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Circulation Research. 2005;97:763-771
Published online before print September 8, 2005, doi: 10.1161/01.RES.0000185320.82962.F7
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(Circulation Research. 2005;97:763.)
© 2005 American Heart Association, Inc.


Integrative Physiology

Increased Atherosclerosis in Mice Lacking Apolipoprotein A-I Attributable to Both Impaired Reverse Cholesterol Transport and Increased Inflammation

Ryan E. Moore, Mohamad Navab, John S. Millar, Francesca Zimetti, Susan Hama, George H. Rothblat, Daniel J. Rader

From the Institute for Translational Medicine and Therapeutics (R.E.M., J.S.M., D.J.R.), University of Pennsylvania School of Medicine, Philadelphia; Department of Medicine (M.N., S.H.), David Geffen School of Medicine at UCLA, Los Angeles, Calif; and Division of Gastroenterology and Nutrition (F.Z., G.H.R.), Department of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, Pa.

Correspondence to Daniel J. Rader, Institute for Translational Medicine and Therapeutics, University of Pennsylvania School of Medicine, 654 BRB II/III, 421 Curie Blvd, Philadelphia, PA 19104. E-mail rader{at}mail.med.upenn.edu

To test the hypothesis that apolipoprotein A-I (apoA-I) functions specifically to inhibit atherosclerosis independent of the level of high-density lipoprotein cholesterol (HDL-C) by promoting both reverse cholesterol transport and HDL antiinflammatory function in vivo, we established a murine atherosclerosis model of apoA-I deficiency in which the level of HDL-C is well maintained. ApoA-I–/– mice were crossed with atherosclerosis susceptible low-density lipoprotein receptor–/–/apobec–/– (LA) mice to generate LA mice with apoA-I+/+, apoA-I+/–, and apoA-I–/– genotypes. There were no major differences in the amounts of non–HDL-C and HDL-C in the plasma between different apoA-I genotypes. A significant inverse relationship was observed, however, between apoA-I gene dose and atherosclerosis in both female and male mice. Compared with LA-apoA-I+/+ mice, serum from LA-apoA-I–/– mice had a significantly reduced capacity to function as an acceptor of ABCA1- and SR-BI-mediated cellular cholesterol efflux, and also had markedly reduced lecithin cholesterol acyltransferase activity. In addition, LA-apoA-I–/– mice had significantly reduced macrophage-derived cholesterol esterification and reverse cholesterol transport in vivo. There was significantly reduced plasma paraoxonase (PON-1) activity, impaired HDL vascular antiinflammatory function, and increased basal levels of monocyte chemotactic protein-1 in the plasma of LA-apoA-I–/– mice compared with LA-apoA-I+/+ mice. In LA-apoA-I–/– mice, there was also greater induction of some, but not all, inflammatory cytokines and chemokines in response to intraperitoneal injection of lipopolysaccharide than in LA-apoA-I+/+ mice. We conclude that apoA-I inhibits atherosclerosis by promoting both macrophage reverse cholesterol transport and HDL antiinflammatory function, and that these anti-atherogenic functions of apoA-I are largely independent of the plasma level of HDL-C in this mouse model.


Key Words: antioxidant enzymes • atherosclerosis • lipoproteins • apolipoprotein A-I




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