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Updated: Aug 30, 2026

Quantification of Atherosclerosis in Mice
Published on: June 12, 2019
Macrophage apolipoprotein A-I expression protects against atherosclerosis in ApoE-deficient mice and up-regulates ABC
Yan Ru Su1, Hiroyuki Ishiguro, Amy S Major
1Atherosclerosis Research Unit, Division of Cardiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee 37232-6300, USA. yan.ru.su@vanderbilt.edu
Insights
Expressing human apolipoprotein A-I (apoA-I) in macrophages reduced atherosclerosis in mice. This suggests local apoA-I expression in artery walls promotes cholesterol efflux and reverse cholesterol transport (RCT).
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Gene Therapy
Background:
- High-density lipoprotein (HDL) and apolipoprotein A-I (apoA-I) exert antiatherogenic effects primarily through reverse cholesterol transport (RCT) and cellular cholesterol efflux.
- Overexpression of human apoA-I has shown promise in reducing atherosclerosis in animal models, but the precise mechanism (systemic HDL increase vs. local arterial effects) remains unclear.
Purpose of the Study:
- To investigate whether expressing human apoA-I directly within macrophages in the artery wall can promote RCT and ameliorate atherosclerosis.
- To determine if macrophage-specific apoA-I expression can compensate for apolipoprotein E (apoE) deficiency in delaying lesion progression.
Main Methods:
- Utilized a retroviral construct (MFG-HAI) to express human apoA-I cDNA in apolipoprotein E-deficient (ApoE(-/-)) bone marrow cells.
- Transplanted these genetically modified bone marrow cells into ApoE(-/-) mice with established atherosclerotic lesions.
- Analyzed atherosclerotic lesion size in the aorta and quantified mRNA expression of ATP-binding cassette transporters (ABCA1 and ABCG1) in peritoneal macrophages.
Main Results:
- Mice receiving MFG-HAI bone marrow exhibited a significant 30% reduction in atherosclerotic lesions in the proximal aorta compared to control mice.
- Macrophages from MFG-HAI treated mice displayed a four- to fivefold increase in ABCA1 and ABCG1 mRNA expression.
- Gene transfer-mediated apoA-I expression in macrophages effectively stimulated ABC transporter-dependent cholesterol efflux.
Conclusions:
- Local expression of human apoA-I within macrophages can significantly reduce atherosclerosis progression in an apoE-deficient mouse model.
- Macrophage-derived apoA-I enhances cholesterol efflux and RCT by upregulating ABCA1 and ABCG1 expression.
- This study highlights the therapeutic potential of targeting macrophage apoA-I for treating atherosclerosis.
Abstract:
The antiatherogenic effect of high-density lipoprotein (HDL) and its major protein component apolipoprotein A-I (apoA-I) has been largely attributed to their key roles in reverse cholesterol transport (RCT) and cellular cholesterol efflux. Substantial evidence shows that overexpression of human apoA-I reduces atherosclerosis in animal models. However, it is uncertain whether this protection is due to an increase in plasma HDL level or to a local effect in the artery wall. To test the hypothesis that expression of human apoA-I in macrophages can promote RCT in the artery wall, we used a retroviral construct expressing human apoA-I cDNA (MFG-HAI) to transduce ApoE(-/-) bone marrow cells and then transplanted these cells into ApoE(-/-) mice with preexisting atherosclerosis. ApoE(-/-) mice reconstituted with MFG-HAI marrow had a significant reduction (30%) in atherosclerotic lesions in the proximal aorta compared to control mice that received marrow expressing MFG parental virus. Peritoneal macrophages isolated from MFG-HAI mice showed a four- to fivefold increase in mRNA expression levels of both ATP-binding cassette (ABC) A1 and ABCG1 compared to controls. Our data demonstrate that gene transfer-mediated expression of human apoA-I in macrophages can compensate in part for apoE deficiency and delay the progression of atherosclerotic lesions by stimulating ABC-dependent cholesterol efflux and RCT.
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