IntroductionMouse models of atherosclerosis have vastly improved with the advent of in vivo gene manipulation technologies. On normal low-fat diets, the plasma cholesterol of mice is primarily packaged in the high-density lipoprotein (HDL) fraction. In contrast, humans have higher resting plasma total cholesterol (total-C) levels, and about 70% of the cholesterol is contained in the low-density lipoprotein (LDL) fraction. Several factors may contribute to these differences. Mice secrete both apolipoprotein (apo)B-100 and apoB-48 containing very low density lipoproteins (VLDL), which are synthesized in the liver. 1 In contrast, humans secrete only apoB-100 containing VLDL, 2 because humans do not express the apoB editing catalytic polypeptide-1 (apobec1) in liver. 3 ApoB-48 is produced from apoB-100 by an apobec1-catalyzed editing process that generates an in-frame stop codon in apoB-100. The C-terminus of apoB-100, absent in apoB-48, is essential for binding to the LDL receptor (Ldlr). Additionally, apoB-48-positive LDL also contains apoE, and this LDL particle is rapidly cleared by the apoE receptor instead of the Ldlr.A major mouse model for the study of atherosclerosis is the apoE-deficient (APOE Ϫ/Ϫ ) line. These mice present with severe hypercholesterolemia on a normal chow diet and develop spontaneous atherosclerosis. 4,5 However, in APOE Ϫ/Ϫ mice, the plasma cholesterol is mainly associated with the VLDL and intermediatedensity lipoprotein (IDL) fractions. Thus, these mice are models of human type III hyperlipidemia. Contrarily, in human atherosclerosis, type IIa hypercholesterolemia is frequently observed, with elevated plasma LDL cholesterol (LDL-C) due to reduced efficiency of the Ldlr. To attempt to represent this latter state, LDLR Ϫ/Ϫ mice were generated. 6 However, these mice demonstrate only a moderate elevation of plasma total-C levels, and they do not develop spontaneous atherosclerosis on a normal chow diet. 6 Mouse liver can express apobec1, and about 70% of its VLDL contains apoB-48, with 30% apoB-100. 1 Thus, most of the LDL in mice is apoB-48 positive and is not dependent on the Ldlr for its clearance. On the other hand, LDLR Ϫ/Ϫ mice are hyperlipidemic, 7 and this property leads to spontaneous plaque formation in the aorta when these mice are placed on high-fat diets. 8 Nonetheless, LDLR Ϫ/Ϫ mice also present with high VLDL-C. 7 Thus, in terms of lipid metabolism, neither of these strains reflects the lipid profiles found in human type IIa familial hypercholesterolemia.To resolve the limitations of LDLR Ϫ/Ϫ mice, the APOBEC1 Ϫ/Ϫ mouse was developed. This deficiency does not result in elevations of plasma total-C and triglycerides (TG), 9 but mice with a double deficiency of Ldlr and apobec1 (L Ϫ/Ϫ /A Ϫ/Ϫ ) have high levels of LDL-C when fed a normal chow diet. Spontaneous atherosclerosis formation in the aorta also is found. 10 For personal use only. on May 9, 2018. by guest www.bloodjournal.org FromIn addition to functioning in clot formation, in some mammalian species fibrinogen (Fg) and...