Torzewski Michael, Reifenberg Kurt, Cheng Fei, Wiese Elena, Küpper Ines, Crain Jeanine, Lackner Karl J, Bhakdi Sucharit
Institute of Clinical Chemistry and Laboratory Medicine, Johannes Gutenberg University Mainz, Mainz, Germany.
Thromb Haemost. 2008 Jan;99(1):196-201. doi: 10.1160/TH07-10-0595.
The association between increased concentrations of C-reactive protein (CRP) and future cardiovascular events is well established. However, it is currently unclear whether this clinical observation represents an epiphenomenon or whether the pentraxin may actively promote the development of atherosclerosis. Experimental studies with knockout mice with a defect in apolipoprotein E (ApoE(-/-)) have been used to investigate the role of CRP in atherogenesis, but the results obtained have been contradictory so far. Since knockout mice with a defect in low density lipoprotein receptor (LDLR(-/-)) may represent a better model of atherogenesis compared to ApoE(-/-) animals, we undertook experiments to investigate the atherogenic potential of CRP using LDLR(-/-) knockout mice. We crossbred CRP transgenic animals expressing the human CRP pentraxin (huCRP) to LDLR(-/-) mice, fed the resulting double mutants a pro-atherogenic Western type diet (WTD) for four, eight or 12 weeks, respectively, and quantitated atherosclerotic lesion development. Significant differences of lesion size or lesion composition could not be detected between the huCRP-positive LDLR(-/-) mice and the huCRP-negative LDLR(-/-) controls corroborating the contention that CRP does not play a pathogenetic role in early murine atherogenesis.
C反应蛋白(CRP)浓度升高与未来心血管事件之间的关联已得到充分证实。然而,目前尚不清楚这一临床观察结果是一种附带现象,还是这种五聚体蛋白可能积极促进动脉粥样硬化的发展。利用载脂蛋白E缺陷的基因敲除小鼠(ApoE(-/-))进行的实验研究已被用于探究CRP在动脉粥样硬化形成中的作用,但目前获得的结果相互矛盾。由于与ApoE(-/-)动物相比,低密度脂蛋白受体缺陷的基因敲除小鼠(LDLR(-/-))可能代表了更好的动脉粥样硬化形成模型,我们进行了实验,利用LDLR(-/-)基因敲除小鼠来研究CRP的致动脉粥样硬化潜力。我们将表达人CRP五聚体蛋白(huCRP)的CRP转基因动物与LDLR(-/-)小鼠进行杂交,分别给产生的双突变体喂食促动脉粥样硬化的西式饮食(WTD)4周、8周或12周,并对动脉粥样硬化病变的发展进行定量分析。在huCRP阳性的LDLR(-/-)小鼠和huCRP阴性的LDLR(-/-)对照之间,未检测到病变大小或病变组成的显著差异,这证实了CRP在早期小鼠动脉粥样硬化形成中不发挥致病作用的观点。