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Published in: Basic Research in Cardiology 6/2020

01-12-2020 | Atorvastatin | Original Contribution

Inhibition of macrophage proliferation dominates plaque regression in response to cholesterol lowering

Authors: Carmen Härdtner, Jan Kornemann, Katja Krebs, Carolin A. Ehlert, Alina Jander, Jiadai Zou, Christopher Starz, Simon Rauterberg, Diana Sharipova, Bianca Dufner, Natalie Hoppe, Tsai-Sang Dederichs, Florian Willecke, Peter Stachon, Timo Heidt, Dennis Wolf, Constantin von zur Mühlen, Josef Madl, Peter Kohl, Rafael Kaeser, Tobias Boettler, Elsbeth J. Pieterman, Hans M. G. Princen, Benoît Ho-Tin-Noé, Filip K. Swirski, Clinton S. Robbins, Christoph Bode, Andreas Zirlik, Ingo Hilgendorf

Published in: Basic Research in Cardiology | Issue 6/2020

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Abstract

Statins induce plaque regression characterized by reduced macrophage content in humans, but the underlying mechanisms remain speculative. Studying the translational APOE*3-Leiden.CETP mouse model with a humanized lipoprotein metabolism, we find that systemic cholesterol lowering by oral atorvastatin or dietary restriction inhibits monocyte infiltration, and reverses macrophage accumulation in atherosclerotic plaques. Contrary to current believes, none of (1) reduced monocyte influx (studied by cell fate mapping in thorax-shielded irradiation bone marrow chimeras), (2) enhanced macrophage egress (studied by fluorescent bead labeling and transfer), or (3) atorvastatin accumulation in murine or human plaque (assessed by mass spectrometry) could adequately account for the observed loss in macrophage content in plaques that undergo phenotypic regression. Instead, suppression of local proliferation of macrophages dominates phenotypic plaque regression in response to cholesterol lowering: the lower the levels of serum LDL-cholesterol and lipid contents in murine aortic and human carotid artery plaques, the lower the rates of in situ macrophage proliferation. Our study identifies macrophage proliferation as the predominant turnover determinant and an attractive target for inducing plaque regression.
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Metadata
Title
Inhibition of macrophage proliferation dominates plaque regression in response to cholesterol lowering
Authors
Carmen Härdtner
Jan Kornemann
Katja Krebs
Carolin A. Ehlert
Alina Jander
Jiadai Zou
Christopher Starz
Simon Rauterberg
Diana Sharipova
Bianca Dufner
Natalie Hoppe
Tsai-Sang Dederichs
Florian Willecke
Peter Stachon
Timo Heidt
Dennis Wolf
Constantin von zur Mühlen
Josef Madl
Peter Kohl
Rafael Kaeser
Tobias Boettler
Elsbeth J. Pieterman
Hans M. G. Princen
Benoît Ho-Tin-Noé
Filip K. Swirski
Clinton S. Robbins
Christoph Bode
Andreas Zirlik
Ingo Hilgendorf
Publication date
01-12-2020
Publisher
Springer Berlin Heidelberg
Published in
Basic Research in Cardiology / Issue 6/2020
Print ISSN: 0300-8428
Electronic ISSN: 1435-1803
DOI
https://doi.org/10.1007/s00395-020-00838-4

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