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Updated: Apr 21, 2026

A Human Ex Vivo Atherosclerotic Plaque Model to Study Lesion Biology
Published on: May 6, 2014
P2Y6 receptor potentiates pro-inflammatory responses in macrophages and exhibits differential roles in
Ricardo A Garcia1, Mujing Yan1, Debra Search1
1Cardiovascular Drug Discovery, Bristol-Myers Squibb Company, Pennington, New Jersey, United States of America.
Background:
P2Y(6), a purinergic receptor for UDP, is enriched in atherosclerotic lesions and is implicated in pro-inflammatory responses of key vascular cell types and macrophages. Evidence for its involvement in atherogenesis, however, has been lacking. Here we use cell-based studies and three murine models of atherogenesis to evaluate the impact of P2Y(6) deficiency on atherosclerosis.
Methodology/Principal Findings:
Cell-based studies in 1321N1 astrocytoma cells, which lack functional P2Y(6) receptors, showed that exogenous expression of P2Y(6) induces a robust, receptor- and agonist-dependent secretion of inflammatory mediators IL-8, IL-6, MCP-1 and GRO1. P2Y(6)-mediated inflammatory responses were also observed, albeit to a lesser extent, in macrophages endogenously expressing P2Y(6) and in acute peritonitis models of inflammation. To evaluate the role of P2Y(6) in atherosclerotic lesion development, we used P2Y(6)-deficient mice in three mouse models of atherosclerosis. A 43% reduction in aortic arch plaque was observed in high fat-fed LDLR knockout mice lacking P2Y(6) receptors in bone marrow-derived cells. In contrast, no effect on lesion development was observed in fat-fed whole body P2Y(6)xLDLR double knockout mice. Interestingly, in a model of enhanced vascular inflammation using angiotensin II, P2Y(6) deficiency enhanced formation of aneurysms and exhibited a trend towards increased atherosclerosis in the aorta of LDLR knockout mice.
Conclusions:
P2Y(6) receptor augments pro-inflammatory responses in macrophages and exhibits a pro-atherogenic role in hematopoietic cells. However, the overall impact of whole body P2Y(6) deficiency on atherosclerosis appears to be modest and could reflect additional roles of P2Y(6) in vascular disease pathophysiologies, such as aneurysm formation.
Insights
The P2Y(6) receptor promotes inflammation in macrophages and contributes to atherosclerosis development in hematopoietic cells. However, its overall impact on the disease is modest, with potential roles in aneurysm formation.
Area of Science:
- Cardiovascular Biology
- Immunology
- Purinergic Signaling
Background:
- The P2Y(6) receptor, activated by UDP, is present in atherosclerotic lesions and influences inflammatory responses in vascular cells and macrophages.
- Previous evidence linking P2Y(6) to atherogenesis was limited.
Purpose of the Study:
- To investigate the role of the P2Y(6) receptor in the development of atherosclerosis.
- To evaluate the impact of P2Y(6) deficiency on inflammatory responses and lesion formation in murine models.
Main Methods:
- Cell-based assays with astrocytoma cells and macrophages to assess P2Y(6) function and inflammatory mediator secretion.
- Utilized three murine models of atherogenesis, including P2Y(6)-deficient mice crossed with LDLR knockout mice.
- Administered high-fat diets and angiotensin II to induce atherosclerosis and vascular inflammation.
Main Results:
- Exogenous P2Y(6) expression induced secretion of inflammatory mediators (IL-8, IL-6, MCP-1, GRO1) in cell lines.
- P2Y(6) deficiency in bone marrow-derived cells reduced aortic arch plaque by 43% in high-fat fed LDLR knockout mice.
- Whole-body P2Y(6) deficiency did not affect lesion development in another model, but P2Y(6) deficiency enhanced aneurysm formation in an angiotensin II-induced model.
Conclusions:
- The P2Y(6) receptor enhances pro-inflammatory responses in macrophages and plays a pro-atherogenic role in hematopoietic cells.
- The overall effect of P2Y(6) deficiency on atherosclerosis is modest.
- P2Y(6) may have additional roles in vascular diseases, including aneurysm formation.
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