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Publication : Signal transducer of inflammation gp130 modulates atherosclerosis in mice and man.

First Author  Luchtefeld M Year  2007
Journal  J Exp Med Volume  204
Issue  8 Pages  1935-44
PubMed ID  17664290 Mgi Jnum  J:125950
Mgi Id  MGI:3760229 Doi  10.1084/jem.20070120
Citation  Luchtefeld M, et al. (2007) Signal transducer of inflammation gp130 modulates atherosclerosis in mice and man. J Exp Med 204(8):1935-44
abstractText  Liver-derived acute phase proteins (APPs) emerged as powerful predictors of cardiovascular disease and cardiovascular events, but their functional role in atherosclerosis remains enigmatic. We report that the gp130 receptor, which is a key component of the inflammatory signaling pathway within hepatocytes, influences the risk of atherosclerosis in a hepatocyte-specific gp130 knockout. Mice on an atherosclerosis-prone genetic background exhibit less aortic atherosclerosis (P < 0.05) with decreased plaque macrophages (P < 0.01). Translating these findings into humans, we show that genetic variation within the human gp130 homologue, interleukin 6 signal transducer (IL6ST), is significantly associated with coronary artery disease (CAD; P < 0.05). We further show a significant association of atherosclerotic disease at the ostium of the coronary arteries (P < 0.005) as a clinically important and heritable subphenotype in a large sample of families with myocardial infarction (MI) and a second independent population-based cohort. Our results reveal a central role of a hepatocyte-specific, gp130-dependent acute phase reaction for plaque development in a murine model of atherosclerosis, and further implicate IL6ST as a genetic susceptibility factor for CAD and MI in humans. Thus, the acute phase reaction should be considered an important target for future drug development in the management of CAD.
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