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Updated: May 14, 2026

A Human Ex Vivo Atherosclerotic Plaque Model to Study Lesion Biology
Published on: May 6, 2014
Hypoxia in murine atherosclerotic plaques and its adverse effects on macrophages
Saj Parathath1, Yuan Yang, Stephanie Mick
1Department of Medicine (Cardiology), Marc and Ruti Bell Program in Vascular Biology, NYU School of Medicine, Smilow 7, 522 First Ave., New York, NY 10016, USA.
Abstract:
Hypoxia has been found in the atherosclerotic plaques of larger mammals, including humans. Whether hypoxia occurs in the plaques of standard mouse models with atherosclerosis has been controversial, given their small size. In this review, we summarize the findings of a recent report demonstrating that direct evidence of hypoxia can indeed be found in the plaques of mice deficient in apolipoprotein E (apoE-/-mice). Furthermore, studies in vitro showed that hypoxia promoted lipid synthesis and reduced cholesterol efflux through the ABCA1 pathway, and that the transcription factor HIF-1α mediated many, but not all, of the effects. These results are discussed in the context of the literature and clinical practice.
Insights
Hypoxia, or low oxygen, is confirmed in mouse models of atherosclerosis. This condition impacts lipid synthesis and cholesterol transport, with HIF-1α playing a key role.
Area of Science:
- Cardiovascular Biology
- Atherosclerosis Research
- Hypoxia Studies
Background:
- Hypoxia is present in human atherosclerotic plaques.
- The occurrence of hypoxia in mouse models of atherosclerosis has been debated due to their small size.
Purpose of the Study:
- To review evidence confirming hypoxia in apolipoprotein E-deficient (apoE-/-) mouse models.
- To explore the in vitro effects of hypoxia on lipid metabolism and cholesterol efflux.
- To investigate the role of HIF-1α in mediating these hypoxic effects.
Main Methods:
- Review of a recent report on hypoxia detection in apoE-/- mouse plaques.
- In vitro experiments assessing lipid synthesis and cholesterol efflux.
- Analysis of the involvement of the transcription factor HIF-1α.
Main Results:
- Direct evidence of hypoxia was found in atherosclerotic plaques of apoE-/- mice.
- In vitro, hypoxia increased lipid synthesis and decreased cholesterol efflux via the ABCA1 pathway.
- HIF-1α mediated a significant portion, but not all, of these hypoxia-induced changes.
Conclusions:
- Hypoxia is demonstrable in mouse models of atherosclerosis, validating their use in research.
- Hypoxia influences key cellular processes in atherosclerosis, including lipid metabolism and cholesterol transport.
- Findings provide insights into the pathophysiology of atherosclerosis and potential therapeutic targets.
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