Abstract

Chemokines are important in macrophage recruitment and the progression of atherosclerosis. The ‘M3’ chemokine binding protein inactivates key chemokines involved in atherosclerosis (e.g. CCL2, CCL5 and CX3CL1). We aimed to determine the effect of M3 on plaque development and composition. In vitro chemotaxis studies confirmed that M3 protein inhibited the activity of chemokines CCL2, CCL5 and CX3CL1 as primary human monocyte migration as well as CCR2-, CCR5- and CX3CR1-directed migration was attenuated by M3. In vivo, adenoviruses encoding M3 (AdM3) or green fluorescence protein (AdGFP; control) were infused systemically into apolipoprotein (apo)-E-/- mice. Two models of atherosclerosis development were used in which the rate of plaque progression was varied by diet including: (1) a ‘rapid promotion’ model (6-week high-fat-fed) and (2) a ‘slow progression’ model (12-week chow-fed). Plasma chemokine activity was suppressed in AdM3-infused mice as indicated by significantly less monocyte migration towards AdM3 mouse plasma ex vivo (29.56%, p = 0.014). In the ‘slow progression’ model AdM3 mice had reduced lesion area (45.3%, p = 0.035) and increased aortic smooth muscle cell α-actin expression (60.3%, p = 0.014). The reduction in lesion size could not be explained by changes in circulating inflammatory monocytes as they were higher in the AdM3 group. In the ‘rapid promotion’ model AdM3 mice had no changes in plaque size but reduced plaque macrophage content (46.8%, p = 0.006) and suppressed lipid deposition in thoracic aortas (66.9%, p<0.05). There was also a reduction in phosphorylated p65, the active subunit of NF-κb, in the aortas of AdM3 mice (37.3%, p<0.0001). M3 inhibited liver CCL2 concentrations in both models with no change in CCL5 or systemic chemokine levels. These findings show M3 causes varying effects on atherosclerosis progression and plaque composition depending on the rate of lesion progression. Overall, our studies support a promising role for chemokine inhibition with M3 for the treatment of atherosclerosis.

Highlights

  • Atherosclerosis is a chronic inflammatory disease in which monocyte recruitment plays an important role in disease initiation, plaque progression, and clinical events such as chronic ischemia, plaque rupture and thrombosis [1]

  • Monocyte migration towards purified CCL2, CCL5 and CX3CL1 was significantly reduced in the presence of M3 protein (p

  • We have demonstrated that chemokine-receptor directed migration towards purified CCL2, CCL5 and CX3CL1 was significantly reduced in response to increasing concentrations of purified M3 protein

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Summary

Introduction

Atherosclerosis is a chronic inflammatory disease in which monocyte recruitment plays an important role in disease initiation, plaque progression, and clinical events such as chronic ischemia, plaque rupture and thrombosis [1]. Chemokine blockade by ’M3’ modulates atherosclerosis direct the migration of specific leukocytes to sites of inflammation or infection and are increasingly implicated in atherosclerosis [2]. Chemokines are small 8- to 11-kDa proteins that are divided into four structural subfamilies (C, CC, CXC and CX3C) based on the placement and number of cysteine residue at the N terminal [3,4,5]. The ability of chemokines to bind to multiple receptors and for receptors to bind to multiple chemokines indicate some redundancy in chemokine signalling. Chemokine/chemokine receptors interactions are specific within each chemokine group [6]

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