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(Arteriosclerosis, Thrombosis, and Vascular Biology. 1999;19:2364-2367.)
© 1999 American Heart Association, Inc.


Atherosclerosis and Lipoproteins

Interleukin-6 Exacerbates Early Atherosclerosis in Mice

S. A. Huber; P. Sakkinen; D. Conze; N. Hardin; R. Tracy

From the Departments of Pathology (S.A.H., P.S., N.H., R.T.), Medicine (D.C.), and Biochemistry (R.T.), University of Vermont, Burlington, VT 05405.

Correspondence to Sally Ann Huber, PhD, Department of Pathology, University of Vermont, 55A South Park Drive, Colchester, VT 05446. E-mail shuber{at}salus.uvm.edu

Abstract—Acute-phase proteins, which respond to systemic proinflammatory cytokines such as interleuken-6, are elevated in cardiovascular disease and are predictive markers of future ischemic events, even over decades. This suggests a role for proinflammatory cytokines and/or acute phase proteins in early lesion development. To explore this issue, we fed C57Bl/6 and nonobese diabetic male mice high-fat (20% total fat, 1.5% cholesterol) diets and ApoE-deficient male mice both high-fat and normal chow diets for 6 to 21 weeks, injecting them weekly with either 5000 U recombinant interleukin-6 (rIL-6) or saline buffer. Blood was collected when animals were euthanized and assayed for cytokines, acute-phase proteins, and cholesterol. Across all mice, IL-6 injection resulted in significant increases in proinflammatory cytokines (IL-6, 4.6-fold; IL-1ß, 1.6-fold; and tissue necrosis factor-{alpha}, 1.7-fold) and fibrinogen (1.2-fold) and with decreased concentrations of albumin (0.9-fold) in plasma. Total cholesterol levels were unchanged between rIL-6–treated and nontreated groups. Serial sections through the aortic sinus were stained with oil red O to detect fatty streaks, and area of the lesions was determined by image analysis. Although no fatty streaks were detected in the nonobese diabetic mice with or without rIL-6 treatment, rIL-6 treatment increased lesion size in C57Bl/6 and ApoE-deficient mice 1.9- to 5.1-fold over lesions in saline-treated animals. These results suggest that under the appropriate circumstances changes in circulating proinflammatory cytokines and acute-phase proteins may be more than just markers of atherosclerosis but actual participants in early lesion development.


Key Words: inflammation • atherosclerosis • interleukin-6




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CirculationHome page
H.-A. Lehr, T. A. Sagban, C. Ihling, U. Zahringer, K.-D. Hungerer, M. Blumrich, K. Reifenberg, and S. Bhakdi
Immunopathogenesis of Atherosclerosis: Endotoxin Accelerates Atherosclerosis in Rabbits on Hypercholesterolemic Diet
Circulation, August 21, 2001; 104(8): 914 - 920.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
R. P. Tracy
Is Visceral Adiposity the "Enemy Within"?
Arterioscler Thromb Vasc Biol, June 1, 2001; 21(6): 881 - 883.
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CirculationHome page
S. A. Huber, P. Sakkinen, C. David, M. K. Newell, and R. P. Tracy
T Helper-Cell Phenotype Regulates Atherosclerosis in Mice Under Conditions of Mild Hypercholesterolemia
Circulation, May 29, 2001; 103(21): 2610 - 2616.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
G.C. Viberti and S.M. Thomas
Searching for new coronary heart disease risk factors
Eur. Heart J., December 1, 2000; 21(23): 1905 - 1906.
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CirculationHome page
P. K. Shah
Circulating Markers of Inflammation for Vascular Risk Prediction : Are they Ready for Prime Time
Circulation, April 18, 2000; 101(15): 1758 - 1759.
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Arterioscler. Thromb. Vasc. Bio.Home page
L. H. Kuller and R. P. Tracy
The Role of Inflammation in Cardiovascular Disease
Arterioscler Thromb Vasc Biol, April 1, 2000; 20(4): 901 - 901.
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J. Biol. Chem.Home page
H. Peilot, B. Rosengren, G. Bondjers, and E. Hurt-Camejo
Interferon-gamma Induces Secretory Group IIA Phospholipase A2 in Human Arterial Smooth Muscle Cells. INVOLVEMENT OF CELL DIFFERENTIATION, STAT-3 ACTIVATION, AND MODULATION BY OTHER CYTOKINES
J. Biol. Chem., July 21, 2000; 275(30): 22895 - 22904.
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J. Biol. Chem.Home page
B. J. Van Lenten, A. C. Wagner, M. Navab, and A. M. Fogelman
Oxidized Phospholipids Induce Changes in Hepatic Paraoxonase and ApoJ but Not Monocyte Chemoattractant Protein-1 via Interleukin-6
J. Biol. Chem., January 12, 2001; 276(3): 1923 - 1929.
[Abstract] [Full Text] [PDF]