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Updated: May 24, 2026

Quantification of Atherosclerosis in Mice
Published on: June 12, 2019
Lack of neutrophil-derived CRAMP reduces atherosclerosis in mice
Yvonne Döring1, Maik Drechsler, Sarawuth Wantha
1Institute for Cardiovascular Prevention, Ludwig-Maximilians University München, Munich, Germany.
Insights
Neutrophil cathelicidins promote atherosclerosis by increasing inflammatory monocyte recruitment. Reducing cathelicidin levels in neutrophils lessens atherosclerotic lesion size and macrophage accumulation.
Area of Science:
- Immunology
- Cardiovascular Research
Background:
- Neutrophils are implicated in early atherosclerosis development.
- The precise mechanisms of neutrophil-driven atherosclerosis are not fully understood.
Purpose of the Study:
- To investigate the role of the neutrophil granule protein cathelicidin (CRAMP in mice, LL37 in humans) in atherosclerosis progression.
Main Methods:
- Comparative analysis of Apoe(-/-) and Cramp(-/-) Apoe(-/-) mice.
- Detection of CRAMP in atherosclerotic aortas using immunohistochemistry.
- Intravital microscopy to observe CRAMP deposition and monocyte adhesion.
- Assessment of formyl-peptide receptor dependency.
Main Results:
- Cramp(-/-) Apoe(-/-) mice showed reduced atherosclerotic lesion sizes and fewer macrophages compared to controls.
- CRAMP was localized to neutrophils, not monocytes or macrophages, in atherosclerotic aortas.
- Activated neutrophils deposited CRAMP on inflamed endothelium, promoting classical monocyte and neutrophil adhesion via formyl-peptide receptor signaling.
Conclusions:
- Cathelicidins enhance atherosclerosis by promoting the recruitment of inflammatory monocytes.
- Targeting cathelicidin may offer a therapeutic strategy for atherosclerosis.
Rationale:
Neutrophils have been reported to contribute to early atherosclerotic lesion formation. Mechanisms of neutrophil-driven atherosclerosis remain unclear so far.
Objective:
Investigation of the role of the neutrophil granule protein cathelicidin (CRAMP in mouse, LL37 in human) in atherosclerosis.
Methods And Results:
Compared to Apoe(-/-) mice, Cramp(-/-) Apoe(-/-) mice exhibit reduced lesion sizes with lower macrophage numbers. In atherosclerotic aortas, we could detect CRAMP specifically in neutrophils, but not in monocytes or macrophages. By use of intravital microscopy, CRAMP was found to be deposited by activated neutrophils on inflamed endothelium of large arteries. In this location cathelicidins promote adhesion of classical monocytes and neutrophils, but not nonclassical monocytes in a formyl-peptide receptor-dependent manner.
Conclusions:
Cathelicidins promote atherosclerosis by enhancement of the recruitment of inflammatory monocytes.
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