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Arteriosclerosis, Thrombosis, and Vascular Biology. 2000;20:2394-2400

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 2000;20:2394.)
© 2000 American Heart Association, Inc.


Vascular Biology

Interleukin-1 Receptor Antagonist Expression in Human Endothelial Cells and Atherosclerosis

Rachael Dewberry; Hazel Holden; David Crossman; Sheila Francis

From Cardiovascular Medicine, Division of Clinical Sciences, Northern General Hospital, and the Division of Molecular and Genetic Medicine (H.H.), University of Sheffield, Sheffield, UK.

Correspondence to Dr Sheila E. Francis, Cardiovascular Medicine, Division of Clinical Sciences, Northern General Hospital, Sheffield S5 7AU, UK. E-mail s.francis{at}sheffield.ac.uk

Abstract—The proinflammatory cytokine interleukin (IL)-1 is expressed mainly within the endothelium of atherosclerotic plaques and may be linked with inflammatory mechanisms of atherogenesis. IL-1 action is complex and regulated in part by its naturally occurring inhibitor, the IL-1 receptor antagonist (IL-1ra). Therefore, we studied differential and specific isoform expression of IL-1ra in the endothelium of diseased coronary arteries and in endothelial cells (ECs) stimulated under defined conditions. In view of an association with IL-1ra gene (IL-1RN) polymorphism, the influence of endothelial cell genotype at IL-1RN on IL-1ra protein production was also examined. Secreted IL-1ra and intracellular IL-1ra mRNAs were detected by semiquantitative reverse transcription–polymerase chain reaction in human atherosclerotic and dilated cardiomyopathic coronary arteries; protein expression appeared increased in atherosclerotic compared with dilated cardiomyopathic arteries, where IL-1ra appeared to be confined to the endothelium. Only intracellular IL-1ra type I mRNA was detected in human umbilical vein ECs (HUVECs) and human coronary artery ECs (HCAECs) when they were stimulated with bacterial lipopolysaccharide/phorbol myristate acetate and transforming growth factor-ß. IL-1ß and IL-1{alpha} were without effect. IL-1ra protein was detected in HUVECs (intracellular IL-1ra), HCAECs (intracellular IL-1ra), and human coronary artery smooth muscle cells (intracellular IL-1ra) by immunoprecipitation and Western blot. IL-1ra was detected in HUVEC cell lysates by ELISA and appeared to be influenced by the genotype of the IL-1RN variable number tandem repeat, an 86-bp repeat polymorphism in intron 2 of the IL-1ra gene, with lower levels of IL-1ra produced by IL-1RN allele 2–containing cells (ratio of IL-1ra to total protein: for 1,1 homozygotes, 1.38±0.28x10-9 [n=15]; for 1,2 heterozygotes, 0.81±0.17x10-9 [n=8]; and for 2,2 homozygotes, 0.63±0.19x10-9 [n=5]; P<0.05 compared with 1,1 homozygotes). This is the first demonstration of IL-1ra in human diseased arteries, stimulated HUVECs, and HCAECs and indicates the endothelial cell as an important source. Endothelial IL-1ra production may be controlled by the endothelial IL-1RN genotype. These data further support the role of the IL-1 system of cytokines in the pathogenesis of atherosclerosis.


Key Words: interleukin-1 receptor antagonist • endothelium • inflammation • human coronary arteries




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