PMID- 12438296 OWN - NLM STAT- MEDLINE DCOM- 20021125 LR - 20190623 IS - 1524-4539 (Electronic) IS - 0009-7322 (Linking) VI - 106 IP - 21 DP - 2002 Nov 19 TI - Anti-monocyte chemoattractant protein-1 gene therapy limits progression and destabilization of established atherosclerosis in apolipoprotein E-knockout mice. PG - 2700-6 AB - BACKGROUND: Monocyte infiltration into the arterial wall and its activation is the central event in atherogenesis. Thus, monocyte chemoattractant protein-1 (MCP-1) might be a novel therapeutic target against atherogenesis. We and others recently reported that blockade or abrogation of the MCP-1 pathway attenuates the initiation of atheroma formation in hypercholesterolemic mice. It remains unclear, however, whether blockade of MCP-1 can limit progression or destabilization of established lesions. METHODS AND RESULTS: We report here that blockade of MCP-1 by transfecting an N-terminal deletion mutant of the MCP-1 gene limited progression of preexisting atherosclerotic lesions in the aortic root in hypercholesterolemic mice. In addition, blockade of MCP-1 changed the lesion composition into a more stable phenotype, ie, containing fewer macrophages and lymphocytes, less lipid, and more smooth muscle cells and collagen. This strategy decreased expression of CD40 and the CD40 ligand in the atherosclerotic plaque and normalized the increased chemokine (RANTES and MCP-1) and cytokine (tumor necrosis factor alpha, interleukin-6, interleukin-1beta, and transforming growth factor beta(1)) gene expression. These data suggest that MCP-1 is a central mediator in the progression and destabilization of established atheroma. CONCLUSIONS: The results of the present study suggest that the inflammatory responses mediated by MCP-1 are important in atherosclerosis and its complications. FAU - Inoue, Shujiro AU - Inoue S AD - Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Egashira, Kensuke AU - Egashira K FAU - Ni, Weihua AU - Ni W FAU - Kitamoto, Shiro AU - Kitamoto S FAU - Usui, Makoto AU - Usui M FAU - Otani, Kisho AU - Otani K FAU - Ishibashi, Minako AU - Ishibashi M FAU - Hiasa, Ken-ichi AU - Hiasa K FAU - Nishida, Ken-ichi AU - Nishida K FAU - Takeshita, Akira AU - Takeshita A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Circulation JT - Circulation JID - 0147763 RN - 0 (Apolipoproteins E) RN - 0 (CD40 Antigens) RN - 0 (Ccr2 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (Chemokines) RN - 0 (Cytokines) RN - 0 (Peptide Fragments) RN - 0 (Receptors, CCR2) RN - 0 (Receptors, Chemokine) RN - 147205-72-9 (CD40 Ligand) RN - EC 3.4.24.- (Collagenases) RN - EC 3.4.24.- (Matrix Metalloproteinase 13) RN - EC 3.4.24.- (Mmp13 protein, mouse) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) SB - IM MH - Animals MH - Apolipoproteins E/*deficiency/genetics MH - Arteriosclerosis/genetics/pathology/*therapy MH - CD40 Antigens/metabolism MH - CD40 Ligand/metabolism MH - Chemokine CCL2/*antagonists & inhibitors/genetics/metabolism MH - Chemokines/genetics/metabolism MH - Collagenases/metabolism MH - Cytokines/genetics/metabolism MH - Disease Models, Animal MH - Disease Progression MH - Gene Transfer Techniques MH - Genetic Therapy/*methods MH - Hypercholesterolemia/genetics MH - Matrix Metalloproteinase 13 MH - Matrix Metalloproteinase 9/metabolism MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Muscle, Skeletal/drug effects/metabolism MH - Peptide Fragments/administration & dosage/genetics MH - Receptors, CCR2 MH - Receptors, Chemokine/metabolism MH - Signal Transduction/drug effects/genetics MH - T-Lymphocytes/pathology MH - Treatment Outcome MH - Up-Regulation/drug effects EDAT- 2002/11/20 04:00 MHDA- 2002/11/26 04:00 CRDT- 2002/11/20 04:00 PHST- 2002/11/20 04:00 [pubmed] PHST- 2002/11/26 04:00 [medline] PHST- 2002/11/20 04:00 [entrez] AID - 10.1161/01.cir.0000038140.80105.ad [doi] PST - ppublish SO - Circulation. 2002 Nov 19;106(21):2700-6. doi: 10.1161/01.cir.0000038140.80105.ad.