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Updated: Jul 18, 2025

Quantification of Atherosclerosis in Mice
Published on: June 12, 2019
Computationally Modelling Cholesterol Metabolism and Atherosclerosis
Callum Davies1, Amy E Morgan2, Mark T Mc Auley1
1Department of Physical, Mathematical and Engineering Sciences, University of Chester, Chester CH1 4BJ, UK.
Insights
This study integrates cholesterol metabolism and atherosclerosis models to understand cardiovascular disease. The new model identifies interventions to lower low-density lipoprotein cholesterol and prevent plaque formation.
Area of Science:
- Physiology
- Computational Biology
- Pathology
Background:
- Cardiovascular disease (CVD) is the leading global cause of mortality, driven by atherosclerosis.
- Elevated low-density lipoprotein cholesterol (LDL-C) is the primary risk factor for atherosclerosis.
- Existing mathematical models explore cholesterol metabolism and atherosclerosis dynamics separately due to scale differences.
Purpose of the Study:
- To develop a novel integrated mathematical model of whole-body cholesterol metabolism and atherosclerotic plaque formation.
- To bridge the gap between macroscale physiological processes and microscale pathological mechanisms.
- To utilize the integrated model for identifying therapeutic interventions.
Main Methods:
- Combined a mathematical model of cholesterol metabolism with a model of atherosclerotic plaque formation.
- Validated the integrated model's ability to reproduce outputs from parent models.
- Employed the new model to simulate and identify interventions.
Main Results:
- The integrated model successfully reproduces the behavior of its constituent models.
- Demonstrated the model's capability to simulate the interplay between cholesterol metabolism and atherosclerosis.
- Identified potential interventions targeting LDL-C reduction and plaque inhibition.
Conclusions:
- The integrated model provides a unified framework for studying cholesterol metabolism and atherosclerosis.
- This approach facilitates the discovery of novel therapeutic strategies for CVD.
- The model serves as a valuable tool for understanding and mitigating atherosclerosis progression.
Abstract:
Cardiovascular disease (CVD) is the leading cause of death globally. The underlying pathological driver of CVD is atherosclerosis. The primary risk factor for atherosclerosis is elevated low-density lipoprotein cholesterol (LDL-C). Dysregulation of cholesterol metabolism is synonymous with a rise in LDL-C. Due to the complexity of cholesterol metabolism and atherosclerosis mathematical models are routinely used to explore their non-trivial dynamics. Mathematical modelling has generated a wealth of useful biological insights, which have deepened our understanding of these processes. To date however, no model has been developed which fully captures how whole-body cholesterol metabolism intersects with atherosclerosis. The main reason for this is one of scale. Whole body cholesterol metabolism is defined by macroscale physiological processes, while atherosclerosis operates mainly at a microscale. This work describes how a model of cholesterol metabolism was combined with a model of atherosclerotic plaque formation. This new model is capable of reproducing the output from its parent models. Using the new model, we demonstrate how this system can be utilized to identify interventions that lower LDL-C and abrogate plaque formation.
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