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Am J Physiol Heart Circ Physiol 294: H2619-H2626, 2008. First published April 11, 2008; doi:10.1152/ajpheart.00989.2007
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CD4+ T lymphocytes mediate hypercholesterolemia-induced endothelial dysfunction via a NAD(P)H oxidase-dependent mechanism

Ryan M. Wolfort, Karen Y. Stokes, and D. Neil Granger

Department of Molecular and Cellular Physiology, Louisiana State University Health Sciences Center, Shreveport, Louisiana

Submitted 27 August 2007 ; accepted in final form 7 April 2008

Although hypercholesterolemia is known to impair endothelium-dependent vasodilation (EDV) long before the appearance of atherosclerotic plaques, it remains unclear whether the immune mechanisms that have been implicated in atherogenesis also contribute to the early oxidative stress and endothelial cell dysfunction elicited by hypercholesterolemia. EDV (wire myography), superoxide generation (cytochrome c reduction), and NAD(P)H oxidase mRNA expression were monitored in aortic rings from wild-type (WT) and mutant mice placed on either a normal diet or a cholesterol-enriched diet (HC) for 2 wk. WT mice on HC exhibited impaired EDV, enhanced superoxide generation, and increased expression of NAD(P)H oxidase subunit Nox-2 mRNA. The impaired EDV and increased superoxide generation induced by HC were significantly blunted in severe combined immunodeficient (SCID) mice and CD4+ T lymphocyte-deficient mice. These responses were also attenuated in HC mice genetically deficient in IFN-{gamma}; however, adoptive transfer of WT-HC CD4+ T lymphocytes to IFN-{gamma}-deficient recipients restored HC-induced responses. The HC-induced impaired EDV and oxidative stress were also attenuated in HC mice genetically deficient in Nox-2 (gp91phox–/–) and in WT->gp91phox–/–-HC chimeras. HC-induced gp91phox mRNA expression was significantly blunted in mice deficient in CD4+ T cells or IFN-{gamma} and was restored with adoptive transfer of WT-HC CD4+ T cells to IFN-{gamma}-deficient recipients. These findings implicate the immune system in the early endothelial cell dysfunction associated with hypercholesterolemia and are consistent with a mechanism of impaired EDV that is mediated by CD4+ T cells and IFN-{gamma}, acting through the generation of superoxide from vascular NAD(P)H oxidase.

t cells; interferon-{gamma}; vasodilation



Address for reprint requests and other correspondence: D. N. Granger, Dept. of Molecular and Cellular Physiology, Louisiana State Univ. Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71130 (e-mail: dgrang{at}lsuhsc.edu)







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