Physiological expression of macrophage apoE in the artery wall reduces atherosclerosis in severely hyperlipidemic

Sergio Fazio1, Vladimir R Babaev, Michael E Burleigh

  • 1Vanderbilt University Medical Center, Departments of Medicine, Nashville, TN 37232, USA. sergio.fazio@vanderbilt.edu

Insights

Macrophage apolipoprotein E (apoE) significantly reduces atherosclerosis in hyperlipidemic mice. Introducing macrophage apoE lowered aortic plaque by 60%, demonstrating its anti-atherogenic role in severe hyperlipidemia.

Area of Science:

  • Cardiovascular Research
  • Atherosclerosis Research
  • Lipid Metabolism

Background:

  • Apolipoprotein E (apoE) plays a crucial role in lipid metabolism and transport.
  • Macrophage-derived apoE's specific contribution to atherogenesis in hyperlipidemic conditions remains incompletely understood.
  • Existing mouse models often lack physiologically regulated levels of macrophage apoE.

Purpose of the Study:

  • To investigate the anti-atherogenic effects of physiologically regulated macrophage apoE in a murine model of severe hyperlipidemia.
  • To determine if macrophage apoE influences the development and progression of atherosclerotic plaques.

Main Methods:

  • Bone marrow transplantation was used to introduce macrophage-specific apoE expression in apoE(-/-)/LDLR(-/-) mice.
  • Mice were transplanted with either apoE(+/+)/LDLR(-/-) or apoE(-/-)/LDLR(-/-) marrow.
  • Atherosclerosis was quantified by measuring aortic lesion area in transplanted mice, some of which were fed a high-fat diet.

Main Results:

  • Transplantation of apoE(+/+)/LDLR(-/-) marrow into apoE(-/-)/LDLR(-/-) mice led to a 4-fold increase in plasma apoE levels without altering lipid profiles.
  • This resulted in a significant 60% reduction in aortic atherosclerosis compared to control mice lacking macrophage apoE.
  • In a separate experiment, absence of macrophage apoE exacerbated lesion area by 75% in the aortic sinus and 56% in the distal aorta.

Conclusions:

  • Physiologically relevant levels of macrophage apoE exert potent anti-atherogenic effects in the vessel wall.
  • Macrophage apoE plays a critical role in mitigating atherosclerosis, even under conditions of severe hyperlipidemia.
  • These findings highlight macrophage apoE as a potential therapeutic target for preventing or treating cardiovascular disease.