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Atherosclerosis is a progressive disorder characterized by the buildup of plaques on the arterial inner wall, causing them to narrow and harden over time. These plaques comprise lipids, calcium, blood components, carbohydrates, and fibrous tissue. The process primarily affects the intima of large and medium-sized arteries, reducing blood flow in any artery.Etiology and risk factorsThe cause of atherosclerosis is multifactorial, involving a complex interplay among endothelial injury, lipid...
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Amyloid fibrils are aggregates of misfolded proteins.  Under most circumstances, misfolded proteins are either refolded by chaperone proteins or degraded by the proteasome. However, in the case of a mutation or a disease, these proteins can accumulate to form large clusters and often further assemble to form elongated fibers, called fibrils. 
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Updated: Feb 18, 2026

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Serum amyloid A3 is pro-atherogenic.

Joel C Thompson1, Patricia G Wilson1, Preetha Shridas2

  • 1Department of Veterans Affairs, Lexington, KY 40502, USA; Department of Internal Medicine, University of Kentucky, Lexington, KY, 40536, USA; Barnstable Brown Diabetes Center, University of Kentucky, Lexington, KY, 40536, USA; Saha Cardiovascular Research Center, University of Kentucky, Lexington, KY, 40536, USA.

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Serum amyloid A3 (SAA3) significantly increases atherosclerosis in mice. This finding resolves a paradox and supports the role of SAA in cardiovascular disease development.

Keywords:
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Area of Science:

  • Cardiovascular biology
  • Immunology
  • Molecular medicine

Background:

  • Serum amyloid A (SAA) is linked to cardiovascular events.
  • Murine SAA isoforms SAA1.1 and SAA2.1 deficiency do not impact atherosclerosis.
  • SAA3 is an expressed acute phase isoform in mice, unlike in humans.

Purpose of the Study:

  • To investigate the role of SAA3 in atherosclerosis development in mice.
  • To determine if SAA3 exacerbates or ameliorates atherosclerosis.

Main Methods:

  • ApoE knockout mice were utilized as the atherosclerosis model.
  • Adeno-associated virus mediated SAA3 overexpression.
  • Anti-sense oligonucleotide approach was used for SAA3 suppression.

Main Results:

  • SAA3 overexpression resulted in a 4-fold increase in atherosclerosis lesion area.
  • SAA3 suppression significantly decreased atherosclerosis in SAA1.1/SAA2.1 deficient mice.
  • Statistical significance was observed for both overexpression (p=0.01) and suppression (p<0.0001) studies.

Conclusions:

  • SAA3 plays a pro-atherogenic role in mice.
  • These findings reconcile existing literature and support epidemiological data on SAA and atherosclerosis.