Articles |
From the Department of Medicine, University of California San Diego, La Jolla, Calif.
Correspondence to Wulf Palinski, MD, Department of Medicine, 0682, University of California, San Diego, 9500 Gilman Dr, La Jolla, CA 92093-0682.
| Abstract |
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Key Words: lipoproteins, oxidized antioxidants mice, gene-targeted apolipoprotein E arteriosclerosis
| Introduction |
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Recently, murine models such as apoE-deficient mice and LDL receptornegative mice have been generated that develop extensive atherosclerosis. These models could prove invaluable in assessing the atherogenic relevance of factors involved in the oxidative modification of lipoproteins.20 21 ApoE-deficient mice are characterized by spontaneous and very pronounced hypercholesterolemia, even when fed a low-fat diet.22 23 Atherosclerotic lesions in apoE-deficient mice occur throughout the aortic tree and show many features typical of lesions found in other animal models of atherosclerosis.24 25 26 Recent immunocytochemical studies demonstrated the presence of epitopes formed during the oxidative modification of LDL and other lipoproteins ("oxidation-specific" epitopes) in their atherosclerotic lesions.26 Additional evidence for the occurrence of oxidative modification in apoE-deficient mice is provided by their unusually high titers of circulating autoantibodies against oxidation-specific epitopes.26 However, to date no evidence has been provided for a causative role of lipoprotein oxidation in atherogenesis in this or other murine models. In order to provide such evidence, we determined the effect of treatment with the antioxidant DPPD on aortic atherosclerosis in apoE-deficient mice.
| Methods |
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Isolation of Lipoproteins and Analytical Methods
To monitor plasma cholesterol and
triglyceride levels during the 6 months of dietary
intervention, 100 µL of blood was collected in heparinized tubes from
the retro-orbital venous plexus of anesthetized mice. At
the end of the study 300 to 800 µL of blood was collected from the
vena cava of anesthetized mice immediately before sacrifice,
using heparinized syringes. Total plasma cholesterol and
triglyceride levels were determined with an automated
enzymatic procedure (Boehringer Mannheim
Diagnostics). Because of the limited amounts of plasma that
can be obtained from an individual mouse, terminal plasma samples from
two to four mice were pooled for the determination of the fatty acid
composition, the assessment of the susceptibility of lipoproteins to
oxidation, and the determination of the plasma concentration of
DPPD.
Lipoproteins (d <1.019 g/mL) were separated by ultracentrifugation (30 000 rpm, 5°C, 14 hours), using a Beckman L7-65 ultracentrifuge with a 50.3 rotor (Beckman Instruments). The density cutoff was chosen because VLDL and IDL account for most of the elevation in plasma lipoprotein levels in apoE-deficient mice on a high-fat diet.22 Protein concentrations of lipoprotein fractions were determined by the method of Lowry et al.27 The total lipids of the (d <1.019 g/mL) plasma lipoprotein fractions were extracted using a modification of the method of Folch et al.28 The lipids extracted from the lipoprotein fractions were then transmethylated29 and analyzed by gas chromatography (model 3700, Varian Associates) using a column of 10% Silar 5CP on Gas Chrom QII, 100/120 mesh (Alltech Associates), as previously described.30 The absolute quantity of total fatty acids in the sample was determined by addition of an internal standard of pentadecanoic acid (15:0) to each sample before lipid extraction. The amount of fatty acids with carbon chains longer than 20 was less than 3% of the total, so each run was truncated after elution of the C20 peaks.
Determination of DPPD Concentrations
The concentration of DPPD was determined both in plasma and in
the lipoprotein fraction (d <1.019 g/mL). Aliquots of
murine plasma or lipoprotein fractions were pooled from three to four
mice to obtain sufficient material for an accurate determination.
Because DPPD is a strongly basic compound, samples were acidified by
addition of an equal volume of 0.05 mol/L sulfuric acid, and lipids
were extracted by the method of Bligh and Dyer.31 Lipid
extracts were resuspended in isopropanol and analyzed by
reverse-phase high-performance liquid
chromatography (Hitachi Instruments), using a
Spherisorb C18 reverse-phase column (150x4.6 mm).
Methanol/water/acetic acid (90:9.8:0.2 vol/vol/vol) was used for
elution, and fluorescence was measured (excitation wavelength
310 nm, emission wavelength 405 nm) using an F-1050 fluorscence
spectrophotometer (Hitachi). DPPD concentrations were determined using
a standard curve obtained by adding DPPD to murine plasma from control
mice and subjecting the plasma to the same extraction procedures.
Susceptibility of Lipoproteins to Oxidation
The susceptibility of freshly isolated lipoproteins to oxidation
was assessed as follows. Immediately after isolation, duplicate
aliquots of the nondialyzed d <1.019 g/mL lipoprotein
fractions (50 µg protein, corresponding to 299 µg
cholesterol) were incubated with 10 µm CuSO4
in phosphate-buffered saline (PBS) (500 µL final volume) for 3.5,
7, and 16 hours at 37°C. After the incubation, lipids were extracted
as described above. The initial concentration of each fatty acid before
addition of copper was defined as 100%, and the susceptibility of
lipoproteins to oxidation was measured in terms of the percentage
decrease of total polyunsaturated fatty acids (linoleate and
arachidonate) over time during oxidation.
Because the amount of plasma available from the mice used in the intervention study was insufficient for both measurement of the degradation of polyunsaturated fatty acids and measurement of the lag times in the formation of conjugated dienes, the latter was measured subsequently in two additional groups of four apoE-deficient mice each, fed the same diets with and without DPPD. After 2 months, the LDL (1.019 <d <1.063 g/mL), IDL (1.006 <d <1.019 g/mL), and VLDL (d <1.006 g/mL) were prepared by sequential ultracentrifugation from each individual plasma sample. The lipoprotein fractions were extensively dialyzed against PBS (without EDTA) to remove the heparin, adjusted to 100 µg protein/mL with PBS, and CuSO4 was added at a final concentration of 5 µmol/L. The formation of conjugated dienes was determined in a Uvikon 810 spectrophotometer at 234 nm.32 Absorption at the beginning of the reaction was set to zero. Lag times were determined graphically as the time point at which the tangent to the curve during the maximum slope of the propagation phase intercepted the time axis.
Quantification of Aortic
Atherosclerosis
After 6 months of dietary intervention, aortas of the
apoE-deficient mice were prepared as previously
described.26 After collection of the terminal blood sample
from the vena cava, the animals were sacrificed. The aortic tree was
perfused for 20 minutes with PBS containing 20 µmol/L butylated
hydroxytoluene (BHT) and 2 mmol/L EDTA, pH 7.4, using a cannula
inserted into the left ventricle and allowing free efflux from an
incision in the vena cava. For an initial fixation of the aorta,
perfusion was continued for an additional 20 minutes with
formal-sucrose (4% paraformaldehyde, 5% sucrose,
20 µmol/L BHT, 2 mmol/L EDTA, pH 7.4). Adventitial tissue was removed
as much as possible, in situ. The aorta was opened longitudinally, from
the heart to the iliac bifurcation, pinned out on a black wax surface
in a dissecting pan, fixed with formal-sucrose for an additional 12
hours, and stained with Sudan IV.
Image analysis was performed as described in detail in Reference 3333 . Three partial images of each stained aorta were captured with a Sony DXC-960MD three-chip color video camera. Image analysis was performed on 24-bit color images, using OPTIMAS 4.0 image analysis software (Bioscan), an Oculus TCX color frame grabber with 4 megabytes of frame buffer memory (Coreco), and a separate VGA image monitor for the processed image. After retouching of the needle holes in the captured image, the extent of atherosclerosis was determined by the software in a largely operator-independent fashion, using a selection of threshold ranges in the three basic colors. This threshold was initially determined in a few randomly selected arteries by matching the lesion areas and shapes highlighted on the processed image to those of the actual arteries (observed through a stereo microscope). The selection was verified by a second investigator (W.P.) blinded for the identity of the image analyzed. The selected threshold could be used for the subsequent analysis of most arteries. Nevertheless, during image analysis, the aortas were always used for reference, to ensure that the selected threshold truly reflected atherosclerotic lesions. The extent of atherosclerosis was then determined by the software and expressed as percent of the aortic surface area covered by lesions.
Analytical and Statistical Analysis
Results were expressed as mean±SEM. Body weights,
cholesterol levels, and extent of
atherosclerosis were analyzed by ANOVA and
Student's unpaired two-tailed t test. Multi-way
ANOVA for repeated determinations was used to evaluate the decrease of
unsaturated fatty acids during copper oxidation.
| Results |
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DPPD Levels
Plasma levels of DPPD were determined at the end of the study, in
four samples pooled from two to three DPPD-fed animals each, and four
pooled samples from control animals. The average DPPD concentration in
the treated group was 33.1 µmol/L (pooled samples ranged from 20.4 to
44.4 µmol/L). Plasma samples from control mice contained no
measurable concentration of DPPD. The plasma concentrations obtained in
mice fed 0.5% DPPD were approximately one half of the plasma
concentration reported in rabbits fed a diet containing 0.5%
cholesterol and 1% DPPD for 2 months (59
µmol/L).15 The DPPD concentration in the pooled
lipoprotein fractions (d <1.019 g/mL) was 59.2 µmol/L, or
8.3 nmol/mg cholesterol (n=3).
Effect of Diet on Fatty Acid Composition of
Lipoproteins
Because the total fatty acid content of lipoproteins affects their
susceptibility to oxidative modification,34 35 we
analyzed the fatty acid composition of pooled plasma
lipoprotein fractions (d <1.019 g/mL) obtained from
DPPD-treated and control animals at the end of the 6 months of
intervention. As shown in Fig 1
, oleate was the
predominant unsaturated fatty acid, accounting for 35% of total fatty
acids. DPPD treatment had no significant effect on the fatty acid
composition.
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Effect of Diet and DPPD Treatment on Lipoprotein
Oxidation
The effect of DPPD on the susceptibility of lipoproteins to
oxidation was initially assessed by determining the decrease in
polyunsaturated fatty acids (linoleic acid and
arachidonic acid) during progressive copper-induced
oxidation.30 Since the amount of plasma that can be
obtained from an apoE-deficient mouse is small and contains
predominantly VLDL and IDL (rather than LDL), we used the d
<1.019 g/mL lipoprotein fraction isolated from pooled plasma samples
to provide a measure of antioxidant protection conveyed by DPPD to
apoB-containing lipoproteins. As shown in Fig 2
, DPPD
clearly protected the d<1.019 g/mL lipoproteins from
oxidation, as indicated by a slower rate of loss of polyunsaturated
fatty acids over time. The differences between the DPPD-treated group
and the control group were significant for both
arachidonic and linoleic acid (P<.05).
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The antioxidant protection of lipoprotein fractions by DPPD was also
determined by measuring the lag times in the formation of conjugated
dienes. For these determinations, plasma was obtained from four
DPPD-treated and four control mice after 2 months of intervention in a
separate study. In contrast to the pooled samples used to determine the
fatty acid degradation, lipoproteins were isolated and tested from
individual animals. Fig 3
shows the formation of
conjugated dienes under standardized conditions (100 µg protein, 5
µmol/L Cu2+ ions). The mean lag time for LDL (1.019 <
d <1.063 g/mL) was 386±30 minutes (mean±SD, n=4) for
control mice versus 678±68 minutes for three DPPD-treated mice and
greater than 1000 minutes for a fourth animal (Fig 3A
). Because most
lipoproteins of apoE-deficient mice fed a
cholesterol-enriched diet are found in the IDL/VLDL
density range, we also isolated these fractions. However, the VLDL
(d <1.006 g/mL) had too much turbidity to be used for the
spectrophotometric determination. The antioxidant protection of the IDL
(1.006 <d <1.019 g/mL) was very similar to that of the
LDL. The mean lag time was 351±21 minutes in control mice (n=4) versus
746±107 minutes in DPPD-treated animals (n=4) (Fig 3B
). The mean
cholesterol content of the lipoprotein fractions from
DPPD-treated animals was similar to that of control mice (LDL,
2.67±0.13 mg cholesterol/mg protein in control animals
versus 2.74±0.18 mg cholesterol/mg protein in DPPD-treated
animals; IDL, 6.00±0.45 in control animals versus 6.03±0.53 in
treated animals). The lag-time measurements confirmed the results
obtained by measuring the degradation of polyunsaturated fatty acids
and indicated a good antioxidant protection of the lipoproteins by
DPPD.
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Effect of DPPD on Atherosclerosis
After 6 months of dietary intervention with the high-fat diet,
the extent of atherosclerosis in the aortic tree of
control and DPPD-treated mice was evaluated by image analysis.
In all animals atherosclerotic lesions were present throughout the
aortic tree. However, aortas from DPPD-treated animals showed less
extensive lesions than aortas from control animals. Morphometric
quantitation of the extent of aortic atherosclerosis
clearly demonstrated that DPPD treatment significantly reduced
atherosclerosis in mice on the high-fat diet (DPPD
group, 14.0±4.53% of total aortic surface area covered by lesions;
control group, 21.9±11.6%; n=32; P<.02) (Fig 4
). The relative reduction of
atherosclerosis by DPPD (36.1%) was even more
pronounced (47.6%) when the data for the heavily involved aortic arch
were excluded.
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| Discussion |
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Extensive data on the antiatherogenic effect of several potent lipophilic antioxidants exist in other animal models. Carew and colleagues demonstrated that probucol, a lipid-lowering drug with strong antioxidant effect, inhibited atherosclerosis in LDL receptordeficient rabbits by a mechanism independent of its cholesterol-lowering effect.12 Very similar results were obtained with probucol in rabbits by Kita et al,13 Daugherty et al,16 and more recently in nonhuman primates by Sasahara et al.18 Similar data were also obtained with other potent antioxidant compounds that do not lower plasma cholesterol levels, such as BHT, DPPD, and a probucol analogue.14 15 17
Preliminary experiments preceding this study indicated that probucol has a remarkable lipid-lowering effect in apoE-deficient mice (as previously reported for other murine strains38 ), which would have complicated the assessment of its antioxidant effect on atherosclerosis, and that BHT was toxic for this particular murine strain. We therefore used DPPD for our intervention study. DPPD has mutagenic effects in some species, but no pertinent toxicological data were available to predict the pharmacokinetic properties or potential toxicity of DPPD in apoE-deficient mice. During the 6 months of the intervention, weight gain in the DPPD-treated group was slightly less than in the control animals, and more DPPD-treated animals died than did control animals. Despite the fact that the DPPD-treated mice gained weight less rapidly, their plasma cholesterol levels were not different from control animals. A similar situation occurred when cholesterol-fed rabbits were given DPPD.15 This may indicate toxicity but could also be related to a relative aversion of the mice to the DPPD-chow. Because the DPPD-treated animals continued to gain weight, albeit at a slower rate, and because their plasma cholesterol levels were not different from untreated control animals, we do not believe that toxicity was responsible for the decrease in atherosclerosis, but we cannot exclude this possibility. We do not know the cause of death in the animals that died. Atherosclerosis in apoE-deficient mice often involves the media,25 26 and we have occasionally observed death from aortic aneurysms in apoE-deficient mice. However, aortas of surviving animals in the DPPD group gave no indication of such aneurysms.
Our data demonstrate that lipoproteins from DPPD-treated animals were
better protected against oxidation than lipoproteins from control
animals (Figs 2
and 3
) and that DPPD treatment was effective in
reducing atherogenesis (36.1% reduction of lesions in the entire
aorta, 47.6% reduction excluding the arch) (Fig 4
). Taken together
with the presence of "oxidation-specific" epitopes in lesions
and the presence of high titers of circulating autoantibodies to
OxLDL,26 these data support the hypothesis that oxidation
of lipoproteins contributes significantly to atherogenesis in this
murine model. This suggests that the apoE-deficient mouse may indeed be
a valid model in which to study the role of oxidative processes.
However, in view of the fact that DPPD may have some toxicity in
apoE-deficient mice, it will be important to test the antiatherogenic
efficacy of other antioxidants in these mice and in other murine models
of atherosclerosis.
| Selected Abbreviations and Acronyms |
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| Acknowledgments |
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Received October 6, 1994; accepted August 2, 1995.
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Y.-J. Wu, C.-Y. Hong, S.-J. Lin, P. Wu, and M.-S. Shiao Increase of Vitamin E Content in LDL and Reduction of Atherosclerosis in Cholesterol-Fed Rabbits by a Water-Soluble Antioxidant-Rich Fraction of Salvia miltiorrhiza Arterioscler Thromb Vasc Biol, March 1, 1998; 18(3): 481 - 486. [Abstract] [Full Text] [PDF] |
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J. Neuzil, J. K. Christison, E. Iheanacho, J.-C. Fragonas, V. Zammit, N. H. Hunt, and R. Stocker Radical-induced lipoprotein and plasma lipid oxidation in normal and apolipoprotein E gene knockout (apoE-/-) mice: apoE-/- mouse as a model for testing the role of tocopherol-mediated peroxidation in atherogenesis J. Lipid Res., February 1, 1998; 39(2): 354 - 368. [Abstract] [Full Text] |
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J. S. Munday, K. G. Thompson, K. A. C. James, and B. W. Manktelow Dietary Antioxidants Do Not Reduce Fatty Streak Formation in the C57BL/6 Mouse Atherosclerosis Model Arterioscler Thromb Vasc Biol, January 1, 1998; 18(1): 114 - 119. [Abstract] [Full Text] [PDF] |
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I. Maor, T. Hayek, R. Coleman, and M. Aviram Plasma LDL Oxidation Leads to Its Aggregation in the Atherosclerotic Apolipoprotein E-Deficient Mice Arterioscler Thromb Vasc Biol, November 1, 1997; 17(11): 2995 - 3005. [Abstract] [Full Text] |
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J. Fruebis, V. Gonzalez, M. Silvestre, and W. Palinski Effect of Probucol Treatment on Gene Expression of VCAM-1, MCP-1, and M-CSF in the Aortic Wall of LDL Receptor–Deficient Rabbits During Early Atherogenesis Arterioscler Thromb Vasc Biol, July 1, 1997; 17(7): 1289 - 1302. [Abstract] [Full Text] |
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M. Lougheed, C. M. Lum, W. Ling, H. Suzuki, T. Kodama, and U. Steinbrecher High Affinity Saturable Uptake of Oxidized Low Density Lipoprotein by Macrophages from Mice Lacking the Scavenger Receptor Class A Type I/II J. Biol. Chem., May 16, 1997; 272(20): 12938 - 12944. [Abstract] [Full Text] [PDF] |
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W. L. Hendriks, F. van der Sman-de Beer, B. J.M. van Vlijmen, L. C. van Vark, M. H. Hofker, and L. M. Havekes Uptake by J774 Macrophages of Very-Low-Density Lipoproteins Isolated From ApoE-Deficient Mice Is Mediated by a Distinct Receptor and Stimulated by Lipoprotein Lipase Arterioscler Thromb Vasc Biol, March 1, 1997; 17(3): 498 - 504. [Abstract] [Full Text] |
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D. Steinberg Lewis A. Conner Memorial Lecture: Oxidative Modification of LDL and Atherogenesis Circulation, February 18, 1997; 95(4): 1062 - 1071. [Full Text] |
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M. H. Moghadasian, B. M. McManus, P. H. Pritchard, and J. J. Frohlich "Tall Oil"–Derived Phytosterols Reduce Atherosclerosis in ApoE-Deficient Mice Arterioscler Thromb Vasc Biol, January 1, 1997; 17(1): 119 - 126. [Abstract] [Full Text] |
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Y. Nakata and N. Maeda Vulnerable Atherosclerotic Plaque Morphology in Apolipoprotein E-Deficient Mice Unable to Make Ascorbic Acid Circulation, March 26, 2002; 105(12): 1485 - 1490. [Abstract] [Full Text] [PDF] |
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