemia (<xref ref-type="bibr" rid="bib7">Chinen et al., 2008</xref>; <xref ref-type="bibr" rid="bib18">Hiwatari et al., 2003</xref>; <xref ref-type="bibr" rid="bib32">Miller et al., 2022</xref>; <xref ref-type="bibr" rid="bib4">Bergh et al., 2002</xref>). <italic>Aff3ir</italic>, located in intron 6, exists within this transposon, which may complicate the measurement of its expression. Furthermore, we found that <italic>Aff3ir-ORF2</italic> deficient MEFs displayed higher expression of inflammatory genes, including <italic>Icam1, Vcam1,</italic> and <italic>Il1b</italic>, compared to those in WT MEFs, under disturbed flow stimulation (<xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1F</xref>).</p><p>Next, we crossed <italic>Aff3ir-ORF2<sup>-/-</sup></italic> mice with <italic>Apoe<sup>-/-</sup></italic> mice to generate double-knockout (<italic>Apoe<sup>-/-</sup>Aff3ir-ORF2<sup>-/-</sup></italic>) mice. Eight-wk-old <italic>Apoe<sup>-/-</sup></italic> and <italic>Apoe<sup>-/-</sup>Aff3ir-ORF2<sup>-/-</sup></italic> mice were fed a high-fat diet for 12 wk to induce atherosclerosis (<xref ref-type="fig" rid="fig3">Figure 3A</xref>). <italic>En face</italic> Oil-Red O staining indicated that <italic>Aff3ir-ORF2</italic> deficiency accelerated the development of atherosclerosis in the entire aorta, AA, and TA. (<xref ref-type="fig" rid="fig3">Figure 3B and C</xref>). Furthermore, <italic>Aff3ir-ORF2</italic> deletion increased the lesion area and lipid deposition in the aortic roots of <italic>Apoe<sup>-/-</sup></italic> mice without altering the collagen fiber content (<xref ref-type="fig" rid="fig3">Figure 3D and E</xref>). Similar results were observed in distributing arteries (LCAs) (<xref ref-type="fig" rid="fig3">Figure 3F and G</xref>). Given that the expression of adhesion proteins, such as <italic>Vcam1</italic> in ECs is crucial for monocyte infiltration into plaques (<xref ref-type="bibr" rid="bib22">Kobiyama and Ley, 2018</xref>), we assessed <italic>Vcam1</italic> expression in the aortic roots of these mice. We found that <italic>Aff3ir-ORF2</italic> deletion increased <italic>Vcam1</italic> expression in the aortic roots of <italic>Apoe<sup>-/-</sup></italic> mice (<xref ref-type="fig" rid="fig3">Figure 3H, I</xref>), indicating that the atherogenic effects of <italic>Aff3ir-ORF2</italic> deletion may result from endothelial inflammation. Additionally, there were no significant differences between the two groups in body weight or triglyceride, total cholesterol, LDL cholesterol, and HDL cholesterol levels (<xref ref-type="fig" rid="fig3s2">Figure 3—figure supplement 2A, B</xref>), indicating that the atherogenic effect of <italic>Aff3ir-ORF2</italic> silencing is unlikely to be related to lipid metabolism. Taken together, these results indicate that <italic>Aff3ir-ORF2</italic> deficiency aggravates inflammation and atherosclerotic lesions in mice.</p><fig-group><fig id="fig3" position="float"><label>Figure 3.</label><caption><title><italic>Aff3ir-ORF2</italic> deletion aggravates inflammation and atherosclerotic lesions in <italic>Apoe<sup>-/-</sup></italic> mice.</title><p>Eight-wk-old male <italic>Apoe<sup>-/-</sup></italic> and <italic>Apoe<sup>-/-</sup>Aff3ir-ORF2<sup>-/-</sup></italic> mice were fed a high-fat diet for 12 wk. Arterial tissues and aortic roots were isolated to examine atherosclerotic lesions. (<bold>A</bold>) Schematic of experimental strategy. (<bold>B</bold>) Representative images of en face Oil-Red O staining of the aortas. Scale bar, 4 mm. (<bold>C</bold>) Quantification of the plaque area in the whole aorta, aortic arch (AA), and thoracic aorta (TA). Data are presented as mean ± SEM (n=12 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test. (<bold>D</bold>) Oil-Red O, hematoxylin and eosin (HE), and Masson staining of the aortic roots. Scale bars, 500 μm. (<bold>E</bold>) Quantification of plaque size, Oil-Red O-positive area, and collagen fiber content in aortic root sections. Data are presented as mean ± SEM (n=6 mice per group). *p0.05, unpaired two-tailed <italic>t</italic>-test. (<bold>F</bold>), left carotid arteries (LCAs) were sectioned and stained with Oil-Red O, HE, and Masson’s trichrome. Scale bars, 500 μm. (<bold>G</bold>) Quantification of plaque size, Oil-Red O-positive area, and collagen fiber content in the LCA sections. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test. (<bold>H</bold>) Representative immunofluorescence images of vWF, <italic>Vcam1</italic>, and DAPI in the aortic roots. Scale bar, 500 μm. (<bold>I</bold>), Quantification of the relative fluorescence intensity of <italic>Vcam1</italic>. The immunofluorescence intensity of <italic>Vcam1</italic> was normalized to that of DAPI, and the relative expression values were compared to that of the <italic>Apoe<sup>-/-</sup></italic> group. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test.</p><p><supplementary-material id="fig3sdata1"><label>Figure 3—source data 1.</label><caption><title>The table summarizes the data in the statistical graph for <xref ref-type="fig" rid="fig3">Figure 3A, E, G and I</xref>.</title></caption><media mimetype="application" mime-subtype="xlsx" xlink:href="elife-103413-fig3-data1-v1.xlsx"/></supplementary-material></p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-103413-fig3-v1.tif"/></fig><fig id="fig3s1" position="float" specific-use="child-fig"><label>Figure 3—figure supplement 1.</label><caption><title><italic>Aff3ir-ORF2</italic> is dispensable for physiological blood pressure maintenance.</title><p>(<bold>A</bold>) Genetic typing of the <italic>Aff3ir-ORF2</italic> mice by the PCR-RFLP assay. Lanes 1–2: Wild-type (1597 bp); Lanes 3–4: <italic>Aff3ir-ORF2<sup>-/-</sup></italic> (530 bp). (<bold>B–C</bold>) Western blot analysis of the expression of the indicated proteins in the intima of WT and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> mice. Protein levels were normalized to <italic>Gapdh</italic>, and relative expression values were compared to the WT group. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test. (<bold>D</bold>) Quantification of systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean artery pressure (MAP) in 8-wk-old male wild-type (WT) and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> mice. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test. (<bold>E</bold>) Mouse embryonic fibroblasts (MEFs) isolated from WT and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> mice, and RT-PCR analysis of the mRNA levels of <italic>Aff3ir-ORF2</italic>. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test. (<bold>F</bold>) MEFs isolated from WT and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> mice were exposed to static (ST) or oscillatory shear stress (OSS, 0.5±4 dyn/cm<sup>2</sup>, 1 Hz) for 6 h. RT-PCR analysis of the mRNA levels of <italic>Aff3ir-ORF2</italic>, <italic>Icam1</italic>, and <italic>Vcam1</italic>, <italic>Il6</italic>, and <italic>Il1b</italic>. The relative expression values were compared to that of WT MEFs treated with ST. Data are presented as mean ± SEM (n=6 independent experiments). *p&lt;0.05, two-way ANOVA with Tukey post-test.</p><p><supplementary-material id="fig3s1sdata1"><label>Figure 3—figure supplement 1—source data 1.</label><caption><title>The table summarizes the data in the statistical graph for <xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1C, D, E and F</xref>.</title></caption><media mimetype="application" mime-subtype="xlsx" xlink:href="elife-103413-fig3-figsupp1-data1-v1.xlsx"/></supplementary-material></p><p><supplementary-material id="fig3s1sdata2"><label>Figure 3—figure supplement 1—source data 2.</label><caption><title>The original file of the full raw uncropped, unedited polyacrylamide gels for <xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1B</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig3-figsupp1-data2-v1.zip"/></supplementary-material></p><p><supplementary-material id="fig3s1sdata3"><label>Figure 3—figure supplement 1—source data 3.</label><caption><title>Figures with the uncropped polyacrylamide gels with the relevant bands clearly labeled for <xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1B</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig3-figsupp1-data3-v1.zip"/></supplementary-material></p><p><supplementary-material id="fig3s1sdata4"><label>Figure 3—figure supplement 1—source data 4.</label><caption><title>The original file of the full raw uncropped, unedited agarose gels for <xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1A</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig3-figsupp1-data4-v1.zip"/></supplementary-material></p><p><supplementary-material id="fig3s1sdata5"><label>Figure 3—figure supplement 1—source data 5.</label><caption><title>Figures with the uncropped agarose gels with the relevant bands clearly labeled for <xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1A</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig3-figsupp1-data5-v1.zip"/></supplementary-material></p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-103413-fig3-figsupp1-v1.tif"/></fig><fig id="fig3s2" position="float" specific-use="child-fig"><label>Figure 3—figure supplement 2.</label><caption><title><italic>Aff3ir-ORF2</italic> is dispensable for lipid metabolism maintenance.</title><p>Eight-wk-old male <italic>Apoe<sup>-/-</sup></italic> and <italic>Apoe<sup>-/-</sup>ORF2<sup>-/-</sup></italic> mice were fed a high-fat diet (HFD) for 12 wk. (<bold>A</bold>) Quantification of body weight at the beginning and end of the experiment. Data are presented as mean ± SEM (n=12 mice per group). *p&lt;0.05, two-way ANOVA with Tukey post-test. (<bold>B</bold>) Quantification of plasma levels of triglycerides, total cholesterol, low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C). Data are presented as mean ± SEM (n=12 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test.</p><p><supplementary-material id="fig3s2sdata1"><label>Figure 3—figure supplement 2—source data 1.</label><caption><title>The table summarizes the data in the statistical graph for <xref ref-type="fig" rid="fig3s2">Figure 3—figure supplement 2A, B</xref>.</title></caption><media mimetype="application" mime-subtype="xlsx" xlink:href="elife-103413-fig3-figsupp2-data1-v1.xlsx"/></supplementary-material></p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-103413-fig3-figsupp2-v1.tif"/></fig></fig-group></sec><sec id="s2-4"><title><italic>Aff3ir-ORF2</italic> mitigates disturbed shear stress-induced inflammation by interacting with <italic>Irf5</italic> and retaining it within the cytosol</title><p>To explore the mechanism by which <italic>Aff3ir-ORF2</italic> mitigates atherogenesis, we performed RNA sequencing (RNA-seq) on MEFs from WT and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> mice. Expression of all differentially expressed genes in the <xref ref-type="supplementary-material" rid="supp3">Supplementary file 3</xref>. The Principal component analysis plot depicted a clear clustering of WT versus <italic>Aff3ir-ORF2<sup>-/-</sup></italic> samples (<xref ref-type="fig" rid="fig4">Figure 4A</xref>). We identified 1167 upregulated and 310 downregulated genes in the <italic>Aff3ir-ORF2<sup>-/-</sup></italic> group, with a criterion of 1.5-fold change and p&lt;0.05 (<xref ref-type="fig" rid="fig4">Figure 4B</xref>, <xref ref-type="fig" rid="fig4s1">Figure 4—figure supplement 1A</xref>). All the differentially expressed genes were subjected to bioinformatics enrichment analysis using Gene Ontology (GO) databases. GO analysis showed that these genes were mainly enriched in processes, including leukocyte cell-cell adhesion, regulation of cell−cell adhesion, and leukocyte activation involved in immune response (<xref ref-type="fig" rid="fig4">Figure 4C</xref>), which is highly consistent with the phenotypes observed in <italic>Aff3ir-ORF2<sup>-/-</sup></italic> mice. To further investigate the functional features of these differentially expressed genes in the context of the atherosclerotic microenvironment, we mapped the differential gene list onto the atherosclerosis-related gene dataset (<xref ref-type="bibr" rid="bib38">Rouillard et al., 2016</xref>), resulting in 363 overlapping genes. GO analysis of these genes revealed enrichment in processes related to cell−cell adhesion and leukocyte activation involved in immune response (<xref ref-type="fig" rid="fig4s1">Figure 4—figure supplement 1B</xref>), which is highly consistent with the observed effects of <italic>Aff3ir-ORF2</italic> on <italic>Vcam1</italic> expression.</p><fig-group><fig id="fig4" position="float"><label>Figure 4.</label><caption><title><italic>Aff3ir-ORF2</italic> mitigates disturbed shear stress-induced inflammation by interacting with <italic>Irf5</italic> and retaining it within the cytosol.</title><p>(<bold>A–D</bold>) Mouse embryonic fibroblasts (MEFs) were isolated from wild-type (WT) and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> mice. (<bold>A</bold>) Principal component analysis (PCA) analysis of RNA-seq data to visualize sample-to-sample variation. (<bold>B</bold>) Volcano map showing mRNA profiles of WT and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> MEFs (n=3). (<bold>C</bold>) Gene Ontology enrichment pathway analysis of the differentially expressed genes. (<bold>D</bold>) Venn diagrams of the top 20 transcription factors from the ChEA3 and DisGENET analysis related to atherosclerosis. (<bold>E</bold>) Immunoprecipitation performed using antibodies against <italic>Aff3ir-ORF2</italic>, <italic>Irf5</italic>, and <italic>Irf8</italic>. n=3 independent experiments. (<bold>F–H</bold>), WT and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> MEFs were subjected to silence of Control (siNC), <italic>Irf5</italic> (si<italic>Irf5</italic>), or <italic>Irf8</italic> (si<italic>Irf8</italic>) with siRNAs for 24 hr, followed by exposure to static (ST) or oscillatory shear stress (OSS, 0.5±4 dyn/cm<sup>2</sup>, 1 Hz) for another 6 hr. (<bold>F</bold>) RT-PCR analysis of the mRNA levels of <italic>Vcam1</italic>, <italic>Icam1</italic>, <italic>Il6</italic>, and <italic>Il1b</italic>. The relative expression values were compared to WT MEFs transfected with siNC and treated with ST. Data are mean ± SEM (n=6 independent experiments). *p&lt;0.05, two-way ANOVA with Tukey post-test. (<bold>G–H</bold>), Representative western blots of <italic>Irf5</italic> and <italic>Icam1</italic> expression. Data are mean ± SEM (n=5 independent experiments). *p&lt;0.05, two-way ANOVA with Tukey post-test. (<bold>I–J</bold>), WT, and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> MEFs were exposed to ST or OSS for 6 hr. Nuclear and cytoplasmic proteins were extracted from the cells. Representative western blots of the indicated proteins and quantification of <italic>Irf5</italic> expression in nucleus are shown. The expression of these proteins was relative to the level of nuclear <italic>Irf5</italic> in ST-treated WT MEFs. Data are mean ± SEM (n=6 independent experiments). *p&lt;0.05, one-way ANOVA with Tukey post-test. (<bold>K</bold>) HEK293 cells were transfected with the firefly luciferase reporter plasmid containing the <italic>Irf5</italic>-responsive ZNF217 promoter along with a β-galactosidase reporter plasmid for 24 hr. Cells were infected with the indicated adenoviruses (Ad-Scramble or Ad-<italic>Aff3ir-ORF2</italic>) for 24 h. Promoter activity was measured using luciferase, which was normalized to β-gal. Data are mean ± SEM (n=6 independent experiments). *p&lt;0.05, two-way ANOVA with Tukey post-test.</p><p><supplementary-material id="fig4sdata1"><label>Figure 4—source data 1.</label><caption><title>The table summarizes the data in the statistical graph for <xref ref-type="fig" rid="fig4">Figure 4F, H, J and K</xref>.</title></caption><media mimetype="application" mime-subtype="xlsx" xlink:href="elife-103413-fig4-data1-v1.xlsx"/></supplementary-material></p><p><supplementary-material id="fig4sdata2"><label>Figure 4—source data 2.</label><caption><title>The original file of the full raw uncropped, unedited polyacrylamide gels for <xref ref-type="fig" rid="fig4">Figure 4E</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig4-data2-v1.zip"/></supplementary-material></p><p><supplementary-material id="fig4sdata3"><label>Figure 4—source data 3.</label><caption><title>Figures with the uncropped polyacrylamide gels with the relevant bands clearly labeled for <xref ref-type="fig" rid="fig4">Figure 4E</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig4-data3-v1.zip"/></supplementary-material></p><p><supplementary-material id="fig4sdata4"><label>Figure 4—source data 4.</label><caption><title>The original file of the full raw uncropped, unedited polyacrylamide gels for <xref ref-type="fig" rid="fig4">Figure 4G</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig4-data4-v1.zip"/></supplementary-material></p><p><supplementary-material id="fig4sdata5"><label>Figure 4—source data 5.</label><caption><title>Figures with the uncropped polyacrylamide gels with the relevant bands clearly labeled for <xref ref-type="fig" rid="fig4">Figure 4G</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig4-data5-v1.zip"/></supplementary-material></p><p><supplementary-material id="fig4sdata6"><label>Figure 4—source data 6.</label><caption><title>The original file of the full raw uncropped, unedited polyacrylamide gels for <xref ref-type="fig" rid="fig4">Figure 4I</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig4-data6-v1.zip"/></supplementary-material></p><p><supplementary-material id="fig4sdata7"><label>Figure 4—source data 7.</label><caption><title>Figures with the uncropped polyacrylamide gels with the relevant bands clearly labeled for <xref ref-type="fig" rid="fig4">Figure 4I</xref>.</title></caption><media mimetype="application" mime-subtype="zip" xlink:href="elife-103413-fig4-data7-v1.zip"/></supplementary-material></p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-103413-fig4-v1.tif"/></fig><fig id="fig4s1" position="float" specific-use="child-fig"><label>Figure 4—figure supplement 1.</label><caption><title><italic>Aff3ir-ORF2</italic> deficiency significantly increased the expression of <italic>Irf5</italic>-targeted genes.</title><p>(<bold>A</bold>) Heat map showing profiles of all the differentially expressed genes from the RNA-seq analysis of wild-type (WT) and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> mouse embryonic fibroblasts (MEFs) (n=3). (<bold>B</bold>) All the differentially expressed genes from the RNA-seq data were mapped onto the atherosclerosis-related gene dataset. The overlapping genes were then subjected to Gene Ontology enrichment pathway analysis. (<bold>C</bold>), RT-PCR analysis of the mRNA levels of <italic>ORF2</italic>, <italic>Irf5</italic>, and <italic>Irf8</italic> in WT and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> MEFs. The relative expression values were normalized to WT MEFs. Data are mean ± SEM (n=6 independent experiments). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test. (<bold>D</bold>) RT-PCR analysis of the mRNA levels of <italic>Ccl5</italic>, <italic>Icam1,</italic> and <italic>Cxcl10</italic> in WT and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> MEFs. The relative expression values were compared to WT MEFs. Data are mean ± SEM (n=6 independent experiments). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test. (<bold>E</bold>), <italic>Irf5</italic> mRNA levels in HUVECs under static (ST) and oscillatory shear stress (OSS, 0.5±4 dyn/cm<sup>2</sup>, 1 Hz) conditions for 24 hr were shown. The mRNA expression levels were sourced from the GEO database (GSE276195). Data are mean ± SEM (n=3). (<bold>F</bold>), Partial carotid ligation was performed on the left carotid artery (LCA) of the mouse while the right carotid artery (RCA) was left untouched. <italic>Irf5</italic> mRNA levels in LCAs and RCAs were shown. The mRNA expression levels were sourced from the GEO database (GSE222583). Data are mean ± SEM (n=3).</p><p><supplementary-material id="fig4s1sdata1"><label>Figure 4—figure supplement 1—source data 1.</label><caption><title>Figures with the uncropped agarose gels with the relevant bands clearly labeled for <xref ref-type="fig" rid="fig4s1">Figure 4—figure supplement 1C, D, E and F</xref>.</title></caption><media mimetype="application" mime-subtype="xlsx" xlink:href="elife-103413-fig4-figsupp1-data1-v1.xlsx"/></supplementary-material></p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-103413-fig4-figsupp1-v1.tif"/></fig></fig-group><p>To further identify the upstream transcriptional regulators of these genes, we used the list of differentially expressed genes from the RNA-seq data to predict upstream transcription factors using the ChEA3 database (<xref ref-type="bibr" rid="bib21">Keenan et al., 2019</xref>). Then, the top 20 transcription factors obtained from the ChEA3 database were mapped to the atherosclerotic disease-related gene list in the Disgenet database (<xref ref-type="bibr" rid="bib35">Piñero et al., 2017</xref>). Interferon regulatory factor 5 (<italic>Irf5</italic>) and <italic>Irf8</italic> were identified as key upstream regulators (<xref ref-type="fig" rid="fig4">Figure 4D</xref>). <italic>Irf5</italic> and <italic>Irf8</italic>, which are members of the same family of transcription factors originally implicated in interferon production, have been identified as critical regulators of the inflammatory response and contribute to the pathogenesis of various inflammatory diseases (<xref ref-type="bibr" rid="bib1">Almuttaqi and Udalova, 2019</xref>; <xref ref-type="bibr" rid="bib39">Salem et al., 2020</xref>). However, their potential roles in disturbed shear stress-induced inflammation remain unclear. We speculated that <italic>Aff3ir-ORF2</italic> interacts with <italic>Irf5</italic> and/or <italic>Irf8</italic>. Coimmunoprecipitation assays indicated that endogenous <italic>Aff3ir-ORF2</italic> could bind to both <italic>Irf5</italic> and <italic>Irf8</italic> (<xref ref-type="fig" rid="fig4">Figure 4E</xref>). To determine which transcription factor mediates the inflammatory effects of <italic>Aff3ir-ORF2</italic> deficiency, we silenced <italic>Irf5</italic> and <italic>Irf8</italic> in WT and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> MEFs exposed to disturbed flow. Notably, silencing <italic>Irf5</italic>, but not <italic>Irf8</italic>, blunted the upregulation of inflammatory genes, including <italic>Icam1, Vcam1, Il6,</italic> and <italic>Il1b</italic> (<xref ref-type="fig" rid="fig4">Figure 4F</xref>), suggesting that <italic>Irf5</italic> was the predominant factor mediating the anti-inflammatory effects of <italic>Aff3ir-ORF2</italic> in the context of disturbed shear stress. Consistently, we found that <italic>Irf5</italic> silencing significantly inhibited the upregulation of <italic>Icam1</italic> protein levels induced by <italic>Aff3ir-ORF2</italic> deficiency under disturbed shear stress (<xref ref-type="fig" rid="fig4">Figure 4G and H</xref>). In addition, neither <italic>Irf5</italic> nor <italic>Irf8</italic> expression levels were affected by <italic>Aff3ir-ORF2</italic> deficiency (<xref ref-type="fig" rid="fig4s1">Figure 4—figure supplement 1C</xref>). However, we found that <italic>Aff3ir-ORF2</italic> deficiency significantly increased the expression of <italic>Irf5</italic>-targeted genes (predicted by the ChEA3 database), including <italic>Icam1</italic>, <italic>Ccl5</italic>, and <italic>Cxcl10</italic> (<xref ref-type="fig" rid="fig4s1">Figure 4—figure supplement 1D</xref>). Notably, the protein level of <italic>Irf5</italic> was not significantly affected by disturbed shear stress (<xref ref-type="fig" rid="fig4">Figure 4G and H</xref>). Consistently, the mRNA levels of <italic>Irf5</italic> were previously reported to be barely changed in the context of disturbed shear stress (<xref ref-type="bibr" rid="bib12">Deng et al., 2025</xref>) (GSE276195, <xref ref-type="fig" rid="fig4s1">Figure 4—figure supplement 1E</xref>) or the atherosclerotic environment (<xref ref-type="bibr" rid="bib28">Li et al., 2025</xref>) (GSE222583, <xref ref-type="fig" rid="fig4s1">Figure 4—figure supplement 1F</xref>). Given that the transcriptional activity of <italic>Irf5</italic> depends on its nuclear translocation (<xref ref-type="bibr" rid="bib30">Lv et al., 2024</xref>), we next explored whether <italic>Aff3ir-ORF2</italic> affects the subcellular localization of <italic>Irf5</italic>. Subcellular fractionation assays indicated that <italic>Irf5</italic> was predominantly localized in the cytoplasm under static conditions, but exhibited obvious nuclear localization when exposed to disturbed shear stress (<xref ref-type="fig" rid="fig4">Figure 4I and J</xref>). While the total expression of <italic>Irf5</italic> was barely affected by <italic>Aff3ir-ORF2</italic> deficiency or overexpression, nuclear localization of <italic>Irf5</italic> increased with <italic>Aff3ir-ORF2</italic> deficiency (<xref ref-type="fig" rid="fig4">Figure 4I and J</xref>). To further ascertain the role of <italic>Aff3ir-ORF2</italic> in regulating the transcriptional activity of <italic>Irf5</italic>, we performed a luciferase reporter assay (<xref ref-type="bibr" rid="bib36">Qiao et al., 2022</xref>). <italic>Aff3ir-ORF2</italic> overexpression significantly decreased the transcriptional activity of <italic>Irf5</italic> (<xref ref-type="fig" rid="fig4">Figure 4K</xref>). In summary, these results suggested that <italic>Aff3ir-ORF2</italic> acts as an endogenous inhibitor of <italic>Irf5</italic> and exerts anti-inflammatory effects by retaining <italic>Irf5</italic> in the cytosol.</p></sec><sec id="s2-5"><title><italic>Irf5</italic> knockdown prevents the aggravation of atherosclerosis induced by ORF2 deficiency</title><p>Next, we investigated the role of <italic>Irf5</italic> in disturbed flow-induced atherosclerosis in vivo and whether it mediates the atherogenic phenotype associated with <italic>Aff3ir-ORF2</italic> deficiency. <italic>Apoe<sup>-/-</sup></italic> and <italic>Apoe<sup>-/-</sup>Aff3ir-ORF2<sup>-/-</sup></italic> mice were subjected to partial ligation surgery in the LCAs and intravascularly infected with lentiviruses expressing either <italic>Irf5</italic>-specific shRNA (lenti-sh<italic>Irf5</italic>) or Scramble shRNA (lenti-shScramble). En-face immunofluorescence staining confirmed successful <italic>Irf5</italic> deletion in the left carotid artery (<xref ref-type="fig" rid="fig5s1">Figure 5—figure supplement 1A</xref>). After a 4 wk high-fat diet challenge, <italic>Irf5</italic> deletion resulted in an approximately 60% reduction in plaque area in the LCAs of <italic>Apoe<sup>-/-</sup></italic> mice (<xref ref-type="fig" rid="fig5">Figure 5A and B</xref>). In addition, <italic>Irf5</italic> deletion attenuated endothelial activation, as evidenced by reduced <italic>Vcam1</italic> expression in the endothelium of LCAs (<xref ref-type="fig" rid="fig5">Figure 5C and D</xref>). Notably, although <italic>Apoe<sup>-/-</sup>Aff3ir-ORF2<sup>-/-</sup></italic> mice exhibited an increased plaque area in the LCAs compared to <italic>Apoe<sup>-/-</sup></italic> mice, <italic>Irf5</italic> deletion almost completely abolished these differences, reducing both the plaque area and <italic>Vcam1</italic> expression in the endothelium of the LCAs (<xref ref-type="fig" rid="fig5">Figure 5A–D</xref>). These findings provide in vivo evidence that <italic>Aff3ir-ORF2</italic> deficiency-induced atherosclerosis is mediated by endothelial <italic>Irf5</italic>.</p><fig-group><fig id="fig5" position="float"><label>Figure 5.</label><caption><title><italic>Irf5</italic> knockdown prevents the aggravation of atherosclerosis in <italic>Aff3ir-ORF2</italic> deficient mice.</title><p>Eight-wk-old male <italic>Apoe<sup>-/-</sup></italic> mice were subjected to partial ligation of the left carotid artery (LCA) along with 10 μL of lentivirus suspension at 1×10<sup>8</sup> transducing units (TU)/mL was instilled into the LCA. The mice were then fed a high-fat diet for 4 wk. (<bold>A–B</bold>) Arterial tissues were isolated to examine the atherosclerotic lesions. LCAs were sectioned for hematoxylin and eosin staining. Quantification of the lesion area in LCAs was shown. Data are mean ± SEM (n=6 mice per group). *p&lt;0.05, two-way ANOVA with Tukey post-test. Scale bar: 2 mm for gross images, 25 μm for staining images. (<bold>C–D</bold>) Immunofluorescence staining for vWF, <italic>Vcam1</italic>, and DAPI in the LCAs and quantification of the relative fluorescent intensity of <italic>Vcam1</italic>. Scale bar, 50 μm. The immunofluorescence intensity of <italic>Vcam1</italic> was normalized to DAPI, and the relative expression values were compared to that of the group of <italic>Apoe<sup>-/-</sup></italic> mice infected with Ad-scramble. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, two-way ANOVA with Tukey post-test.</p><p><supplementary-material id="fig5sdata1"><label>Figure 5—source data 1.</label><caption><title>The table summarizes the data in the statistical graph for <xref ref-type="fig" rid="fig5">Figure 5B and D</xref>.</title></caption><media mimetype="application" mime-subtype="xlsx" xlink:href="elife-103413-fig5-data1-v1.xlsx"/></supplementary-material></p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-103413-fig5-v1.tif"/></fig><fig id="fig5s1" position="float" specific-use="child-fig"><label>Figure 5—figure supplement 1.</label><caption><title><italic>Irf5</italic> deletion in the left carotid artery successfully.</title><p>(<bold>A–B</bold>) Enface immunofluorescence staining of <italic>Irf5</italic>, VE-cadherin, and DAPI and quantification of <italic>Irf5</italic> expression. Scale bar, 20 μm. The immunofluorescence intensity of <italic>Irf5</italic> was normalized to DAPI, and the relative expression values were compared to that of sh-Scramble group. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test.</p><p><supplementary-material id="fig5s1sdata1"><label>Figure 5—figure supplement 1—source data 1.</label><caption><title>Figures with the uncropped agarose gels with the relevant bands clearly labeled for <xref ref-type="fig" rid="fig5s1">Figure 5—figure supplement 1B</xref>.</title></caption><media mimetype="application" mime-subtype="xlsx" xlink:href="elife-103413-fig5-figsupp1-data1-v1.xlsx"/></supplementary-material></p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-103413-fig5-figsupp1-v1.tif"/></fig></fig-group></sec><sec id="s2-6"><title>Endothelial-specific <italic>Aff3ir-ORF2</italic> supplementation ameliorates EC activation and atherosclerosis in mice</title><p>Given the significant anti-inflammatory effects of <italic>Aff3ir-ORF2</italic> on endothelial activation and atherosclerosis, we explored the potential use of gene therapy targeting <italic>Aff3ir-ORF2</italic> to treat atherosclerosis. Endothelial-specific <italic>Aff3ir-ORF2</italic> overexpression was achieved using an EC-enhanced AAV-mediated CRISPR/Cas9 genome-editing system controlled by an EC-specific ICAM2 promoter as we previously reported (<xref ref-type="bibr" rid="bib27">Li et al., 2024</xref>; <xref ref-type="bibr" rid="bib45">Swiech et al., 2015</xref>). <italic>Apoe<sup>-/-</sup></italic> mice infected with AAV-ICAM2-Control or AAV-ICAM2- <italic>Aff3ir-ORF2</italic> were fed a high-fat diet for 12 wk (<xref ref-type="fig" rid="fig6">Figure 6A</xref>). En-face immunofluorescence staining confirmed successful <italic>Aff3ir-ORF2</italic> overexpression in ECs (<xref ref-type="fig" rid="fig6s1">Figure 6—figure supplement 1A–B</xref>). Endothelial-specific <italic>Aff3ir-ORF2</italic> overexpression had a minimal effect on triglycerides, total cholesterol, LDL cholesterol, and HDL cholesterol levels in the plasma of mice (<xref ref-type="fig" rid="fig6s1">Figure 6—figure supplement 1C</xref>). However, compared to the negative control, endothelial-specific <italic>Aff3ir-ORF2</italic> overexpression significantly reduced the Oil-red O-positive lesion area in the whole aortas of <italic>Apoe<sup>-/-</sup></italic> mice (19 ± 5% vs 54 ± 8%) (<xref ref-type="fig" rid="fig6">Figure 6B and C</xref>). Moreover, endothelial-specific <italic>Aff3ir-ORF2</italic> overexpression reduced the lesion area and lipid deposition in the aortic roots of <italic>Apoe<sup>-/-</sup></italic> mice without altering the collagen fiber content (<xref ref-type="fig" rid="fig6">Figure 6D and E</xref>). In addition, <italic>Aff3ir-ORF2</italic> overexpression effectively suppressed <italic>Vcam1</italic> expression in the endothelium of the aortic roots of <italic>Apoe<sup>-/-</sup></italic> mice (<xref ref-type="fig" rid="fig6">Figure 6F and G</xref>). Collectively, these results suggest that supplementation with <italic>Aff3ir-ORF2</italic> was effective in preventing atherosclerosis development.</p><fig-group><fig id="fig6" position="float"><label>Figure 6.</label><caption><title>Endothelial-specific <italic>Aff3ir-ORF2</italic> supplementation alleviates EC activation and atherosclerosis in <italic>Apoe<sup>-/-</sup></italic> mice.</title><p>Eight-wk old <italic>Apoe<sup>-/-</sup></italic> male mice were infused with the indicated adeno-associated virus (AAV) and then fed a high-fat diet for 12 wk. (<bold>A</bold>) Schematic of the experimental strategy. (<bold>B</bold>) Representative images of enface Oil-Red O staining of the aortas. Scale bar, 4 mm. (<bold>C</bold>) Quantification of the plaque area in the entire aortas. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test. (<bold>D</bold>) Hematoxylin and eosin (HE), Oil-Red O, and Masson staining of the aortic roots. Scale bars, 500 μm. (<bold>E</bold>) Quantification of plaque size, Oil-Red O-positive area, and collagen fiber content in aortic root sections. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test. (<bold>F</bold>) Representative immunofluorescence image of vWF, <italic>Vcam1</italic>, and DAPI in the aortic roots. Scale bar, 500 μm. (<bold>G</bold>) Quantification of the relative fluorescent intensity of <italic>Vcam1</italic>. The immunofluorescence intensity of <italic>Vcam1</italic> was normalized to that of DAPI, and the relative expression values were compared to that of the AAV-Scramble group. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test.</p><p><supplementary-material id="fig6sdata1"><label>Figure 6—source data 1.</label><caption><title>The table summarizes the data in the statistical graph for <xref ref-type="fig" rid="fig6">Figure 6C, E and G</xref>.</title></caption><media mimetype="application" mime-subtype="xlsx" xlink:href="elife-103413-fig6-data1-v1.xlsx"/></supplementary-material></p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-103413-fig6-v1.tif"/></fig><fig id="fig6s1" position="float" specific-use="child-fig"><label>Figure 6—figure supplement 1.</label><caption><title><italic>Aff3ir-ORF2</italic> overexpression in endothelial cells (ECs) successfully.</title><p>(<bold>A–B</bold>) Enface immunofluorescence staining of <italic>Aff3ir-ORF2</italic>, VE-cadherin, and DAPI and quantification of <italic>Aff3ir-ORF2</italic> expression. Scale bar, 20 μm. The immunofluorescence intensity of <italic>Aff3ir-ORF2</italic> was normalized to DAPI, and the relative expression values were compared to that of the AAV-Scramble group. Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test. (<bold>C</bold>) Quantification of plasma levels of triglycerides, total cholesterol, low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C). Data are presented as mean ± SEM (n=6 mice per group). *p&lt;0.05, unpaired two-tailed <italic>t</italic>-test.</p><p><supplementary-material id="fig6s1sdata1"><label>Figure 6—figure supplement 1—source data 1.</label><caption><title>Figures with the uncropped agarose gels with the relevant bands clearly labeled for <xref ref-type="fig" rid="fig6s1">Figure 6—figure supplement 1B and C</xref>.</title></caption><media mimetype="application" mime-subtype="xlsx" xlink:href="elife-103413-fig6-figsupp1-data1-v1.xlsx"/></supplementary-material></p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-103413-fig6-figsupp1-v1.tif"/></fig></fig-group></sec></sec><sec id="s3" sec-type="discussion"><title>Discussion</title><p>Endothelial activation is a critical initial event in the development of atherosclerosis, and emerging evidence suggests that targeting disturbed shear stress-induced endothelial activation is a promising therapeutic strategy. In the present study, we elucidated the role of the novel nested gene-encoded protein, <italic>Aff3ir-ORF2</italic>, in sensing disturbed shear stress. Moreover, we demonstrated that <italic>Aff3ir-ORF2</italic> acts as an endogenous inhibitor of <italic>Irf5</italic>, a key regulator of the inflammatory response, thereby exerting potent anti-inflammatory and anti-atherogenic effects (<xref ref-type="fig" rid="fig7">Figure 7</xref>).</p><fig id="fig7" position="float"><label>Figure 7.</label><caption><title>Schematic illustration of the <italic>Aff3ir-ORF2</italic>/<italic>Irf5</italic> cascade in disturbed flow-induced endothelial activation and atherosclerosis.</title><p>Disturbed flow induced a down-regulation of <italic>Aff3ir-ORF2</italic>, which could interact with <italic>Irf5</italic> and promote the latter’s retention in the cytoplasm, thereby boosting <italic>Irf5</italic>-dependent inflammatory pathways in endothelial cells and leading to atherogenesis.</p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-103413-fig7-v1.tif"/></fig><p>Using three mouse models (global <italic>Aff3ir-ORF2</italic> knockout, locally <italic>Aff3ir-ORF2</italic> endothelial expression, and endothelial-specific <italic>Aff3ir-ORF2</italic> overexpression), we demonstrated that <italic>Aff3ir-ORF2</italic> exerted potent anti-inflammatory and anti-atherosclerosis effects in <italic>Apoe<sup>-/-</sup></italic> mice. Notably, while <italic>Aff3ir-ORF2</italic> knockout increased <italic>Vcam1</italic> expression in the endothelium and enlarged the plaque area in the aortic roots, it had a minimal effect on collagen deposition within the plaques. This discrepancy may be attributed to the differential expression patterns of <italic>Irf5</italic> across various cell types (<xref ref-type="bibr" rid="bib37">Roberts et al., 2024</xref>). Phenotypically modulated vascular smooth muscle cells (VSMCs) within the fibrous cap produce extracellular matrix molecules critical for plaque composition and stabilization (<xref ref-type="bibr" rid="bib3">Bennett et al., 2016</xref>). A previous study has shown minimal colocalization between <italic>Irf5</italic> and the VSMC marker, α-smooth muscle actin, in aortic root lesions of <italic>Apoe<sup>-/-</sup></italic> mice (<xref ref-type="bibr" rid="bib43">Seneviratne et al., 2017</xref>), indicating a relatively low <italic>Irf5</italic> expression level in VSMCs. Consequently, <italic>Aff3ir-ORF2</italic> likely exerts its anti-inflammatory effects primarily through endothelial <italic>Irf5</italic>. Consistently, endothelial-specific <italic>Aff3ir-ORF2</italic> overexpression reduced the aortic plaque area, but had minimal effects on collagen deposition. Our findings establish the potent anti-atherosclerotic role of <italic>Aff3ir-ORF2</italic> in early and advanced atherosclerosis mouse models. However, given the multiple critical roles of ECs throughout the initiation and progression of atherosclerosis, further investigations are needed to explore the potential role of <italic>Aff3ir-ORF2</italic> in other atherosclerotic processes, including endothelial-to-mesenchymal transition, plaque rupture, and atherothrombotic occlusion. Additionally, we found that disturbed shear stress transcriptional downregulated the expression of <italic>Aff3ir</italic>. However, the protein levels of <italic>Aff3ir-ORF2</italic>, but not those of <italic>Aff3ir-ORF1</italic>, were reduced by disturbed shear stress. Since both <italic>Aff3ir-ORF1</italic> and <italic>Aff3ir-ORF2</italic> are derived from <italic>Aff3ir</italic>, different translation mechanisms may be involved in the production of <italic>Aff3ir-ORF1/2</italic>.</p><p>In addition to ECs, various other cell types, particularly immune cells, play crucial roles in the progression of atherosclerotic plaques (<xref ref-type="bibr" rid="bib51">Wolf and Ley, 2019</xref>). Although our results indicated the potent anti-inflammatory role of <italic>Aff3ir-ORF2</italic> in ECs, the potential contributions of other cell types may also be involved, which could be further elucidated using <italic>Aff3ir-ORF2</italic> tissue-specific knockout or overexpression mouse models. Macrophage polarization and inflammatory responses accelerate plaque development, leading to an increase in necrotic core and vulnerable plaques (<xref ref-type="bibr" rid="bib23">Krausgruber et al., 2011</xref>). Elevated <italic>Irf5</italic> expression and nuclear localization have been observed in macrophages within plaques of <italic>Apoe<sup>-/-</sup></italic> mice (<xref ref-type="bibr" rid="bib43">Seneviratne et al., 2017</xref>). <italic>Irf5</italic> has been demonstrated to drive macrophages towards a pro-inflammatory state, thereby affecting plaque stability (<xref ref-type="bibr" rid="bib43">Seneviratne et al., 2017</xref>). Global or myeloid cell-specific deletion of <italic>Irf5</italic> stabilizes atherosclerotic plaques by suppressing the inflammatory phenotypes of macrophages (<xref ref-type="bibr" rid="bib25">Leipner et al., 2021</xref>; <xref ref-type="bibr" rid="bib43">Seneviratne et al., 2017</xref>). Despite these findings, the role of <italic>Irf5</italic> in shear stress-induced endothelial activation remains largely unknown. Our study provides evidence that disturbed shear stress is sufficient to induce <italic>Irf5</italic> nuclear translocation and activation in ECs. Furthermore, <italic>Irf5</italic> knockdown in ECs significantly reduced disturbed flow-induced plaque formation in LCAs. These findings suggest that targeting endothelial <italic>Irf5</italic> may be an effective strategy for combating the early stages of atherosclerosis.</p><p>Given the key role of <italic>Irf5</italic> in mediating inflammatory responses, it has been considered as an attractive therapeutic target, and various strategies have been developed to study and modulate its function (<xref ref-type="bibr" rid="bib1">Almuttaqi and Udalova, 2019</xref>). For example, nanoparticle-delivered siRNA targeting <italic>Irf5</italic> in macrophages promotes inflammation resolution, improves infarct healing, and attenuates post-myocardial infarction remodeling (<xref ref-type="bibr" rid="bib8">Courties et al., 2014</xref>). Additionally, manipulating <italic>Irf5</italic> protein levels through the E3 ubiquitin ligase, <italic>Trim21</italic>, has been explored as a strategy for modulating its activity (<xref ref-type="bibr" rid="bib24">Lazzari et al., 2014</xref>). Given the crucial physiological role of <italic>Irf5</italic>, strategies aimed at suppressing its pathophysiological activation without altering basal levels may offer additional benefits. Our study introduces a novel approach to inhibit <italic>Irf5</italic> activation. We found that the novel nested gene-encoded protein, <italic>Aff3ir-ORF2</italic>, interacts with <italic>Irf5</italic>, leading to cytoplasmic retention and inactivation under disturbed shear stress conditions. Importantly, endothelium-specific supplementation with <italic>Aff3ir-ORF2</italic> effectively attenuated endothelial activation and reduced the atherosclerotic plaque area in <italic>Apoe<sup>-/-</sup></italic> mice, suggesting that targeting endothelial <italic>Irf5</italic> activation with <italic>Aff3ir-ORF2</italic> holds promise for the treatment of atherosclerosis. Furthermore, as emerging studies have highlighted the substantial contributions of <italic>Irf5</italic> to autoimmune diseases (<xref ref-type="bibr" rid="bib16">Graham et al., 2006</xref>), neuropathic pain (<xref ref-type="bibr" rid="bib31">Masuda et al., 2014</xref>), obesity (<xref ref-type="bibr" rid="bib9">Dalmas et al., 2015</xref>), and hepatic fibrosis (<xref ref-type="bibr" rid="bib2">Alzaid et al., 2016</xref>), future research should investigate whether <italic>Aff3ir-ORF2</italic> has beneficial effects in these contexts.</p><sec id="s3-1"><title>Conclusion</title><p>In conclusion, this study provides novel evidence that the disruption of <italic>Aff3ir-ORF2</italic> expression under disturbed flow promotes endothelial inflammatory responses and atherosclerosis. <italic>Aff3ir-ORF2</italic> serves as an endogenous inhibitor of <italic>Irf5</italic> by binding to <italic>Irf5</italic> and preventing its nuclear translocation. Supplementation with endothelial <italic>Aff3ir-ORF2</italic> may be a promising therapeutic strategy for treating atherosclerosis.</p></sec></sec><sec id="s4" sec-type="materials|methods"><title>Materials and methods</title><sec id="s4-1"><title>Animals</title><p>C57BL/6 and Apolipoprotein E-null (<italic>Apoe<sup>-/-</sup></italic>) mice were purchased from the Experimental Animal Centre of the Military Medical Science Academy (Beijing, China). <italic>Aff3ir-ORF2</italic>-heterozygote (<italic>Aff3ir-ORF2<sup>+/-</sup></italic>) mice were acquired from Dr. Lingfang Zeng’s Laboratory at King’s College London. Briefly, gRNAs targeting the mouse <italic>Aff3ir-ORF2</italic> locus (gRNA1: <named-content content-type="sequence">GCAACCCACGGAGTTGCAGTTGG</named-content>; gRNA2: <named-content content-type="sequence">GTCATTAACTCCTTTAATATAGG</named-content>; gRNA3: <named-content content-type="sequence">TGCAACTCCGTGGGTTGCTGTGG</named-content>; gRNA4: <named-content content-type="sequence">GACCACACATAACAGTGAATAGG</named-content>) and Cas9 mRNA were co-injected into fertilized mouse eggs to generate targeted knockout offspring. F0 founder animals were identified by PCR followed by sequence analysis, and then bred to WT mice to test germline transmission and produce F1 animals. Heterozygous targeted mice were intercrossed to generate homozygous targeted mice. The genotyping primers used were: 5’-<named-content content-type="sequence">GGAAAGACCACAGAATCAATGACA</named-content>-3’, 5’-<named-content content-type="sequence">AACATTGCTATACCCCACTATA</named-content>-3’. To generate <italic>Apoe</italic> and <italic>Aff3ir-ORF2</italic> double knockout mice (<italic>Apoe<sup>-/-</sup>Aff3ir-ORF2<sup>-/-</sup></italic>), <italic>Apoe<sup>-/-</sup></italic> mice were crossed with <italic>Aff3ir-ORF2<sup>-/-</sup></italic> mice. The animals were maintained at 21 ± 1°C under a 12 hr light/dark cycle (lights on at 07:00, lights off at 19:00) with ad libitum access to water and standard chow unless specified otherwise. This study adhered to the <italic>Guide for the Care and Use of Laboratory Animals</italic> of the US National Institutes of Health (NIH Publication No. 85–23, revised 2011). All study protocols were approved by the Institutional Animal Care and Use Committee of Tianjin Medical University.</p></sec><sec id="s4-2"><title>Carotid artery partial ligation surgery</title><p>The surgery was performed as we previously described (<xref ref-type="bibr" rid="bib52">Yang et al., 2021</xref>). Briefly, mice were anesthetized with isoflurane (2–3%). A ventral midline incision (4–5 mm) was made in the neck and the left carotid artery was exposed through blunt dissection of subcutaneous fat and muscle tissue. The left external carotid, internal carotid, and occipital arteries were ligated with a 6–0 silk suture, leaving the superior thyroid artery intact. For adenovirus and lentivirus infection studies, adenovirus (Ad-ORF2 or Ad-Scramble) or lentivirus (lenti-shRNA-<italic>Irf5</italic> or lenti-shRNA-Scramble) was introduced into the lumen of the left carotid artery and kept inside for 40 min. After infection, the adenovirus or lentivirus was released, and blood flow to the common carotid artery was restored. Mice were fed with a high-fat diet (TD88137, ENVIGO, USA) immediately after surgery and continued for 4 wk.</p></sec><sec id="s4-3"><title>Endothelial <italic>Aff3ir-ORF2</italic> overexpression in mice</title><p>Endothelial-specific adeno-associated virus (AAV)-mediated CRISPR/Cas9 shuttle plasmid was constructed by Cell &amp; Gene Therapy (Shanghai, China) as previously reported (<xref ref-type="bibr" rid="bib47">Wang et al., 2016</xref>). <italic>Apoe<sup>-/-</sup></italic> mice received a single tail vein injection of recombinant AAV containing an endothelial-specific human ICAM-2 promoter driving <italic>Aff3ir-ORF2</italic> overexpression (AAV-<italic>Aff3ir-ORF2</italic>) or a control empty vector (AAV-Scramble), with a dose of 1×10<sup>11</sup> viral genomes in a 200 μL vol of sterile PBS. Subsequently, the mice were fed with a high-fat diet (TD88137, ENVIGO, USA) for 3 mo.</p></sec><sec id="s4-4"><title>Oil-Red O staining for atherosclerotic plaques in mouse aorta</title><p>The <italic>Apoe<sup>-/-</sup></italic>, <italic>Apoe<sup>-/-</sup>Aff3ir-ORF2<sup>-/-</sup></italic>, and EC-specific <italic>Aff3ir-ORF2</italic> overexpression mice were anesthetized by inhalation of 2% isoflurane and euthanized by cervical dislocation. The aortas were dissected in 1x PBS and opened to expose the atherosclerotic plaques. After fixation in 4% formaldehyde for 1 hr at 4 °C, the tissues were rinsed in water for 10 min, followed by 60% isopropanol. The aortas were then stained with Oil-Red O for 30 min with gentle shaking, rinsed again in 60% isopropanol, and subsequently rinsed in water three times. The samples were mounted on wax with the endothelial surface facing upwards. Images were captured using an HP Scanjet G4050. Plaque areas were quantified using NIH ImageJ software by calculating the plaque area relative to the total vascular area.</p></sec><sec id="s4-5"><title>Immunofluorescence staining</title><p>MEFs slides or frozen sections were fixed in 4% paraformaldehyde for 30 min, then permeabilized in 0.1% Triton X-100 (in PBS) and blocked with 1% bovine serum albumin for 30 min at room temperature. Sections were incubated overnight at 4 °C with primary antibodies (1:100). <italic>Aff3ir-ORF2</italic> (Cat. No. C0302HL300-4) antibody was from GenScript (Piscataway, NJ, USA). The vWF (Cat. No. ab11713) and VE-Cadherin (Cat. No. ab33168) antibodies were obtained from Abcam (Cambridge, UK). <italic>Vcam1</italic> (Cat. No. sc-13160) antibody was from Santa Cruz Biotechnology (Santa Cruz, CA, USA). Following primary antibody incubation, sections were treated with Alexa Fluor 488- or Alexa Fluor 594-conjugated secondary antibodies (1:200, Thermo Fisher Scientific, Grand Island, NY, USA) at room temperature for 1 hr. Slides were then mounted with DAPI-containing mounting medium. Antibody specificity and target staining authenticity were verified using negative controls. Immunofluorescence micrographs were acquired using a Leica confocal laser scanning microscope. Representative images were randomly selected from each group.</p></sec><sec id="s4-6"><title>Histological analysis of atherosclerotic lesions</title><p>Harvested carotid arteries and cross-sections of aortic roots were fixed in 4% paraformaldehyde and embedded in optimal cutting temperature compound (OCT). OCT-embedded tissues were sectioned at a thickness of 7 μm. Slides were immersed in 1x PBS for 5 min to remove OCT, and subsequently stained with Oil-Red O, hematoxylin and eosin (HE), and Masson’s trichrome stain to assess lipid accumulation, lesion area, and collagen deposition, respectively (<xref ref-type="bibr" rid="bib26">Li et al., 2019</xref>). Images were acquired using microscopy.</p></sec><sec id="s4-7"><title>Quantification of plasma lipid levels</title><p>Blood samples were obtained via cardiac puncture, rinsed with heparin, and collected in 1.5 mL Eppendorf tubes. Total plasma cholesterol, triglycerides, LDL cholesterol, and HDL cholesterol levels were measured enzymatically using an automated clinical chemistry analyzer kit (Biosino Biotech, Beijing, China).</p></sec><sec id="s4-8"><title>Cell culture, transfection, and shear stress experiments</title><p>Mouse Embryonic Fibroblasts (MEFs) were obtained and cultured as previously described (<xref ref-type="bibr" rid="bib13">Ferreira and Hein, 2023</xref>). Cell passages 4–7 were used in all experiments. MEFs were cultured in the Dulbecco’s Modified Eagle’s Medium (DMEM) supplemented with 10% FBS, penicillin (100 U/mL), and streptomycin (100 μg/mL). Cells were incubated at 37 °C in a humidified environment containing 5% CO<sub>2</sub> and grown to 70–80% confluence before treatment.</p><p>Small interfering RNA against <italic>Irf5</italic> or <italic>Irf8</italic> were synthesized from General Biosystems (Hefei, China). The sequences of siRNAs are shown in the <xref ref-type="supplementary-material" rid="supp1">Supplementary file 1</xref>. The MEFs were passaged to six-well plates and transfected with 20 nmol/L siRNA per well using the Lipofectamine RNA iMAX Reagent (Invitrogen, Carlsbad, CA, USA).</p><p>For flow experiments, confluent monolayers of MEFs were seeded onto glass slides, and a parallel plate flow system was used to launch oscillatory flow (0.5±4 dyn/cm<sup>2</sup>). The flow system was enclosed in a chamber (<xref ref-type="bibr" rid="bib14">Frangos et al., 1985</xref>; <xref ref-type="bibr" rid="bib15">Fu et al., 2011</xref>).</p></sec><sec id="s4-9"><title>Cell Lines</title><p>HEK293T (Cat NO. CRL-11268, ATCC) cells were cultured in DMEM medium with 10% FBS, penicillin (100 U/mL), and streptomycin (100 μg/mL). Cells were incubated at 37 °C in a humidified environment containing 5% CO<sub>2</sub> and grown to 70–80% confluence prior to treatment. Their identity has been authenticated by the supplier. HEK293T cells used here were negative for mycoplasma contamination test.</p></sec><sec id="s4-10"><title>Adenovirus and lentivirus production and infection</title><p><italic>Aff3ir-ORF2</italic> sequences were inserted into the GV138 vector (CMV-MCS-3FLAG) to generate recombinant adenovirus (Ad-<italic>Aff3ir-ORF2</italic>). The short hairpin RNA (shRNA) sequences targeting mouse <italic>Irf5</italic> were 5’-<named-content content-type="sequence">GGGACAACACCATCTTCAAGG</named-content>-3’, 5’<named-content content-type="sequence">GGTTGCTGCTGGAGATGTTCT</named-content>-3’, and 5’-<named-content content-type="sequence">GCCTAGAGCAGTTTCTCAATG</named-content>-3’. The control shRNA was 5’-<named-content content-type="sequence">GCGTGATCTTCACCGACAAGA</named-content>-3’. These shRNAs were constructed and cloned into pLV-U6-shRNA-CMV-EGFP to generate recombinant lentivirus (lenti-shRNA- <italic>Irf5</italic> or lenti-shCtrl). MEFs were infected with adenovirus or lentivirus at a multiplicity of infection (MOI) of 10, with no detectable cellular toxicity observed.</p></sec><sec id="s4-11"><title>Western blot analysis</title><p>Whole-cell lysates were prepared in a lysis buffer containing a complete protease inhibitor cocktail, PhosSTOP, and PMSF (Roche, Mannheim, Germany). Cytoplasmic and nuclear proteins were extracted from wild-type and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> MEFs using a protein extraction kits (Invent Biotechnologies, SC-003, Beijing, China). Protein were separated by SDS-PAGE and transferred to nitrocellulose membranes (Cat. No. 10600001; GE Healthcare; Chicago, IL, USA). The membranes were incubated with primary antibodies. <italic>Irf5</italic> (Cat. No. 96527), <italic>Irf8</italic> (Cat. No. 98344), and Flag (Cat. No. 14793) antibodies were from Cell Signaling Technology (Danvers, MA, USA). <italic>Icam1</italic> (Cat. No. ab222736) antibodies were from Abcam (Cambridge, UK). <italic>Aff3ir-ORF2</italic> (Cat. No. C0302HL300-4) and <italic>Aff3ir-ORF1</italic> (Cat. No. C0302HL300) antibodies were from GenScript (Piscataway, NJ, USA). <italic>Gapdh</italic> (Cat. No. 60004–1-Ig) antibody was from Proteintech (Wuhan, China). <italic>Aff3</italic> (Cat. No. PA5-68961) antibody was from Thermo Fisher Scientific (Waltham, MA, USA).</p><p>After incubation with horseradish peroxidase-conjugated secondary antibodies, the proteins were visualized using enhanced chemiluminescence reagents in a ChemiScope3600 Mini chemiluminescence imaging system (Clinx Science Instruments; Shanghai, China). Protein levels were quantified by measuring integrated density with NIH Image J software (<ext-link ext-link-type="uri" xlink:href="https://imagej.nih.gov/ij/">https://imagej.nih.gov/ij/</ext-link>), using <italic>Gapdh</italic> as a loading control for normalization.</p></sec><sec id="s4-12"><title>Co-immunoprecipitation</title><p>Whole-cell lysates were prepared by lysing cells in a 1% NP-40 lysis buffer containing 50 mM Tris-HCl, 1% Nonidet-P40, 0.1% SDS, and 150 mM NaCl, supplemented with a complete protease inhibitor cocktail (Cat. No. 04693132001; Roche, Indianapolis, IN, USA), a phosphatase inhibitor (PhosSTOP; Cat. No. 04906845001; Roche), and PMSF (Cat. No. IP0280; Solarbio Life Sciences; Beijing, China). Samples were incubated on ice for 30 min, then centrifuged at 12,000 g for 10 min, and the supernatant was transferred to a new tube. Protein concentrations were determined using the BCA Protein Assay Kit (Thermo Fisher Scientific, Grand Island, NY, USA).</p><p>For immunoprecipitation, 1000 μg of protein was incubated with specific antibodies at 4 °C for 12 hr with constant rotation. Subsequently, 50 μL of 50% Protein A/G PLUS-Agarose beads was added, and the incubation continued for an additional 2 hr. Beads were washed five times with the lysis buffer and collected by centrifugation at 12,000 g for 2 min at 4 °C. After the final wash, the supernatant was removed and discarded. Precipitated proteins were eluted by resuspending the beads in 2x SDS PAGE loading buffer and boiling for 5 min. The eluates from immunoprecipitation were subjected to Western blot analysis.</p></sec><sec id="s4-13"><title>ELISA</title><p>The concentrations of <italic>Il6</italic> (EM0121) and <italic>Il1b</italic> (EM0109) in cell culture supernatant were measured using ELISA kit (FineTest, Wuhan, China). The experiments were conducted according to the protocols provided by the manufacturer.</p></sec><sec id="s4-14"><title>Total RNA extraction and real-time quantitative PCR analysis</title><p>Total RNA was extracted from cells using RNA extraction kits (Transgen Biotech, ER501-01, Beijing, China). Reverse transcription was performed with a reverse transcription kit (Thermo Fisher Scientific, Grand Island, NY, USA). Quantitative PCR was conducted using SYBR Select (Thermo Fisher Scientific) according to the manufacturer’s protocol, with <italic>Gapdh</italic> serving as the internal control. The primers for quantitative real-time PCR are listed in <xref ref-type="supplementary-material" rid="supp2">Supplementary file 2</xref>.</p></sec><sec id="s4-15"><title>Luciferase reporter assay</title><p>The <italic>Irf5</italic>-binding motif and the full-length ZNF217 promoter were ligated into pGl3-based plasmids (Genechem, Shanghai, China), as previously described (<xref ref-type="bibr" rid="bib36">Qiao et al., 2022</xref>). HEK293T cells were seeded into 24-well plates and grown to 70–80% confluency. Cells were transfected with the firefly luciferase reporter plasmid containing the <italic>Irf5</italic>-responsive ZNF217 promoter along with a β-galactosidase reporter plasmid (Promega, Madison, WI, USA) for 24 hr. Subsequently, cells were then infected with adenovirus (Ad-ORF2 or Ad-Scramble) for an additional 24 hr. Relative luciferase activity was measured using a luciferase assay and normalized to β-galactosidase activity as determined by the β-Galactosidase Enzyme Assay System (Promega, Madison, WI, USA).</p></sec><sec id="s4-16"><title>RNA-sequencing (RNA-seq)</title><p>RNA-seq was performed as we previously described (<xref ref-type="bibr" rid="bib27">Li et al., 2024</xref>). Wild-type (WT) and <italic>Aff3ir-ORF2<sup>-/-</sup></italic> MEFs were harvested, and RNA was extracted using the MagicPure Total RNA Kit (TransGen, Beijing, China). Whole transcriptome RNA-seq analysis were conducted by the Beijing Genomics Institute (BGI). Paired-end sequencing in 150 bp length was performed using the DNBSEQ-G400 platform. Raw data was filtered using SOAPnuke (v1.5.6). Differential gene expression analysis, with thresholds set at p&lt;0.05 and fold change ≥1.5, was performed via the BGI website (<ext-link ext-link-type="uri" xlink:href="http://omiscribe.bgi.com">http://omiscribe.bgi.com</ext-link>). Pathway enrichment analysis was carried out using DAVID tools.</p></sec><sec id="s4-17"><title>Statistical analysis</title><p>Statistics analyses were performed using GraphPad Prism 8.0. No sample outliers were excluded. At least six independent experiments were performed for all biochemical experiments and the representative images were shown. Unpaired Student’s <italic>t-</italic>test (two-tailed), one-way ANOVA, or two-way ANOVA with Bonferroni multiple comparison post hoc test were used for analyses, as appropriate. Sample size, statistical method, and statistical significance are specified in Figures and Figure Legends. Levels of probabilities less than 0.05 were regarded as significant.</p></sec></sec></body><back><sec sec-type="additional-information" id="s5"><title>Additional information</title><fn-group content-type="competing-interest"><title>Competing interests</title><fn fn-type="COI-statement" id="conf1"><p>No competing interests declared</p></fn></fn-group><fn-group content-type="author-contribution"><title>Author contributions</title><fn fn-type="con" id="con1"><p>Methodology, Writing – original draft, Writing – review and editing</p></fn><fn fn-type="con" id="con2"><p>Software, Methodology</p></fn><fn fn-type="con" id="con3"><p>Validation, Methodology</p></fn><fn fn-type="con" id="con4"><p>Validation, Methodology</p></fn><fn fn-type="con" id="con5"><p>Formal analysis, Methodology</p></fn><fn fn-type="con" id="con6"><p>Conceptualization, Resources, Formal analysis</p></fn><fn fn-type="con" id="con7"><p>Conceptualization, Resources, Data curation, Formal analysis, Supervision, Project administration</p></fn><fn fn-type="con" id="con8"><p>Conceptualization, Resources, Data curation, Formal analysis, Validation, Investigation, Project administration</p></fn></fn-group><fn-group content-type="ethics-information"><title>Ethics</title><fn fn-type="other"><p>This study adhered to the Guide for the Care and Use of Laboratory Animals of the US National Institutes of Health (NIH Publication No. 85-23, revised 2011). All study protocols were approved by the Institutional Animal Care and Use Committee of Tianjin Medical University.</p></fn></fn-group></sec><sec sec-type="supplementary-material" id="s6"><title>Additional files</title><supplementary-material id="mdar"><label>MDAR checklist</label><media xlink:href="elife-103413-mdarchecklist1-v1.docx" mimetype="application" mime-subtype="docx"/></supplementary-material><supplementary-material id="supp1"><label>Supplementary file 1.</label><caption><title>The sequences of siRNAs.</title></caption><media xlink:href="elife-103413-supp1-v1.docx" mimetype="application" mime-subtype="docx"/></supplementary-material><supplementary-material id="supp2"><label>Supplementary file 2.</label><caption><title>Primers for qRT-PCR.</title></caption><media xlink:href="elife-103413-supp2-v1.docx" mimetype="application" mime-subtype="docx"/></supplementary-material><supplementary-material id="supp3"><label>Supplementary file 3.</label><caption><title>Expression of all differentially expressed genes from RNA-seq.</title></caption><media xlink:href="elife-103413-supp3-v1.xlsx" mimetype="application" mime-subtype="xlsx"/></supplementary-material></sec><sec sec-type="data-availability" id="s7"><title>Data availability</title><p>Sequencing data have been deposited in GEO under accession codes GSE286206. All data generated or analysed during this study are included in the manuscript and supporting files; source data files have been provided for all figures.</p><p>The following dataset was generated:</p><p><element-citation publication-type="data" specific-use="isSupplementedBy" id="dataset1"><person-group person-group-type="author"><name><surname>He</surname><given-names>S</given-names></name><name><surname>Zhu</surname><given-names>Y</given-names></name><name><surname>He</surname><given-names>J</given-names></name></person-group><year iso-8601-date="2025">2025</year><data-title>Disruption of the Novel Nested Gene Aff3ir Mediates Disturbed Flow-Induced Atherosclerosis in Mice</data-title><source>NCBI Gene Expression Omnibus</source><pub-id pub-id-type="accession" xlink:href="https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE286206">GSE286206</pub-id></element-citation></p></sec><ack id="ack"><title>Acknowledgements</title><p>This work was supported by National Natural Science 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iso-8601-date="2025">2025</year><article-title>A novel nested gene <italic>Aff3ir</italic> participates in vascular remodeling by enhancing endothelial cell differentiation in mice</article-title><source>Genes &amp; Diseases</source><volume>12</volume><elocation-id>101339</elocation-id><pub-id pub-id-type="doi">10.1016/j.gendis.2024.101339</pub-id><pub-id pub-id-type="pmid">39830032</pub-id></element-citation></ref></ref-list></back><sub-article article-type="editor-report" id="sa0"><front-stub><article-id pub-id-type="doi">10.7554/eLife.103413.3.sa0</article-id><title-group><article-title>eLife Assessment</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Cerf</surname><given-names>Marlon</given-names></name><role specific-use="editor">Reviewing Editor</role><aff><institution>South African Medical Research Council</institution><country>South Africa</country></aff></contrib></contrib-group><kwd-group kwd-group-type="evidence-strength"><kwd>Solid</kwd></kwd-group><kwd-group kwd-group-type="claim-importance"><kwd>Valuable</kwd></kwd-group></front-stub><body><p>The study presents <bold>valuable</bold> findings on the role of Aff3ir, a gene implicated in flow-induced atherosclerosis and regulating the inflammation-associated transcription factor, IRF5. The in vivo data are <bold>solid</bold> in providing evidence on the role of Aff3ir in shear stress and formation of atheromatous plaques. The work will be of interest to clinical researchers and biologists focusing on inflammation and atherosclerosis in cardiovascular disease with a broad eLife readership.</p></body></sub-article><sub-article article-type="referee-report" id="sa1"><front-stub><article-id pub-id-type="doi">10.7554/eLife.103413.3.sa1</article-id><title-group><article-title>Reviewer #1 (Public review):</article-title></title-group><contrib-group><contrib contrib-type="author"><anonymous/><role specific-use="referee">Reviewer</role></contrib></contrib-group></front-stub><body><p>Summary:</p><p>The authors report the role of a novel gene Aff3ir-ORF2 in flow induced atherosclerosis. They show that the gene is anti-inflammatory in nature. It inhibits the IRF5 mediated athero-progression by inhibiting the causal factor (IRF5). Furthermore, authors show a significant connection between shear stress and Aff3ir-ORF2 and its connection to IRF5 mediated athero-progression in different established mice models which further validates the ex vivo findings.</p><p>Strengths:</p><p>(1) Adequate number of replicates were used for this study.</p><p>(2) Both in vitro and in vivo validation was done.</p><p>(3) Figures are well presented</p><p>(4) In vivo causality is checked with cleverly designed experiments</p><p>Weaknesses:</p><p>(1) Inflammatory proteins must be measured with standard methods e.g ELISA as mRNA level and protein level does not always correlate.</p><p>(2) RNA seq analysis has to be done very carefully. How does the euclidean distance correlate with the differential expression of genes. Do they represent neighborhood? If they do how does this correlation affect the conclusion of the paper?</p><p>(3) Volcano plot does not indicate q value of the shown genes. It is advisable to calculate q value for each of the genes which represents the FDR probability of the identified genes.</p><p>(4) GO enrichment was done against Global gene set or local geneset? Authors should provide more detailed information about the analysis.</p><p>(5) If the analysis was performed against global gene set. How does that connect with this specific atherosclerotic microenvironment?</p><p>(6) what was the basal expression of genes and how does the DGE (differential gene expression) values differ?</p><p>(7) How did IRF5 picked from GO analysis? was it within 20 most significant genes?</p><p>(8) Microscopic studies should be done more carefully? There seems to be a global expression present on the vascular wall for Aff3ir-ORF2 and the expression seems to be similar like AFF3 in fig 1.</p><p>Comments on Revision:</p><p>The authors have adequately addressed my concerns.</p></body></sub-article><sub-article article-type="referee-report" id="sa2"><front-stub><article-id pub-id-type="doi">10.7554/eLife.103413.3.sa2</article-id><title-group><article-title>Reviewer #2 (Public review):</article-title></title-group><contrib-group><contrib contrib-type="author"><anonymous/><role specific-use="referee">Reviewer</role></contrib></contrib-group></front-stub><body><p>Summary:</p><p>The authors recently uncovered a novel nested gene, Aff3ir, and this work sets out to study its function in endothelial cells further. Based on differences in expression correlating with areas of altered shear stress, they investigate a role for the isoform Aff3ir-ORF2 in endothelial activation and development of atherosclerosis downstream of disturbed shear stress. Using a knockout mouse model and in vivo overexpression experiments, they demonstrate a strong potential for Aff3ir-ORF2 to alleviate atherosclerosis. They find that Aff3ir-ORF2 interacts with the pro-inflammatory transcription factor IRF5 and retains it in the cytoplasm, hence preventing upregulation of inflammation-associated genes. The data expands our knowledge of IRF5 regulation which could be relevant to researchers studying various inflammatory diseases as well as adding to our understand of atherosclerosis development.</p><p>Strengths:</p><p>The in vivo data is convincing using immunofluorescence staining to assess AFF3ir-ORF2 expression, a knockout mouse model, overexpression and knockdown studies and rescue experiments in combination with two atherosclerotic models to demonstrate that Aff3ir-ORF2 can lessen atherosclerotic plaque formation in ApoE-/- mice.</p><p>Weaknesses:</p><p>The effect on atherosclerosis is clear and there is sufficient evidence to conclude that this is the result of reduced endothelial cell activation. However, other cell types such as smooth muscle cells or macrophages could be contributing to the effects observed. The mouse model is a global knockout and the shRNA knockdowns (Fig. 5) and overexpression data in Figure 2 are not cell type-specific. Only the overexpression construct in Figure 6 uses an ICAM-2 promoter construct, which drives expression in endothelial cells, though leaky expression of this promoter has been reported in the literature.</p><p>The in vitro experiments are solidly executed, but most experiments are performed in mouse embryonic fibroblasts (MEFs) and results extrapolated to endothelial cell responses. However, several key experiments are repeated in HUVEC, thereby making a solid case that Aff3ir-ORF2 can regulate IRF5 in both MEFs and HUVEC. It is important to note that the sequence of AFF3ir-ORF2 is not conserved in humans and lacks an initiation codon, hence the regulatory pathway is not conserved. However, the overexpression studies in HUVEC suggest that mouse AFF3ir-ORF2 can also regulate human IRF5 and hence the mechanism retains relevance for possible human health interventions.</p><p>Overall, the paper succeeds in demonstrating a link between Aff3ir-ORF2 and atherosclerosis. The study shows a functional interaction between Aff3ir-ORF2 and IRF5 in embryonic fibroblasts, but makes a solid case that this mechanism is relevant for atherosclerosis development via endothelial cell activation.</p></body></sub-article><sub-article article-type="author-comment" id="sa3"><front-stub><article-id pub-id-type="doi">10.7554/eLife.103413.3.sa3</article-id><title-group><article-title>Author response</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>He</surname><given-names>Shuo</given-names></name><role specific-use="author">Author</role><aff><institution>Tianjin Medical University</institution><addr-line><named-content content-type="city">Tianjin</named-content></addr-line><country>China</country></aff></contrib><contrib contrib-type="author"><name><surname>Huang</surname><given-names>Lei</given-names></name><role specific-use="author">Author</role><aff><institution>Tianjin Third Central Hospital</institution><addr-line><named-content content-type="city">Tianjin</named-content></addr-line><country>China</country></aff></contrib><contrib contrib-type="author"><name><surname>Chen</surname><given-names>Zhuozheng</given-names></name><role specific-use="author">Author</role><aff><institution>Tianjin Medical University</institution><addr-line><named-content content-type="city">Tianjin</named-content></addr-line><country>China</country></aff></contrib><contrib contrib-type="author"><name><surname>Yuan</surname><given-names>Ze</given-names></name><role specific-use="author">Author</role><aff><institution>Tianjin Medical University</institution><addr-line><named-content content-type="city">Tianjin</named-content></addr-line><country>China</country></aff></contrib><contrib contrib-type="author"><name><surname>Zhao</surname><given-names>Yue</given-names></name><role specific-use="author">Author</role><aff><institution>King's College London,</institution><addr-line><named-content content-type="city">London</named-content></addr-line><country>United Kingdom</country></aff></contrib><contrib contrib-type="author"><name><surname>Zeng</surname><given-names>Lingfang</given-names></name><role specific-use="author">Author</role><aff><institution>King's College London,</institution><addr-line><named-content content-type="city">London</named-content></addr-line><country>United Kingdom</country></aff></contrib><contrib contrib-type="author"><name><surname>Zhu</surname><given-names>Yi</given-names></name><role specific-use="author">Author</role><aff><institution>Tianjin Medical University</institution><addr-line><named-content content-type="city">Tianjin</named-content></addr-line><country>China</country></aff></contrib><contrib contrib-type="author"><name><surname>He</surname><given-names>Jinlong</given-names></name><role specific-use="author">Author</role><aff><institution>Tianjin Medical University</institution><addr-line><named-content content-type="city">Tianjin</named-content></addr-line><country>China</country></aff></contrib></contrib-group></front-stub><body><p>The following is the authors’ response to the original reviews</p><disp-quote content-type="editor-comment"><p><bold>Public Reviews:</bold></p><p><bold>Reviewer #1 (Public review):</bold></p><p>Summary:</p><p>The authors report the role of a novel gene Aff3ir-ORF2 in flow-induced atherosclerosis. They show that the gene is anti-inflammatory in nature. It inhibits the IRF5-mediated athero-progression by inhibiting the causal factor (IRF5). Furthermore, the authors show a significant connection between shear stress and Aff3ir-ORF2 and its connection to IRF5 mediated athero-progression in different established mice models which further validates the ex vivo findings.</p><p>Strengths:</p><p>(1) An adequate number of replicates were used for this study.</p><p>(2) Both in vitro and in vivo validation was done.</p><p>(3) The figures are well presented.</p><p>(4) In vivo causality is checked with cleverly designed experiments.</p></disp-quote><p>We thank you for your positive remarks.</p><disp-quote content-type="editor-comment"><p>Weaknesses:</p><p>(1) Inflammatory proteins must be measured with standard methods e.g ELISA as mRNA level and protein level does not always correlate.</p></disp-quote><p>Thanks. We have followed your advice and performed ELISA experiments to measure the concentrations of inflammatory cytokines, including IL-6 and IL-1β. The newly acquired results have been included in Figure 2E (Line 160-163) in the revised manuscript.</p><disp-quote content-type="editor-comment"><p>(2) RNA seq analysis has to be done very carefully. How does the euclidean distance correlate with the differential expression of genes. Do they represent the neighborhood?</p></disp-quote><p>If they do how does this correlation affect the conclusion of the paper?</p><p>We thank the reviewer for this professional comments and apologize for the confusion. The heatmap using Euclidean distance was generated based on the expression levels of all differentially expressed genes (calculated with deseq2). Since its interpretation overlaps with the volcano plot presented in Figure 4B, we have moved the heatmap to Figure S5A in the revised manuscript and provided a detailed description in the figure legend (Lines 106-108 in the supporting information). Additionally, to better illustrate the variation among all samples, we have performed PCA analysis and included the new results in Figure 4A of the revised manuscript.</p><disp-quote content-type="editor-comment"><p>(3) The volcano plot does not indicate the q value of the shown genes. It is advisable to calculate the q value for each of the genes which represents the FDR probability of the identified genes.</p></disp-quote><p>Thank you for your careful review. We apologize for the incorrect labeling.</p><p>It was <italic>P</italic>.adj value. The label for Figure 4B has been corrected in the revised manuscript.</p><disp-quote content-type="editor-comment"><p>(4) GO enrichment was done against the Global gene set or a local geneset? The authors should provide more detailed information about the analysis.</p></disp-quote><p>Thank you. We performed GO enrichment analysis against the global gene set. The description of the results has been updated in the revised manuscript (Lines 222–224).</p><disp-quote content-type="editor-comment"><p>(5) If the analysis was performed against a global gene set. How does that connect with this specific atherosclerotic microenvironment?</p></disp-quote><p>Thank you for your insightful comments. We have followed your advice and investigated the functional characteristics of these differentially expressed genes in the context of the atherosclerotic microenvironment. The RNA-seq differential gene list was further mapped onto the atherosclerosis-related gene dataset (PMID: 27374120), resulting in 363 overlapping genes. The 363 genes were subjected to bioinformatics enrichment analysis using Gene Ontology (GO) databases. GO analysis of these genes revealed enrichment in processes related to cell−cell adhesion and leukocyte activation involved in immune response (Figure S5B), which is highly consistent with the observed effects of AFF3ir-ORF2 on VCAM-1 expression. The newly acquired data are presented in Figure S5B and the description of the results is included in the revised manuscript (Line 227-233).</p><disp-quote content-type="editor-comment"><p>(6) What was the basal expression of genes and how did the DGE (differential gene expression) values differ?</p></disp-quote><p>Thanks for the comments. The RNA-sequencing data has been submitted to GEO datasets (GSE286206), making the basal gene expression data available to readers.</p><p>The differential expression analysis was performed using DESeq2 (v1.4.5) (PMID: 25516281) with a criterion of 1.5-fold change and P&lt;0.05. We has included the description in the revised manuscript in Lines 220-222 and Lines 575-576.</p><disp-quote content-type="editor-comment"><p>(7) How was IRF5 picked from GO analysis? was it within the 20 most significant genes?</p></disp-quote><p>Sorry for the confusion. IRF5 was not identified through GO analysis. To determine the upstream transcriptional regulators, we used the ChEA3 database to predict potential upstream transcription factors based on all differentially expressed genes. The top 20 transcription factors were selected based on their scores. To further explore their relationship with atherosclerosis, these top 20 transcription factors were mapped to the atherosclerosis-related gene list in the DisGeNET database. IRF5 and IRF8 were the only two overlapping genes. To clarify this process, we have included a more detailed description of the IRF prediction approach in the revised manuscript (Lines 234–239).</p><disp-quote content-type="editor-comment"><p>(8) Microscopic studies should be done more carefully? There seems to be a global expression present on the vascular wall for Aff3ir-ORF2 and the expression seems to be similar to AFF3 in Figure 1.</p></disp-quote><p>We thank the reviewer for the valuable suggestion. We have followed your advice and provided the more representative images in Figure 1F.</p><disp-quote content-type="editor-comment"><p><bold>Reviewer #2 (Public review):</bold></p><p>Summary:</p><p>The authors recently uncovered a novel nested gene, Aff3ir, and this work sets out to study its function in endothelial cells further. Based on differences in expression correlating with areas of altered shear stress, they investigate a role for the isoform Aff3ir-ORF2 in endothelial activation and development of atherosclerosis downstream of disturbed shear stress. Using a knockout mouse model and in vivo overexpression experiments, they demonstrate a strong potential for Aff3ir-ORF2 to alleviate atherosclerosis. They find that Aff3ir-ORF2 interacts with the pro-inflammatory transcription factor IRF5 and retains it in the cytoplasm, hence preventing upregulation of inflammation-associated genes. The data expands our knowledge of IRF5 regulation which could be relevant to researchers studying various inflammatory diseases as well as adding to our understanding of atherosclerosis development.</p><p>Strengths:</p><p>The in vivo data is solid using immunofluorescence staining to assess AFF3ir-ORF2 expression, a knockout mouse model, overexpression and knockdown studies, and rescue experiments in combination with two atherosclerotic models to demonstrate that Aff3ir-ORF2 can lessen atherosclerotic plaque formation in ApoE<sup>-/-</sup> mice.</p></disp-quote><p>We thank you for your positive remarks.</p><disp-quote content-type="editor-comment"><p>Weaknesses:</p><p>While the in vivo data is generally convincing, a few data panels have issues and will need addressing. Also, the knockout mouse model will need to be described, since the paper referred to in the manuscript does not actually report any knockout mouse model. Hence it is unclear how Aff3ir-ORF2 is targeted, but Figure S2B shows that targeting is partial, since about 30% expression remains at the RNA level in MEFs isolated from the knockout mice.</p></disp-quote><p>We thank you for the valuable comments.</p><p>First, we have followed your advice and included detailed information regarding the animal construction in the revised manuscript in Line 405-415. Additionally, the genotyping results have been included in new Figure S3A.</p><p>Second, we acknowledge your concern about the knockout efficiency of ORF2 in mice. While the PCR assay indicated approximately 30% residual expression, our Western blot analysis of aorta samples demonstrated that ORF2 protein was barely detectable in knockout mice, as shown in new Figure S3B-C. Besides, our in vivo experiments using MEF from WT and AFF3ir-ORF2<sup>-/-</sup> mice (Figure 4I) further confirmed successful knockout.</p><p>Third, we have included a discussion addressing the discrepancies between PCR and Western blot results. In addition to technical differences between the two methods, the nature of AFF3ir-ORF2 may also contribute to these inconsistencies. The parent gene AFF3 is located in a genetically variable region and can be excised via intron 5 to form a replicable transposon, which translocates to other chromosomes and has been linked to leukemia (PMID: 34995897, 12203795, 12743608, and 17968322). AFF3ir is located in the intron 6, thus it exists in the transposon, which may complicate the measurement of its expression. Replicable transposons can exist as extrachromosomal elements, allowing them to be inherited across generations. We have included these discussion in the revised manuscript in Line 188-196.</p><disp-quote content-type="editor-comment"><p>While the effect on atherosclerosis is clear, the conclusion that this is the result of reduced endothelial cell activation is not supported by the data. The mouse model is described as a global knockout and the shRNA knockdowns (Figure 5) and overexpression data in Figure 2 are not cell type-specific. Only the overexpression construct in Figure 6 uses an ICAM-2 promoter construct, which drives expression in endothelial cells, though leaky expression of this promoter has been reported in the literature. Therefore, other cell types such as smooth muscle cells or macrophages could be responsible for the effects observed.</p></disp-quote><p>Thank you for your critical comment. To address your concern, we have made the following three revisions:</p><p>First, we have analyzed the expression of AFF3ir-ORF2 in the vascular wall with or without intima in WT and AFF3ir-ORF2 knockout mice. As shown in Figure 1B and Figure S1A, while the expression of AFF3ir-ORF2 was notably downregulated in the aortic intima of athero-prone regions compared to the protective region, it remained largely unchanged in the aortic wall without intima across different regions of the aorta. This suggested that AFF3ir-ORF2 might play a predominant role in endothelial cells rather than other cell types in the context of shear stress.</p><p>Second, we have used human endothelial cells (HUVECs) to further confirm our findings. As shown in Figure 2C and Figure S2B, we found that AFF3ir-ORF2 overexpression could attenuate disturbed shear stress-induced IRF5 nuclear translocation and the expression of inflammatory genes in HUVECs, suggesting the potential anti-inflammatory effects of AFF3ir-ORF2 in endothelial cells.</p><p>Third, we agree with the reviewer’s comment that we cannot completely exclude the potential involvement of other cell types. Hence, we have included a limitation statement in the discussion part in Lines 341-344.</p><disp-quote content-type="editor-comment"><p>The weakest part of the manuscript is the in vitro experiment using some nonidentifiable expression differences. The data is used to hypothesise on a role for IRF5 in the effects observed with Aff3ir-ORF2 knockout.</p></disp-quote><p>Thank you for the comments. To address your concerns, we have made the following two changes:</p><p>First, we have further investigated the functional features of the differential genes from the RNA-seq in the context of atherosclerotic microenvironment. The differential gene list was mapped onto the atherosclerosis-related gene dataset (PMID: 27374120), and a total of 363 genes overlapped. These 363 genes were subjected to bioinformatics enrichment analysis using Gene Ontology (GO) databases. GO analysis showed that these genes were mainly enriched in cell−cell adhesion and leukocyte activation involved in immune response, which aligns with the expression of VCAM-1 affected by AFF3ir-ORF2. The newly acquired data are presented in Figure S5B and the description of the results has been updated in the revised manuscript (Line 227-233).</p><p>Second, we have further verified the RNA-seq results in vitro. Several classical inflammatory factors, including ICAM-1, CCL5, and CXCL10, which mRNA levels were significantly downregulated in RNA-seq and were also identified as target genes of IRF5, were analyzed. We found that AFF3ir-ORF2 deficiency aggravated, while AFF3ir-ORF2 overexpression attenuated, the expression of ICAM-1, CCL5, and CXCL10 induced by disturbed shear stress (New Figure S5D). Besides, the regulation of ICAM-1 by AFF3ir-ORF2 was confirmed at both protein and mRNA levels in HUVECs (Figure 2C-D and Figure S2B).</p><disp-quote content-type="editor-comment"><p>Overall, the paper succeeds in demonstrating a link between Aff3ir-ORF2 and atherosclerosis, but the cell types involved and mechanisms remain unclear. The study also shows a functional interaction between Aff3ir-ORF2 and IRF5 in embryonic fibroblasts, but any relevance of this mechanism for atherosclerosis or any cell types involved in the development of this disease remains largely speculative.</p></disp-quote><p>Thank you for all the valuable comments. The specific responses have been provided above. Briefly, we have followed your advice and further confirmed the regulation of AFF3ir-ORF2 on IRF5 in endothelial cells. Besides, the RNA-seq results have been further analyzed, and partial results have been verified in endothelial cells to support the anti-inflammatory role of AFF3ir-ORF2. We greatly appreciate the reviewer’s insightful comments, which guided our revisions and contributed to significantly improving the paper.</p><disp-quote content-type="editor-comment"><p><bold>Reviewer #3 (Public review):</bold></p><p>This study is to demonstrate the role of Aff3ir-ORF2 in the atheroprone flow-induced EC dysfunction and ensuing atherosclerosis in mouse models. Overall, the data quality and comprehensiveness are convincing. In silico, in vitro, and in vivo experiments and several atherosclerosis were well executed. To strengthen further, the authors can address human EC relevance.</p></disp-quote><p>We thank you for your positive remarks and insightful comments.</p><disp-quote content-type="editor-comment"><p>Major comments:</p><p>(1) The tissue source in Figures 1A and 1B should be clarified, the whole aortic segments or intima? If aortic segment was used, the authors should repeat the experiments using intima, due to the focus of the current study on the endothelium.</p></disp-quote><p>We thank you for the suggestion. The tissue used in Figures 1A and 1B was from aortic intima. The description has been updated for clarity in the revised manuscript on Lines 114-125.</p><disp-quote content-type="editor-comment"><p>(2) Why were MEFs used exclusively in the in vitro experiments? Can the authors repeat some of the critical experiments in mouse or human ECs?</p></disp-quote><p>Thank you for this insightful comment. Isolation and culture of mouse primary aortic ECs were notorious technically difficult and shear stress experiment require a large number of cells. Considering MEFs exhibit responses consistent with those of ECs, which has been delicately proved (PMID: 23754392), we used MEFs in our in vitro experiments.</p><p>However, following your valuable advice, we have now employed human ECs (HUVECs) to confirm our findings. Consistent with our results in MEFs, we found that AFF3ir-ORF2 overexpression reduced the expression of inflammatory genes induced by disturbed shear stress at both protein and mRNA levels in HUVECs (Figure 2C, Figure S2B). Notably, despite the significant anti-inflammatory effects of AFF3irORF2, the sequence of this gene is not conserved in <italic>Homo sapiens</italic> and lacks an initiation codon, which is why we did not further proceed with the loss-of-function experiments.</p><disp-quote content-type="editor-comment"><p>(3) The authors should explain why AFF3ir-ORF2 overexpression did not affect the basal level expression of ICAM-1, VCAM-1, IL-1b, and IL-6 under ST conditions (Figure 2A-C).</p></disp-quote><p>We thank you for raising this critical question. Indeed, we found that AFF3ir-ORF2 overexpression did not affect the basal level of inflammatory genes under ST conditions, while it exerted anti-inflammatory effects under OSS conditions. One underlying reason might be the relative low level of expression of inflammatory genes under ST compared to OSS conditions. Additionally, as our findings suggested, AFF3ir-ORF2 exerted its anti-inflammatory role by binding to IRF5 and inhibiting IRF5 nuclear translocation. However, as shown in Figure 4I, IRF5 might be predominantly localized in the cytoplasm rather than the nucleus under ST conditions.</p><p>We have included the description in the revised manuscript on Lines 157-163.</p><disp-quote content-type="editor-comment"><p>(4) Please include data from sham controls, i.e., right carotid artery in Figure 2E.</p></disp-quote><p>Thank you for the suggestion. We have followed your advice and included sham controls (staining of the right carotid arteries) in Figure S2E.</p><disp-quote content-type="editor-comment"><p>(5) Given that the merit of the study lies in the effect of different flow patterns, the legion areas in AA and TA (Figure 3B, 3C) should be separately compared.</p></disp-quote><p>We have followed your valuable suggestion and included the additional statistical results in Figure 3C in the revised manuscript.</p><disp-quote content-type="editor-comment"><p>(6) For confirmatory purposes for the variations of IRF5 and IRF8, can the authors mine available RNA-seq or even scRNA-seq data on human or mouse atherosclerosis? This approach is important and could complement the current results that are lacking EC data.</p></disp-quote><p>Thank you for your valuable suggestion. In the present study, we found that disturbed flow did not alter the protein level of IRF5 but promoted its nuclear translocation. Following your advice, we analyzed the expression of IRF5 in human ECs (GSE276195) and atherosclerotic mouse arteries (GSE222583) using public databases. Consistently, IRF5 did not show significant changes in mRNA levels under these conditions (Figure S5E-F), suggesting that the regulation of IRF5 in the context of disturbed flow or atherosclerosis is primarily post-translational.</p><disp-quote content-type="editor-comment"><p>(7) With the efficacy of using AAV-ICAM2-AFF3ir-ORF2 in atherosclerosis reduction (Figure 6), the authors are encouraged to use lung ECs isolated from the AFF3ir-ORF2/-mice to recapitulate its regulation of IRF5.</p></disp-quote><p>We greatly appreciate your valuable suggestion to use lung ECs from mice. We have observed that AFF3ir-ORF2 deficiency enhanced the nuclear translocation of IRF5 induced by OSS. Noteworthy, the transcriptional levels of IRF5 were minimally affected by AFF3ir-ORF2 deficiency. Hence, to recapitulate the regulation of IRF5 with lung ECs isolated from the AFF3ir-ORF2<sup>-/-</sup> mice, it would require treating lung ECs with OSS followed by isolation of subcellular components. However, both in vitro shear stress treatment and subcellular fraction isolation require a large number of cells, and mouse lung ECs are difficult to culture and pass through several passages. Therefore, we hope the reviewer understands that these experiments were not performed. As an alternative, we have confirmed the transcriptional activity changes of IRF5 due to AFF3ir-ORF2 manipulation by analyzing the expression of its target genes indicated from RNA-seq results in both the intima of mouse aorta (Figure S5C-D) and HUVECs (Figure 2C-D and Figure S2B). Our findings show that AFF3ir-ORF2 deficiency increases, while its overexpression decreases, the expression levels of IRF5-targeted genes in endothelial cells.</p><disp-quote content-type="editor-comment"><p><bold>Recommendations for the authors:</bold></p><p><bold>Reviewer #1 (Recommendations for the authors):</bold></p><p>Figure 2H - As I understand it, this is MFI measurement of VCAM. Please change accordingly.</p></disp-quote><p>Thanks. Corrected.</p><disp-quote content-type="editor-comment"><p><bold>Reviewer #2 (Recommendations for the authors):</bold></p><p>My major concern is the use of MEFs for all in vitro experiments. All experiments should be done in endothelial cells if the aim is to show a mechanism relevant to endothelial activation and atherosclerosis. Lines 314-316 of the conclusion are absolutely not supported by the data.</p></disp-quote><p>Thank you for the insightful comment. Following your advice, we have employed human ECs (HUVECs) to confirm our findings. Consistent with the findings in MEFs, we found that AFF3ir-ORF2 decreased the expression of inflammatory genes induced by disturbed shear stress, both at protein and mRNA levels in HUVECs (Figure 2C, Figure S2B).</p><disp-quote content-type="editor-comment"><p>Since the in vivo experiments are not cell type-specific, it would be important to test and compare the expression of Aff3ir-ORF2 in endothelial cells as well as smooth muscle and macrophages to support any claim of cell type involvement in the effects observed.</p></disp-quote><p>We thank you for the valuable suggestion. In the revised manuscript, we have followed your suggestion and analyzed the expression pattern of AFF3ir-ORF2 in different regions of the aorta with or without endothelium. We observed a marked reduction in AFF3ir-ORF2 expression in the intima of the aortic arch compared to that in the intima of the thoracic aorta (Figure 1B-C). In contrast, the expression of AFF3irORF2 in the media and adventitia was comparable between the aortic arch and thoracic aorta (Figure S1A-B). These findings provide further evidence supporting the predominant role of endothelial cells. The description has been modified accordingly in the revised manuscript on Lines 121-134.</p><disp-quote content-type="editor-comment"><p>The results of the RNA-seq experiment should be disclosed. The experiment should be deposited on GEO or similar and a table of differentially expressed genes added to the manuscript.</p></disp-quote><p>Thank you for the suggestion. We have followed your advice and submitted the RNA-sequencing data to GEO datasets (GSE286206). Besides, a table of differentially expressed genes has been included in the revised manuscript as Table S3.</p><disp-quote content-type="editor-comment"><p>Minor comments:</p><p>(1) Figure 1A. Missing the labels of the target.</p></disp-quote><p>Thanks. Corrected.</p><disp-quote content-type="editor-comment"><p>(2) Figure 1D. Cell alignment in AA compared to TA suggests that the image is of the outer curvature, but Figure 1F is showing that the outer curvature is expressing more ORF2 than the inner. Why was the outer curvature chosen for this panel and is it true to conclude on that assumption that expression of ORF2 compares as TA &gt; Outer &gt; Inner curvature?</p></disp-quote><p>We thank you for the insightful suggestion. We have followed your advice and performed en-face immunofluorescence staining of AFF3ir-ORF2 and quantification of AFF3ir-ORF2 expression in AA inner, AA outer, and TA regions. As shown in new Figure 1D-E, the results indeed indicated that expression of AFF3irORF2 compares as TA &gt; AA outer &gt; AA inner.</p><disp-quote content-type="editor-comment"><p>(3) Figure 2H. Target mislabelled as ICAM-1 instead of VCAM-.</p></disp-quote><p>Thanks. Corrected.</p><disp-quote content-type="editor-comment"><p>(4) Figure S1A. VE-cad staining and cell shape differ between control and overexpression. Is this a phenotype or are different areas of the vasculature shown, which would make it hard to interpret since Aff3ir-ORF2 levels differ in different vessel areas?</p></disp-quote><p>We thank the reviewer for raising this important question. For Figure S1A, only common carotid arteries were used for the staining. The potential differences in cell shape observed might be due to variations in the procedure during immunofluorescence staining. To avoid any misinterpretation, more representative images have been provided in the revised Figure S2C.</p><disp-quote content-type="editor-comment"><p>(5) Figure 3D-G. Images are not representative of the quantification results.</p></disp-quote><p>Thank you. More representative images have been replaced in the revised Figure 3D and Figure 3F.</p><disp-quote content-type="editor-comment"><p>(6) Line 220. Data for IRF8 are not shown in the figure to support this claim.</p></disp-quote><p>Thank you for pointing this out. The expression level of IRF8 has been included in Figure S5C.</p><disp-quote content-type="editor-comment"><p>(7) Figure 6F. AAV-AFF3ir-ORF2 panel order inverted.</p></disp-quote><p>Thanks. Corrected.</p><disp-quote content-type="editor-comment"><p>(8) Line 401. Type &quot;hat&quot; instead of &quot;h at&quot;.</p></disp-quote><p>Sorry for the typo. Corrected.</p><disp-quote content-type="editor-comment"><p><bold>Reviewer #3 (Recommendations for the authors):</bold></p><p>Minor comments:</p><p>(1) The rationale for the following sentence (lines 126-128) is lacking: &quot;Moreover, 126 we observed the expression of AFF3ir-ORF2 in longitudinal sections of the mouse aorta (B. 127 Li et al., 2019)&quot;.</p></disp-quote><p>Thanks. The rationale for these experiments have been included in the revised manuscript on Line 127-129.</p><disp-quote content-type="editor-comment"><p>(2) The source of antibodies against AFF3ir-ORF1 and AFF3ir-ORF2 used in western blot and immunostaining experiments were not mentioned in the manuscript.</p></disp-quote><p>Thanks. The antibody information has been included in the method part on Line 456-457, 510-511.</p><disp-quote content-type="editor-comment"><p>(3) The rationale and data interpretation is not clear for the following sentence (lines 220-221): &quot;In addition, neither IRF5 nor IRF8 expression was regulated by AFF3irORF2 220 (Figure 4F)&quot;.</p></disp-quote><p>Thank you for pointing this out. The expression level of IRF8 has been included in Figure S5C. The sentence has been modified accordingly on Lines 253254.</p><disp-quote content-type="editor-comment"><p>(4) The quality of AFF3ir-ORF2 blot in Figure 4I needs improvement.</p></disp-quote><p>Thanks. More representative images have been included in Figure 4I.</p><disp-quote content-type="editor-comment"><p>(5) It appears that AFF3ir-ORF2 was present in both cytoplasm and nucleus. Does AFF3ir-ORF2 have a nuclear entry peptide? Also, the nuclear entry of AFF3ir-ORF2 can be enhanced by an immunofluorescence staining experiment.</p></disp-quote><p>Thank you for your insightful comments. Indeed, although we did not observe any significant subcellular changes in the localization of AFF3ir-ORF2 under shear stress conditions, our immunostaining results revealed that AFF3ir-ORF2 is localized in both the cytoplasm and nucleus. To explore whether AFF3ir-ORF2 contains nuclear localization signals, we utilized the NLStradamus tool (<ext-link ext-link-type="uri" xlink:href="http://www.moseslab.csb.utoronto.ca/NLStradamus/">http://www.moseslab.csb.utoronto.ca/NLStradamus/</ext-link>) to analyze its sequence. The predication indicated that AFF3ir-ORF2 lacks a nuclear localization signal.</p></body></sub-article></article>