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Updated: Jul 14, 2026

Quantification of Atherosclerosis in Mice
Published on: June 12, 2019
Bone marrow-derived multidrug resistance protein ABCB4 protects against atherosclerotic lesion development in LDL
Marieke Pennings1, Reeni B Hildebrand, Dan Ye
1Division of Biopharmaceutics, Leiden/Amsterdam Center for Drug Research, Leiden University, Einsteinweg 55, 2333 CC Leiden, The Netherlands. pennings@lacdr.leidenuniv.nl
Objective:
Several members of the ATP binding cassette (ABC)-transporter super family expressed in macrophages protect against atherosclerosis by promoting macrophage cholesterol and phospholipid efflux. Systemic disruption of ABCB4 in mice results in a virtual absence of phospholipids in bile and a strongly impaired biliary cholesterol secretion, indicating that ABCB4 plays an essential role in cellular lipid efflux. The aim of the current study was to determine the role of bone marrow-derived ABCB4 in atherosclerotic lesion development.
Methods:
Chimeras were created that specifically lack ABCB4 in bone marrow-derived cells, including macrophages, by performing a bone marrow transplantation on LDL receptor knockout (LDLr-/-) mice. Atherosclerotic lesion development was induced by feeding a high-cholesterol diet (15% fat and 0.25% cholesterol).
Results:
Serum cholesterol levels were significantly lower in mice reconstituted with ABCB4 knockout bone marrow as a result of reduced VLDL and LDL cholesterol levels. Despite the lower serum cholesterol levels, ABCB4 deficiency in bone marrow-derived cells resulted in a 1.8-fold (p=0.005) increase in lesion size. In vitro foam cell formation, induced with acetylated LDL (AcLDL) in peritoneal macrophages, was increased in the absence of ABCB4, possibly due to a 2-fold (p<0.05) increased association of AcLDL, while the efflux of cholesterol was unaffected.
Conclusion:
Bone marrow-derived ABCB4 has an important anti-atherosclerotic function, probably by limiting macrophage foam cell formation.
Insights
Bone marrow-derived ABCB4 limits macrophage foam cell formation, an important anti-atherosclerotic function. This study found that lacking ABCB4 in macrophages increased atherosclerotic lesion size despite lower cholesterol levels.
Area of Science:
- Cardiovascular Biology
- Lipid Metabolism
- Atherosclerosis Research
Background:
- ATP binding cassette (ABC)-transporter superfamily members in macrophages aid cholesterol and phospholipid efflux, protecting against atherosclerosis.
- ABCB4 is crucial for cellular lipid efflux, as evidenced by impaired biliary lipid secretion in its absence.
- The specific role of bone marrow-derived ABCB4 in atherosclerosis remains to be elucidated.
Purpose of the Study:
- To investigate the function of bone marrow-derived ABCB4 in the development of atherosclerotic lesions.
- To determine if ABCB4 deficiency in macrophages influences atherosclerotic plaque formation.
Main Methods:
- Bone marrow transplantation was used to create LDL receptor knockout (LDLr-/-) mice lacking ABCB4 in bone marrow-derived cells.
- Mice were fed a high-cholesterol diet to induce atherosclerotic lesion development.
- In vitro foam cell formation assays were performed using peritoneal macrophages.
Main Results:
- Mice lacking ABCB4 in bone marrow exhibited significantly lower serum cholesterol levels.
- Despite reduced serum cholesterol, ABCB4 deficiency led to a 1.8-fold increase in atherosclerotic lesion size.
- In vitro, macrophages lacking ABCB4 showed increased acetylated LDL (AcLDL) association and enhanced foam cell formation, with unaffected cholesterol efflux.
Conclusions:
- Bone marrow-derived ABCB4 plays a significant anti-atherosclerotic role.
- ABCB4 likely limits atherosclerotic lesion development by inhibiting macrophage foam cell formation.
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