PMID- 27062234 OWN - NLM STAT- MEDLINE DCOM- 20170727 LR - 20180531 IS - 1916-7075 (Electronic) IS - 0828-282X (Linking) VI - 32 IP - 8 DP - 2016 Aug TI - Regulating Inflammatory Immune Response to Atherogenic Antigens Prevents Development and Progression of Atherosclerosis in New Zealand White Rabbits. PG - 1008.e1-1008.e10 LID - S0828-282X(15)01491-9 [pii] LID - 10.1016/j.cjca.2015.09.022 [doi] AB - BACKGROUND: Inflammatory immune response to atherogenic self-antigens plays an important role in the development of atherosclerosis. We evaluated the role of oral tolerance to three peptides in controlling atherosclerosis in New Zealand white rabbits. METHODS: Peptides derived from apolipoprotein B (ApoB), heat shock protein 60, and outer membrane protein from Chlamydia pneumoniae were expressed as part of the dendroaspin protein scaffold (AHC). Groups of 3-month-old rabbits were dosed orally with purified AHC protein either before the onset of disease or 2 months after inducing atherosclerosis; they were euthanized at the age of 7 months to study disease development and progression. RESULTS: Oral treatment with AHC resulted in a marked increase in regulatory T cells in the lymphoid organs and reduced the development and progression of atherosclerosis by 48.6% and 28.4%, respectively (P < 0.05). Oral tolerance decreased plaque inflammation, enhanced expression of anti-inflammatory and regulatory markers in the aorta, and attenuated the adaptive immune response to self-antigens. AHC treatment in rabbits with established disease significantly decreased vascular cell adhesion molecule 1 (VCAM-1) (6.2 fold) and monocyte chemoattractant protein-1(MCP-1) (3 fold) expression and reduced the infiltration of macrophages into the aorta. Collagen content and the smooth muscle cell-to-macrophage ratio were higher in treated animals, whereas markers of plaque vulnerability, including matrix metalloproteinase expression, were reduced. CONCLUSIONS: Our results suggest that oral tolerance to multiantigenic AHC molecule restores the immune balance and induces markers of plaque stability in rabbits. CI - Copyright (c) 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved. FAU - Philip, Sheena AU - Philip S AD - Mary and Gary Western and Tata Molecular Immunology Unit, Thrombosis Research Institute, Bangalore, India. FAU - Ponnusamy, Thiruvelselvan AU - Ponnusamy T AD - Manipal University at Thrombosis Research Institute, Bangalore, India. FAU - Rao, Lakshmi Narasimha AU - Rao LN AD - Manipal University at Thrombosis Research Institute, Bangalore, India. FAU - Biradar, Suryakant AU - Biradar S AD - Mary and Gary Western and Tata Molecular Immunology Unit, Thrombosis Research Institute, Bangalore, India. FAU - Kumar, Ramesh AU - Kumar R AD - Mary and Gary Western and Tata Molecular Immunology Unit, Thrombosis Research Institute, Bangalore, India. FAU - Deshpande, Vrushali AU - Deshpande V AD - Mary and Gary Western and Tata Molecular Immunology Unit, Thrombosis Research Institute, Bangalore, India. FAU - Lu, Xinjie AU - Lu X AD - Molecular Immunology Unit, Thrombosis Research Institute, London, United Kingdom. FAU - Kakkar, Vijay V AU - Kakkar VV AD - Mary and Gary Western and Tata Molecular Immunology Unit, Thrombosis Research Institute, Bangalore, India; Molecular Immunology Unit, Thrombosis Research Institute, London, United Kingdom. FAU - Mundkur, Lakshmi A AU - Mundkur LA AD - Mary and Gary Western and Tata Molecular Immunology Unit, Thrombosis Research Institute, Bangalore, India. Electronic address: lakshmi.mundkur@triindia.org.in. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151022 PL - England TA - Can J Cardiol JT - The Canadian journal of cardiology JID - 8510280 RN - 0 (Apolipoproteins B) RN - 0 (Bacterial Outer Membrane Proteins) RN - 0 (Chaperonin 60) RN - 0 (Chemokine CCL2) RN - 0 (Cytokines) RN - 0 (Elapid Venoms) RN - 0 (Peptide Fragments) RN - 0 (Vascular Cell Adhesion Molecule-1) RN - 141319-23-5 (mambin) RN - 9007-34-5 (Collagen) RN - EC 6.3.2.3 (Glutathione Synthase) SB - IM MH - Adaptive Immunity MH - Animals MH - Aorta/cytology MH - Apolipoproteins B/*administration & dosage MH - Atherosclerosis/*immunology/pathology MH - Bacterial Outer Membrane Proteins/*administration & dosage MH - Chaperonin 60/*administration & dosage MH - Chemokine CCL2/metabolism MH - Chlamydophila pneumoniae MH - Collagen/metabolism MH - Cytokines/blood MH - Disease Progression MH - Elapid Venoms MH - Glutathione Synthase/administration & dosage MH - Immune Tolerance/immunology MH - Lymph Nodes/cytology MH - Macrophages/metabolism MH - Myocytes, Smooth Muscle/cytology MH - Peptide Fragments/*administration & dosage MH - Plaque, Atherosclerotic/immunology/pathology MH - Rabbits MH - Spleen/cytology MH - T-Lymphocytes/metabolism MH - Vascular Cell Adhesion Molecule-1/metabolism EDAT- 2016/04/12 06:00 MHDA- 2017/07/28 06:00 CRDT- 2016/04/11 06:00 PHST- 2015/08/06 00:00 [received] PHST- 2015/09/02 00:00 [revised] PHST- 2015/09/03 00:00 [accepted] PHST- 2016/04/11 06:00 [entrez] PHST- 2016/04/12 06:00 [pubmed] PHST- 2017/07/28 06:00 [medline] AID - S0828-282X(15)01491-9 [pii] AID - 10.1016/j.cjca.2015.09.022 [doi] PST - ppublish SO - Can J Cardiol. 2016 Aug;32(8):1008.e1-1008.e10. doi: 10.1016/j.cjca.2015.09.022. Epub 2015 Oct 22.