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Updated: Jun 19, 2026

Quantification of Atherosclerosis in Mice
Published on: June 12, 2019
Beta2 integrins modulate the initiation and progression of atherosclerosis in low-density lipoprotein receptor
Aksam Merched1, Katherine Tollefson, Lawrence Chan
1Department of Molecular and Cellular Biology, Baylor College of Medicine, One Baylor Plaza, R630, Houston, TX 77030, USA. amerched@bcm.edu
Aims:
Beta2 integrin-mediated adhesion is thought to be a key event in cardiovascular disease. However, results of clinical trials targeting these molecules have been disappointing. Here, we investigated the effect of inactivation of beta2 integrins at different stages of atherosclerosis by timed bone marrow transplantation (BMT) of CD18(-/-) cells in low-density lipoprotein receptor knockout (LDLR(-/-)) mice.
Methods And Results:
Early BMT before fatty streak formation revealed a short-term protective effect of CD18 (34% atherosclerotic lesion reduction). Once fatty streak lesions had developed (5-week atherogenic diet) before BMT, beta2 integrin expression did not affect lesion progression. However, after the establishment of more mature lesions (pre-feeding mice the atherogenic diet for 10 weeks), CD18(+/+) BMT enhanced atherosclerosis (36%) lesion progression compared with CD18(-/-) BMT. Furthermore, beta2 integrins modulated the capacity of isolated peritoneal macrophages to take up acetylated LDL and native LDL and to phagocytose apoptotic cells, possibly via CD18-dependent mitogen-activated protein kinase signalling. Gene expression profile of CD18(-/-) and CD18(+/+) macrophages revealed significant differences in putative protective as well as atherogenic functions.
Conclusion:
beta2 integrin-mediated interaction between leucocytes and the vessel wall is a time-dependent and dynamic process. During the initiation phase, it protects against atherosclerotic lesion formation. However, with the evolution of the lesion and chronic exposure to dyslipidaemia, beta2 integrins' pro-atherogenic action becomes dominant, accelerating the atherosclerotic process.
Insights
Beta2 integrins initially protect against atherosclerosis, but later accelerate its progression. This study used timed bone marrow transplantation in mice to show beta2 integrin
Area of Science:
- Cardiovascular Research
- Immunology
- Atherosclerosis Research
Background:
- Beta2 integrin-mediated adhesion is crucial in cardiovascular disease, yet clinical trials targeting these molecules have yielded disappointing results.
- Understanding the dynamic role of beta2 integrins in atherosclerosis progression is essential for developing effective therapies.
Purpose of the Study:
- To investigate the stage-dependent effects of beta2 integrin inactivation on atherosclerosis development.
- To elucidate the mechanisms by which beta2 integrins influence macrophage function in the context of atherosclerosis.
Main Methods:
- Timed bone marrow transplantation (BMT) of CD18(-/-) cells into low-density lipoprotein receptor knockout (LDLR(-/-)) mice at different stages of atherosclerosis.
- Analysis of atherosclerotic lesion progression and macrophage function (LDL uptake, phagocytosis).
- Gene expression profiling of CD18(-/-) and CD18(+/+) macrophages.
Main Results:
- Early BMT before fatty streak formation showed a short-term protective effect (34% lesion reduction).
- Beta2 integrin inactivation did not affect lesion progression once fatty streaks had developed.
- BMT with CD18(+/+) cells enhanced lesion progression in mature lesions, while CD18(-/-) BMT did not.
- Beta2 integrins modulated macrophage uptake of LDL and phagocytosis of apoptotic cells via MAPK signaling.
Conclusions:
- Beta2 integrin-mediated leukocyte-vessel wall interaction is time-dependent and dynamic.
- During initiation, beta2 integrins protect against atherosclerotic lesion formation.
- In later stages with chronic dyslipidemia, beta2 integrins exert a pro-atherogenic effect, accelerating disease progression.
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