Midkine Promotes Atherosclerotic Plaque Formation Through Its Pro-Inflammatory, Angiogenic and Anti-Apoptotic

Yoshio Takemoto1,2, Mitsuru Horiba1,3,4, Masahide Harada1,5

  • 1Department of Cardiovascular Research, Research Institute of Environmental Medicine, Nagoya University.

Abstract

Insights

Midkine (MK) administration significantly accelerated atherosclerosis progression in ApoE-/- mice by promoting inflammation and angiogenesis while reducing apoptosis. These findings suggest MK as a potential therapeutic target for preventing atherosclerosis.

Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • Atherosclerosis Research

Background:

  • Midkine (MK), a heparin-binding growth factor, is implicated in atherosclerosis progression.
  • Previous research linked MK to neointima formation, but its role in atherosclerosis development was unclear.

Purpose of the Study:

  • To investigate the effect of MK administration on atherosclerotic plaque formation.
  • To assess MK's role in the development of atherosclerosis in apolipoprotein E-knockout (ApoE-/-) mice.

Main Methods:

  • Human recombinant MK protein was administered intraperitoneally to ApoE-/- mice for 12 weeks.
  • ApoE-/- mice on a high-fat diet received either MK or saline (control).
  • Atherosclerotic lesion areas, inflammatory/angiogenic factors, macrophage infiltration, and apoptosis were analyzed.

Main Results:

  • MK administration significantly increased atherosclerotic lesion areas in ApoE-/- mice.
  • Pro-inflammatory and angiogenic mRNA levels were elevated in MK-treated mice.
  • Macrophage percentage increased, while apoptotic cell percentage decreased in aortic root lesions of MK-treated mice.

Conclusions:

  • Systemic MK administration promotes atherosclerotic plaque formation in ApoE-/- mice.
  • MK exerts pro-inflammatory, angiogenic, and anti-apoptotic effects contributing to atherosclerosis.
  • MK represents a potential therapeutic target for preventing atherosclerosis under atherogenic conditions.