?M?2 Is Antiatherogenic in Female but Not Male Mice.
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ABSTRACT: Atherosclerosis is a complex inflammatory process characterized by monocyte recruitment into the arterial wall, their differentiation into macrophages, and lipid accumulation. Because integrin ?M?2 (CD11b/CD18) mediates multiple diverse functions of leukocytes, we examined its role in atherogenesis. ?M-/-/ApoE-/- and ApoE-/- mice were fed a control or high fat diet for 3 or 16 wk to induce atherogenesis. Unexpectedly, ?M deficiency accelerated development of atherosclerosis in female but not in male mice. The size of aortic root lesions was 3-4.5-fold larger in female ?M-/-/ApoE-/- than in ApoE-/- mice. Monocyte and macrophage content within the lesions was increased 2.5-fold in female ?M-/-/ApoE-/- mice due to enhanced proliferation. ?M?2 elimination promoted gender-dependent foam cell formation due to enhanced uptake of cholesterol by ?M-/-/ApoE-/- macrophages. This difference was attributed to enhanced expression of lipid uptake receptors, CD36 and scavenger receptor A1 (SR-A1), in female mice. Macrophages from female ?M-/-/ApoE-/- mice showed dramatically reduced expression of FoxM1 transcription factor and estrogen receptors (ER) ? and ?. As their antagonists inhibited the effect of 17?-estradiol (E2), E2 decreased CD36, SR-A1, and foam cell formation in ApoE-/- macrophages in an ER?- and ER?-dependent manner. However, female ?M-/-/ApoE-/- macrophages failed to respond to E2 and maintained elevated CD36, SR-A1, and lipid accumulation. FoxM1 inhibition in ApoE-/- macrophages reduced ERs and enhanced CD36 and SR-A1 expression, whereas FoxM1 overexpression in ?M-/-/ApoE-/- macrophages reversed their proatherogenic phenotype. We demonstrate a new, surprising atheroprotective role of ?M?2 in female ApoE-/- mice. ?M?2 maintains ER expression in macrophages and E2-dependent inhibition of foam cell formation.
SUBMITTER: Szpak D
PROVIDER: S-EPMC5973813 | biostudies-literature | 2018 Apr
REPOSITORIES: biostudies-literature
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