PMID- 19530126 OWN - NLM STAT- MEDLINE DCOM- 20091102 LR - 20220330 IS - 1098-2345 (Electronic) IS - 0275-2565 (Print) IS - 0275-2565 (Linking) VI - 71 IP - 9 DP - 2009 Sep TI - Primate models in women's health: inflammation and atherogenesis in female cynomolgus macaques (Macaca fascicularis). PG - 766-75 LID - 10.1002/ajp.20722 [doi] AB - Female cynomolgus monkeys are excellent models for understanding cardiovascular disease and the relationships between inflammatory processes and conditions such as atherogenesis. This review summarizes published research findings obtained through comprehensive, multidisciplinary, multi-investigator studies in nonhuman primates over the past two decades. These studies examined the effects of exogenous estrogens and dietary soy protein/isoflavones (IFs) on atherosclerosis, circulating biomarkers, and tissue inflammation in pre- and postmenopausal female cynomolgus monkeys. Inflammation may play a role in the initiation and progression of disease, be a consequence of the disease, or both. Circulating and tissue biomarkers with inflammatory and anti-inflammatory characteristics (including adhesion molecules such as e-selectin, VCAM-1, and ICAM-1, chemokines such as MCP-1, cytokines such as interleukins, and acute phase reactants such as CRP, and others) may be useful indicators of disease status. Treatment of postmenopausal subjects with estrogen resulted in significant reductions in several key inflammatory mediators as well as atherosclerosis, while dietary IF had a more limited effect on inflammation and atherogenesis. Circulating concentrations of key inflammatory proteins, including monocyte-chemoattractant protein-1 (MCP-1) and interleukin-6 (IL-6), were associated with atherosclerosis and lesion characteristics in these animals. In premenopausal female monkeys, a diet enriched in soy protein reduced arterial inflammation as well as atherogenesis in comparison to a diet enriched in casein-lactalbumin. Expression levels of arterial inflammation associated genes (MCP-1, ICAM-1) and markers for inflammatory cell types (macrophages and T cells) correlated with plaque size, were differentially influenced by treatments, and represent potential targets for interventions. Arterial expression of estrogen receptor alpha, the key mediator of estrogenic effects, was inversely correlated with plaque size and indices of inflammation, suggestive of an atheroprotective role. The findings provide additional evidence that circulating inflammatory markers (particularly MCP-1) may be useful indicators of atherosclerotic disease progression and responses to treatment in female primates, and that estrogens and dietary soy may inhibit atherogenesis in part through anti-inflammatory mechanisms. FAU - Register, Thomas C AU - Register TC AD - Wake Forest University Primate Center, Department of Pathology, Section on Comparative Medicine, Winston-Salem, North Carolina 27157-1040, USA. register@wfubmc.edu LA - eng GR - R03 AG018170-01/AG/NIA NIH HHS/United States GR - RR020890/RR/NCRR NIH HHS/United States GR - R03 AG018170/AG/NIA NIH HHS/United States GR - P01 HL045666-09A1/HL/NHLBI NIH HHS/United States GR - S10 RR020890/RR/NCRR NIH HHS/United States GR - P01 HL045666-080001/HL/NHLBI NIH HHS/United States GR - P01 HL045666/HL/NHLBI NIH HHS/United States GR - R01 AG028641/AG/NIA NIH HHS/United States GR - R01 AG028641-03/AG/NIA NIH HHS/United States GR - HL45666/HL/NHLBI NIH HHS/United States GR - P01 HL045666-120007/HL/NHLBI NIH HHS/United States GR - P01 HL045666-13/HL/NHLBI NIH HHS/United States GR - R01 HL079421-01/HL/NHLBI NIH HHS/United States GR - HL79421/HL/NHLBI NIH HHS/United States GR - AG28641/AG/NIA NIH HHS/United States GR - R01 HL079421-03/HL/NHLBI NIH HHS/United States GR - P01 HL045666-12/HL/NHLBI NIH HHS/United States GR - AA11204/AA/NIAAA NIH HHS/United States GR - R01 HL079421-02/HL/NHLBI NIH HHS/United States GR - R01 HL079421/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - United States TA - Am J Primatol JT - American journal of primatology JID - 8108949 RN - 0 (Biomarkers) RN - 0 (Estrogens) RN - 0 (Isoflavones) SB - IM MH - Animals MH - Atherosclerosis/drug therapy/*metabolism MH - Biomarkers/blood MH - *Disease Models, Animal MH - Estrogens/*metabolism/therapeutic use MH - Female MH - Gene Expression Regulation/drug effects MH - Humans MH - Inflammation/drug therapy/*metabolism MH - Isoflavones/*metabolism/therapeutic use MH - *Macaca fascicularis MH - *Women's Health PMC - PMC3753776 MID - NIHMS175695 EDAT- 2009/06/17 09:00 MHDA- 2009/11/03 06:00 PMCR- 2013/08/27 CRDT- 2009/06/17 09:00 PHST- 2009/06/17 09:00 [entrez] PHST- 2009/06/17 09:00 [pubmed] PHST- 2009/11/03 06:00 [medline] PHST- 2013/08/27 00:00 [pmc-release] AID - 10.1002/ajp.20722 [doi] PST - ppublish SO - Am J Primatol. 2009 Sep;71(9):766-75. doi: 10.1002/ajp.20722.