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Blood, 15 May 2004, Vol. 103, No. 10, pp. 3777-3782.
Prepublished online as a Blood First Edition Paper on February 5, 2004; DOI 10.1182/blood-2003-11-4051.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

Hepatic low-density lipoprotein receptor–related protein deficiency in mice increases atherosclerosis independent of plasma cholesterol

Sonia M. S. Espirito Santo, Nuno M. M. Pires, Lianne S. M. Boesten, Gery Gerritsen, Niels Bovenschen, Ko Willems van Dijk, J. Wouter Jukema, Hans M. G. Princen, André Bensadoun, Wei-Ping Li, Joachim Herz, Louis M. Havekes, and Bart J. M. van Vlijmen

From the TNO-Prevention and Health, Gaubius Laboratory, Leiden, the Netherlands; the Departments of Cardiology, Human Genetics, and General Internal Medicine, Leiden University Medical Center, Leiden, the Netherlands; the Department of Plasma Proteins, Sanquin Research at CLB, Amsterdam, the Netherlands; the Division of Nutritional Sciences, Cornell University, Ithaca, NY; and the Departments of Cell Biology and Molecular Genetics, University of Texas Southwestern Medical Center, Dallas, TX.

The low-density lipoprotein (LDL) receptor–related protein (LRP) has a well-established role in the hepatic removal of atherogenic apolipoprotein E (APOE)–rich remnant lipoproteins from plasma. In addition, LRP recognizes multiple distinct pro- and antiatherogenic ligands in vitro. Here, we investigated the role of hepatic LRP in atherogenesis independent of its role in removal of APOE-rich remnant lipoproteins. Mice that allow inducible inactivation of hepatic LRP were combined with LDL receptor and APOE double-deficient mice (MX1Cre+LRPflox/floxLDLR–/–APOE–/–). On an LDLR–/–APOE–/– background, hepatic LRP deficiency resulted in decreased plasma cholesterol and triglycerides (cholesterol: 17.1 ± 5.2 vs 23.4 ± 6.3 mM, P = .025; triglycerides: 1.1 ± 0.5 vs 2.2 ± 0.8 mM, P = .002, for MX1Cre+LRPflox/flox-LDLR–/–APOE–/– and control LRPflox/flox-LDLR–/–APOE–/– mice, respectively). Lower plasma cholesterol in MX1Cre+LRPflox/flox-LDLR–/–APOE–/– mice coincided with increased plasma lipoprotein lipase (71.2 ± 7.5 vs 19.1 ± 2.4 ng/ml, P = .002), coagulation factor VIII (4.4 ± 1.1 vs 1.9 ± 0.5 U/mL, P = .001), von Willebrand factor (2.8 ± 0.6 vs 1.4 ± 0.3 U/mL, P = .001), and tissue-type plasminogen activator (1.7 ± 0.7 vs 0.9 ± 0.5 ng/ml, P = .008) compared with controls. Strikingly, MX1Cre+LRPflox/floxLDLR–/–APOE–/– mice showed a 2-fold higher atherosclerotic lesion area compared with controls (408.5 ± 115.1 vs 219.1 ± 86.0 103µm2, P = .003). Our data indicate that hepatic LRP plays a clear protective role in atherogenesis independent of plasma cholesterol, possibly due to maintaining low levels of its proatherogenic ligands.


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