PMID- 22699504 OWN - NLM STAT- MEDLINE DCOM- 20120918 LR - 20211021 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 109 IP - 27 DP - 2012 Jul 3 TI - Notch ligand delta-like 4 blockade attenuates atherosclerosis and metabolic disorders. PG - E1868-77 LID - 10.1073/pnas.1116889109 [doi] AB - Atherosclerosis and insulin resistance are major components of the cardiometabolic syndrome, a global health threat associated with a systemic inflammatory state. Notch signaling regulates tissue development and participates in innate and adaptive immunity in adults. The role of Notch signaling in cardiometabolic inflammation, however, remains obscure. We noted that a high-fat, high-cholesterol diet increased expression of the Notch ligand Delta-like 4 (Dll4) in atheromata and fat tissue in LDL-receptor-deficient mice. Blockade of Dll4-Notch signaling using neutralizing anti-Dll4 antibody attenuated the development of atherosclerosis, diminished plaque calcification, improved insulin resistance, and decreased fat accumulation. These changes were accompanied by decreased macrophage accumulation, diminished expression of monocyte chemoattractant protein-1 (MCP-1), and lower levels of nuclear factor-kappaB (NF-kappaB) activation. In vitro cell culture experiments revealed that Dll4-mediated Notch signaling increases MCP-1 expression via NF-kappaB, providing a possible mechanism for in vivo effects. Furthermore, Dll4 skewed macrophages toward a proinflammatory phenotype ("M1"). These results suggest that Dll4-Notch signaling plays a central role in the shared mechanism for the pathogenesis of cardiometabolic disorders. FAU - Fukuda, Daiju AU - Fukuda D AD - Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - Aikawa, Elena AU - Aikawa E FAU - Swirski, Filip K AU - Swirski FK FAU - Novobrantseva, Tatiana I AU - Novobrantseva TI FAU - Kotelianski, Victor AU - Kotelianski V FAU - Gorgun, Cem Z AU - Gorgun CZ FAU - Chudnovskiy, Aleksey AU - Chudnovskiy A FAU - Yamazaki, Hiroyuki AU - Yamazaki H FAU - Croce, Kevin AU - Croce K FAU - Weissleder, Ralph AU - Weissleder R FAU - Aster, Jon C AU - Aster JC FAU - Hotamisligil, Gokhan S AU - Hotamisligil GS FAU - Yagita, Hideo AU - Yagita H FAU - Aikawa, Masanori AU - Aikawa M LA - eng GR - R01 HL095612/HL/NHLBI NIH HHS/United States GR - R01 HL107550/HL/NHLBI NIH HHS/United States GR - R01HL107550/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20120613 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (Antibodies, Neutralizing) RN - 0 (Calcium-Binding Proteins) RN - 0 (Ccl2 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (DLL4 protein, human) RN - 0 (DLL4 protein, mouse) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (Intracellular Signaling Peptides and Proteins) RN - 0 (Membrane Proteins) RN - 0 (Receptors, LDL) RN - 0 (Receptors, Notch) SB - IM MH - 3T3-L1 Cells MH - Adaptor Proteins, Signal Transducing MH - Adipocytes/cytology/metabolism MH - Adipose Tissue/metabolism MH - Animals MH - Antibodies, Neutralizing/*pharmacology MH - Aortic Valve Insufficiency/immunology/metabolism MH - Atherosclerosis/immunology/*metabolism/therapy MH - Calcium-Binding Proteins MH - Chemokine CCL2/metabolism MH - Endothelial Cells/cytology/metabolism MH - Humans MH - Immunity, Innate/physiology MH - Insulin Resistance/physiology MH - Intercellular Signaling Peptides and Proteins/immunology/*metabolism MH - Intracellular Signaling Peptides and Proteins/genetics/immunology/*metabolism MH - Macrophages/immunology/metabolism MH - Membrane Proteins/genetics/immunology/*metabolism MH - Metabolic Syndrome/immunology/*metabolism/therapy MH - Mice MH - Mice, Obese MH - Mice, Transgenic MH - Receptors, LDL/genetics MH - Receptors, Notch/metabolism MH - Saphenous Vein/cytology MH - Signal Transduction/physiology PMC - PMC3390871 COIS- The authors declare no conflict of interest. EDAT- 2012/06/16 06:00 MHDA- 2012/09/19 06:00 PMCR- 2013/01/03 CRDT- 2012/06/16 06:00 PHST- 2012/06/16 06:00 [entrez] PHST- 2012/06/16 06:00 [pubmed] PHST- 2012/09/19 06:00 [medline] PHST- 2013/01/03 00:00 [pmc-release] AID - 1116889109 [pii] AID - 201116889 [pii] AID - 10.1073/pnas.1116889109 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2012 Jul 3;109(27):E1868-77. doi: 10.1073/pnas.1116889109. Epub 2012 Jun 13.