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Updated: Jun 6, 2026

Quantification of Atherosclerosis in Mice
Published on: June 12, 2019
11β-hydroxysteroid dehydrogenase type 2 deficiency accelerates atherogenesis and causes proinflammatory changes in
Graeme A Deuchar1, Danielle McLean1, Patrick W F Hadoke1
1Centre for Cardiovascular Science, The Queen's Medical Research Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, 47 Little France Crescent, Edinburgh, EH16 4TJ, UK.
Abstract:
Mineralocorticoid receptor (MR) activation is proinflammatory and proatherogenic. Antagonism of MR improves survival in humans with congestive heart failure caused by atherosclerotic disease. In animal models, activation of MR exacerbates atherosclerosis. The enzyme 11β-hydroxysteroid dehydrogenase type 2 (11β-HSD2) prevents inappropriate activation of the MR by inactivating glucocorticoids in mineralocorticoid-target tissues. To determine whether glucocorticoid-mediated activation of MR increases atheromatous plaque formation, we generated Apoe(-/-)/11β-HSD2(-/-) double-knockout (E/b2) mice. On chow diet, E/b2 mice developed atherosclerotic lesions by 3 months of age, whereas Apolipoprotein E (Apoe(-/-)) mice remained lesion free. Brachiocephalic plaques in 3-month-old E/b2 mice showed increased macrophage and lipid content and reduced collagen content compared with similar sized brachiocephalic plaques in 6-month-old Apoe(-/-) mice. Crucially, treatment of E/b2 mice with eplerenone, an MR antagonist, reduced plaque development and macrophage infiltration while increasing collagen and smooth muscle cell content without any effect on systolic blood pressure. In contrast, reduction of systolic blood pressure in E/b2 mice using the epithelial sodium channel blocker amiloride produced a less-profound atheroprotective effect. Vascular cell adhesion molecule 1 expression was increased in the endothelium of E/b2 mice compared with Apoe(-/-) mice. Similarly, aldosterone increased vascular cell adhesion molecule 1 expression in mouse aortic endothelial cells, an effect mimicked by corticosterone only in the presence of an 11β-HSD2 inhibitor. Thus, loss of 11β-HSD2 leads to striking atherogenesis associated with activation of MR, stimulating proinflammatory processes in the endothelium of E/b2 mice.
Insights
Loss of 11β-hydroxysteroid dehydrogenase type 2 (11β-HSD2) causes mineralocorticoid receptor (MR) activation, leading to accelerated atherosclerosis. MR antagonism protects against plaque development and inflammation in mice.
Area of Science:
- Cardiovascular Biology
- Endocrinology
- Molecular Medicine
Background:
- Mineralocorticoid receptor (MR) activation promotes inflammation and atherosclerosis.
- 11β-hydroxysteroid dehydrogenase type 2 (11β-HSD2) normally inactivates glucocorticoids, preventing inappropriate MR activation.
- Understanding the role of MR and 11β-HSD2 in atherogenesis is crucial for cardiovascular disease treatment.
Purpose of the Study:
- To investigate whether glucocorticoid-mediated MR activation contributes to atheromatous plaque formation.
- To determine the specific mechanisms by which 11β-HSD2 deficiency impacts atherosclerosis.
- To evaluate the therapeutic potential of MR antagonism in preventing atherosclerosis.
Main Methods:
- Generation of Apoe(-/-)/11β-HSD2(-/-) double-knockout (E/b2) mice to model loss of 11β-HSD2 function.
- Analysis of atherosclerotic lesion development, plaque composition (macrophages, lipids, collagen), and endothelial activation markers.
- Pharmacological intervention with an MR antagonist (eplerenone) and an epithelial sodium channel blocker (amiloride).
Main Results:
- E/b2 mice developed significant atherosclerotic lesions by 3 months, unlike control Apoe(-/-) mice.
- E/b2 mouse plaques exhibited increased macrophages and lipids, with reduced collagen.
- Eplerenone treatment reduced plaque burden and inflammation, increasing collagen and smooth muscle cells.
- Amiloride showed a less pronounced atheroprotective effect compared to eplerenone.
- Vascular cell adhesion molecule 1 expression was elevated in E/b2 mice endothelium.
Conclusions:
- Loss of 11β-HSD2 leads to MR activation and promotes significant atherogenesis.
- MR activation stimulates proinflammatory processes in the endothelium, contributing to plaque development.
- MR antagonism represents a promising therapeutic strategy for atherosclerosis, independent of blood pressure reduction.
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