Entry  
 
Name  
Lipid and atherosclerosis
 
Description  
Atherosclerosis is a chronic inflammatory disease marked by a narrowing of the arteries from lipid-rich plaques present within the walls of arterial blood vessels. It represents the root cause of the majority of cardiovascular diseases (CVDs) and their complications, including conditions such as coronary artery disease, myocardial infarction and stroke.  An elevated level of low density lipoprotein (LDL) cholesterol constitutes a major risk factor for genesis of atherosclerosis. LDL can accumulate within the blood vessel wall and undergo modification by oxidation. Oxidized LDL (oxLDL) leads to endothelial dysfunction leading to expression of adhesion molecules and recruitment of monocyte in subendothelial space. The monocytes proliferate, differentiate into macrophages, and take up the lipoproteins, forming cholesterol-engorged "foam cells." With the time, the foam cells die, leaving a 'necrotic core' of crystalline cholesterol and cell debris. Smooth muscle cells proliferate and migrate into the region, laying down a protective cap over the lesion. Lectin-like oxidized low-density lipoprotein receptor-1 (LOX-1), which mediates the recognition and internalization of oxLDL, is involved in all of these events critical in the pathogenesis of atherosclerosis. 
 
Class  
Human Diseases; Cardiovascular disease 
BRITE hierarchy 
 
Pathway map  
 
Disease  
 
Orthology  
K00922   PIK3CA_B_D; phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha/beta/delta [EC:2.7.1.153 ] 
K01116   PLCG1; phosphatidylinositol phospholipase C, gamma-1 [EC:3.1.4.11 ] 
K01388   MMP1; matrix metalloproteinase-1 (interstitial collagenase) [EC:3.4.24.7 ] 
K01394   MMP3; matrix metalloproteinase-3 (stromelysin 1, progelatinase) [EC:3.4.24.17 ] 
K02084   APAF1; apoptotic protease-activating factor 
K02158   BAD; Bcl-2-antagonist of cell death 
K02159   BAX; apoptosis regulator BAX 
K02161   BCL2; apoptosis regulator Bcl-2 
K02580   NFKB1; nuclear factor NF-kappa-B p105 subunit 
K02649   PIK3R1_2_3; phosphoinositide-3-kinase regulatory subunit alpha/beta/delta 
K03156   TNF, TNFA; tumor necrosis factor superfamily, member 2 
K03158   TNFRSF1A, TNFR1, CD120a; tumor necrosis factor receptor superfamily member 1A 
K03160   TNFRSF5, CD40; tumor necrosis factor receptor superfamily member 5 
K03161   TNFSF5, CD40L, CD154; tumor necrosis factor ligand superfamily member 5 
K03174   TRAF3; TNF receptor-associated factor 3 
K03237   EIF2S1; translation initiation factor 2 subunit 1 
K03283   HSPA1_6_8; heat shock 70kDa protein 1/6/8 
K04079   HSP90A, htpG; molecular chaperone HtpG 
K04348   PPP3C, CNA; serine/threonine-protein phosphatase 2B catalytic subunit [EC:3.1.3.16 ] 
K04353   RAP1A; Ras-related protein Rap-1A 
K04374   ATF4, CREB2; cyclic AMP-dependent transcription factor ATF-4 
K04379   FOS; proto-oncogene protein c-fos 
K04389   TNFSF6, FASL, CD178; tumor necrosis factor ligand superfamily member 6 
K04390   TNFRSF6, FAS, CD95; tumor necrosis factor receptor superfamily member 6 
K04391   CD14; monocyte differentiation antigen CD14 
K04392   RAC1; Ras-related C3 botulinum toxin substrate 1 
K04393   CDC42; cell division control protein 42 
K04403   MAP3K7IP1, TAB1; TAK1-binding protein 1 
K04404   MAP3K7IP2, TAB2; TAK1-binding protein 2 
K04426   MAP3K5, ASK1; mitogen-activated protein kinase kinase kinase 5 [EC:2.7.11.25 ] 
K04427   MAP3K7, TAK1; mitogen-activated protein kinase kinase kinase 7 [EC:2.7.11.25 ] 
K04430   MAP2K4, MKK4; mitogen-activated protein kinase kinase 4 [EC:2.7.12.2 ] 
K04431   MAP2K7, MKK7; mitogen-activated protein kinase kinase 7 [EC:2.7.12.2 ] 
K04432   MAP2K3, MKK3; mitogen-activated protein kinase kinase 3 [EC:2.7.12.2 ] 
K04433   MAP2K6, MKK6; mitogen-activated protein kinase kinase 6 [EC:2.7.12.2 ] 
K04440   JNK; mitogen-activated protein kinase 8/9/10 (c-Jun N-terminal kinase) [EC:2.7.11.24 ] 
K04446   NFATC1, NFAT2, NFATC; nuclear factor of activated T-cells, cytoplasmic 1 
K04448   JUN; transcription factor AP-1 
K04451   TP53, P53; tumor protein p53 
K04452   DDIT3, GADD153; DNA damage-inducible transcript 3 
K04467   IKBKA, IKKA, CHUK; inhibitor of nuclear factor kappa-B kinase subunit alpha [EC:2.7.11.10 ] 
K04513   RHOA; Ras homolog gene family, member A 
K04515   CAMK2; calcium/calmodulin-dependent protein kinase (CaM kinase) II [EC:2.7.11.17 ] 
K04519   IL1B; interleukin 1 beta 
K04570   BCL2L1, bcl-xL; Bcl-2-like 1 (apoptosis regulator Bcl-X) 
K04692   STAT3; signal transducer and activator of transcription 3 
K04721   TNFSF10, TRAIL, CD253; tumor necrosis factor ligand superfamily member 10 
K04722   TNFRSF10A_B, TRAILR1_2, DR4_5, CD261_2; tumor necrosis factor receptor superfamily member 10A/B 
K04726   BID; BH3 interacting domain death agonist 
K04729   MYD88; myeloid differentiation primary response protein MyD88 
K04730   IRAK1; interleukin-1 receptor-associated kinase 1 [EC:2.7.11.1 ] 
K04733   IRAK4; interleukin-1 receptor-associated kinase 4 [EC:2.7.11.1 ] 
K04734   NFKBIA; NF-kappa-B inhibitor alpha 
K04735   RELA; transcription factor p65 
K04958   ITPR1; inositol 1,4,5-triphosphate receptor type 1 
K05399   LBP; lipopolysaccharide-binding protein 
K05400   LY96, MD-2; lymphocyte antigen 96 
K05403   TIRAP; toll-interleukin 1 receptor (TIR) domain-containing adaptor protein 
K05408   CCL3; C-C motif chemokine 3 
K05409   TIRP, TRAM; TRIF-related adaptor molecule 
K05411   IRF3; interferon regulatory factor 3 
K05482   IL18, IL1F4; interleukin 18 
K05505   CXCL1_2_3, GRO; C-X-C motif chemokine 1/2/3 
K05638   NFE2L2, NRF2; nuclear factor erythroid 2-related factor 2 
K05641   ABCA1; ATP-binding cassette, subfamily A (ABC1), member 1 
K05679   ABCG1; ATP-binding cassette, subfamily G (WHITE), member 1 
K05730   VAV; guanine nucleotide exchange factor VAV 
K05842   TRIF; toll-like receptor adapter molecule 1 
K06268   PPP3R, CNB; serine/threonine-protein phosphatase 2B regulatory subunit 
K06276   PDPK1; 3-phosphoinositide dependent protein kinase-1 [EC:2.7.11.1 ] 
K06490   ICAM1, CD54; intercellular adhesion molecule 1 
K06494   SELE, CD62E; selectin, endothelial cell 
K06496   SELP, CD62P; selectin, platelet 
K06527   VCAM1, CD106; vascular cell adhesion molecule 1 
K07209   IKBKB, IKKB; inhibitor of nuclear factor kappa-B kinase subunit beta [EC:2.7.11.10 ] 
K07210   IKBKG, IKKG, NEMO; inhibitor of nuclear factor kappa-B kinase subunit gamma 
K07211   IKBKE, IKKE; inhibitor of nuclear factor kappa-B kinase subunit epsilon [EC:2.7.11.10 ] 
K07827   KRAS, KRAS2; GTPase KRas 
K07836   RAP1B; Ras-related protein Rap-1B 
K08008   NOX1, MOX1; NADPH oxidase 1 
K08009   CYBA, P22PHOX; cytochrome b-245, alpha polypeptide 
K08010   NCF2, P67PHOX; neutrophil cytosolic factor 2 
K08011   NCF1, P47PHOX; neutrophil cytosolic factor 1 
K08012   NCF4, P40PHOX; neutrophil cytosolic factor 4 
K08524   RXRA, NR2B1; retinoid X receptor alpha 
K08525   RXRB, NR2B2; retinoid X receptor beta 
K08526   RXRG, NR2B3; retinoid X receptor gamma 
K08530   NR1C3, PPARG; peroxisome proliferator-activated receptor gamma 
K08757   APOA1; apolipoprotein A-I 
K08760   APOA4; apolipoprotein A-IV 
K08763   OLR1; oxidised low-density lipoprotein receptor 1 
K08852   ERN1; serine/threonine-protein kinase/endoribonuclease IRE1 [EC:2.7.11.1  3.1.26.-] 
K08860   EIF2AK3, PERK; eukaryotic translation initiation factor 2-alpha kinase 3 [EC:2.7.11.1 ] 
K09027   XBP1; X box-binding protein 1 
K09054   ATF6A; cyclic AMP-dependent transcription factor ATF-6 alpha 
K09364   POU2F, OTF; POU domain transcription factor, class 2 
K09447   IRF7; interferon regulatory factor 7 
K09487   HSP90B, TRA1; heat shock protein 90kDa beta 
K09489   HSPA4; heat shock 70kDa protein 4 
K10030   IL8, CXCL8; interleukin 8 
K10159   TLR2, CD282; toll-like receptor 2 
K10160   TLR4, CD284; toll-like receptor 4 
K10169   TLR6, CD286; toll-like receptor 6 
K10950   ERO1L; ERO1-like protein alpha [EC:1.8.4.-] 
K12330   ARHGEF1; Rho guanine nucleotide exchange factor 1 
K12473   LDLR; low-density lipoprotein receptor 
K12499   CCL5; C-C motif chemokine 5 
K12650   TANK; TRAF family member-associated NF-kappa-B activator 
K12799   PYCARD, ASC; apoptosis-associated speck-like protein containing a CARD 
K12800   NLRP3, PYPAF1; NACHT, LRR and PYD domains-containing protein 3 
K14624   CCL2, MCP1; C-C motif chemokine 2 
K17332   NFATC2, NFAT1, NFATP; nuclear factor of activated T-cells, cytoplasmic 2 
K17333   NFATC3, NFAT4; nuclear factor of activated T-cells, cytoplasmic 3 
K17683   CYP2A6; cytochrome P450 family 2 subfamily A6 [EC:1.14.14.-] 
K17709   CYP2B6; cytochrome P450 family 2 subfamily B6 [EC:1.14.14.-] 
K19722   AGER, RAGE; receptor for advanced glycosylation end products 
K20053   VLDLR; very low-density lipoprotein receptor 
K21421   NOX2, GP91, CYBB; NADPH oxidase 2 [EC:1.-.-.-] 
K26598   HSPA2; heat shock 70kDa protein 2 
 
Compound  
C01245   D-myo-Inositol 1,4,5-trisphosphate 
C05981   Phosphatidylinositol-3,4,5-trisphosphate 
C21011   [Protein]-N(epsilon)-(carboxymethyl)lysine 
C21012   [Protein]-N(epsilon)-(carboxyethyl)lysine 
 
Reference  
 
  Authors  
Hopkins PN
 
  Title  
Molecular biology of atherosclerosis.
 
  Journal  
 
Reference  
 
  Authors  
Weber C, Noels H
 
  Title  
Atherosclerosis: current pathogenesis and therapeutic options.
 
  Journal  
 
Reference  
 
  Authors  
Tabas I, Garcia-Cardena G, Owens GK
 
  Title  
Recent insights into the cellular biology of atherosclerosis.
 
  Journal  
 
Reference  
 
  Authors  
Tall AR, Yvan-Charvet L
 
  Title  
Cholesterol, inflammation and innate immunity.
 
  Journal  
 
Reference  
 
  Authors  
Kattoor AJ, Goel A, Mehta JL
 
  Title  
LOX-1: Regulation, Signaling and Its Role in Atherosclerosis.
 
  Journal  
 
Reference  
 
  Authors  
Mehta JL, Li D
 
  Title  
Identification, regulation and function of a novel lectin-like oxidized low-density lipoprotein receptor.
 
  Journal  
 
Reference  
 
  Authors  
Li D, Mehta JL
 
  Title  
Intracellular signaling of LOX-1 in endothelial cell apoptosis.
 
  Journal  
 
Reference  
 
  Authors  
Lubrano V, Balzan S
 
  Title  
LOX-1 and ROS, inseparable factors in the process of endothelial damage.
 
  Journal  
 
Reference  
 
  Authors  
Xu S, Ogura S, Chen J, Little PJ, Moss J, Liu P
 
  Title  
LOX-1 in atherosclerosis: biological functions and pharmacological modifiers.
 
  Journal  
 
Reference  
 
  Authors  
Mitra S, Goyal T, Mehta JL
 
  Title  
Oxidized LDL, LOX-1 and atherosclerosis.
 
  Journal  
 
Reference  
 
  Authors  
Lu J, Mitra S, Wang X, Khaidakov M, Mehta JL
 
  Title  
Oxidative stress and lectin-like ox-LDL-receptor LOX-1 in atherogenesis and tumorigenesis.
 
  Journal  
 
Reference  
 
  Authors  
Ou HC, Song TY, Yeh YC, Huang CY, Yang SF, Chiu TH, Tsai KL, Chen KL, Wu YJ, Tsai CS, Chang LY, Kuo WW, Lee SD
 
  Title  
EGCG protects against oxidized LDL-induced endothelial dysfunction by inhibiting LOX-1-mediated signaling.
 
  Journal  
 
Reference  
 
  Authors  
Chen XP, Zhang TT, Du GH
 
  Title  
Lectin-like oxidized low-density lipoprotein receptor-1, a new promising target for the therapy of atherosclerosis?
 
  Journal  
 
Reference  
 
  Authors  
Mattaliano MD, Wooters J, Shih HH, Paulsen JE
 
  Title  
ROCK2 associates with lectin-like oxidized LDL receptor-1 and mediates oxidized LDL-induced IL-8 production.
 
  Journal  
 
Reference  
 
  Authors  
Salvador B, Arranz A, Francisco S, Cordoba L, Punzon C, Llamas MA, Fresno M
 
  Title  
Modulation of endothelial function by Toll like receptors.
 
  Journal  
 
Reference  
 
  Authors  
Moore KJ, Sheedy FJ, Fisher EA
 
  Title  
Macrophages in atherosclerosis: a dynamic balance.
 
  Journal  
 
Reference  
 
  Authors  
Butoi E, Gan AM, Manduteanu I
 
  Title  
Molecular and functional interactions among monocytes/macrophages and smooth muscle cells and their relevance for atherosclerosis.
 
  Journal  
 
Reference  
 
  Authors  
Sheedy FJ, Moore KJ
 
  Title  
IL-1 signaling in atherosclerosis: sibling rivalry.
 
  Journal  
 
Reference  
 
  Authors  
Moore KJ, Tabas I
 
  Title  
Macrophages in the pathogenesis of atherosclerosis.
 
  Journal  
 
Reference  
 
  Authors  
Gui T, Shimokado A, Sun Y, Akasaka T, Muragaki Y
 
  Title  
Diverse roles of macrophages in atherosclerosis: from inflammatory biology to biomarker discovery.
 
  Journal  
 
Reference  
 
  Authors  
Collot-Teixeira S, Martin J, McDermott-Roe C, Poston R, McGregor JL
 
  Title  
CD36 and macrophages in atherosclerosis.
 
  Journal  
 
Reference  
 
  Authors  
Park YM, Febbraio M, Silverstein RL
 
  Title  
CD36 modulates migration of mouse and human macrophages in response to oxidized LDL and may contribute to macrophage trapping in the arterial intima.
 
  Journal  
 
Reference  
 
  Authors  
Park YM
 
  Title  
CD36, a scavenger receptor implicated in atherosclerosis.
 
  Journal  
 
Reference  
 
  Authors  
Seimon TA, Nadolski MJ, Liao X, Magallon J, Nguyen M, Feric NT, Koschinsky ML, Harkewicz R, Witztum JL, Tsimikas S, Golenbock D, Moore KJ, Tabas I
 
  Title  
Atherogenic lipids and lipoproteins trigger CD36-TLR2-dependent apoptosis in macrophages undergoing endoplasmic reticulum stress.
 
  Journal  
 
Reference  
 
  Authors  
Nimgulkar C, Ghosh S, Sankar AB, Uday KP, Surekha MV, Madhusudhanachary P, Annapurna BR, Raghu P, Bharatraj DK
 
  Title  
Combination of spices and herbal extract restores macrophage foam cell migration and abrogates the athero-inflammatory signalling cascade of atherogenesis.
 
  Journal  
 
Reference  
 
  Authors  
Canton J, Neculai D, Grinstein S
 
  Title  
Scavenger receptors in homeostasis and immunity.
 
  Journal  
 
Reference  
 
  Authors  
Erridge C
 
  Title  
The roles of Toll-like receptors in atherosclerosis.
 
  Journal  
 
Reference  
 
  Authors  
Seneviratne AN, Sivagurunathan B, Monaco C
 
  Title  
Toll-like receptors and macrophage activation in atherosclerosis.
 
  Journal  
 
Reference  
 
  Authors  
Miller YI, Choi SH, Wiesner P, Fang L, Harkewicz R, Hartvigsen K, Boullier A, Gonen A, Diehl CJ, Que X, Montano E, Shaw PX, Tsimikas S, Binder CJ, Witztum JL
 
  Title  
Oxidation-specific epitopes are danger-associated molecular patterns recognized by pattern recognition receptors of innate immunity.
 
  Journal  
 
Reference  
 
  Authors  
Tabas I
 
  Title  
The role of endoplasmic reticulum stress in the progression of atherosclerosis.
 
  Journal  
 
Reference  
 
  Authors  
Grootaert MOJ, Moulis M, Roth L, Martinet W, Vindis C, Bennett MR, De Meyer GRY
 
  Title  
Vascular smooth muscle cell death, autophagy and senescence in atherosclerosis.
 
  Journal  
 
Reference  
 
  Authors  
Lipskaia L, Pourci ML, Delomenie C, Combettes L, Goudouneche D, Paul JL, Capiod T, Lompre AM
 
  Title  
Phosphatidylinositol 3-kinase and calcium-activated transcription pathways are required for VLDL-induced smooth muscle cell proliferation.
 
  Journal  
 
Reference  
 
  Authors  
Cervantes Gracia K, Llanas-Cornejo D, Husi H
 
  Title  
CVD and Oxidative Stress.
 
  Journal  
 
Reference  
 
  Authors  
Hansson GK, Hermansson A
 
  Title  
The immune system in atherosclerosis.
 
  Journal  
 
Reference  
 
  Authors  
Roy H, Bhardwaj S, Yla-Herttuala S
 
  Title  
Molecular genetics of atherosclerosis.
 
  Journal  
 
Reference  
 
  Authors  
Lusis AJ, Fogelman AM, Fonarow GC
 
  Title  
Genetic basis of atherosclerosis: part I: new genes and pathways.
 
  Journal  
 
Reference  
 
  Authors  
Lusis AJ, Mar R, Pajukanta P
 
  Title  
Genetics of atherosclerosis.
 
  Journal  
 
Related pathway  
ko04141   Protein processing in endoplasmic reticulum 
ko04620   Toll-like receptor signaling pathway 
ko04621   NOD-like receptor signaling pathway 
ko04670   Leukocyte transendothelial migration 
ko04975   Fat digestion and absorption 
ko05418   Fluid shear stress and atherosclerosis