Monitoring Endothelin-A Receptor Expression during the Progression of Atherosclerosis

Cardiovascular disease remains the most frequent cause of death worldwide. Atherosclerosis, an underlying cause of cardiovascular disease, is an inflammatory disorder associated with endothelial dysfunction. The endothelin system plays a crucial role in the pathogenesis of endothelial dysfunction and is involved in the development of atherosclerosis. We aimed to reveal the expression levels of the endothelin-A receptor (ET(A)R) in the course of atherogenesis to reveal possible time frames for targeted imaging and interventions. We used the ApoE(−/−) mice model and human specimens and evaluated ET(A)R expression by quantitative rtPCR (qPCR), histology and fluorescence molecular imaging. We found a significant upregulation of ET(A)R after 22 weeks of high-fat diet in the aortae of ApoE(−/−) mice. With regard to translation to human disease, we applied the fluorescent probe to fresh explants of human carotid and femoral artery specimens. The findings were correlated with qPCR and histology. While ET(A)R is upregulated during the progression of early atherosclerosis in the ApoE(−/−) mouse model, we found that ET(A)R expression is substantially reduced in advanced human atherosclerotic plaques. Moreover, those expression changes were clearly depicted by fluorescence imaging using our in-house designed ET(A)R-Cy 5.5 probe confirming its specificity and potential use in future studies.