PMID- 14699006 OWN - NLM STAT- MEDLINE DCOM- 20040209 LR - 20220331 IS - 1524-4539 (Electronic) IS - 0009-7322 (Linking) VI - 109 IP - 3 DP - 2004 Jan 27 TI - Toll-like receptor 4 is involved in outward arterial remodeling. PG - 393-8 AB - BACKGROUND: Toll-like receptor 4 (Tlr4) is the receptor for exogenous lipopolysaccharides (LPS). Expression of endogenous Tlr4 ligands, heat shock protein 60 (Hsp60) and extra domain A of fibronectin, has been observed in arthritic and oncological specimens in which matrix turnover is an important feature. In atherosclerosis, outward remodeling is characterized by matrix turnover and a structural change in arterial circumference and is associated with a vulnerable plaque phenotype. Since Tlr4 ligands are expressed during matrix turnover, we hypothesized that Tlr4 is involved in arterial remodeling. METHODS AND RESULTS: In a femoral artery cuff model in the atherosclerotic ApoE3 (Leiden) transgenic mouse, Tlr4 activation by LPS stimulated plaque formation and subsequent outward arterial remodeling. With the use of the same model in wild-type mice, neointima formation and outward remodeling occurred. In Tlr4-deficient mice, however, no outward arterial remodeling was observed independent of neointima formation. Carotid artery ligation in wild-type mice resulted in outward remodeling without neointima formation in the contralateral artery. This was associated with an increase in Tlr4 expression and EDA and Hsp60 mRNA levels. In contrast, outward remodeling was not observed after carotid ligation in Tlr4-deficient mice. CONCLUSIONS: These findings provide genetic evidence that Tlr4 is involved in outward arterial remodeling, probably through upregulation of Tlr4 and Tlr4 ligands. FAU - Hollestelle, Saskia C G AU - Hollestelle SC AD - Experimental Cardiology Laboratory, University Medical Center, Room G02-523, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands. d.dekleijn@hli.azu.nl FAU - De Vries, Margreet R AU - De Vries MR FAU - Van Keulen, J Karlijn AU - Van Keulen JK FAU - Schoneveld, Arjan H AU - Schoneveld AH FAU - Vink, Aryan AU - Vink A FAU - Strijder, Chaylendra F AU - Strijder CF FAU - Van Middelaar, Ben J AU - Van Middelaar BJ FAU - Pasterkamp, Gerard AU - Pasterkamp G FAU - Quax, Paul H A AU - Quax PH FAU - De Kleijn, Dominique P V AU - De Kleijn DP LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20031229 PL - United States TA - Circulation JT - Circulation JID - 0147763 RN - 0 (Apolipoprotein E3) RN - 0 (Apolipoproteins E) RN - 0 (Ligands) RN - 0 (Membrane Glycoproteins) RN - 0 (Receptors, Cell Surface) RN - 0 (Toll-Like Receptor 4) RN - 0 (Toll-Like Receptors) RN - 0 (apolipoprotein E3 (Leidein)) SB - IM MH - Animals MH - Apolipoprotein E3 MH - Apolipoproteins E/genetics MH - Arteries/*pathology MH - Arteriosclerosis/etiology/*pathology MH - Carotid Arteries/pathology MH - Female MH - Femoral Artery/pathology MH - Ligands MH - Membrane Glycoproteins/genetics/*physiology MH - Mice MH - Mice, Knockout MH - Mice, Transgenic MH - Receptors, Cell Surface/genetics/*physiology MH - Toll-Like Receptor 4 MH - Toll-Like Receptors EDAT- 2003/12/31 05:00 MHDA- 2004/02/11 05:00 CRDT- 2003/12/31 05:00 PHST- 2003/12/31 05:00 [pubmed] PHST- 2004/02/11 05:00 [medline] PHST- 2003/12/31 05:00 [entrez] AID - 01.CIR.0000109140.51366.72 [pii] AID - 10.1161/01.CIR.0000109140.51366.72 [doi] PST - ppublish SO - Circulation. 2004 Jan 27;109(3):393-8. doi: 10.1161/01.CIR.0000109140.51366.72. Epub 2003 Dec 29.