092 il18 and il18 bp in atherosclerosis

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Caspase-1 p10 10 Kd hIL18R 105 Kd 75 Kd IL-18/IL-18BP in Atherosclerosis IL-18 and IL-18R in Human Carotid Plaques hIL18 25 Kd 15 Kd Atherosclerotic plaques Controls

Transcript of 092 il18 and il18 bp in atherosclerosis

Page 1: 092 il18 and il18 bp in atherosclerosis

Caspase-1p10

10 Kd

hIL18R105 Kd

75 Kd

IL-18/IL-18BP in AtherosclerosisIL-18 and IL-18R in Human Carotid Plaques

hIL1825 Kd

15 Kd

Atherosclerotic plaques Controls

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IL-18/IL-18BP in AtherosclerosisIL-18mRNA and Plaque Stability

mRNA expression(relative to GAPDH)

** p < 0.0074

Symptomatic Asymptomatic

1

0

2

3

4* p < 0.018

Ulcer No Ulcer

mRNA expression(relative to GAPDH)

1

0

2

3

4

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Plasma IL-18 in Acute Coronary Syndromes

Conclusions

• IL-18 levels are related to clinical signs of plaque instability

• The results suggest an important role for IL-18 in ischemic myocardial dysfunction leading to severe clinical events and eventually to death

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Inhibition of IL-18 Signaling by IL-18 Binding Protein Transfection Prevents Development

of Atherosclerosis and Induces a Stable Plaque Phenotype in apoE KO Mice

Mallat Z, Corbaz A, Scoazec A, Graber P, Alouani S, Esposito B, Humbert Y, Chvatchko Y, Tedgui A

INSERM U 541, IFR Circulation Paris VII, Paris , Franceand Ares Serono, Geneva, Switzerland

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0

2

4

6

Empty plasmid IL-18BP plasmid

Lipid staining Area (%)

****

P < 0.0001Empty

IL18BP

Role in Early Lesion Formationin ApoE KO Mice

Lipid Staining

IL18/IL18BP Signaling in Atherosclerosis

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Role in Advanced Lesion Composition

Empty

IL18BP

MOMA-2

0

102030405060

****P < 0.0001

Mac

roph

age

Are

a (%

)

0

100

200

300

***

P < 0.005T

cells

/mm

2

IL18/IL18BP Signaling in Atherosclerosis

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Role in Advanced Lesion Composition

Empty Plasmid IL18BP Plasmid

-Actin

0

4

8

12

16

20

*P < 0.05

Smoo

th m

uscl

eC

ell A

rea

(%)

IL18/IL18BP Signaling in Atherosclerosis

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Role in Advanced Lesion Composition

Empty Plasmid IL18BP Plasmid

Sirius Red

0

10

20

30

40

50

60 ***P < 0.0005

Col

lage

n co

nten

t (%

)

IL18/IL18BP Signaling in Atherosclerosis

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IL18/IL18BP Signaling in Atherosclerosis

Conclusion

Our results identify for the first time a critical role for IL-18/IL-18BP regulation in atherosclerosis and suggest a potential role for IL-18 inhibitors in reduction of plaque development/progression and promotion of plaque stability.