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Originally published In Press as doi:10.1074/jbc.M206966200 on October 10, 2002

J. Biol. Chem., Vol. 277, Issue 50, 48051-48057, December 13, 2002
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Reduction of Atherosclerosis by the Peroxisome Proliferator-activated Receptor alpha  Agonist Fenofibrate in Mice*

Hélène DuezDagger , Yu-Sheng Chao§, Melba Hernandez§, Gérard TorpierDagger , Philippe PoulainDagger , Steven Mundt§, Ziad Mallat, Elisabeth TeissierDagger , Charlotte A. Burton§, Alain Tedgui, Jean-Charles FruchartDagger ||, Catherine FiévetDagger , Sam D. Wright§, and Bart StaelsDagger ||**

From the Dagger  UR.545 INSERM-Institut Pasteur de Lille, Lille 59019, France, § Merck Research Laboratories, Rahway, New Jersey 07065, the || Faculté de Pharmacie, Université de Lille2, Lille 59006, France, and  U.541 INSERM, Hôpital Lariboisière, Paris 75475, France

Several clinical and angiographic intervention trials have shown that fibrate treatment leads to a reduction of the coronary events associated to atherosclerosis. Fibrates are ligands for peroxisome proliferator-activated receptor alpha  (PPARalpha ) that modulate risk factors related to atherosclerosis by acting at both systemic and vascular levels. Here, we investigated the effect of treatment with the PPARalpha agonist fenofibrate (FF) on the development of atherosclerotic lesions in apolipoprotein (apo) E-deficient mice and human apoA-I transgenic apoE-deficient (hapoA-I Tg × apoE-deficient) mice fed a Western diet. In apoE-deficient mice, plasma lipid levels were increased by FF treatment with no alteration in the cholesterol distribution profile. FF treatment did not reduce atherosclerotic lesion surface area in the aortic sinus of 5-month-old apoE-deficient mice. By contrast, FF treatment decreased total cholesterol and esterified cholesterol contents in descending aortas of these mice, an effect that was more pronounced in older mice exhibiting more advanced lesions. Furthermore, FF treatment reduced MCP-1 mRNA levels in the descending aortas of apoE-deficient mice, whereas ABCA-1 expression levels were maintained despite a significant reduction of aortic cholesterol content. In apoE-deficient mice expressing a human apoA-I transgene, FF increased human apoA-I plasma and hepatic mRNA levels without affecting plasma lipid levels. This increase in human apoA-I expression was accompanied by a significant reduction in the lesion surface area in the aortic sinus. These data indicate that the PPARalpha agonist fenofibrate reduces atherosclerosis in these animal models of atherosclerosis.


* This work was supported by grants from INSERM and FEDER-Conseil Régional Nord Pas-de-Calais (Génopôle 01360124).The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

** To whom correspondence should be addressed: UR.545 INSERM, Département d'Athérosclérose, Institut Pasteur de Lille, 1 rue Calmette, BP 245, Lille 59019, France. Tel.: 33-3-20-87-73-88; Fax: 33-3-20-87-71-98; E-mail: Bart.Staels@pasteur-lille.fr.


Copyright © 2002 by The American Society for Biochemistry and Molecular Biology, Inc.
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