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Updated: Jan 31, 2026

Depletion and Reconstitution of Macrophages in Mice
Published on: August 1, 2012
Everolimus depletes plaque macrophages, abolishes intraplaque neovascularization and improves survival in mice with
Ammar Kurdi1, Lynn Roth1, Bieke Van der Veken1
1Laboratory of Physiopharmacology, Department of Pharmaceutical Sciences, University of Antwerp, Antwerp, Belgium.
Background And Aims:
Inhibition of the mechanistic target of rapamycin (mTOR) is a promising approach to halt atherogenesis in different animal models. This study evaluated whether the mTOR inhibitor everolimus can stabilize pre-existing plaques, prevent cardiovascular complications and improve survival in a mouse model of advanced atherosclerosis.
Methods:
ApoE-/-Fbn1C1039G+/- mice (n = 24) were fed a Western diet (WD) for 12 weeks. Subsequently, mice were treated with everolimus (1.5 mg/kg daily) or vehicle for another 12 weeks while the WD continued.
Results:
Despite hypercholesterolemia, everolimus treatment was associated with a reduction in circulating Ly6Chigh monocytes (15 vs. 28% of total leukocytes, p = 0.046), a depletion of plaque macrophages (2.1 vs. 4.1%, p = 0.040) and an abolishment of intraplaque neovascularization, which are all indicative of a more stable plaque phenotype. Moreover, everolimus reduced hypoxic brain damage and improved cardiac function, which led to increased survival (100 vs. 67% of animals, p = 0.038).
Conclusions:
Everolimus enhances features of plaque stability and counters cardiovascular complications in ApoE-/-Fbn1C1039G+/- mice, even when administered at a later stage of the disease.
Insights
Everolimus, an mTOR inhibitor, stabilized atherosclerotic plaques and improved survival in mice. This study shows its potential in treating advanced atherosclerosis and cardiovascular complications.
Area of Science:
- Cardiovascular Research
- Pharmacology
- Immunology
Background:
- Mechanistic target of rapamycin (mTOR) inhibition is a promising strategy for halting atherosclerosis.
- Pre-existing research indicates mTOR inhibitors are effective in animal models of atherosclerosis.
Purpose of the Study:
- To evaluate the efficacy of the mTOR inhibitor everolimus in stabilizing pre-existing atherosclerotic plaques.
- To determine if everolimus can prevent cardiovascular complications and improve survival in a mouse model of advanced atherosclerosis.
Main Methods:
- ApoE-/-Fbn1C1039G+/- mice were fed a Western diet for 12 weeks.
- Mice then received daily treatment with everolimus (1.5 mg/kg) or vehicle for 12 weeks while continuing the Western diet.
Main Results:
- Everolimus treatment reduced circulating Ly6Chigh monocytes and plaque macrophages, indicating plaque stabilization.
- Intraplaque neovascularization was abolished, and hypoxic brain damage was reduced.
- Cardiac function improved, leading to significantly increased survival rates (100% in everolimus group vs. 67% in vehicle group).
Conclusions:
- Everolimus administration enhances atherosclerotic plaque stability in mice.
- The mTOR inhibitor effectively counters cardiovascular complications, including improved survival, even when treatment is initiated later in the disease course.
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