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A statin-loaded reconstituted high-density lipoprotein nanoparticle inhibits atherosclerotic plaque inflammation

  • Raphaël Duivenvoorden
  • , Jun Tang
  • , David P. Cormode
  • , Aneta J. Mieszawska
  • , David Izquierdo-Garcia
  • , Canturk Ozcan
  • , Maarten J. Otten
  • , Neeha Zaidi
  • , Mark E. Lobatto
  • , Sarian M. Van Rijs
  • , Bram Priem
  • , Emma L. Kuan
  • , Catherine Martel
  • , Bernd Hewing
  • , Hendrik Sager
  • , Matthias Nahrendorf
  • , Gwendalyn J. Randolph
  • , Erik S.G. Stroes
  • , Valentin Fuster
  • , Edward A. Fisher
  • Zahi A. Fayad, Willem J.M. Mulder
  • Mount Sinai School of Medicine
  • Amsterdam University Medical Centers
  • University of Pennsylvania
  • Washington University School of Medicine in St. Louis
  • New York University (NYU)
  • Charité – Universitätsmedizin Berlin
  • Massachusetts General Hospital
  • Centro Nacional de Investigaciones Cardiovasculares (CNIC)

Research output: Contribution to journalArticlepeer-review

404 Scopus citations

Abstract

Inflammation is a key feature of atherosclerosis and a target for therapy. Statins have potent anti-inflammatory properties but these cannot be fully exploited with oral statin therapy due to low systemic bioavailability. Here we present an injectable reconstituted high-density lipoprotein (rHDL) nanoparticle carrier vehicle that delivers statins to atherosclerotic plaques. We demonstrate the anti-inflammatory effect of statin-rHDL in vitro and show that this effect is mediated through the inhibition of the mevalonate pathway. We also apply statin-rHDL nanoparticles in vivo in an apolipoprotein E-knockout mouse model of atherosclerosis and show that they accumulate in atherosclerotic lesions in which they directly affect plaque macrophages. Finally, we demonstrate that a 3-month low-dose statin-rHDL treatment regimen inhibits plaque inflammation progression, while a 1-week high-dose regimen markedly decreases inflammation in advanced atherosclerotic plaques. Statin-rHDL represents a novel potent atherosclerosis nanotherapy that directly affects plaque inflammation.

Original languageEnglish
Article number3065
JournalNature Communications
Volume5
DOIs
StatePublished - 2014
Externally publishedYes

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