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Updated: Dec 12, 2025

Quantification of Atherosclerosis in Mice
Published on: June 12, 2019
Protective Role of C3aR (C3a Anaphylatoxin Receptor) Against Atherosclerosis in Atherosclerosis-Prone Mice
Lin-Lin Wei1, Ning Ma1, Kun-Yi Wu1
1From the Core Research Laboratory (L.-L.W., N.M., K.-Y.W., J.-X.W., T.-Y.D., S.-J.Z., K.L.), Xi'an Jiaotong University, China.
Objective:
Emerging evidence suggests that C3aR (C3a anaphylatoxin receptor) signaling has protective roles in various inflammatory-related diseases. However, its role in atherosclerosis has been unknown. The purpose of the study was to investigate the possible protective role of C3aR in aortic atherosclerosis and explore molecular and cellular mechanisms involved in the protection. Approach and Results: C3ar-/-/Apoe-/- mice were generated by cross-breeding of atherosclerosis-prone Apoe-/- mice and C3ar-/- mice. C3ar-/-/Apoe-/- mice and Apoe-/- mice (as a control) underwent high-fat diet for 16 weeks were assessed for (1) atherosclerotic plaque burden, (2) aortic tissue inflammation, (3) recruitment of CD11b+ leukocytes into atherosclerotic lesions, and (4) systemic inflammatory responses. Compared with Apoe-/- mice, C3ar-/-/Apoe-/- mice developed more severe atherosclerosis. In addition, C3ar-/-/Apoe-/- mice have increased local production of proinflammatory mediators (eg, CCL2 [chemokine (C-C motif) ligand 2], TNF [tumor necrosis factor]-α) and infiltration of monocyte/macrophage in aortic tissue, and their lesional macrophages displayed an M1-like phenotype. Local pathological changes were associated with enhanced systemic inflammatory responses (ie, elevated plasma levels of CCL2 and TNF-α, increased circulating inflammatory cells). In vitro analyses using peritoneal macrophages showed that C3a stimulation resulted in upregulation of M2-associated signaling and molecules, but suppression of M1-associated signaling and molecules, supporting the roles of C3a/C3aR axis in mediating anti-inflammatory response and promoting M2 macrophage polarization.
Conclusions:
Our findings demonstrate a protective role for C3aR in the development of atherosclerosis and suggest that C3aR confers the protection through C3a/C3aR axis-mediated negative regulation of proinflammatory responses and modulation of macrophage toward the anti-inflammatory phenotype.
Insights
The C3a anaphylatoxin receptor (C3aR) plays a protective role in atherosclerosis. Its absence exacerbates disease by increasing inflammation and promoting pro-inflammatory M1 macrophage polarization.
Area of Science:
- Immunology
- Cardiovascular Biology
- Complement System
Background:
- Emerging evidence indicates protective roles for C3a anaphylatoxin receptor (C3aR) signaling in inflammatory diseases.
- The specific role of C3aR in atherosclerosis remains largely unknown.
Purpose of the Study:
- To investigate the potential protective role of C3aR in aortic atherosclerosis.
- To explore the underlying molecular and cellular mechanisms involved in C3aR-mediated protection.
Main Methods:
- Generation of C3aR-deficient/ApoE-deficient (C3ar-/-/Apoe-/-) mice by cross-breeding.
- Assessment of atherosclerotic plaque burden, aortic tissue inflammation, leukocyte infiltration, and systemic inflammatory responses in mice fed a high-fat diet for 16 weeks.
- In vitro analysis of peritoneal macrophages stimulated with C3a.
Main Results:
- C3ar-/-/Apoe-/- mice exhibited more severe atherosclerosis compared to Apoe-/- controls.
- Absence of C3aR led to increased local production of pro-inflammatory mediators (CCL2, TNF-α) and enhanced monocyte/macrophage infiltration with an M1-like phenotype in aortic lesions.
- Mice lacking C3aR showed heightened systemic inflammatory responses, including elevated plasma CCL2 and TNF-α levels.
- In vitro, C3a stimulation promoted anti-inflammatory M2 macrophage polarization while suppressing M1 polarization.
Conclusions:
- C3aR plays a protective role in the development of atherosclerosis.
- The C3a/C3aR axis confers protection by negatively regulating pro-inflammatory responses.
- C3aR modulates macrophage polarization towards an anti-inflammatory phenotype, thereby mitigating atherosclerosis.
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