ADAMTS13 modulates atherosclerotic plaque progression in mice via a VWF-dependent mechanism

被引:37
作者
Gandhi, C. [1 ]
Ahmad, A. [1 ]
Wilson, K. M. [1 ]
Chauhan, A. K. [1 ]
机构
[1] Univ Iowa, Dept Internal Med, Iowa City, IA 52242 USA
关键词
ADAMTS13; protein; atherosclerosis; inflammation; neutrophils; thrombosis; von Willebrand Factor; VON-WILLEBRAND-FACTOR; MYOCARDIAL ISCHEMIA/REPERFUSION INJURY; ISCHEMIC-STROKE; MOUSE MODEL; INFLAMMATION; DEFICIENCY; THROMBOSIS; ADHESION;
D O I
10.1111/jth.12456
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BackgroundADAMTS13 reduces the adhesiveness of hyperactive ultra-large von Willebrand factor (ULVWF) multimers by cleaving them into smaller, less active multimers. Recently, we and others have demonstrated that ADAMTS13 reduces atherosclerosis in hypercholesteremic apolipoprotein E (ApoE-/-) deficient mice. It is not known whether ADAMTS13 modulates atherosclerosis directly or indirectly by cleaving ULVWF multimers. ObjectiveWe generated triple knockout Adamts13-/-/Vwf-/-/ApoE-/- mice to determine whether ADAMTS13 modulates atherosclerosis through its proteolytic effects on VWF or other potential mechanisms. MethodsFemale mice were fed a high-fat Western diet beginning at 6weeks of age until they were sacrificed at 4months. We compared the extent of atherosclerosis in the serial cross-sections of the aortic sinus using the Verhoeff-Van Gieson stain. Macrophage and neutrophil infiltration were quantified by immunohistochemistry. Under plain polarized light interstitial collagen content in the serial cross-sections of the aortic sinus was quantified using picrosirius red stain. ResultsDeficiency of VWF in Adamts13-/-/ApoE-/- mice (Adamts13-/-/Vwf-/-/ApoE-/-) completely reversed exacerbated atherosclerosis (P<0.05 vs. Adamts13-/-/ApoE-/- mice). The lesion size, macrophage and neutrophil infiltration in the aortic sinus of Adamts13-/-/Vwf-/-/ApoE-/- mice were significantly decreased compared with Adamts13-/-/ApoE-/- mice (P<0.05), but similar to Vwf-/-/ApoE-/- mice. Additionally, interstitial collagen content in the aortic sinus of Adamts13-/-/Vwf-/-/ApoE-/- mice was significantly reduced compared with Adamts13-/-/ApoE-/- mice (P<0.05), but similar to Vwf-/-/ApoE-/- mice. Total cholesterol and triglyceride levels were similar among groups. ConclusionsADAMTS13 modulates inflammatory plaque progression in hypercholesterolemic mice through a VWF-dependent mechanism. These findings provide further evidence on the pathophysiological role for the ADAMTS13/VWF axis in atherosclerosis.
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页码:255 / 260
页数:6
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