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Updated: Jul 17, 2026

Quantification of Atherosclerosis in Mice
Published on: June 12, 2019
Severely altered cholesterol homeostasis in macrophages lacking apoE and SR-BI
Patricia G Yancey1, W Gray Jerome, Hong Yu
1Atherosclerosis Research Unit, Division of Cardiovascular Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA. patricia.g.yancey@vanderbilt.edu
Insights
Mice lacking scavenger receptor class B type I (SR-BI) and apolipoprotein E (apoE) show impaired cholesterol processing in macrophages. This defect, driven by both plasma lipids and macrophage cholesterol trafficking, accelerates atherosclerosis.
Area of Science:
- Cardiovascular Biology
- Lipid Metabolism
- Atherosclerosis Research
Background:
- Scavenger receptor class B type I (SR-BI) and apolipoprotein E (apoE) play critical roles in lipid transport.
- Mice deficient in both SR-BI and apoE (DKO mice) exhibit severe dyslipidemia and premature death due to accelerated atherosclerosis.
Purpose of the Study:
- To investigate the impact of combined SR-BI and apoE deficiency on macrophage cholesterol homeostasis.
- To elucidate the mechanisms underlying altered cholesterol metabolism in DKO macrophages.
Main Methods:
- Analysis of total cholesterol (TC) and free cholesterol (FC) in macrophages from DKO mice and controls.
- Bone marrow transplantation experiments to differentiate between systemic and cell-intrinsic effects.
- Incubation of macrophages with high-density lipoprotein (HDL) and apoA-I to assess cholesterol efflux and uptake.
Main Results:
- DKO macrophages accumulated significantly more TC and FC compared to apoE-/- macrophages, with evidence of lysosomal lipid engorgement.
- Macrophage-specific SR-BI deficiency exacerbated cholesterol accumulation in the presence of HDL.
- Altered cholesterol trafficking, including the formation of peri-nuclear FC pools, was observed in DKO macrophages.
Conclusions:
- The dyslipidemia in DKO mice and intrinsic alterations in macrophage cholesterol trafficking both contribute to abnormal cholesterol homeostasis.
- These cellular defects in macrophage cholesterol metabolism are likely key drivers of accelerated atherosclerosis in DKO mice.
Abstract:
Mice deficient in scavenger receptor class B type I (SR-BI) and apolipoprotein E (apoE) [double knockout (DKO) mice] develop dyslipidemia, accelerated atherosclerosis, and myocardial infarction, and die prematurely. We examined effects of apoE and SR-BI deficiency on macrophage cholesterol homeostasis. DKO macrophages had increased total cholesterol (TC) stores (220-380 microg/mg protein) compared with apoE-/- cells (40 microg/mg), showed significant lysosomal lipid engorgement, and increased their TC by 34% after exposure to HDL. DKO macrophages from apoE-/- mice reconstituted with DKO bone marrow showed less cholesterol accumulation (89 microg/mg), suggesting that the dyslipidemia of DKO mice explains part of the cellular cholesterol defect. However, analyses of DKO and apoE-/- macrophages from transplanted apoE-/- mice revealed a role for macrophage SR-BI, inasmuch as the TC in DKO macrophages increased by 10% in the presence of HDL, whereas apoE-/- macrophage TC decreased by 33%. After incubation with HDL, the free cholesterol (FC) increased by 29% in DKO macrophages, and decreased by 8% in apoE-/- cells, and only DKO cells had FC in large peri-nuclear pools. Similar trends were observed with apoA-I as an acceptor. Thus, the abnormal cholesterol homeostasis of DKO macrophages is due to the plasma lipid environment of DKO mice and to altered trafficking of macrophage cholesterol. Both factors are likely to contribute to the accelerated atherosclerosis in DKO mice.
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