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Updated: Sep 15, 2025

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Published on: August 20, 2019
12/15-lipoxygenase mediates disturbed flow-induced endothelial dysfunction and atherosclerosis
Jia Wei Chen1,2, Shi Li Chen3, Xin Rui Wu1,2
1Department of Cardiovascular Medicine, Ruijin Hospital, Shanghai Jiao-Tong University School of Medicine, 197 Ruijin Er Rd, Shanghai, 200025, China.
Disturbed blood flow increases 12/15-lipoxygenase (12/15-LOX) in endothelial cells, promoting atherosclerosis. Targeting the SREBP2-12/15-LOX pathway may treat this condition.
Area of Science:
- Vascular biology
- Molecular mechanisms of atherosclerosis
- Enzyme function in cardiovascular disease
Background:
- Disturbed blood flow is a key factor in endothelial dysfunction and atherosclerosis.
- 12/15-lipoxygenase (12/15-LOX) is a potential therapeutic target for atherosclerosis.
- The role of 12/15-LOX in disturbed flow-induced atherosclerosis is not well understood.
Purpose of the Study:
- To investigate the relationship between 12/15-LOX and disturbed flow-induced atherosclerosis.
- To elucidate the molecular mechanisms by which disturbed flow affects 12/15-LOX expression and function.
- To evaluate the therapeutic potential of targeting the 12/15-LOX pathway.
Main Methods:
- Comparing 12/15-LOX expression in endothelial cells under steady vs. disturbed flow in vivo and in vitro.
- Utilizing ALOX15 knockout mice, shRNA knockdown, and specific inhibitors to assess 12/15-LOX function.
- Employing a partial carotid ligation mouse model to study atherosclerosis development.
Main Results:
- 12/15-LOX expression is significantly upregulated in endothelial cells at disturbed flow sites.
- 12/15-LOX promotes endothelial dysfunction and atherosclerosis development under disturbed flow.
- Disturbed flow activates 12/15-LOX via SREBP2, leading to increased pro-inflammatory 15s-HETE production.
- Inhibition of 12/15-LOX attenuated atherosclerosis in disturbed flow regions.
Conclusions:
- Disturbed flow upregulates 12/15-LOX through SREBP2, exacerbating endothelial dysfunction and atherosclerosis.
- Targeting the SREBP2-12/15-LOX pathway offers a promising therapeutic strategy for disturbed flow-induced atherosclerosis.
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