Cited by 220Cholesterol and Lipid MetabolismMicroRNA in disease regulationAtherosclerosis and Cardiovascular Diseases

MicroRNA‐33 Deficiency Reduces the Progression of Atherosclerotic Plaque in ApoE −/− Mice

Open access
Horie, Takahiro, Baba, Osamu, Kuwabara, Yasuhide, Chujo, Yoshimasa, Watanabe, Shin, Kinoshita, Minako, Horiguchi, Masahito, Nakamura, Tomoyuki +8 more·2012·Journal of the American Heart Association

Abstract

Background: Cholesterol efflux from cells to apolipoprotein A‐I (apoA‐I) acceptors via the ATP ‐binding cassette transporters ABCA 1 and ABCG 1 is thought to be central in the antiatherogenic mechanism. Micro RNA (miR)‐33 is known to target ABCA 1 and ABCG 1 in vivo. Methods and Results: We assessed the impact of the genetic loss of miR‐33 in a mouse model of atherosclerosis. MiR‐33 and apoE double‐knockout mice (miR‐33 −/− Apoe −/− ) showed an increase in circulating HDL‐C levels with enhanced cholesterol efflux capacity compared with miR‐33 +/+ Apoe −/− mice. Peritoneal macrophages from miR‐33 −/− Apoe −/− mice showed enhanced cholesterol efflux to apoA‐I and HDL‐C compared with miR‐33 +/+ Apoe −/− macrophages. Consistent with these results, miR‐33 −/− Apoe −/− mice showed reductions in plaque size and lipid content. To elucidate the roles of miR‐33 in blood cells, bone marrow transplantation was performed in these mice. Mice transplanted with miR‐33 −/− Apoe −/− bone marrow showed a significant reduction in lipid content in atherosclerotic plaque compared with mice transplanted with miR‐33 +/+ Apoe −/− bone marrow, without an elevation of HDL‐C . Some of the validated targets of miR‐33 such as RIP 140 ( NRIP 1) and CROT were upregulated in miR‐33 −/− Apoe −/− mice compared with miR‐33 +/+ Apoe −/− mice, whereas CPT 1a and AMPK α were not. Conclusions: These data demonstrate that miR‐33 deficiency serves to raise HDL‐C , increase cholesterol efflux from macrophages via ABCA 1 and ABCG 1, and prevent the progression of atherosclerosis. Many genes are altered in miR‐33‐deficient mice, and detailed experiments are required to establish miR‐33 targeting therapy in humans.

AI snapshot

Written from the paper’s full text.

TL;DR

Genetic loss of miR-33 in ApoE−/− mice raises circulating HDL-C, enhances macrophage cholesterol efflux via ABCA1/ABCG1, and reduces atherosclerotic plaque size and lipid content. Bone marrow transplantation shows that loss of leukocyte miR-33 reduces plaque lipid content without raising HDL-C, implicating macrophage miR-33 in atherosclerosis progression.

Key findings

  • miR-33−/−Apoe−/− mice had reduced atherosclerosis versus miR-33+/+Apoe−/− controls: en face aortic lesion area in males was 17.2±1.1% versus 24.7±1.4% (P<0.001), and proximal aortic plaque area was reduced in males (0.36±0.021 versus 0.44±0.025 mm², P=0.0314) and females (0.54±0.036 versus 0.66±0.042 mm², P=0.0372).
  • HDL-C was significantly elevated in miR-33−/−Apoe−/− mice by HPLC: male HDL 33.21±2.51 versus 22.79±1.28 mg/dL and female HDL 22.71±2.52 versus 17.62±0.73 mg/dL; apoB-depleted serum from these mice promoted greater cholesterol efflux from J774 macrophages.
  • Peritoneal macrophages from miR-33−/−Apoe−/− mice showed increased ABCA1/ABCG1 expression and enhanced cholesterol efflux to apoA-I and HDL-C; they were also resistant to free-cholesterol-induced apoptosis.
  • Bone marrow transplantation with miR-33−/−Apoe−/− marrow reduced plaque lipid content (1.9±0.2% versus 3.0±0.4%, P=0.020) without elevating HDL-C; plaque size reduction was not statistically significant (P=0.12). RIP140 and CROT were upregulated in miR-33−/−Apoe−/− mice, whereas CPT1a and AMPKα were not.

Methods

  • miR-33−/− mice were crossed with Apoe−/− mice on a C57BL/6 background; miR-33+/+Apoe−/− littermates served as controls. Mice were fed normal chow until 6 weeks, then a Western-type diet containing 0.15% cholesterol and 20% fat for 16 weeks, with atherosclerosis analyzed at 22 weeks.
  • Analyses included serum lipid profiling by standard methods and HPLC, cholesterol efflux assays using J774 cells and thioglycollate-elicited peritoneal macrophages, qRT-PCR, Western blotting, flow cytometry for monocyte subsets, immunohistochemistry, en face and cross-sectional aortic lesion quantification, and bone marrow transplantation after 2×6 Gy irradiation with 5×10⁶ BM cells.
  • Data are mean±SE; comparisons used Mann–Whitney U tests for n<10, unpaired two-tailed Student t tests otherwise, and one-way ANOVA with Bonferroni post hoc test for >2 groups; significance was P<0.05.

Limitations

  • The paper states that many genes are altered in miR-33-deficient mice and that detailed experiments are required before miR-33 targeting therapy can be established in humans; it also notes that the macrophage effect is not a simple M1-to-M2 shift.
  • The authors state that they do not know why HDL-C levels were almost the same in bone marrow transplant recipients and suggest radiation to liver and intestine may have reduced the effect of miR-33 deficiency on HDL-C; they also note that static HDL-C measurement has inherent limitations and that HDL-C function in Apoe−/− mice may be altered because apoE is absent.
  • Evident from the text: findings are in a mouse atherosclerosis model, BMT showed only a nonsignificant trend for plaque size reduction, and the authors caution that antagomir-based results may differ from genetic deletion and that longer-term safety assessment is needed.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1161/jaha.112.003376

Cites

50 of 50 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

20 of 34 cited sources checked · 8 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    MicroRNA-33 targets ABCA1 and ABCG1 in vivo.

    “MicroRNA (miR)-33 is known to target ABCA1 and ABCG1 in vivo.”
    Quote in the paperSubstantial claim2 of 4 sources checked
    • cites [16] Rayner KJ Suarez Y Davalos A Parathath S Fitzgerald ML Tamehiro N Fisher EA Moore KJ Fernandez-Hernando C MiR-33 contributes to the regulation of cholesterol homeostasis. Science. 2010; 328: 1570- 1573 20466885 PMC3114628 source

      In the in vivo mouse experiment (passage [6], labeled Abstract), miR-33 significantly reduced hepatic ABCA1 expression, but the decrease in ABCG1 protein was not statistically significant. The paper also identifies ABCG1 as a miR-33 target only in mice (passage [2]), so it does not establish the unqualified claim that miR-33 targets both genes in vivo. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
    • cites [17] Najafi-Shoushtari SH Kristo F Li Y Shioda T Cohen DE Gerszten RE Naar AM MicroRNA-33 and the SREBP host genes cooperate to control cholesterol homeostasis. Science. 2010; 328: 1566- 1569 20466882 PMC3840500 source

      The Results show that miR-33 targets the ABCA1 3′UTR, and the mouse experiment reports an HDL increase consistent with miR-33a regulation of ABCA1-dependent cholesterol efflux in vivo. The passages do not show that miR-33 targets ABCG1 in vivo; a search for ABCG1 returned no passage addressing it. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
    • cites [18] Marquart TJ Allen RM Ory DS Baldan A MiR-33 links SREBP-2 induction to repression of sterol transporters. Proc Natl Acad Sci USA. 2010; 107: 12228- 12232 20566875 PMC2901433 source
    • cites [22] Horie T Ono K Horiguchi M Nishi H Nakamura T Nagao K Kinoshita M Kuwabara Y Marusawa H Iwanaga Y Hasegawa K Yokode M Kimura T Kita T MicroRNA-33 encoded by an intron of sterol regulatory element-binding protein 2 (SREBP2) regulates HDL in vivo. Proc Natl Acad Sci USA. 2010; 107: 17321- 17326 20855588 PMC2951399 source
  • Premisecitation

    miR-33 controls cholesterol homeostasis based on knockdown experiments using antisense technology.

    “Recent reports, including ours, have indicated that miR-33 controls cholesterol homeostasis based on knockdown experiments using antisense technology.16–18”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites [16] Rayner KJ Suarez Y Davalos A Parathath S Fitzgerald ML Tamehiro N Fisher EA Moore KJ Fernandez-Hernando C MiR-33 contributes to the regulation of cholesterol homeostasis. Science. 2010; 328: 1570- 1573 20466885 PMC3114628 source
    • cites [17] Najafi-Shoushtari SH Kristo F Li Y Shioda T Cohen DE Gerszten RE Naar AM MicroRNA-33 and the SREBP host genes cooperate to control cholesterol homeostasis. Science. 2010; 328: 1566- 1569 20466882 PMC3840500 source
    • cites [18] Marquart TJ Allen RM Ory DS Baldan A MiR-33 links SREBP-2 induction to repression of sterol transporters. Proc Natl Acad Sci USA. 2010; 107: 12228- 12232 20566875 PMC2901433 source
  • Interpretationcitation

    The reduction in leukocytes observed in miR-33−/−Apoe−/− mice may have had beneficial effects on atherosclerosis.

    “Because leukocytosis enhances the progression of atherosclerosis, the reduction in leukocytes observed in miR-33−/−Apoe−/− mice may have had a beneficial effects on atherosclerosis.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [45] Coller BS Leukocytosis and ischemic vascular disease morbidity and mortality: is it time to intervene?. Arterioscler Thromb Vasc Biol. 2005; 25: 658- 670 15662026 source
  • Findingown data

    miR-33−/−Apoe−/− mice show reduced atherosclerotic plaque size compared with miR-33+/+Apoe−/− mice.

    “Consistent with these results, miR-33−/−Apoe−/− mice showed reductions in plaque size and lipid content.”
    Quote in the paperSubstantial claim
  • Findingown data

    Peritoneal macrophages from miR-33−/−Apoe−/− mice show enhanced cholesterol efflux to apoA-I compared with miR-33+/+Apoe−/− macrophages.

    “Peritoneal macrophages from miR-33−/−Apoe−/− mice showed enhanced cholesterol efflux to apoA-I and HDL-C compared with miR-33+/+Apoe−/− macrophages.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. 21
  • May combine two claims. 10
  • The quote only partly states this claim. 1
  • Classified as probably not a substantial claim.

    Premisecitation

    Cholesterol efflux from cells to apolipoprotein A-I (apoA-I) acceptors via the ATP-binding cassette transporters ABCA1 and ABCG1 is central in the antiatherogenic mechanism.

    “Cholesterol efflux from cells to apolipoprotein A-I (apoA-I) acceptors via the ATP-binding cassette transporters ABCA1 and ABCG1 is thought to be central in the antiatherogenic mechanism.”
    Quote in the paperSubstantial claim5 of 6 sources checked
    • cites [10] Aiello RJ Brees D Bourassa PA Royer L Lindsey S Coskran T Haghpassand M Francone OL Increased atherosclerosis in hyperlipidemic mice with inactivation of ABCA1 in macrophages. Arterioscler Thromb Vasc Biol. 2002; 22: 630- 637 11950702 source

      The Abstract says ABCA1 promotes cholesterol efflux from cells, and the Discussion reports that macrophage-specific ABCA1 inactivation increased atherosclerosis. The copy does not establish a role for ABCG1 or support the claim that both transporters mediate efflux to apoA-I acceptors. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [11] Joyce CW Wagner EM Basso F Amar MJ Freeman LA Shamburek RD Knapper CL Syed J Wu J Vaisman BL Fruchart-Najib J Billings EM Paigen B Remaley AT Santamarina-Fojo S Brewer HB Jr ABCA1 overexpression in the liver of LDLr-KO mice leads to accumulation of pro-atherogenic lipoproteins and enhanced atherosclerosis. J Biol Chem. 2006; 281: 33053- 33065 16928680 source

      The Abstract describes ABCA1-mediated cholesterol transfer to apoA-I and calls nascent HDL formation a critical step in antiatherogenic reverse cholesterol transport. The Discussion instead associates ABCG1 with cholesterol removal by mature HDL, not apoA-I acceptors. The claim is therefore supported for ABCA1 but not for the stated acceptor of ABCG1-mediated efflux. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [12] Singaraja RR Fievet C Castro G James ER Hennuyer N Clee SM Bissada N Choy JC Fruchart JC McManus BM Staels B Hayden MR Increased ABCA1 activity protects against atherosclerosis. J Clin Invest. 2002; 110: 35- 42 12093886 PMC151034 source

      The Introduction (p. 1) says ABCA1 plays a key role in cholesterol efflux to ApoA-I and links that process to protection against atherosclerosis. Our copy does not address ABCG1, so it does not support attributing the proposed mechanism to both transporters. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
    • cites [13] van Eck M Bos IS Kaminski WE Orso E Rothe G Twisk J Bottcher A Van Amersfoort ES Christiansen-Weber TA Fung-Leung WP Van Berkel TJ Schmitz G Leukocyte ABCA1 controls susceptibility to atherosclerosis and macrophage recruitment into tissues. Proc Natl Acad Sci USA. 2002; 99: 6298- 6303 11972062 PMC122943 source

      The Results and Discussion (p. 6) propose ABCA1-mediated cholesterol efflux as one possible explanation for ABCA1’s antiatherosclerotic effect. The Results and Discussion (p. 3) also describe apoA-I acquiring cholesterol from tissues through ABCA1. Our copy does not address ABCG1, so it does not support attributing the proposed mechanism to both transporters. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [14] Brunham LR Singaraja RR Duong M Timmins JM Fievet C Bissada N Kang MH Samra A Fruchart JC McManus B Staels B Parks JS Hayden MR Tissue-specific roles of ABCA1 influence susceptibility to atherosclerosis. Arterioscler Thromb Vasc Biol. 2009; 29: 548- 554 19201688 source
    • cites [15] Tang C Liu Y Kessler PS Vaughan AM Oram JF The macrophage cholesterol exporter ABCA1 functions as an anti-inflammatory receptor. J Biol Chem. 2009; 284: 32336- 32343 19783654 PMC2781648 source

      The Introduction says ABCA1 exports cholesterol from cells to apoA-I, and the Discussion links ABCA1-mediated cholesterol export to cardioprotection in atherosclerotic lesions. Our copy does not establish the claim about ABCG1-mediated efflux to apoA-I, so the citation supports only the ABCA1 part. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Premisecitation

    Statins can only reduce the risk of cardiovascular events by up to 50% depending on disease status and amount of statin used, leaving a large burden of residual disease risk.

    “Although the lowering of LDL cholesterol (LDL-C) with the use of statins has revolutionized the treatment of atherosclerotic cardiovascular disease, statins can only reduce the risk of cardiovascular events by up to 50% depending on the disease status and the amount of statin used, which still leaves a large burden of residual disease risk.1–3”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites [1] Baigent C Keech A Kearney PM Blackwell L Buck G Pollicino C Kirby A Sourjina T Peto R Collins R Simes R Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lancet. 2005; 366: 1267- 1278 16214597 source
    • cites [2] Kearney PM Blackwell L Collins R Keech A Simes J Peto R Armitage J Baigent C Efficacy of cholesterol-lowering therapy in 18,686 people with diabetes in 14 randomised trials of statins: a meta-analysis. Lancet. 2008; 371: 117- 125 18191683 source
    • cites [3] Baigent C Blackwell L Emberson J Holland LE Reith C Bhala N Peto R Barnes EH Keech A Simes J Collins R Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-analysis of data from 170,000 participants in 26 randomised trials. Lancet. 2010; 376: 1670- 1681 21067804 PMC2988224 source

      The Discussion reports that a 2–3 mmol/L LDL reduction would lower the risk of occlusive vascular events by about 40–50%, and that more intensive therapy reduces residual risk further. It does not establish 50% as a universal maximum for statins or extend that estimate to every type of cardiovascular event. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Premisecitation

    A 1 mg/dL increment in HDL-C levels is associated with a 2% decrease in the risk of coronary heart disease in men and a 3% decrease in women.

    “In fact, a 1 mg/dL (0.026 mmol/L) increment in HDL-C levels was associated with a significant decrease in the risk of coronary heart disease of 2% in men and 3% in women.6”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [6] Gordon DJ Probstfield JL Garrison RJ Neaton JD Castelli WP Knoke JD Jacobs DR Jr Bangdiwala S Tyroler HA High-density lipoprotein cholesterol and cardiovascular disease. Four prospective American studies. Circulation. 1989; 79: 8- 15 2642759 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    ABCA1 acts directly as an anti-inflammatory receptor independent of its lipid transport activities.

    “Moreover, ABCA1 has been reported to act directly as an anti-inflammatory receptor independent of its lipid transport activities.15”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [15] Tang C Liu Y Kessler PS Vaughan AM Oram JF The macrophage cholesterol exporter ABCA1 functions as an anti-inflammatory receptor. J Biol Chem. 2009; 284: 32336- 32343 19783654 PMC2781648 source
  • Classified as probably not a substantial claim.

    Premisecitation

    Studies in mice with Abca1 deletion or overexpression generally support that ABCA1 prevents atherosclerosis by maintaining circulating HDL-C levels and cellular cholesterol efflux.

    “Studies in mice in which the Abca1 locus is either deleted or overexpressed generally have supported the hypothesis that ABCA1 significantly prevents atherosclerosis by maintaining circulating HDL-C levels and cellular cholesterol efflux.10–13”
    Quote in the paperSubstantial claim4 of 4 sources checked
    • cites [10] Aiello RJ Brees D Bourassa PA Royer L Lindsey S Coskran T Haghpassand M Francone OL Increased atherosclerosis in hyperlipidemic mice with inactivation of ABCA1 in macrophages. Arterioscler Thromb Vasc Biol. 2002; 22: 630- 637 11950702 source

      The Abstract reports that selective ABCA1 inactivation in macrophages increased atherosclerosis, and describes ABCA1 as promoting cellular cholesterol efflux. But it also reports that complete deletion did not increase atherosclerosis. The Discussion concludes that ABCA1’s antiatherogenic effect in macrophages was independent of circulating HDL levels, rather than operating by maintaining them (page numbers unavailable in our copy). (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [11] Joyce CW Wagner EM Basso F Amar MJ Freeman LA Shamburek RD Knapper CL Syed J Wu J Vaisman BL Fruchart-Najib J Billings EM Paigen B Remaley AT Santamarina-Fojo S Brewer HB Jr ABCA1 overexpression in the liver of LDLr-KO mice leads to accumulation of pro-atherogenic lipoproteins and enhanced atherosclerosis. J Biol Chem. 2006; 281: 33053- 33065 16928680 source

      The Discussion says ABCA1 facilitates cellular cholesterol efflux and raises plasma HDL, and that macrophage ABCA1 expression is atheroprotective. But it describes conflicting results across mouse models: the Abstract reports no change in atherosclerosis with complete ABCA1 deficiency, while this study found increased atherosclerosis with hepatic overexpression. The claim's generalization about deletion and overexpression therefore exceeds what this paper supports. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [12] Singaraja RR Fievet C Castro G James ER Hennuyer N Clee SM Bissada N Choy JC Fruchart JC McManus BM Staels B Hayden MR Increased ABCA1 activity protects against atherosclerosis. J Clin Invest. 2002; 110: 35- 42 12093886 PMC151034 source
    • cites [13] van Eck M Bos IS Kaminski WE Orso E Rothe G Twisk J Bottcher A Van Amersfoort ES Christiansen-Weber TA Fung-Leung WP Van Berkel TJ Schmitz G Leukocyte ABCA1 controls susceptibility to atherosclerosis and macrophage recruitment into tissues. Proc Natl Acad Sci USA. 2002; 99: 6298- 6303 11972062 PMC122943 source

      The Results and Discussion (pp. 2, 5) show that leukocyte ABCA1 deficiency reduces macrophage cholesterol efflux and increases atherosclerotic lesions. But the paper reports no significant change in plasma HDL cholesterol in those mice (p. 3) and describes the protective effect as independent of plasma HDL (p. 6). Thus it supports ABCA1’s antiatherosclerotic role, but not the claim that this study’s effect operates by maintaining circulating HDL-C. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The liver and intestine are the major sources of HDL-C.

    “which is consistent with the results that the liver and intestine are the major sources of HDL-C.39,40”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [39] Timmins JM Lee JY Boudyguina E Kluckman KD Brunham LR Mulya A Gebre AK Coutinho JM Colvin PL Smith TL Hayden MR Maeda N Parks JS Targeted inactivation of hepatic ABCA1 causes profound hypoalphalipoproteinemia and kidney hypercatabolism of apoA-I. J Clin Invest. 2005; 115: 1333- 1342 15841208 PMC1074680 source

      The Introduction (p. 1) says the liver and intestine are the two quantitatively important sites of apoA-I synthesis and secretion, but it does not establish that both are major sources of HDL-C. The study concludes that the liver is the single most important source of plasma HDL in chow-fed mice; it does not determine the intestine’s contribution to HDL-C. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [40] Brunham LR Kruit JK Pape TD Parks JS Kuipers F Hayden MR Tissue-specific induction of intestinal ABCA1 expression with a liver × receptor agonist raises plasma HDL cholesterol levels. Circ Res. 2006; 99: 672- 674 16946132 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Inhibition of miR-33a/b in nonhuman primates raised plasma HDL-C and lowered VLDL triglyceride levels.

    “A recent report indicated that the inhibition of miR-33a/b in nonhuman primates raised plasma HDL-C and lowered VLDL triglyceride levels.47”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [47] Rayner KJ Esau CC Hussain FN McDaniel AL Marshall SM van Gils JM Ray TD Sheedy FJ Goedeke L Liu X Khatsenko OG Kaimal V Lees CJ Fernandez-Hernando C Fisher EA Temel RE Moore KJ Inhibition of miR-33a/b in non-human primates raises plasma HDL and lowers VLDL triglycerides. Nature. 2011; 478: 404- 407 22012398 PMC3235584 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    A reduction of 2 to 3 mmol/L LDL-C by statins could reduce the risk of CVD by 40% to 50%.

    “A previous meta-analysis indicated that a reduction of 2 to 3 mmol/L LDL-C by statins could reduce the risk of CVD by 40% to 50% because there was no evidence of any threshold within the cholesterol range studied.3”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [3] Baigent C Blackwell L Emberson J Holland LE Reith C Bhala N Peto R Barnes EH Keech A Simes J Collins R Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-analysis of data from 170,000 participants in 26 randomised trials. Lancet. 2010; 376: 1670- 1681 21067804 PMC2988224 source
  • May combine two claims.

    Findingown data

    Atherosclerotic plaque formation in mice transplanted with miR-33−/−Apoe−/− BM tended to be reduced compared with mice transplanted with miR-33+/+Apoe−/− BM, but the difference was not statistically significant (P=0.12).

    “Atherosclerotic plaque formation in mice transplanted with miR-33−/−Apoe−/− BM tended to be reduced compared with that in mice transplanted with miR-33+/+Apoe−/− BM, but this difference was not statistically significant (P=0.12, 0.53±0.028 versus 0.46±0.033 mm2; Figure 10B and 10C).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    There was no difference in total cholesterol, free cholesterol, cholesterol ester, or triglyceride levels in livers of miR-33+/+Apoe−/− and miR-33−/−Apoe−/− mice.

    “there was no difference in total cholesterol, free cholesterol, cholesterol ester, or triglyceride levels in the livers of miR-33+/+Apoe−/− mice and miR-33−/−Apoe−/− mice (Figure 9D).”
    Quote in the paperNot a substantial claim
  • The quote only partly states this claim.

    Findingown data

    miR-33 deficiency reduced the VCAM-1-positive area in atherosclerotic plaque in male mice.

    “miR-33 deficiency reduced the VCAM-1-positive area in atherosclerotic plaque.”
    • Also stated in: § Discussion · plain
      “miR-33 deficiency also reduced the expression of VCAM-1”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In livers of miR-33−/−Apoe−/− mice, mRNA of CROT and protein levels of ABCA1 and CROT were significantly elevated compared with miR-33+/+Apoe−/− mice.

    “mRNA of CROT and protein levels of ABCA1 and CROT in miR-33−/−Apoe−/− mice were significantly elevated compared with those in miR-33+/+Apoe−/− mice.”
    • Also stated in: § Discussion · plain
      “ABCA1 and CROT in the livers of miR-33−/−Apoe−/− mice were upregulated compared with those in miR-33+/+Apoe−/− mice”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    Plaque area in female mice is greater than in male mice.

    “The plaque area in females was greater than that in males.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    ABCA1, ABCG1, and RIP140 were upregulated in miR-33−/−Apoe−/− macrophages.

    “ABCA1, ABCG1, and RIP140 were also upregulated in miR-33−/−Apoe−/− macrophages.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Baseline HDL-C levels are a strong predictor of 12-month morbidity and mortality from cardiovascular events in patients on statins with low LDL-C undergoing stent placement for acute coronary syndromes.

    “and that HDL-C levels at baseline are a strong predictor of 12-month morbidity and mortality from cardiovascular events in patients on statins with low LDL-C levels undergoing stent placement for acute coronary syndromes.5”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [5] Wolfram RM Brewer HB Xue Z Satler LF Pichard AD Kent KM Waksman R Impact of low high-density lipoproteins on in-hospital events and one-year clinical outcomes in patients with non-ST-elevation myocardial infarction acute coronary syndrome treated with drug-eluting stent implantation. Am J Cardiol. 2006; 98: 711- 717 16950168 source
  • Classified as probably not a substantial claim.

    Premisecitation

    HDL-C levels under statin treatment remain an independent predictor of the risk of cardiovascular events in patients treated with statins to lower LDL-C.

    “Recent studies have shown that HDL cholesterol (HDL-C) levels under statin treatment remain an independent predictor of the risk of cardiovascular events in patients who have been treated with statins to lower LDL-C levels4”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [4] Barter P Gotto AM LaRosa JC Maroni J Szarek M Grundy SM Kastelein JJ Bittner V Fruchart JC HDL cholesterol, very low levels of LDL cholesterol, and cardiovascular events. N Engl J Med. 2007; 357: 1301- 1310 17898099 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductreasoning

    Both miR-33−/− and Apoe−/− mice had a BL/6 background, so miR-33−/−Apoe−/− mice also had a BL/6 background.

    “Because both knockout mice had a BL/6 background, miR-33−/−Apoe−/− mice also had a BL/6 background.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Antisense inhibition of miR-33 results in regression of atherosclerotic plaque volume in LDL-receptor-deficient mice.

    “Moreover, antisense inhibition of miR-33 resulted in a regression of the atherosclerotic plaque volume in LDL-receptor-deficient mice.19”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [19] Rayner KJ Sheedy FJ Esau CC Hussain FN Temel RE Parathath S van Gils JM Rayner AJ Chang AN Suarez Y Fernandez-Hernando C Fisher EA Moore KJ Antagonism of miR-33 in mice promotes reverse cholesterol transport and regression of atherosclerosis. J Clin Invest. 2011; 121: 2921- 2931 21646721 PMC3223840 source
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Liver and macrophage ABCA1 both play roles in preventing atherosclerosis.

    “Tissue-specific knockouts of the Abca1 locus were generated and revealed that liver and macrophage ABCA1 both play roles in preventing atherosclerosis.14”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [14] Brunham LR Singaraja RR Duong M Timmins JM Fievet C Bissada N Kang MH Samra A Fruchart JC McManus B Staels B Parks JS Hayden MR Tissue-specific roles of ABCA1 influence susceptibility to atherosclerosis. Arterioscler Thromb Vasc Biol. 2009; 29: 548- 554 19201688 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    All experimental protocols were approved by the Ethics Committee for Animal Experiments of Kyoto University.

    “All the experimental protocols were approved by the Ethics Committee for Animal Experiments of Kyoto University.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    miR-33+/+Apoe−/− littermates were used as controls.

    “MiR-33+/+Apoe−/− littermates were used as controls.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    miR-33 deficiency elevates serum cholesterol efflux capacity, possibly through elevation of HDL-C levels.

    “These results indicated that deficiency of miR-33 elevated serum cholesterol efflux capacity, possibly through the elevation of HDL-C levels.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductown data

    Hematologic chimerism after bone marrow transplantation was determined by PCR and by measuring miR-33 levels in bone marrow cells.

    “The hematologic chimerism of mice was determined by PCR using genomic DNA from blood, BM, and tail with the PCR primers described above and by measuring miR-33 levels in BM cells by quantitative PCR at age 24 weeks (ie, 16 weeks after BMT).”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    The real targets of miR-33 in vivo can only be clarified by genetic deletion of miR-33.

    “the real targets of miR-33 in vivo can only be clarified by the genetic deletion of miR-33”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductreasoning

    All mice used for BMT had an Apoe−/− background.

    “Thus, all the mice used for BMT had an Apoe−/− background.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationreasoning

    The rise in HDL-C levels is important in the prevention of atherosclerosis.

    “this may simply indicate that the rise in HDL-C levels is important in the prevention of atherosclerosis.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationnone given

    There seems to be a substantial difference in the effect of antisense oligonucleotide against miRNA depending on the modification, and many additional miRNAs that share an identical or similar sequence may be inactivated.

    “There also seems to be a substantial difference in the effect of antisense oligonucleotide against miRNA depending on the modification such as LNA based or cholesterol modified, and many additional miRNAs that share an identical or similar sequence may be inactivated.”
    Quote in the paperNot a substantial claim
27 of 27
  • The paper relies on this without support.

    The ApoE−/− mouse model of atherosclerosis is a valid model for human atherosclerosis.

    “In the present study, we crossed miR-33-deficient mice (miR-33−/−) with apoE-deficient mice (Apoe−/−) to examine the impact of miR-33 deletion on the progression of atherosclerosis”
  • The paper relies on this without support.

    Cholesterol efflux measured ex vivo from macrophages reflects macrophage cholesterol efflux in atherosclerotic plaque in vivo.

    “To test the hypothesis that enhanced cholesterol efflux in macrophages contributed to the reduction in the development of atherosclerosis in miR-33−/−Apoe−/− mice, cholesterol efflux to apoA-I and HDL-C was measured using 3H-cholesterol-labeled acetylated low-density lipoprotein (acLDL).”
  • The paper relies on this without support.

    Bone marrow transplantation specifically isolates the effect of leukocyte miR-33 on atherosclerotic plaque lipid content.

    “To elucidate the roles of miR-33 in blood cells, bone marrow transplantation was performed in these mice.”
  • The paper relies on this without support.

    Apoptosis of macrophages in advanced plaques may lead to plaque rupture.

    “It is generally considered that apoptosis of macrophages in advanced plaques may lead to plaque rupture.”
4 of 4

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Inhibition or genetic ablation of miR-33a promotes regression of atherosclerosis or prevents its formation in mouse models such as LDL receptor-deficient or ApoE-deficient mice, conferring resistance to the disease.

    “Inhibition or genetic ablation of miR-33a has been shown to either promote the regression of atherosclerosis or prevent its formation in mouse models, such as LDL receptor-deficient or apoprotein E (ApoE)-deficient mice, conferring resistance to the disease 21 - 23) .”

    From Critical Role of microRNA-33a/b in Cardiovascular and Metabolic Disease: Molecular Mechanisms and Therapeutic Perspectives (2026) · cites this paper as [22]

    The Introduction reports that antisense inhibition of miR-33 promoted plaque regression in LDL-receptor-deficient mice, and the Discussion reports smaller plaques in miR-33-deficient ApoE-deficient mice. But the paper describes the latter result as reduced progression of advanced atherosclerosis, not prevention of plaque formation or complete resistance to the disease. No page numbers are available in our copy. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Macrophages within atherosclerotic lesions of these mice exhibit an anti-inflammatory phenotype characterized by enhanced cholesterol efflux, leading to a reduction in foam cell formation.

    “Furthermore, macrophages within the atherosclerotic lesions of these mice exhibit an anti-inflammatory phenotype characterized by enhanced cholesterol efflux, which leads to a reduction in foam cell formation.”

    From Critical Role of microRNA-33a/b in Cardiovascular and Metabolic Disease: Molecular Mechanisms and Therapeutic Perspectives (2026) · cites this paper as [22]

    The Results section on peritoneal macrophages (page unavailable) reports enhanced cholesterol efflux in miR-33-deficient ApoE−/− mice, and the Discussion reports reduced plaque lipid content. But efflux was measured in peritoneal, not lesional, macrophages; the paper does not establish reduced foam-cell formation as its consequence. The Results and Discussion describe mixed pro- and anti-inflammatory markers rather than a straightforward anti-inflammatory macrophage phenotype. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • Bone marrow transplant from miR-33 deficient animals into Apoe−/− mice reduces lipid content in atherosclerotic plaques but does not have a significant impact on plaque size.

    “Additionally, bone marrow transplant from miR-33 deficient animals into Apoe−/− mice, to selectively remove miR-33 from Mθs and other hematopoietic cells, was found to reduce lipid content in atherosclerotic plaques but did not have a significant impact on plaque size (Horie et al., 2012).”
  • Whole body loss of miR-33 reduces atherosclerotic plaque size and lipid content in Apoe−/− mice.

    “By crossing these animals into the Apoe−/− mouse model of atherosclerosis they were able to demonstrate that whole body loss of miR-33 reduces atherosclerotic plaque size and lipid content (Horie et al., 2012).”
  • These effects are contrary to what was previously reported in Apoe−/− mice lacking miR-33, where they did find reduced plaque size, did not observe any difference in circulating VLDL-C, LDL-C, or TAGs, and did not provide any data on BW or insulin sensitivity.

    “These effects are contrary to what was previously reported in Apoe−/−mice lacking miR-33, where they did find reduced plaque size, did not observe any difference in circulating VLDL-C, LDL-C, or TAGs, and did not provide any data on BW or insulin sensitivity (Horie et al., 2012).”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Annexin V fluorophore differs between methods and figure

    Minor

    The methods specify Alexa Fluor 488-conjugated annexin V, but the Figure 11 legend identifies the staining reagent as Alexa Fluor 448-conjugated annexin V.

  • iNOS result has conflicting significance thresholds

    Minor

    The results report P=0.0057 for the iNOS-positive area, while the Figure 7 legend marks the same result as P<0.001. A P value of 0.0057 does not meet that threshold.

2 of 2

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Horie, T., Baba, O., Kuwabara, Y., Chujo, Y., Watanabe, S., Kinoshita, M., Horiguchi, M., Nakamura, T., Chonabayashi, K., Hishizawa, M., Hasegawa, K., Kume, N., Yokode, M., Kita, T., Kimura, T., & Ono, K.
Affiliations
  • Kyoto University (JP)
  • Kansai Medical University (JP)
  • Kyoto Medical Center (JP)
  • Kobe City Medical Center General Hospital (JP)
Venue
Journal of the American Heart Association
Published
2012-11-29
Volume
1
Issue
6
Pages
e003376-e003376
ISSN
2047-9980 (ISSN-L)
OpenAlex
W2147537648
Cited by
220
References
50
Citations by year
2026: 3 · 2025: 8 · 2024: 7 · 2023: 10 · 2022: 10 · 2021: 14 · 2020: 17 · 2019: 15 · 2018: 19 · 2017: 14 · 2016: 26 · 2015: 26 · 2014: 28 · 2013: 23
FWCI
23.19
Type
journal article
Language
en
Open access
Locations
  • Journal of the American Heart Association (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion, cc-by)
Funders
Japan Society for the Promotion of Science (23390211)
Topics
  • Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › MicroRNA in disease regulation
  • Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
Keywords
miR-33, atherosclerosis, atherosclerotic plaque, ABCA1, ABCG1, cholesterol efflux, HDL cholesterol, apolipoprotein A-I, macrophages, ApoE-deficient mice, RIP140, bone marrow transplantation
MeSH terms
ATP Binding Cassette Transporter, Subfamily G, Member 1, Animals, Apolipoproteins E, Cells, Cultured, Cholesterol, Lipoproteins, Cholesterol, HDL, Blotting, Western, Bone Marrow Transplantation, Macrophages, Peritoneal, DNA Primers, Mice, Knockout, Disease Progression, ATP-Binding Cassette Transporters, MicroRNAs, Atherosclerosis, Mice, Plaque, Atherosclerotic, Real-Time Polymerase Chain Reaction, ATP Binding Cassette Transporter 1

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-20.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-20.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

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