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Updated: May 26, 2026

Quantification of Atherosclerosis in Mice
Published on: June 12, 2019
Accelerated atherosclerosis in Apoe-/- mice heterozygous for the insulin receptor and the insulin receptor
Elena V Galkina1, Matthew Butcher, Susanna R Keller
1Eastern Virginia Medical School, P.O. Box 1980, Norfolk, VA 23501, USA. galkinev@evms.edu
Objective:
Prediabetic states are associated with accelerated atherosclerosis, but the availability of mouse models to study connections between these diseases has been limited. The aim of this study was to test the selective role of impaired insulin receptor/insulin receptor substrate-1 signaling on atherogenesis.
Methods And Results:
To address the effects of impaired insulin signaling associated with hyperinsulinemia on atherosclerosis in the absence of obesity and hyperglycemia, we generated insulin receptor (Insr)/insulin receptor substrate-1 (Insr1) double heterozygous apolipoprotein (Apoe)-knockout mice (Insr(+/-)Irs1(+/-)Apoe(-/-)) mice. Insr(+/-)Irs1(+/-)Apoe(-/-) mice fed a Western diet for 15 weeks showed elevated levels of fasting insulin compared to Insr(+/+)Irs1(+/+)Apoe(-/-) mice. There were no significant differences in glucose, triglyceride, HDL, VLDL, cholesterol levels or free fatty acid in the plasma of Insr(+/-)Irs1(+/-)Apoe(-/-) and Insr(+/+)Irs1(+/+)Apoe(-/-) mice. Atherosclerotic lesions were increased in male (brachiocephalic artery) and female (aortic tree) Insr(+/-)Irs1(+/-)Apoe(-/-) compared to Insr(+/+)Irs1(+/+)Apoe(-/-) mice. Bone marrow transfer experiments demonstrated that nonhematopoietic cells have to be Insr(+/-)Irs1(+/-) to accelerate atherosclerosis. Impaired insulin signaling resulted in decreased levels of vascular phospho-eNOS, attenuated endothelium-dependent vasorelaxation and elevated VCAM-1 expression in aortas of Insr(+/-)Irs1(+/-)Apoe(-/-) mice. In addition, phospho-ERK and vascular smooth muscle cell proliferation were significantly elevated in aortas of Insr(+/-)Irs1(+/-)Apoe(-/-) mice.
Conclusions:
These results demonstrate that defective insulin signaling is involved in accelerated atherosclerosis in Insr(+/-)Irs1(+/-)Apoe(-/-) mice by promoting vascular dysfunction and inflammation.
Insights
Impaired insulin signaling accelerates atherosclerosis by affecting vascular function. This study used novel mouse models to show how insulin receptor defects contribute to cardiovascular disease progression.
Area of Science:
- Cardiovascular Biology
- Metabolic Disease Research
- Atherosclerosis Pathogenesis
Background:
- Prediabetic states are linked to faster atherosclerosis development.
- Limited mouse models exist to study the connection between prediabetes and atherosclerosis.
- Understanding insulin signaling's role in atherogenesis is crucial.
Purpose of the Study:
- To investigate the specific role of impaired insulin receptor (Insr) and insulin receptor substrate-1 (Irs1) signaling in promoting atherosclerosis.
- To establish and utilize a novel mouse model for studying insulin signaling defects in the context of atherosclerosis.
Main Methods:
- Generated double heterozygous apolipoprotein (Apoe)-knockout mice with defects in Insr and Irs1 (Insr(+/-)Irs1(+/-)Apoe(-/-)).
- Fed mice a Western diet for 15 weeks and analyzed plasma markers (insulin, glucose, lipids).
- Assessed atherosclerotic lesion size, performed bone marrow transfers, and analyzed vascular function markers (phospho-eNOS, vasorelaxation, VCAM-1, phospho-ERK, smooth muscle cell proliferation).
Main Results:
- Insr(+/-)Irs1(+/-)Apoe(-/-) mice exhibited elevated fasting insulin but normal glucose and lipid profiles.
- Increased atherosclerotic lesions were observed in both male and female Insr(+/-)Irs1(+/-)Apoe(-/-) mice.
- Non-hematopoietic cells with impaired insulin signaling accelerated atherosclerosis; vascular dysfunction (decreased phospho-eNOS, impaired vasorelaxation) and inflammation (elevated VCAM-1) were noted.
Conclusions:
- Defective insulin signaling in non-hematopoietic cells contributes to accelerated atherosclerosis.
- Impaired insulin signaling promotes vascular dysfunction and inflammation, driving atherogenesis.
- This study provides a valuable model for investigating insulin resistance-related cardiovascular disease.
Related Concept Videos
Insulin: The Receptor and Signaling Pathways
Atherosclerosis I: Introduction
