Objective-Tissue inhibitor of metalloproteinase 3 (TIMP3) is a stromal protein that inhibits the activity of proteases and receptors. TIMP3 is downregulated in metabolic and inflammatory disorders, such as type 2 diabetes mellitus and atherosclerosis, particularly in regions enriched with monocyte/macrophage cells. To investigate the role of TIMP3 in atherosclerosis, we generated a new mouse model in which Timp3 was overexpressed in the atherosclerotic plaque via a macrophage-specific promoter (MacT3). We elucidated any potential antiatherosclerotic effects of TIMP3, including regulation of monocyte/macrophage recruitment within atherosclerotic plaques, in MacT3 mice crossbred with low-density lipoprotein receptor knockout (LDLR Ϫ/Ϫ ) mice.
Methods and Results-MacT3/LDLRϪ/Ϫ mice had an improvement of atherosclerosis and metabolic parameters compared with LDLR Ϫ/Ϫ . En face aorta and aortic root examination of MacT3/LDLR Ϫ/Ϫ mice revealed smaller atherosclerotic plaques with features of stability, such as increased collagen content and decreased necrotic core formation. Atherosclerotic plaques in MacT3/LDLR Ϫ/Ϫ mice contained fewer T cells and macrophages. Furthermore, TIMP3 overexpression in macrophages resulted in reduced oxidative stress signals, as evidenced by lower lipid peroxidation, protein carbonylation, and nitration in atheromas. Conclusion-Our study confirmed that macrophage-specific overexpression of TIMP3 decreases the inflammatory content and the amplitude of atherosclerotic plaques in mice. Key Words: atherosclerosis Ⅲ macrophages Ⅲ metalloproteinases Ⅲ inflammation Ⅲ lipotoxicity I n patients with type 2 diabetes mellitus and cardiovascular disease, the expression of tissue inhibitor of metalloproteinase 3 (TIMP3) is reduced in carotid atherosclerotic plaques, particularly in regions enriched with monocyte/macrophage cells. 1 TIMP3 is a secreted 24-to 27-kDa stromal protein that belongs to the TIMP family. It binds to the extracellular matrix and inhibits metalloproteases such as matrix metalloproteinase-2/9/14 and a disintegrin and a metalloprotease domain 17 (ADAM17), whose activities are increased in atherosclerotic plaques. 1,2 We previously identified TIMP3 as a modifier factor for insulin resistance and vascular inflammation in mice, and these results were partially explained by the inhibitory effect of TIMP3 on ADAM17. [3][4][5][6] In particular, analysis of metabolic and vascular tissues from different strains of Insr ϩ/Ϫ revealed that those with diabetes were characterized by deficiency for TIMP3, insulin resistance, unrestrained metalloprotease activity, and increased activation of inflammatory signals. 3 This phenotype partially reverted when the Insr ϩ/Ϫ mice were crossed with ADAM17 haploinsufficient mice or treated with a metalloprotease inhibitor. 3 Moreover, in a mouse model combining insulin resistance with nutrient overload and decreased TIMP3 activity, the loss of TIMP3 was associated with greater infiltration of F4/80 positive cells, increased monocyte chemoattractant protein-...