Factor XI Deficiency in apoE/FXI Double-Knockout Mice Decreases Atherosclerosis by Lowering MSR1 mRNA Expression

Reut Shnerb Ganor1,2, Elvezia M Paraboschi3,4, Duga Stefano3,4

  • 1The Bert W. Strassburger Metabolic Center, Sheba Medical Center, Tel-Hashomer, Israel.

Abstract

Insights

Targeting coagulation factor XI (FXI) reduced atherosclerosis in mice by downregulating macrophage scavenger receptor 1 (MSR1). This suggests FXI is a potential therapeutic target for atherosclerosis beyond its antithrombotic effects.

Area of Science:

  • Cardiovascular Research
  • Molecular Biology
  • Immunology

Background:

  • Atherosclerosis is a major cause of death globally, inadequately managed by current therapies.
  • Absence of coagulation factor XI (FXI) in mice with apolipoprotein E knockout (apoE-/-) reduces atherosclerosis.
  • The molecular mechanisms by which FXI influences atherosclerosis are not fully understood.

Purpose of the Study:

  • To investigate the molecular pathways involved in FXI-mediated atherosclerosis.
  • To identify specific genes and pathways affected by the absence of FXI in atherosclerosis.

Main Methods:

  • Laser capture microdissection of aortic sinus plaques from apoE/FXI double knockout (DKO) and apoE knockout (KO) mice.
  • RNA sequencing and NanoString analysis of plaque RNA.
  • Immunohistochemical analysis of atherosclerotic lesions.

Main Results:

  • 64 out of 15,353 genes showed significant differential expression between DKO and KO mice.
  • Gene set enrichment analysis revealed 8 upregulated metabolic pathways in apoE KO mice, 7 linked to inflammation.
  • Significantly lower expression of macrophage scavenger receptor 1 (MSR1) was observed in DKO mice compared to apoE KO mice.

Conclusions:

  • Downregulated MSR1 in apoE/FXI DKO mice correlated with reduced atherosclerosis.
  • Targeting FXI presents a potential anti-atherogenic therapeutic strategy.
  • FXI inhibition may offer dual benefits: antithrombotic and anti-atherogenic effects.

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