Iron in arterial plaque: A modifiable risk factor for atherosclerosis.
Sullivan JL
Biochim Biophys Acta 2008 Jun 19.
It has been proposed that iron depletion protects against
cardiovascular disease. There is increasing evidence that one
mechanism for this protection may involve a reduction in iron levels
within atherosclerotic plaque. Large increases in iron concentration
are seen in human atherosclerotic lesions in comparison to levels in
healthy arterial tissue. In animal models, depletion of lesion iron
levels in vivo by phlebotomy, systemic iron chelation treatment or
dietary iron restriction reduces lesion size and/or increases plaque
stability. A number of factors associated with increased arterial
disease or increased cardiovascular events is also associated with
increased plaque iron. In rats, infusion of angiotensin II increases
ferritin levels and arterial thickness which are reversed by treatment
with the iron chelator deferoxamine. In humans, a polymorphism for
haptoglobin associated with increased cardiovascular disease is also
characterized by increased lesional iron. Heme oxygenase 1 (HO1) is an
important component of the system for mobilization of iron from
macrophages. Human HO1 promoter polymorphisms causing weaker
upregulation of the enzyme are associated with increased
cardiovascular disease and increased serum ferritin. Increased
cardiovascular disease associated with inflammation may be in part
caused by elevated hepcidin levels that promote retention of iron
within plaque macrophages. Defective retention of iron within arterial
macrophages in genetic hemochromatosis may explain why there is little
evidence of increased atherosclerosis in this disorder despite
systemic iron overload. The reviewed findings support the concept that
arterial plaque iron is a modifiable risk factor for atherogenesis.
Biochimica et biophysica acta [Biochim Biophys Acta]
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On Jul 18, 7:33 am, "ironjust...@aol.com" <ironjust...@aol.com>
wrote:Iron in arterial plaque <<
ORIGINAL RESEARCH ARTICLE
Overexpression of Transferrin Receptor and Ferritin Related to
Clinical Symptoms and Destabilization of Human Carotid Plaques
Wei Li*,1, Li-Hua Xu,1,2, Claes Forssell, Jerome L. Sullivan and Xi-
Ming Yuan,3
* Division of Pharmacology; Division of Experimental Pathology,
Department of Clinical and Experimental Medicine; Division of
Vascular Surgery, Department of Medicine and Health Sciences, Faculty
of Health Sciences, Linköping University, Linköping, SE-58185 Sweden;
and Burnett College of Biomedical Sciences, University of Central
Florida, Orlando, Florida 32816
To whom requests for reprints should be addressed at 3 Division of
Experimental Pathology, Department of Clinical and Experimental
Medicine, Linköping University, Linköping, Sweden. E-mail:
yuan.ximing@inr.liu.se; yuanximing@gmail.com
Accumulation of tissue iron has been implicated in development of
atherosclerotic lesions mainly because of increased iron-catalyzed
oxidative injury. However, it remains unknown whether cellular iron
import and storage in human atheroma are related to human atheroma
development. We found that transferrin receptor 1 (TfR1), a major iron
importer, is highly expressed in foamy macrophages and some smooth
muscle cells in intimal lesions of human carotid atheroma, mainly in
cytoplasmic accumulation patterns. In 52 human carotid atherosclerotic
lesions, TfR1 expression was positively correlated with macrophage
infiltration, ectopic lysosomal cathepsin L, and ferritin expression.
Highly expressed TfR1 and ferritin in CD68-positive macrophages were
significantly associated with development and severity of human
carotid plaques, smoking, and patient’s symptoms. The findings suggest
that pathologic macrophage iron metabolism may contribute to
vulnerability of human atheroma, established risk factors, and their
clinical symptoms. The cytoplasmic overexpression of TfR1 may be the
result of lysosomal dysfunction and ectopic accumulation of lysosomal
cathepsin L caused by atheroma-relevant lipids in atherogenesis.
Key Words: atherosclerosis • apoptosis • iron metabolism • lysosomes •
macrophages • plaque rupture
First published online April 29, 2008
Experimental Biology and Medicine 233:818-826 (2008)
doi: 10.3181/0711-RM-320
© 2008 by the Society for Experimental Biology and Medicine
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> Iron in arterial plaque: A modifiable risk factor for atherosclerosis.
> Sullivan JL
[quoted text clipped - 37 lines]
>
> DEAD PEOPLE WALKINGhttp://tinyurl.com/zk9fk