Atherosclerosis and Lipoproteins |
From the Unité dExpression des Gènes Eucaryotes, Institut Pasteur (L.V., N.B., M.A.O., M.M.Z., A.O.), Paris, France; U 325 Inserm Institut Pasteur (G.C., J.N., J.-C.F.), Lille, France; Rhone-Poulenc Rorer (N.D.), Vitry sur Seine, France; Institut National de la Recherche Agronomique (A.O.) Jouy-en-Josas, France; and St. Bartholomews and the Royal London School of Medicine and Dentistry (M.N.N., N.E.M.), London, UK.
Correspondence to Alberto Ochoa, Unité dExpression des Gènes Eucaryotes, Institut Pasteur, 28 rue du Dr. Roux, 75724, Paris cedex 15, France. E-mail aochoa{at}pasteur.fr
| Abstract |
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Key Words: transgenic mice hypertriglyceridemia cholesterol lipoproteins atherosclerosis
| Introduction |
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ApoA-I is the major protein component of HDL. Through its ability to promote cholesterol efflux from cultured cells and to activate lecithin:cholesterol acyltransferase (LCAT), it is involved in reverse cholesterol transport (RCT).1 Expression of the human apoA-I (hapoA-I) gene decreases the development of fatty lesions in cholesterol-fed transgenic (Tg) mice3 and in apoE-deficient (apoE-/-) mice.4 ApoA-I deficiency in mice did not increase atherogenesis in a normal background5 but did so in hypercholesterolemic mice expressing human apoB.6
ApoC-III is a component of HDL and triglyceride-rich lipoproteins (TGRLs). Plasma apoC-III concentration is positively correlated with triglyceride concentration. By inhibiting TGRL catabolism, apoC-III induces hypertriglyceridemia in Tg mice.7 Expression of the gene was not atherogenic in apoE-/- mice.8 In contrast, hapoC-III expression, in normal or in LDL receptordeficient mice, resulted in increased atherosclerosis.9 10
ApoA-IV, involved in RCT-like apoA-I,1 also has antiatherogenic properties, inasmuch as overexpression of apoA-IV reduced aortic lesions.11 12 The foregoing observations indicate that the apoA-I/C-III/A-IV gene cluster is of major interest in relation to atherogenesis.
A series of DNA elements seems to coordinately regulate the transcription of all 3 genes.13 14 15 Indeed, analyses of intestinal mRNA levels have shown that the expression of the 3 genes is coregulated in this organ in vivo.16 Tg mice have already been developed for apoA-I,3 13 17 apoC-III,8 13 18 and apoA-IV11 12 19 20 and have provided valuable information on the properties and functions of each gene in isolation. However, none of these animal models is suitable for studies of the effect of the coordinated expression of the 3 genes in combination. Moreover, new therapeutic agents that increase apoA-I concentration are currently being sought. Whether such agents will change the expression of the other genes of the cluster and produce an atherogenic or a nonatherogenic effect is not known. A model expressing the entire human apoA-I/C-III/A-IV cluster would be of considerable value for the investigation of its properties and functions as an integrated unit. In the present study, we report the generation and characterization of such Tg mice.
| Methods |
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Northern Blot Experiments
After an overnight fast, the animals were killed by cervical
dislocation, and tissues (liver, small intestine, spleen, kidney, lung,
brain, and stomach) were removed. Total RNAs were extracted with
RNA-plus (Quantum), purified, and electrophoresed (20 µg total RNA
per lane) on 1% agarose gels containing formaldehyde. Samples were
blotted onto Hybond-N+ membranes (Amersham
Pharmacia Biotech) and hybridized with
32P-labeled cDNA probes, as previously
described.7 11 22
Apolipoprotein Quantification
Human apolipoproteins were quantified by immunoelectrophoresis
with specific polyclonal antibodies (Hydragels SEBIA); mouse
apolipoproteins did not cross-react. Mouse plasma apoA-I concentrations
were measured by immunonephelometry with the use of rabbit polyclonal
antibodies. These antibodies showed no cross-species
reactivity.23
Human apolipoproteins in high-performancesized exclusion chromatographic (HP-SEC) fractions were quantified by liquid-phase double-antibodybased radioimmunoassays, with the use of Tween 20 (0.2% [vol/vol]) to expose cryptic epitopes and polyethylene glycol 8000 (3% [wt/vol]) to enhance reaction kinetics. The primary antisera were polyclonal IgG against delipidated human apolipoproteins (goat antiapoA-I and goat antiapoC-III, provided by International Immunology Corp; rabbit antiapoA-IV11 ) that displayed insignificant cross-reactivity with their mouse counterparts. Donkey anti-goat or donkey anti-rabbit IgGs were used as precipitating antibodies (Chemicon). Radioactivity in antibody-bound pellets (1500g, 30 minutes, 4°C) was quantified to <0.1% counting error. Radioiodinated tracers were prepared by use of chloramine T treatment of either delipidated human apolipoproteins (A-I and C-III, Intracel Corp) or recombinant apoA-IV. All assays were standardized by using appropriate dilutions of the pure apolipoproteins. All plasma samples were analyzed in duplicate with coefficients of variation <12%.
ApoB48 and apoB100 were separated by SDS-PAGE in 4% to 15% gradient polyacrylamide PhastGels (Amersham Pharmacia Biotech). Gels were silver-stained, scanned, and analyzed by use of a video densitometer scanner and NIH image software. Analyses were repeated 3 times for each different group of animals.
Lipid and Lipoprotein Analyses
Lipoproteins were separated into density (d)
fractions of d<1.006 g/mL, d=1.006 to 1.019
g/mL, and d=1.019 to 1.063 g/mL by sequential isopycnic
ultracentrifugation with use of KBr to adjust
densities. Each spin was carried out for 2 hours at
435 000g at 15°C in a fixed-angle
rotor.24
HP-SEC was used to separate lipoproteins according to size. Plasma aliquots (50 µL) were chromatographed at ambient temperature through Superdex 200 and Superdex 75 columns connected in series (HR 10/30, Amersham Pharmacia Biotech). A solution of 50 mmol/L Tris-HCl (pH 7.4), 150 mmol/L NaCl, 1 mg/mL sodium azide, and 1 mg/mL Na2-EDTA was used as eluant (pumped at 0.75 mL/min). After the void volume was excluded, 60x225-µL fractions were collected. Recoveries were always >90%. Apparent hydrated sizes of lipoprotein subclasses were evaluated by comparing their elution times with those of protein markers (Amersham Pharmacia Biotech).
HDL particle size and heterogeneity were evaluated by
electrophoresing whole plasma in commercially available nondenaturing
polyacrylamide gradient gels (Lipogel Lipoprotein Fractionation
System, Zaxis Inc), according to the manufacturers instructions.
After electrophoretic separation for
1000 volts/hour in a
Tris-borate-EDTA buffer system, the distribution of neutral lipids was
detected by staining with Sudan black B.
Nondenaturing 2D electrophoresis and Western blotting were performed as previously described.25 After the 2 electrophoreses, lipoproteins were electrotransferred on to nitrocellulose membranes. The filters were immunodecorated with rabbit anti-mouse or anti-human apoA-I, apoC-III, or apoA-IV antibodies, followed by secondary peroxidaselabeled antibodies directed against rabbit IgG. The antisera directed against human or mice apolipoproteins were highly specific and did not show any cross-species reactivity, with the exception of the anti-mouse apoC-III, which recognized human apoC-III. Membranes were developed by use of a Chemiluminescence Western blotting detection kit (ECL System, Amersham Pharmacia Biotech). Experiments were repeated 3 times with samples from different control and Tg animals.
Triglyceride concentrations were determined by an enzymatic GPO-PAP method, and total and HDL cholesterol concentrations were determined by enzymatic CHOD-PAP methods with commercial kits (Boehringer-Mannheim). Precinorm L (Boehringer-Mannheim) was used as a calibrator.
Cholesterol Efflux and Esterification Studies
Cellular cholesterol efflux was determined with rat
Fu5AH hepatoma cells incubated with 5% diluted serum.23
Values are reported as the average of at least 3 different
determinations. Purified human HDL samples were included in each assay
as positive controls. LCAT activity was determined by use of the
exogenous proteoliposome substrate method with 25 µL of plasma from
female mice.23 Experiments were repeated twice with 3 and
5 different pools of samples for control and Tg mice, respectively
(coefficient of variation <5%). Cholesterol
esterification rate was determined as the decrease in unesterified
cholesterol mass (measured enzymatically) during in vitro
incubation of whole plasma at 37°C for periods up to 4 hours. Only
female mouse plasma was analyzed, and all measurements were
made in triplicate (coefficient of variation <1.5%).
Evaluation of Atherosclerotic Lesions
The spontaneous atherosclerosis model used in
the present study was the
apoE-/-
mouse.21 Fatty streak lesions were quantified by
evaluating cross-sectional lesion sizes in the aortic
sinus.26 A randomly chosen subset of 10 Tg and 11 control
female mice, both with the
apoE-/- background, were
euthanized at 20 weeks of age. Hearts and proximal aortas were removed,
cleaned of pericardial fat, and fixed in PBS formalin solution (5%)
for at least 48 hours. Then the hearts were cut directly under and
parallel to the aortic leaflet, and the upper portions were embedded in
Tissue-Tek O.C.T. compound (Sakura Finetek) and frozen at -80°C.
Ten-micron-thick sections were cut through the aortic sinus, recognized
by 3 valve cusps at the junction of the left ventricle and the aorta.
Eighty sections per animal were stained for lipids with oil red O and
counterstained with hematoxylin. Cross-sectional areas were
analyzed by computerized planimetry. Statistical
analysis was performed on 4 different cross-sectional lesion
areas per animal, separated by 160 µm. The first section
analyzed for each animal corresponded to the lower origin of
the aortic sinus.
Statistical Analyses
Results are reported as mean±SEM In all experiments non-Tg
littermates were used as controls. Statistical differences in
apolipoprotein and lipid levels between different groups of animals
were evaluated by ANOVA. Other statistical differences were tested by
the Student t test or Mann-Whitney U test for
nonparametric analysis. Group differences or
correlations with P<0.05 were considered statistically
significant.
| Results |
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9, 1, and 2 copies, respectively, of
the transgene, were established. All Tg lines showed hepatic and
intestinal expression of the 3 human genes (Figure 1
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Human Plasma Apolipoproteins
All 3 human apolipoproteins were present in plasma from each
line, and their concentrations were higher in Tg males than in Tg
females (Table 1
). The means in
the different lines were very similar. Average
hapoA-I levels ranged from 241 to 283 mg/dL, with
an overall mean for the 3 lines of 257±9 mg/dL (n=47); average
hapoC-III levels were between 4.8 and 8.8 mg/dL,
with an overall mean of 7.1±0.5 mg/dL; and
hapoA-IV concentrations averaged 0.8 to 1.4
mg/dL, with an overall mean of 1.0±0.2 mg/dL. The plasma concentration
of hapoA-I was positively correlated with that of
hapoC-III (r=0.67,
P<0.001). Because of the low concentration of
hapoA-IV, it was difficult to assess the strength
of its association with the concentrations of
hapoA-I or hapoC-III.
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Lipid Concentrations
Mean plasma triglyceride and total
cholesterol concentrations were higher in Tg males than in
Tg females (Table 2
). A similar sex
effect was seen in control littermates. Expression of the cluster
produced a 4- to 10-fold increase in triglyceride
concentration relative to those in control animals and a moderate
increase in total cholesterol concentration due mostly to
an increase in the non-HDL subclass. However, HDL
cholesterol was also significantly raised in 3 of the 3 Tg
lines (Tg11 and Tg12). Plasma triglyceride concentrations
in individual mice correlated with non-HDL cholesterol
concentrations (r=0.92, P<0.001). In addition,
hapoC-III concentrations were positively
correlated with triglyceride (r=0.80,
P<0.001) and non-HDL cholesterol
(r=0.64, P<0.001) concentrations. These
associations suggest that the increased concentrations of
triglycerides and cholesterol in Tg mice were
mainly dependent on the concentration of
hapoC-III. Relatively low concentrations of
hapoC-III were sufficient to induce marked
changes in the lipid profiles (compare data in Tables 1
and 2
). Finally, hapoA-I concentration was
correlated with HDL cholesterol concentration
(r=0.66, P<0.001). Triglycerides
showed a low but significant correlation with
hapoA-I (r=0.36, P=0.012).
The correlation between HDL cholesterol and
hapoC-III was not significant (r=0.14,
P=0.92), nor was the correlation between HDL
cholesterol and triglyceride concentrations
(r=0.16, P=0.28).
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Lipid and ApoB Distributions in Lipoprotein Density
Fractions
Lipoproteins were isolated by sequential
ultracentrifugation from plasma samples from Tg mice of
line 12 and control littermates. Increases of triglycerides
and cholesterol in Tg mice were observed in lipoproteins of
d<1.006 g/mL and d=1.006 to 1.019 g/mL (Figure 2A
and 2B
). Analysis of apoB
showed a major increase in total apoB48, whereas
total apoB100 remained unchanged. The
apoB48 increase in the Tg mice was detected in
all fractions analyzed; in particular, an 11-fold increase was
observed in particles of d<1.006 g/mL (Figure 2C
).
Although the total apoB100 level remained
unchanged, lipoprotein fraction analysis showed a significant
decrease in the d=1.019 to 1.063 g/mL fraction in Tg mice
(Figure 2D
). Thus, the increases in triglycerides
and cholesterol observed in Tg mice were due to an
accumulation of apoB48-rich lipoproteins of
d<1.006 g/mL. Similar results were obtained with mice from
line 21.
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Cholesterol and Apolipoprotein Distributions in Size
Subclasses of Lipoproteins
The distributions of the cholesterol and human
apolipoproteins in size subclasses of lipoproteins were
analyzed by HP-SEC of whole plasma. Results for
representative male and female animals are shown in
Figure 3
. hApoC-III
and hapoA-IV were present in TGRLs plus LDLs
(fractions 1 to 14, molecular mass >670 kDa) as well as in
lipid-rich HDLs (fractions 15 to 35, 100 to 670 kDa), whereas
hapoA-I was almost exclusively present in HDL
particles of 70 to 350 kDa (fractions 20 to 40). In addition, a minor
proportion of hapoA-I and a substantial
proportion of hapoA-IV were present in small
lipid-poor particles (fractions 40 to 50 of 35 to 70 kDa and fractions
35 to 45 of 50 to 100 kDa). Male mice had significantly higher
concentrations of hapoA-IV in all fractions
compared with females (0.84±0.22 versus 0.10±0.03 mg/dL,
respectively, in TGRLs plus LDLs, P<0.001; 5.55±4.18
versus 0.82±0.35 mg/dL, respectively, in lipid-rich HDLs,
P<0.07; and 3.61±0.75 versus 2.27±0.55 mg/dL,
respectively, in lipid-poor forms, P<0.04). The higher
concentrations of hapoA-I,
hapoC-III, and cholesterol
characteristic of males were also observed in the different lipoprotein
fractions, although an insufficient number of animals was studied for
statistical comparison.
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Human and Mouse Apolipoprotein Distribution in HDL
Particles
In addition to the quantitative differences in non-HDL and HDL
cholesterol between Tg and non-Tg animals demonstrated by
precipitation assays, there were marked differences between the 2
groups in the number and sizes of HDL subpopulations analyzed
in nondenaturing polyacrylamide gradient gels. An essentially
monodisperse population of large HDLs present in the control mice
was replaced by multiple HDL subspecies in the cluster Tgs, accompanied
by a redistribution of core lipids into small HDLs (Figure
I, which can
be accessed online at www.ahajournals.org).
Bidimensional electrophoresis and Western blotting with
species-specific anti-apolipoprotein antisera (Figure 4
) showed that
hapoA-I was contained mostly in
-migrating
particles and to a lesser degree in multiple pre-ß particles. Mouse
apoA-I was localized predominantly in
-HDL particles in control
mice, whereas in Tg mice, it was reduced and distributed almost
exclusively in pre-ß HDL particles. This reduction in mouse apoA-I
concentrations was consistent with the values measured in whole
plasma by immunoassay (114±7 mg/dL in control mice versus 20±4 mg/dL
in Tg mice, P<0.001). Mouse apoC-III in control mice and
hapoC-III in Tg mice were localized mainly in
particles. We did not localize mouse apoC-III in Tg mice, because
antibodies directed against the mouse protein also recognized
hapoC-III. Finally, human apoA-IV and mouse
apoA-IV were localized only in pre-ß HDLs. In Tg mice, mouse apoA-IV
was displaced from certain pre-ß HDL particles, presumably by
hapoA-I. Thus, hapoA-I and
hapoA-IV were able to form pre-ß particles in
these mice.
|
Cholesterol Efflux, LCAT Activity, and
Cholesterol Esterification Rate
Plasma from Tg mice was 29% more efficient than plasma from
non-Tg mice (12.4±0.8% versus 9.6±0.5%, respectively;
P<0.05) in promoting cholesterol efflux from
Fu5AH cells. Whereas no significant difference in plasma LCAT activity
was observed between Tg and control mice (7.3±0.5 versus 6.6±0.4,
respectively; P=0.324), the plasma cholesterol
esterification rate was reduced in the Tg mice (Figure
II, which can be
accessed online at www.ahajournlas.org).
Expression of the Human ApoA-I/C-III/A-IV Gene Cluster in
ApoE-/- Mice
Concentration of hapoA-I was significantly
lower in an apoE null background
(Tg12/apoE-/-) than in
the original background (Tg12). In
Tg12/apoE-/- mice, the
hapoC-III concentration was increased in males
but not in females, and the hapoA-IV
concentration was unchanged (Table 1
). In this
apoE-/- background,
concentrations of human apolipoproteins were also higher in males than
in females. There was a large increase in plasma
triglycerides in Tg compared with control mice (Table 2
): an18-fold increase in males and a 7-fold increase in
females. Total cholesterol, which was already very high in
apoE-/- mice, was even
more elevated in the
Tg12/apoE-/- strain
because of an increase in non-HDL and HDL fractions.
Cholesterol efflux capacity and LCAT activity were
both higher in apoE-/-
mouse plasma than in the
Tg12/apoE-/- mouse plasma
(8.31±1.57% versus 6.14±1.10%, P<0.05, and 2.5±0.2
versus 1.4±0.1 nmol · mL-1 ·
h-1, P<0.01, respectively). Previous
studies have shown that the
apoE-/- mouse model
develops atherosclerotic lesions spontaneously.21 In
the present study, all the control and cluster Tg mice with an
apoE-/- background
developed spontaneous lesions in the aortic sinus at 20 weeks of age.
Characteristic sections from each group showed that the lesions were
morphologically similar. However, the average cross-sectional areas of
lesions were 61% lower in
Tg12/apoE-/- mice than in
apoE-/- mice
(89 797±16 386 versus 232 279±16 273
µm2, respectively; P<0.001; Figure
III, which can be accessed online at www.ahajournals.org).
| Discussion |
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Regulatory regions of the 3 genes have been localized throughout the entire gene cluster, and all known regulatory elements were present in their natural positions in the genomic fragment used to generate the Tg animals. Northern blot analyses showed the presence of the 3 human mRNAs in the liver and intestine. These results suggest that the transgene contains all the regulatory regions required to direct a tissue-specific expression of the 3 genes. Hepatic and intestinal expressions of hapoA-I and hapoC-III were roughly similar to those observed in humans.27 ApoA-IV expression was mainly hepatic, in contrast to the predominant intestinal expression observed in humans or in hapoA-IV Tg mice.19 20 Because the latter were generated with a DNA fragment contained within that used to generate the cluster Tg mice, the apoA-IV expression observed in the present study does not seem to be due to the absence of a DNA regulatory element. Comparison between intestinally expressing hapoA-IV Tg mice20 and cluster Tg mice showed that hepatic mRNA levels were similar in both types of mice, whereas intestinal mRNA levels were much lower in the cluster Tg mice. We hypothesize that the overexpression of hapoA-I or hapoC-III genes or the subsequent alterations induced in the lipid profile might reduce intestinal apoA-IV expression in cluster Tg mice.
All Tg lines showed the presence of the 3 human apolipoproteins in plasma. The mean plasma concentrations of each human apolipoprotein were rather similar in the 3 lines, suggesting that their concentrations were precisely controlled in these animals. This control seems to be independent of transgene copy number, inasmuch as Tg11, Tg12, and Tg21 lines contained 9, 1, and 2 copies, respectively, of the transgene. The control also seems independent of the insertion site, inasmuch as the 3 lines were independently generated.
Concentrations of hapoA-I and
hapoC-III in plasma were
2-fold greater than
the values in humans. In contrast, much lower concentrations of
hapoA-IV were detected in the cluster Tg mice,
probably because of the low level of intestinal expression observed.
Size exclusion chromatography demonstrated that most
hapoA-I was present in particles of a size
similar to that of cholesterol-rich HDLs in humans. Minor
amounts of hapoA-I were present in larger
particles as well as in small lipid-poor species. Human apoC-III and
apoA-IV were found in cholesterol-rich HDLs and in the
non-HDL fraction. A substantial proportion of
hapoA-IV was also present in small lipid-poor
subclasses. These profiles were very similar to those observed in
normal humans.28 29
Analysis of the lipid profile of the Tg mice showed gross hypertriglyceridemia and a moderate increase in plasma cholesterol, mainly in the non-HDL fraction. This lipid profile and the changes in apoB48 and apoB100 concentrations in lipoprotein subclasses show that the major increases in plasma lipids in the Tg mice reflect an accumulation of apoB48-rich particles. The observed association between the triglyceride, cholesterol, and hapoC-III concentrations and the increase in apoB48 suggest that the profound hyperlipidemia is a causal effect of hapoC-III. Despite a high expression of hapoA-I, the effect of hapoC-III appears to predominate. The correlations that we observed between hapoC-III, triglyceride, and non-HDL cholesterol concentrations on one hand and hapoA-I and HDL cholesterol concentrations on the other suggest that the variations in the lipid profiles are consequences of those in the human apolipoprotein concentrations. However, because human apoA-I and apoC-III were correlated with each other, caution should be exercised in interpreting the metabolic bases of these associations.
The large Tg colony that we obtained enabled the effects of sex on gene expression to be assessed. In all Tg lines, the males had higher concentrations of human apolipoproteins than did the females. Tg males also tended to have higher lipid concentrations than did Tg females. These results suggest that sex-specific factors act to regulate the metabolism of these 3 apolipoproteins. The present Tg mice may be a useful model to study differences between the sexes in the regulation of this human gene cluster.
Inasmuch as apoA-I and apoA-IV have been demonstrated to protect against atherogenesis3 11 12 and apoC-III has been reported to be proatherogenic,9 10 the effect on atherogenesis of the expression of the entire cluster was unpredictable. We found that expression of the human apoA-I/C-III/A-IV gene cluster in an apoE-/- background substantially reduced the development of aortic lesions. This finding shows that apoA-I and/or apoA-IV can protect against atherosclerosis even in the presence of severe hyperlipidemia. Both apolipoproteins participate in RCT and promote cholesterol efflux from cultured cells.1 23 25 In a normal background, new populations of HDLs appeared in the cluster Tg mice. All the human apoA-IV and a proportion of human apoA-I migrated to the pre-ß position. Efflux of radiolabeled cholesterol from Fu5AH hepatoma cells was greater to Tg than to non-Tg plasma. All these results suggest that RCT might be increased in these mice. The lower LCAT activity in Tg compared with control mice may have been related to an effect of hapoC-III, which others have shown can inhibit LCAT activity in the presence of an excess of apoA-I.30 In Tg apoE-/- mice, cholesterol efflux and LCAT activity were reduced, but we cannot rule out the possibility that enhanced RCT is the basis of the protective mechanism. The extent to which the result of these in vitro assays, when applied to Tg apoE-/- sera, reflect the flux of cholesterol through the RCT pathway in vivo is uncertain. At least part of the resistance to atherosclerosis induced by cluster expression could have been attributable to properties of HDLs unrelated to their role in RCT, such as their ability to protect LDLs from oxidative modification31 or to suppress adhesion molecule expression and induce cyclooxygenase-2 in vascular endothelium.32 Associated changes in the concentration, size, and composition of apoB-containing lipoproteins may also have contributed. Further work will be needed to clarify the mechanism(s) of the antiatherogenic effect of human cluster expression in mice. These apoA-I/C-III/A-IV Tg mice should be of value in the search for pharmacological agents that selectively act on the expression of the 3 human genes.
| Acknowledgments |
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| Footnotes |
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Received November 3, 1999; accepted February 14, 2000.
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