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Updated: Jun 8, 2026

Quantification of Atherosclerosis in Mice
Published on: June 12, 2019
Cannabinoid receptor type 2 (CB2) deficiency alters atherosclerotic lesion formation in hyperlipidemic Ldlr-null mice
Courtney D Netherland1, Theresa G Pickle, Alicia Bales
1Department of Biochemistry and Molecular Biology, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN 37614-0581, USA.
Objective:
To determine if cannabinoid receptor 2 (CB2) plays a role in atherosclerosis, we investigated the effects of systemic CB2 gene deletion on hyperlipidemia-induced atherogenesis in low density lipoprotein receptor-deficient (Ldlr(-/-)) mice.
Methods And Results:
Ldlr(-/-) and CB2/Ldlr double knockout (CB2(-/-)Ldlr(-/-)) mice were fed an atherogenic diet for 8 and 12 weeks. Morphometric analysis revealed no significant difference between the atherosclerotic lesion area in the proximal aortas of Ldlr(-/-) and CB2(-/-)Ldlr(-/-) mice after 8 or 12 weeks on the atherogenic diet. The macrophage and smooth muscle cell (SMC) content, as revealed by immunohistochemical staining, did not differ significantly between Ldlr(-/-) and CB2(-/-)Ldlr(-/-) lesions after 8 weeks. However, after 12 weeks, CB2(-/-)Ldlr(-/-) lesions displayed greater macrophage content (86.6 ± 4.1 versus 75.2 ± 7.5%, P<0.05) and SMC content (11.1 ± 5.1 versus 4.2 ± 2.4%, P<0.05) compared to controls. Lesional apoptosis, as determined by in situ TUNEL analysis, was reduced ~50% in CB2(-/-)Ldlr(-/-) lesions after 12 weeks. CB2(-/-)Ldlr(-/-) lesions displayed significantly reduced collagen content and increased elastin fiber fragmentation after 12 weeks, which was associated with an ~57% increase in matrix metalloproteinase 9 (MMP) levels. In vitro, CB2(-/-) macrophages secreted ~1.8-fold more MMP9 activity than CB2(+/+) macrophages.
Conclusions:
CB2 receptor deficiency affects atherogenesis in Ldlr-null mice by increasing lesional macrophage and SMC content, reducing lesional apoptosis and altering extracellular matrix components, in part, by upregulating MMP9. These results suggest that pharmacological manipulation of CB2 receptors might exert multiple and complex effects on atherogenesis and plaque stability.
Insights
Cannabinoid receptor 2 (CB2) gene deletion in mice with hyperlipidemia increased atherosclerotic plaque macrophage and smooth muscle cell content. This suggests CB2 receptor manipulation may have complex effects on atherosclerosis development and plaque stability.
Area of Science:
- Cardiovascular Biology
- Immunology
- Pharmacology
Background:
- Atherosclerosis is a chronic inflammatory disease characterized by plaque buildup in arteries.
- The role of cannabinoid receptor 2 (CB2) in atherogenesis remains incompletely understood.
- Low density lipoprotein receptor-deficient (Ldlr(-/-)) mice are a standard model for studying atherosclerosis.
Purpose of the Study:
- To investigate the role of CB2 in hyperlipidemia-induced atherosclerosis.
- To determine the effects of systemic CB2 gene deletion on atherogenesis in Ldlr(-/-) mice.
Main Methods:
- Ldlr(-/-) and CB2/Ldlr double knockout (CB2(-/-)Ldlr(-/-)) mice were fed an atherogenic diet for 8 and 12 weeks.
- Atherosclerotic lesion area, macrophage and smooth muscle cell (SMC) content, lesional apoptosis, and extracellular matrix components were analyzed.
- Matrix metalloproteinase 9 (MMP) levels and activity were assessed in vitro and in vivo.
Main Results:
- No significant difference in lesion area was observed between groups at 8 or 12 weeks.
- After 12 weeks, CB2(-/-)Ldlr(-/-) lesions showed increased macrophage and SMC content.
- Lesional apoptosis was reduced, collagen content decreased, elastin fragmented, and MMP9 levels increased in CB2(-/-)Ldlr(-/-) mice after 12 weeks.
- In vitro, CB2(-/-) macrophages exhibited higher MMP9 activity.
Conclusions:
- CB2 receptor deficiency exacerbates atherogenesis in Ldlr-null mice.
- CB2 deficiency increases plaque macrophage and SMC content, reduces apoptosis, and alters extracellular matrix composition.
- Upregulation of MMP9 contributes to these changes, suggesting complex roles for CB2 in atherosclerosis and plaque stability.
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