Objective-Chronic inflammatory processes might be involved in the progression and destabilization of atherosclerotic plaques. Therefore, identification of the mechanism underlying arterial inflammatory function might lead to the development of novel therapeutic strategies. Angiotensin II (AngII) is implicated in atherogenesis by activating the vascular inflammation system, mainly through monocyte chemotaxis. Therefore, we hypothesized that AngII increases plaque size and promotes destabilization of established atheromas by activating the monocyte chemoattractant protein-1 (MCP-1) pathway. Methods and Results-We report here that 4-week infusion of AngII not only increased plaque size but also induced a destabilization phenotype (ie, increased macrophages and lipids and decreased collagen and smooth muscle cells) of pre-existing atherosclerotic lesions of hypercholesterolemic mice. AngII also enhanced the gene expression of inflammatory cytokines (TNF␣, etc.) and chemokines CCR2, etc Key Words: atherosclerosis Ⅲ hypercholesterolemia Ⅲ cell adhesion molecules Ⅲ inflammation Ⅲ gene therapy A therosclerosis and its complications are the major cause of death in Western countries. Recent evidence suggests that chronic inflammatory processes have an important role in atherosclerotic plaque progression, destabilization, and subsequent rupture/thrombosis, resulting in acute coronary syndrome and stroke. 1 Therefore, identification of the critical inflammatory pathway involved in plaque progression and destabilization of pre-existing established atheromas might aid in the development of novel therapeutic strategies to reduce atherothrombotic complications. Angiotensin II (AngII) is implicated in atherogenesis beyond its hemodynamic effects. 2 Infusion of AngII into hypercholesterolemic mice dramatically accelerates the development and/or progression of atherosclerotic lesions and the effects of AngII occurred independent of changes in arterial pressure or plasma lipid concentration. 3,4 The mechanism of AngII-induced enhancement of atherogenesis is probably multifactorial, and includes hemodynamic effects, endothelial dysfunction and activation, 5 oxidative stress, 6 and inflammation. 7,8 AngII increases monocyte chemotaxis, activates nuclear factor-B, and augments production of inflammatory cytokines and chemokines by arterial wall cells and monocytes. 9 -12 AngII is very important in the pathogenesis of atherothrombotic complications, as evidenced by clinical benefits of angiotensinconverting enzyme inhibition 13 and AngII receptor blockers. 14 There are no reports, however, that address the mechanism of AngII-induced enhancement of atherogenesis and plaque destabilization under in vivo conditions.Emerging evidence suggests that AngII activates cell inflammatory systems in arterial lesion. 1,2 Inflammatory changes in arterial lesions are characterized by the recruitment and activation of monocytes/macrophages, which are regulated by monocyte chemoattractant protein-1 (MCP-1). 15
Expression Vector7ND was constructed b...