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A major role for VCAM-1, but not ICAM-1, in early atherosclerosis.

VCAM-1 and ICAM-1 are endothelial adhesion molecules of the Ig gene superfamily that may participate in atherogenesis by promoting monocyte accumulation in the arterial intima. Both are expressed in regions predisposed to atherosclerosis and at the periphery of established lesions, while ICAM-1 is also expressed more broadly. To evaluate functions of VCAM-1 in chronic disease, we disrupted its fourth Ig domain, producing the murine Vcam1(D4D) allele. VCAM-1(D4D) mRNA and protein were reduced to 2-8% of wild-type allele (Vcam1(+)) levels but were sufficient to partially rescue the lethal phenotype of VCAM-1-null embryos. After crossing into the LDL receptor-null background, Vcam1(+/+) and Vcam1(D4D/D4D) paired littermates were generated from heterozygous intercrosses and fed a cholesterol-enriched diet for 8 weeks. The area of early atherosclerotic lesions in the aorta, quantified by en face oil red O staining, was reduced significantly in Vcam1(D4D/D4D) mice, although cholesterol levels, lipoprotein profiles, and numbers of circulating leukocytes were comparable to wild-type. In contrast, deficiency of ICAM-1 either alone or in combination with VCAM-1 deficiency did not alter nascent lesion formation. Therefore, although expression of both VCAM-1 and ICAM-1 is upregulated in atherosclerotic lesions, our data indicate that VCAM-1 plays a dominant role in the initiation of atherosclerosis.

Pubmed ID: 11375415


  • Cybulsky MI
  • Iiyama K
  • Li H
  • Zhu S
  • Chen M
  • Iiyama M
  • Davis V
  • Gutierrez-Ramos JC
  • Connelly PW
  • Milstone DS


The Journal of clinical investigation

Publication Data

May 25, 2001

Associated Grants

  • Agency: NHLBI NIH HHS, Id: HL-30628
  • Agency: NHLBI NIH HHS, Id: HL-5409

Mesh Terms

  • Animals
  • Aorta
  • Arteriosclerosis
  • Diet, Atherogenic
  • Embryo Loss
  • Intercellular Adhesion Molecule-1
  • Leukocyte Count
  • Mice
  • Mice, Mutant Strains
  • Mutation
  • Time Factors
  • Vascular Cell Adhesion Molecule-1