title: Human aldose reductase expression accelerates diabetic atherosclerosis in transgenic mice.
abstract: Direct evidence that hyperglycemia, rather than concomitant increases in known risk factors, induces atherosclerosis is lacking. Most diabetic mice do not exhibit a higher degree of atherosclerosis unless the development of diabetes is associated with more severe hyperlipidemia. We hypothesized that normal mice were deficient in a gene that accelerated atherosclerosis with diabetes. The gene encoding aldose reductase (AR), an enzyme that mediates the generation of toxic products from glucose, is expressed at low levels in murine compared with human tissues. Mice in which diabetes was induced through streptozotocin (STZ) treatment, but not nondiabetic mice, expressing human AR (hAR) crossed with LDL receptor-deficient (Ldlr-/-) C57BL/6 male mice had increased aortic atherosclerosis. Diabetic hAR-expressing heterozygous LDL receptor-knockout mice (Ldlr+/-) fed a cholesterol/cholic acid-containing diet also had increased aortic lesion size. Lesion area at the aortic root was increased by STZ treatment alone but was further increased by hAR expression. Macrophages from hAR-transgenic mice expressed more scavenger receptors and had greater accumulation of modified lipoproteins than macrophages from nontransgenic mice. Expression of genes that regulate regeneration of glutathione was reduced in the hAR-expressing aortas. Thus, hAR increases atherosclerosis in diabetic mice. Inhibitors of AR or other enzymes that mediate glucose toxicity could be useful in the treatment of diabetic atherosclerosis.
authors.affiliation: Department of Medicine, Division of Preventive Medicine and Nutrition, Columbia University, New York, New York 10032, USA.
authors.forename: Reeba K
authors.initials: RK
authors.lastname: Vikramadithyan
authors.forename: Yunying
authors.initials: Y
authors.lastname: Hu
authors.forename: Hye-Lim
authors.initials: HL
authors.lastname: Noh
authors.forename: Chien-Ping
authors.initials: CP
authors.lastname: Liang
authors.forename: Kellie
authors.initials: K
authors.lastname: Hallam
authors.forename: Alan R
authors.initials: AR
authors.lastname: Tall
authors.forename: Ravichandran
authors.initials: R
authors.lastname: Ramasamy
authors.forename: Ira J
authors.initials: IJ
authors.lastname: Goldberg
mesh_terms: D000449:Aldehyde Reductase / Q000235:genetics / Q000378:metabolism*; D000818:Animals; D001011:Aorta / Q000473:pathology; D050197:Atherosclerosis / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D001786:Blood Glucose / Q000378:metabolism; D048909:Diabetes Complications / Q000503:physiopathology*; D003921:Diabetes Mellitus, Experimental / Q000150:complications / Q000473:pathology / Q000503:physiopathology; D004036:Diet, Atherogenic; D006801:Humans; D008055:Lipids / Q000097:blood; D017737:Macrophages, Peritoneal / Q000166:cytology / Q000378:metabolism; D008297:Male; D051379:Mice; D008810:Mice, Inbred C57BL; D018345:Mice, Knockout; D008822:Mice, Transgenic; D009206:Myocardium / Q000378:metabolism; D011973:Receptors, LDL / Q000235:genetics / Q000378:metabolism; D012307:Risk Factors
chemical_list: D001786:Blood Glucose; D008055:Lipids; D011973:Receptors, LDL; D000449:Aldehyde Reductase