Objective
Plasma high-density-lipoproteins (HDL) have several putative anti-atherogenic effects, including preservation of endothelial functions. This is thought to be mediated, in part, by the ability of HDL to promote cholesterol efflux from endothelial cells (ECs). The ATP binding cassette transporters A1 and G1 (ABCA1 and ABCG1) interact with HDL to promote cholesterol efflux from ECs. To determine the impact of endothelial cholesterol efflux pathways on atherogenesis, we prepared mice with endothelial-specific knockout of Abca1 and/or Abcg1.
Approach and Results
Generation of mice with EC-ABCA1 and ABCG1 deficiency required crossbreeding Abca1fl/flAbcg1fl/flLdlr−/− mice with the Tie2Cre strain, followed by irradiation and transplantation of Abca1fl/flAbcg1fl/fl bone marrow to abrogate the effects of macrophage ABCA1 and ABCG1 deficiency induced by Tie2Cre. After 20–22 weeks of Western type diet (WTD), both single EC-Abca1 and Abcg1 deficiency increased atherosclerosis in the aortic root and whole aorta. Combined EC-Abca1/g1 deficiency caused a significant further increase in lesion area at both sites. EC-Abca1/g1 deficiency dramatically enhanced macrophage lipid accumulation in the branches of the aorta that are exposed to disturbed blood flow, decreased aortic eNOS activity, and increased monocyte infiltration into the atherosclerotic plaque. Abca1/g1 deficiency enhanced LPS-induced inflammatory gene expression in mouse aortic ECs, which was recapitulated by ABCG1 deficiency in human aortic ECs.
Conclusions
These studies provide direct evidence that endothelial cholesterol efflux pathways mediated by ABCA1 and ABCG1 are non-redundant and athero-protective, reflecting preservation of eNOS activity and suppression of endothelial inflammation, especially in regions of disturbed arterial blood flow.