The 5-lipoxygenase pathway promotes pathogenesis of hyperlipidemia-dependent aortic aneurysm

Nat Med. 2004 Sep;10(9):966-73. doi: 10.1038/nm1099. Epub 2004 Aug 22.

Abstract

Activation of the 5-lipoxygenase (5-LO) pathway leads to the biosynthesis of proinflammatory leukotriene lipid mediators. Genetic studies have associated 5-LO and its accessory protein, 5-LO-activating protein, with cardiovascular disease, myocardial infarction and stroke. Here we show that 5-LO-positive macrophages localize to the adventitia of diseased mouse and human arteries in areas of neoangiogenesis and that these cells constitute a main component of aortic aneurysms induced by an atherogenic diet containing cholate in mice deficient in apolipoprotein E. 5-LO deficiency markedly attenuates the formation of these aneurysms and is associated with reduced matrix metalloproteinase-2 activity and diminished plasma macrophage inflammatory protein-1alpha (MIP-1alpha; also called CCL3), but only minimally affects the formation of lipid-rich lesions. The leukotriene LTD(4) strongly stimulates expression of MIP-1alpha in macrophages and MIP-2 (also called CXCL2) in endothelial cells. These data link the 5-LO pathway to hyperlipidemia-dependent inflammation of the arterial wall and to pathogenesis of aortic aneurysms through a potential chemokine intermediary route.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • 5-Lipoxygenase-Activating Proteins
  • Analysis of Variance
  • Animals
  • Aortic Aneurysm, Abdominal / etiology*
  • Arachidonate 5-Lipoxygenase / metabolism*
  • Blotting, Western
  • Carrier Proteins / metabolism
  • Chemokine CCL2 / blood
  • Chemokine CCL3
  • Chemokine CCL4
  • Chemokine CXCL1
  • Chemokines, CXC / metabolism
  • Cholates
  • Connective Tissue / metabolism
  • Cytokines / blood
  • DNA Primers
  • Diet, Atherogenic
  • Gene Expression Regulation*
  • Histological Techniques
  • Humans
  • Hyperlipidemias / complications*
  • Immunohistochemistry
  • Intercellular Signaling Peptides and Proteins / metabolism
  • Leukotriene D4 / metabolism
  • Leukotrienes / biosynthesis*
  • Macrophage Inflammatory Proteins / metabolism
  • Macrophages / metabolism*
  • Matrix Metalloproteinase 2 / metabolism
  • Membrane Proteins / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Neovascularization, Pathologic / metabolism
  • RNA / genetics
  • Reverse Transcriptase Polymerase Chain Reaction

Substances

  • 5-Lipoxygenase-Activating Proteins
  • ALOX5AP protein, human
  • Alox5ap protein, mouse
  • CCL2 protein, human
  • CXCL1 protein, human
  • Carrier Proteins
  • Chemokine CCL2
  • Chemokine CCL3
  • Chemokine CCL4
  • Chemokine CXCL1
  • Chemokines, CXC
  • Cholates
  • Cytokines
  • DNA Primers
  • Intercellular Signaling Peptides and Proteins
  • Leukotrienes
  • Macrophage Inflammatory Proteins
  • Membrane Proteins
  • RNA
  • Leukotriene D4
  • Arachidonate 5-Lipoxygenase
  • Matrix Metalloproteinase 2