Recent genetic evidence has implicated the adhesive chemokine CX3CL1 and its leukocyte receptor CX3CR1 in atherosclerosis. We previously proposed a mechanism involving foam cell anchorage to vascular smooth muscle cells because: 1) CX3CL1 and CX3CR1 are expressed by both cell types in mouse and human atherosclerotic lesions; 2) foam cells are reduced in lesions in cx3cr1 ؊/؊ apoE ؊/؊ mice; and 3) proatherogenic lipids (oxidized low density lipoprotein [oxLDL] and oxidized linoleic acid derivatives) induce adhesion of primary human macrophages to primary human coronary artery smooth muscle cells (CASMCs) in vitro in a macrophage CX3CR1-dependent manner. Here we analyze this concept further by testing whether atherogenic lipids regulate expression and function of CX3CL1 and CX3CR1 on CASMCs. We found that both oxLDL and oxidized linoleic acid derivatives indirectly up-regulated CASMC CX3CL1 at both the protein and mRNA levels through an autocrine feedback loop involving tumor necrosis factor ␣ production and NF-B signaling. Oxidized lipids also up-regulated CASMC CX3CR1 but through a different mechanism. Oxidized lipid stimulation also increased adhesion of macrophages to CASMCs when CASMCs were stimulated prior to assay, and a synergistic pro-adhesive effect was observed when both cell types were prestimulated. Selective inhibition with a CX3CL1-specific blocking antibody indicated that adhesion was strongly CASMC CX3CL1-dependent. These findings support the hypothesis that CX3CR1 and CX3CL1 mediate heterotypic anchorage of foam cells to CASMCs in the context of atherosclerosis and suggest that this chemokine/chemokine receptor pair may be considered as a pro-inflammatory target for therapeutic intervention in atherosclerotic cardiovascular disease.Atherosclerosis involves a complex interplay of inflammatory cells, vascular elements, and lipoproteins coordinated by adhesion molecules, cytokines, and chemokines (1, 2). Oxidation of low density lipoprotein (LDL) 3 and its accumulation in the subendothelial space are key initiating events that promote accumulation of leukocytes and other cell types that organize over time to form plaque (3). Leukocyte recruitment mechanisms are unclear; however, recent genetic data from mouse and man have implicated members of the chemokine family, a large group of leukocyte chemoattractants active at G proteincoupled receptors (4). Of these, the evidence for CX3CL1 (also known as fractalkine) and its receptor CX3CR1 is particularly strong (5-10). CX3CL1 is an atypical multimodular chemokine that exists both in membrane-tethered and shed forms. The immobilized form consists of a chemokine domain anchored to the plasma membrane through an extended mucin-like stalk, a transmembrane helix, and an intracellular domain (11). Transmembrane CX3CL1 is an adhesion molecule that mediates integrin-independent cell capture by binding to CX3CR1 on target cells (12). Following protease-mediated release of the chemokine domain (13, 14), CX3CL1 may also promote classical chemotactic responses of ...