Impact of Liver-Derived Complement Component C5 on Atherosclerosis in Apoe-Deficient Mice

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Impact of Liver-Derived Complement Component C5 on Atherosclerosis in Apoe-Deficient Mice Impact of Liver-derived Complement Component C5 on Atherosclerosis in ApoE-deficient Mice Zhe Ma München 2019 Aus dem Institut für Prophylaxe und Epidemiologie der Kreislaufkrankheiten Kliniker Ludwig-Maximilians-Universität München Direktor: Univ.-Prof. Dr. med. Christian Weber Impact of Liver-derived Complement Component C5 on Atherosclerosis in ApoE-deficient Mice Dissertation zum Erwerb des Doktorgrades der Naturwissenschaften an der Medizinischen Fakultät der Ludwig-Maximilians-Universität zu München vorgelegt von Zhe Ma aus Henan, China 2019 Mit Genehmigung der Medizinischen Fakultät der Universität München Betreuerin: Univ.-Prof. Dr. rer. nat. Sabine Steffens Zweitgutachter: PD Dr. rer. nat. Andreas Herbst Dekan: Prof. Dr. med. dent. Reinhard Hickel Tag der mündlichen Prüfung: 23. 07. 2020 Dean’s Office Faculty of Medicine Affidavit Ma, Zhe Surname, first name Hermann-Lingg Str. 18 Street 80336, Munich Zip code, town Germany Country I hereby declare, that the submitted thesis entitled Impact of Liver-derived Complement Component C5 on Atherosclerosis in ApoE-deficient Mice is my own work. I have only used the sources indicated and have not made unauthorised use of services of a third party. Where the work of others has been quoted or reproduced, the source is always given. I further declare that the submitted thesis or parts thereof have not been presented as part of an examination degree to any other university. Munich, 07 04 2020 Zhe Ma Place, date Signature doctoral candidate Affidavit September 2018 Impact of Liver-derived Complement Component C5 on Atherosclerosis in ApoE-deficient Mice TABLE OF CONTENTS TABLE OF CONTENTS ABBREVIATIONS ······························································································································· IV 1. INTRODUCTION ····························································································································· 1 1.1 Atherosclerosis ··························································································································· 1 1.1.1 The healthy artery ··············································································································· 1 1.1.2 Progress in the field of atherogenesis ·················································································· 3 1.1.3 Immunocytes in atherosclerotic plaques ············································································· 3 1.1.4 Mouse models of atherosclerosis ························································································ 5 1.1.5 Atherosclerosis in ApoE-/- mice ··························································································· 6 1.2 Complement system and activation ···························································································· 6 1.2.1 Complement cascade ··········································································································· 6 1.2.2 Activation of the complement system ················································································· 6 1.3 Complement cascade and atherosclerosis ·················································································· 9 1.4 Complement-based therapies ··································································································· 11 1.4.1 Complement-system-associated diseases ·········································································· 11 1.4.2 Complement therapeutics ·································································································· 12 1.4.3 Liver-specific C5 small interfering RNA (siRNA) from Alnylam Pharmaceuticals, Inc. · 13 1.4.4 Complement component C5 and autoimmune diseases studies ········································ 13 1.5 Aims ········································································································································· 16 2. MATERIALS & METHODS············································································································ 17 2.1 Materials ··································································································································· 17 2.1.1 Equipment ························································································································· 17 2.1.2 Reagents and materials ······································································································ 18 2.1.3 Standard solutions and buffers ·························································································· 19 2.1.4 Antibodies for Immunofluorescence Microscopy ····························································· 20 2.2 Mouse strains and husbandry ··································································································· 23 2.3 Mouse models ·························································································································· 23 2.3.1 siRNA preparation and injection ······················································································· 23 2.3.2 Experimental protocol ······································································································· 23 2.4 Serum collection and body weighing ······················································································· 24 2.5 Blood and organ collection······································································································· 24 2.6 Assessment of atherosclerosis in mice ····················································································· 25 2.6.1 en-face preparation and Sudan IV staining ······································································· 25 2.6.2 Tissue sectioning ··············································································································· 26 2.6.3 Oil-Red-O Hematoxylin (ORO/HE) staining and atherosclerotic lesion quantification ··· 27 2.6.4 Immunofluorescence staining ··························································································· 27 2.6.5 Quantification of CD68+ macrophage and CD3e+ T cell infiltration in the plaque areas ·· 28 2.7 ELISA for C5 protein in the circulation ··················································································· 29 2.8 Human carotid artery tissues and atherosclerotic lesion analyses ············································ 30 2.9 Statistical analysis ···················································································································· 31 3. RESULTS ········································································································································ 32 I TABLE OF CONTENTS 3.1 mRNA Microarrays of Wt and ApoE-/- aortas of various ages reveal the presence of transcripts of complement cascade constituents in atherosclerotic plaques ····················································· 32 3.2 Liver-specific C5 siRNA reduces atherosclerosis burden in young ApoE-/- mice maintained on normal mouse chow ······················································································································· 37 3.2.1 Liver-specific C5 siRNA reduces serum C5 protein level in 32 weeks old ApoE-/- mice on a normal diet ······························································································································ 38 3.2.2 Liver-specific C5 siRNA does not change blood lipid levels, body weight, blood cell numbers, and leukocyte percentages in 32 weeks old ApoE-/- mice on a normal mouse chow ·· 39 3.2.3 Liver-specific C5 inhibition does not change blood leukocyte subsets in young ApoE-/- mice on normal mouse chow ····································································································· 44 3.2.4 Liver-specific C5 siRNA reduces atherosclerotic plaque burden in young ApoE-/- mice on a normal mouse chow ················································································································ 44 3.2.5 Liver-specific C5 siRNA inhibits macrophage/dendritic and T cell infiltration in atherosclerosis in young ApoE-/- mice on a normal chow ·························································· 46 3.2.6 Effect of C5 siRNA on complement protein activation and deposition in normal chow-fed 32 weeks old ApoE-/- mice ········································································································· 48 3.3 The role of liver-specific complement C5 in atherosclerosis in aged ApoE-/- mice maintained on a normal mouse chow ················································································································ 49 3.3.1 Liver-specific C5 siRNA reduced serum C5 protein level in aged ApoE-/- mice on a normal chow ······························································································································ 50 3.3.2 Liver-specific C5 siRNA does not change body weight and blood lipid level in aged ApoE-/- mice ······························································································································· 51 3.3.3 C5 inhibition does not change blood leukocytes subsets in aged ApoE-/- mice on normal chow ··········································································································································· 53 3.3.4
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