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Updated: Jun 11, 2026

A Human Ex Vivo Atherosclerotic Plaque Model to Study Lesion Biology
Published on: May 6, 2014
Distribution of inflammatory mediators in carotid and femoral plaques
Wei Zhou1, Hong Chai, Richard Ding
1Division of Vascular and Endovascular Surgery, Department of Surgery, Stanford University, Stanford, CA 94305, USA. weizhou@stanford.edu
Insights
Femoral atherosclerotic plaques show distinct inflammatory profiles compared to carotid plaques, with differences in matrix metalloproteinase (MMP) and CD40 expression. These findings highlight unique characteristics of these vascular diseases.
Area of Science:
- Vascular Biology
- Immunology
- Biochemistry
Background:
- Atherosclerosis is a systemic disease, but carotid and femoral plaques present unique complications and treatment responses.
- Understanding differences in inflammatory markers between these plaque types is crucial.
Purpose of the Study:
- To compare inflammatory markers, specifically matrix metalloproteinase (MMP)-2 and MMP-9, in carotid and femoral atherosclerotic plaques.
- To analyze the distribution of MMP-2, MMP-9, and CD40 within carotid plaques.
Main Methods:
- Harvested carotid and femoral endarterectomy specimens.
- Quantified messenger RNA (mRNA) and protein levels of MMP-2, MMP-9, and CD40 using real-time PCR, ELISA, and Western blot.
- Performed immunohistochemistry on carotid specimens.
Main Results:
- Femoral specimens showed lower MMP-2 protein and higher MMP-9 mRNA/protein compared to carotid specimens.
- Within carotid plaques, MMP-2 mRNA/protein was lower in central regions, while MMP-9 and CD40 mRNA/protein were higher.
- Immunohistochemistry revealed increased macrophages and CD40 in central carotid plaque regions.
Conclusions:
- Carotid and femoral atherosclerotic plaques are distinct entities.
- The distribution of inflammatory molecular markers differs significantly within these advanced plaques.
- Further research is needed to elucidate these differences.
Background:
Although atherosclerosis is a known systemic process, carotid and femoral atherosclerotic plaques are associated with distinctive complications and therapeutic outcomes. The purpose of this study was to evaluate inflammatory markers associated with carotid and femoral plaques.
Study Design:
Carotid and femoral endarterectomy specimens were harvested from surgical patients. The carotid specimens were further sectioned into central, peripheral, and relatively normal regions. Expressions of matrix metalloproteinase (MMP)-2 and MMP-9 in carotid and femoral specimens were compared and the distributions of MMP-2, MMP-9, and CD40 within the carotid specimens were further analyzed. Messenger RNA (mRNA) levels were measured with real-time polymerase chain reaction and proteins with ELISA assay and Western blot.
Results:
Despite no significant difference in the MMP-2 mRNA levels between carotid and femoral specimens, the common femoral specimens had significantly lower MMP-2 protein production and higher MMP-9 mRNA and protein expressions than those of the carotid specimens (p = 0.015, p = 0.03, and p = 0.034, respectively). Among carotid specimens, MMP-2 mRNA level was significantly lower in the central region (p < 0.01) and consistent with the distribution pattern of MMP-2 proteins. Interestingly, despite significantly lower MMP-9 mRNA expression in the central region of carotid plaques, active MMP-9 protein level was significantly higher. CD40 mRNA and protein levels were also higher in the central region. Immunohistochemistry analyses showed substantially increased macrophages and CD40 in the central region of the carotid plaques.
Conclusions:
This study emphasizes that femoral and carotid plaques are distinct entities and that distribution of inflammatory molecular markers varied within these advanced atherosclerotic plaques. Additional analyses are warranted.
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