RAGE blockade stabilizes established atherosclerosis in diabetic apolipoprotein E-null mice.
BACKGROUND
Previous studies suggested that blockade of RAGE in diabetic apolipoprotein (apo) E-null mice suppressed early acceleration of atherosclerosis. A critical test of the potential applicability of RAGE blockade to clinical settings was its ability to impact established vascular disease. In this study, we tested the hypothesis that RAGE contributed to lesion progression in established atherosclerosis in diabetic apoE-null mice.


RESULTS
Male apoE-null mice, age 6 weeks, were rendered diabetic with streptozotocin or treated with citrate buffer. At age 14 weeks, certain mice were killed or treated with once-daily murine soluble RAGE or albumin; all mice were killed at age 20 weeks. Compared with diabetic mice at age 14 weeks, albumin-treated animals displayed increased atherosclerotic lesion area and complexity. In diabetic mice treated with sRAGE from age 14 to 20 weeks, lesion area and complexity were significantly reduced and not statistically different from those observed in diabetic mice at age 14 weeks. In parallel, decreased parameters of inflammation and mononuclear phagocyte and smooth muscle cell activation were observed.


CONCLUSIONS
RAGE contributes not only to accelerated lesion formation in diabetic apoE-null mice but also to lesion progression. Blockade of RAGE may be a novel strategy to stabilize atherosclerosis and vascular inflammation in established diabetes.
Bucciarelli
Loredana G
LG
Division of Surgical Science, College of Physicians & Surgeons, Department of Surgery, Columbia University, New York, NY 10032, USA.
Wendt
Thoralf
T
Qu
Wu
W
Lu
Yan
Y
Lalla
Evanthia
E
Rong
Ling Ling
LL
Goova
Mouza T
MT
Moser
Bernhard
B
Kislinger
Thomas
T
Lee
Daniel C
DC
Kashyap
Yogita
Y
Stern
David M
DM
Schmidt
Ann Marie
AM
D000818:Animals; D001057:Apolipoproteins E / Q000172:deficiency* / Q000235:genetics; D001161:Arteriosclerosis / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D002452:Cell Count; D002455:Cell Division / Q000187:drug effects; D002465:Cell Movement / Q000187:drug effects; D003921:Diabetes Mellitus, Experimental / Q000139:chemically induced / Q000150:complications*; D004195:Disease Models, Animal; D018450:Disease Progression; D007274:Injections, Intraperitoneal; D007963:Leukocytes, Mononuclear / Q000473:pathology; D008297:Male; D051379:Mice; D018345:Mice, Knockout; D009131:Muscle, Smooth, Vascular / Q000473:pathology; D009206:Myocardium / Q000473:pathology; D010586:Phagocytes / Q000473:pathology; D000067759:Receptor for Advanced Glycation End Products; D011971:Receptors, Immunologic / Q000008:administration & dosage* / Q000037:antagonists & inhibitors*; D012850:Sinus of Valsalva / Q000187:drug effects / Q000473:pathology; D013311:Streptozocin; D016896:Treatment Outcome; D014657:Vasculitis / Q000150:complications / Q000188:drug therapy / Q000473:pathology
D001057:Apolipoproteins E; D000067759:Receptor for Advanced Glycation End Products; D011971:Receptors, Immunologic; D013311:Streptozocin