Table 1. Cytokines and chemokines.
Target | Treatment | Immunological/metabolic effect | Effect on atherosclerosis | Experimental model | Diet | Reference |
---|---|---|---|---|---|---|
TNF α | Chimeric sTNF-RI/Fc (pellets) | Combined inhibition of TNF-α and LT-α, tendency of ↑TC | 75% ↓ in lesion size, ↑ in CD3+ stained area in the plaques | Male apoE−/− mice | Normal chow diet | Branen et al., 2004 [64] |
IL-12 | Immunization with IL-12–PADRE complex | Blocking endogenous IL-12 function by induction of anti IL-12 Abs (IgG1, IgG2a), ↓ serum IFN-γ | 69% ↓ in intima area, 67% ↓ intima/media ratio, 58% ↓ in the amount of stenosis, 4-fold ↑ in SMCs, 3-fold ↑ in collagen content, ↓ IFN-γ+ cells | Female LDLR−/− mice (bilateral CA collar) | Western type diet | Hauer et al., 2005 [65] |
CCL5/RANTES receptor | Met RANTES (RANTES receptor antagonist) | Limits monocyte/macrophage and T-cell chemotaxis and T-cell activation by blocking RANTES signalling | 43% ↓ aortic root, 58% ↓ thoraco-abdominal aorta, 43% ↓ Mac-1+, 83% ↓ CD4+, ↑ SMCs and collagen, ↓ MMP-9 expression, ↓ CCR5 and CCR2 mRNA expression | Male LDLR−/− mice | High chelesterol diet | Veillard et al., 2004 [66] |
MIF | Anti-MIF monoclonal antibody | Neutralization of MIF, ↑ serum IL-2, IL-4, IL-6, IL-10 and TNFα | ↓ Mac-1+ cells (26% vs. 52%), ↓ Mac-2+ foam cells, ↑ αSMA (44% vs. 23%), ↑ neointimal collagen type I (28% vs. 16%) | Female apoE−/−, (wire induced injury in left CA) | Atherogenic diet | Schober et al., 2004 [67] |
MIF | Anti-MIF monoclonal antibody | Neutralization of MIF, ↓ serum MIF, ↓ serum IL-6, ↓ fibrinogen | Small non-significant ↓ in aortic plaque, ↓ mRNA expression of ICAM-1, MMP-2, TNF and IL-12, ↓ protein expression of CD40L, phospho-c-Jun and C/EBPβ | apoE−/− mice | Normal chow diet | Burger-Kentischer et al., 2006 [68] |
MIF | Anti-MIF monoclonal antibody | Neutralization of MIF, blockage MIF/CXCR2 interaction | Regression of pre-existing atherosclerotic plaques (aortic root), ↓ macrophages and CD3+ T-cells | apoE−/− mice | Atherogenic diet | Bernhagen et al., 2007 [69] |
CCR5 and CXCR3 | HIV entry inhibitor, TAK-779 (CCR5 and CXCR3 antagonist) | Antagonism of CCR5 and CXCR3, CD4+ T-cells (↓ in blood and lymph nodes; ↑ in spleen), CD8+ T-cells (↓ in blood and lymph nodes), ↑ mRNA of CCR5, CCR2, MCP-1, IL-12, IL-4 in spleen | 68% ↓ carotid lesion size, 49% ↓ intima-media ratio, 56% ↓ intima lumen ratio, 95% ↓ CD3+ T-cells, 98% ↓ INF-γ+ area | Female LDLR−/− mice (CA collar) | Western type diet | Van Wanrooij et al., 2005 [70] |
CXCR3 | NBI-74330 (CXCR3 antagonist) | Antagonism of CXCR3, 64% ↓ cell numbers in draining lymph nodes (with ↑ of CD4+CD25high, ↑ CD4+CD62Lhigh) | ↓ Lesion size (27% ↓ in aortic root, 53% ↓ in aorta), ↑ TGF-β+ area, ↑ mRNA expression of Foxp3,CD25, CTLA-4 (in carotid artery) | Female LDLR−/− mice | Western type diet | Van Wanrooij et al., 2008 [71] |
RANTES | Inhibitor of endogenous RANTES [44MNA47]-RANTES | Inhibition of RANTES, ↓ leukocyte rolling and arrest in mesenteric, vessels, ↓ secretion of IFNγ and TNFα, ↓ mRNA expression of TIM-3 (splenocytes) | ↓ Lesion size in established atheroscierotic plaques (thoraco-abdominal aorta and aortic root), ↓ CD4+ cells, ↓ macrophages, ↓ MMP-9, ↑ SMCs, ↑ collagen, ↓ mRNA of CCR2, CCR5 and CCL2/MCP-1 | Male LDLR−/− mice | High chelesterol diet | Braunersreuther et al., 2008 [72] |
Abbreviations: TC, total cholesterol; CA, carotid artery; TNF α, tumor necrosis factor alpha; LT-α, lymphotoxin alpha; Chimeric TNF-RI/Fc, recombinant murine TNF-RI fused with Fc fragment of human IgG; IL, interleukin; SMC, smooth muscle cells; IFN-γ, interferon gamma; MIF, migration inhibitory factor; αSMA,alpha smooth muscle actin; Mac-1, macrophage antigen 1; Mac-2, macrophage antigen 2; ICAM-1, Inter-Cellular Adhesion Molecule 1; MMP2, matrix metallopeptidase 2; CD40L, CD40 ligand; CXCR, CXC chemokine receptor; CCR, chemokine (C–C motif) receptor; MCP1, monocyte chemotactic protein-1(CCL2), Tim-3, Th1-specific cell surface transmembrane protein; RANTES(CCL5),chemokine (C–C motif) ligand 5; LDLR, low-density lipoprotein (LDL) receptor; ApoE, apolipoprotein E.