Overexpression of angiopoietin-like protein 4 protects against atherosclerosis development

A. Georgiadi, Y. Wang, R. Stienstra, N. Tjeerdema, A. Janssen, A. Stalenhoef, A. van der Vliet, J.A. de Roos, J.T. Tamsma, J.W. Smit, N.S. Tan, M.R. Müller, P.C. Rensen, A.H. Kersten

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71 Citations (Scopus)


Objective—Macrophage foam cells play a crucial role in several pathologies including multiple sclerosis, glomerulosclerosis, and atherosclerosis. Angiopoietin-like protein 4 (Angptl4) was previously shown to inhibit chyle-induced foam cell formation in mesenteric lymph nodes. Here we characterized the regulation of Angptl4 expression in macrophages and examined the impact of Angptl4 on atherosclerosis development. Approach and Results—Macrophage activation elicited by pathogen-recognition receptor agonists decreased Angptl4 expression, whereas lipid loading by intralipid and oxidized low-density lipoprotein increased Angptl4 expression. Consistent with an antilipotoxic role of Angptl4, recombinant Angptl4 significantly decreased uptake of oxidized low-density lipoprotein by macrophages, via lipolysis-dependent and -independent mechanisms. Angptl4 protein was detectable in human atherosclerotic lesions and localized to macrophages. Transgenic overexpression of Angptl4 in atherosclerosis-prone apolipoprotein E*3-Leiden mice did not significantly alter plasma cholesterol and triglyceride levels. Nevertheless, Angptl4 overexpression reduced lesion area by 34% (P
Original languageEnglish
Pages (from-to)1529-1537
JournalArteriosclerosis Thrombosis and Vascular Biology
Issue number7
Publication statusPublished - 2013


  • low-density-lipoprotein
  • mouse peritoneal-macrophages
  • foam cell-formation
  • transgenic mice
  • lipase
  • angptl4
  • expression
  • gene
  • hyperlipoproteinemia
  • hyperlipidemia


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