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Blood, 1 July 2004, Vol. 104, No. 1, pp. 11-18.
Prepublished online as a Blood First Edition Paper on February 19, 2004; DOI 10.1182/blood-2003-09-3363.


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Submitted September 30, 2003
Accepted December 19, 2003

Deletion of the Alternatively Spliced Fibronectin EIIIA Domain in Mice Reduces Atherosclerosis

Michelle H Tan, Zhengwu Sun, Sarah L Opitz, Tracy E Schmidt, John H Peters, and Elizabeth L George*

Pathology, Vascular Research Divsion, Brigham and Women's Hospital, Boston, MA, USA; Pathology, Harvard Medical School, Boston, MA, USA
Pathology, Vascular Research Divsion, Brigham and Women's Hospital, Boston, MA, USA
Medicine, University of California School of Medicine, Davis, CA, USA
Pathology, Vascular Research Divsion, Brigham and Women's Hospital, Boston, MA, USA; Medicine, University of California School of Medicine, Davis, CA, USA

* Corresponding author; email: egeorge{at}rics.bwh.harvard.edu.

The alternatively spliced and highly conserved EIIIA domain of fibronectin (FN) is included in most FN of the extracellular matrix in embryos. In adults, both extracellular matrix and plasma FN essentially lack EIIIA. In diverse inflammatory situations however, EIIIA is specifically included by regulated RNA splicing. In atherosclerotic lesions, FN including the EIIIA domain (EIIIA-FN) is abundant, while FN in the flanking vessel wall lacks EIIIA. Lesional EIIIA-FN is localized with endothelial cells and macrophage foam cells. To directly test the function of EIIIA-FN, we generated EIIIA-null (EIIIA-/-) mice that lack the EIIIA exon, and crossed them with apoE-null (ApoE-/-) mice that develop arterial wall lesions. Compared with ApoE-/- controls, EIIIA-/-ApoE-/- mice had significantly smaller lesions throughout the aortic tree. EIIIA-FN was increased in ApoE-/- plasma, and total plasma cholesterol was reduced in EIIIA-/-ApoE-/- mice, specifically in large lipoprotein particles, suggesting a functional role for plasma EIIIA-FN. To assess a role for macrophage EIIIA-FN in the vessel wall, we conducted in vitro foam cell assays. EIIIA-/-ApoE-/- macrophages accumulated significantly less intracellular lipid than control ApoE-/- cells. These results provide genetic evidence that suggests roles for EIIIA-FN in plasma lipoprotein metabolism and in foam cell formation.


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