The membrane attack complex of complement drives the progression of atherosclerosis in apolipoprotein E knockout mice
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Updated: Jun 18, 2026

Induction of Atherosclerotic Plaques Through Activation of Mineralocorticoid Receptors in Apolipoprotein E-deficient Mice
Published on: September 26, 2018
Ruth D Lewis1, Christopher L Jackson, B Paul Morgan
1Department of Medical Biochemistry and Immunology, School of Medicine, Cardiff University, Cardiff, UK.
Insights
Complement system
Area of Science:
- Immunology
- Cardiovascular Research
Background:
- Atherosclerosis is a chronic inflammatory disease.
- The complement system, particularly the membrane attack complex (MAC), plays a role in inflammation.
- CD59 is a key regulator of MAC formation.
Purpose of the Study:
- To investigate the specific roles of MAC and its regulator CD59 in atherosclerosis development.
- To determine the impact of C6 deficiency and CD59a deficiency on atherosclerosis progression.
Main Methods:
- Generated double knockout mouse models: C6 knockout (C6(-/-)) and CD59a knockout (Cd59a(-/-)) on an apolipoprotein E knockout (apoE(-/-)) background.
- Fed mice a high-fat diet to induce and study atherosclerosis progression.
- Analyzed plaque area, disease severity, MAC deposition, and smooth muscle cell proliferation.
Main Results:
- C6 deficiency significantly reduced atherosclerotic plaque area and disease severity.
- CD59a deficiency led to increased plaque area and severity.
- Increased MAC deposition and smooth muscle cell proliferation were observed in CD59a-deficient mice.
Conclusions:
- The membrane attack complex (MAC) contributes to atherosclerosis development.
- C6 deficiency is protective against atherosclerosis.
- CD59a deficiency exacerbates atherosclerosis, highlighting its protective role in this context.
Aims:
To examine the roles of the membrane attack complex of complement and its sole membrane regulator, CD59, in atherosclerosis.
Methods:
C6 (C6(-/-)) deficient and CD59a (Cd59a(-/-)) knockout mice were separately crossed onto the apolipoprotein E knockout (apoE(-/-)) background. The double knockout mice were fed high-fat diet in order to study the effects of absence of C6 or CD59a on the progression of atherosclerosis.
Results:
C6 deficiency significantly reduced plaque area and disease severity. CD59a had the opposite effect in that deficiency was associated with a significant increase in plaque area, correlating with increased membrane attack complex (MAC) deposition in the plaque and increased smooth muscle cell proliferation in early plaques.
Conclusions:
Our results demonstrate that the MAC contributes to the development of atherosclerosis, C6 deficiency being protective and CD59a deficiency exacerbating disease.
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