Introduction: The genomic locus harboring the GUCY1A3 gene has been associated with coronary artery disease (CAD) with the risk variant reducing GUCY1A3 expression via allele-specific transcription factor binding. The gene encodes the alpha 1 -subunit of the soluble guanylyl cyclase (sGC) which produces the second messenger cyclic guanosine monophosphate (cGMP) upon activation by nitric oxide, thereby influencing the function of vascular smooth muscle cells and platelets. Aim: To investigate whether a reduction in sGC expression specifically in platelets influences atherosclerotic plaque formation. Methods: By crossbreeding Pf4-Cre and sGC β 1 fl/fl mice, platelet-specific sGC knockout (PS-sGC -/- ) mice were generated. These were crossbred with Ldlr -/- mice to generate PS-sGC -/- Ldlr -/- mice. PS-sGC -/- Ldlr -/- and Ldlr -/- mice were fed a high-cholesterol diet (HCD) for 10 weeks. Serial sections of the aortic root were analyzed by Masson-Trichrome staining. Inflammatory cells in aortae were assessed using flow cytometry. In vitro adhesion assays using wildtype endothelial cells (EC) and monocytes were performed in presence of plasma of activated platelets. Results: PS-sGC -/- Ldlr -/- (n=13) mice displayed enhanced total plaque size compared to Ldlr -/- (n=15) mice (247·10 3 vs. 190·10 3 μm 2 , p<0.05). After HCD, more neutrophils (747 vs. 448, p<0.05) and Ly6C high monocytes (366 vs. 207, p<0.05) were detected in PS-sGC -/- Ldlr -/- compared to Ldlr -/- mice indicating enhanced recruitment of these cells in PS-sGC -/- Ldlr -/- mice. In in vitro adhesion assays, incubation of mouse aortic EC and monocytes with plasma from PS-sGC -/- platelets resulted in enhanced adhesion of monocytes to EC compared to plasma from wildtype platelets (13%, p<0.01). Conclusion and Outlook: Platelet-specific knockout of sGC led to increased atherosclerotic plaque formation and inflammation. In vitro adhesion assay results point to an enhanced stimulation of leukocyte adhesion to endothelial cells in PS-sGC -/- mice. Hence, factors released by platelets secondary to reduced sGC expression could mediate increased risk of CAD. Inhibiting platelet activation in carriers of the human risk variant might therefore be a promising therapeutic strategy to reduce risk of CAD.