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Circulation. 2005;112:870-878
Published online before print August 1, 2005, doi: 10.1161/CIRCULATIONAHA.104.520718
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(Circulation. 2005;112:870-878.)
© 2005 American Heart Association, Inc.


Vascular Medicine

Differential Influence of Chemokine Receptors CCR2 and CXCR3 in Development of Atherosclerosis In Vivo

Niels R. Veillard, PhD; Sabine Steffens, PhD; Graziano Pelli; B. Lu, MD; Brenda R. Kwak, PhD; Craig Gerard, MD, PhD; Israel F. Charo, MD, PhD; François Mach, MD

From the Division of Cardiology, Foundation for Medical Research, University Hospital Geneva, Geneva, Switzerland (N.R.V., S.S., G.P., B.R.K., F.M.); Ina Sue Perlmutter Laboratory, Children’s Hospital and Harvard Medical School, Boston, Mass (B.L., C.G.); Cardiovascular Research Institute, Department of Medicine, University of California, San Francisco (I.F.C.); and Gladstone Institute of Cardiovascular Disease, San Francisco, Calif (I.F.C.).

Correspondence to François Mach, MD, Cardiology Division, Department of Medicine, University Hospital Geneva, Foundation for Medical Research, 64 Avenue Roseraie, 1211 Geneva 4, Switzerland. E-mail francois.mach{at}medecine.unige.ch

Received January 14, 2004; de novo received November 11, 2004; revision received April 20, 2005; accepted April 26, 2005.

Background— Recruitment of mononuclear leukocytes within atherosclerotic lesions is a critical step in atherogenesis. Mice lacking the chemokine receptor CCR2, highly expressed on macrophages but also on T lymphocytes, show a striking reduction of atherosclerotic lesion formation. The chemokine receptor CXCR3 is a marker of activated T helper type 1 lymphocytes, the principal T lymphocyte type detected within atheroma. We investigated whether the deletion of both of these 2 important receptors expressed on the principal inflammatory cells present in atheroma would further affect atherogenesis in vivo.

Methods and Results— We crossed ApoE–/– mice with either CCR2–/– or CXCR3 mice and crossed ApoE–/– CCR2–/– mice with the ApoE–/– CXCR3 mice to generate a triple knockout strain. Analysis of atherosclerosis development after 10 weeks of high-cholesterol diet revealed differential effects on early atherosclerotic lesions in the abdominal aorta and on advanced lesions in aortic roots. ApoE–/– CXCR3 mice, but not the triple knockout mice, displayed significantly reduced atherosclerotic lesion development within abdominal aortas compared with ApoE–/– CCR2–/– and ApoE–/– mice. This reduction of lesion formation correlated with an upregulation of antiinflammatory molecules such as interleukin-10, interleukin-18BP, and endothelial nitric oxide synthase and with an increased number of regulatory T lymphocytes within atherosclerotic lesions. In contrast, lesion size development within the aortic roots was more enhanced in ApoE–/– and ApoE–/– CXCR3 mice compared with ApoE–/– CCR2–/– and triple knockout mice.

Conclusions— Blocking chemokine signaling in vivo through deletion of the chemokine receptors CCR2 and CXCR3 has differential effects during atherogenesis. In addition, our results point to an important role of regulatory T lymphocytes during early atherogenesis.


Key Words: atherogenesis • chemokine • immunology • inflammation • leukocytes


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