Administration of EGFR inhibitors blocked EGFR signaling activation in HFD-fed ApoE −/− mouse artery. (a) The structures of AG1478 and compound 542. ApoE −/− mice were fed with HFD for 8 weeks, and treated with AG1478 (AG, 10 mg/kg/day) or 542 (10 mg/kg/day) for 8 weeks by oral gavage. (b,c) Serum levels of LDL and TG. (d) Representative microscopic images of EGFR and p-EGFR immunochemical staining in artery tissues. (e) Western blot analysis of p-EGFR, p-AKT and p-ERK in artery tissues, with the densitometric quantifications shown in Supplementary Fig. S3. The gels were run under the same experimental conditions. Shown are cropped gels/blots (The gels/blots with indicated cropping lines are shown in the Supplementary Fig. 20). (LFD = low fat diet, HFD = high fat diet; n = 7 in each group; ## P < 0.01, vs LFD; ns, not significant vs HFD). The quantification results for all staining images were shown in the Supplementary File. 

Administration of EGFR inhibitors blocked EGFR signaling activation in HFD-fed ApoE −/− mouse artery. (a) The structures of AG1478 and compound 542. ApoE −/− mice were fed with HFD for 8 weeks, and treated with AG1478 (AG, 10 mg/kg/day) or 542 (10 mg/kg/day) for 8 weeks by oral gavage. (b,c) Serum levels of LDL and TG. (d) Representative microscopic images of EGFR and p-EGFR immunochemical staining in artery tissues. (e) Western blot analysis of p-EGFR, p-AKT and p-ERK in artery tissues, with the densitometric quantifications shown in Supplementary Fig. S3. The gels were run under the same experimental conditions. Shown are cropped gels/blots (The gels/blots with indicated cropping lines are shown in the Supplementary Fig. 20). (LFD = low fat diet, HFD = high fat diet; n = 7 in each group; ## P < 0.01, vs LFD; ns, not significant vs HFD). The quantification results for all staining images were shown in the Supplementary File. 

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Atherosclerosis is a progressive disease leading to loss of vascular homeostasis and entails fibrosis, macrophage foam cell formation, and smooth muscle cell proliferation. Recent studies have reported that epidermal growth factor receptor (EGFR) is involved vascular pathophysiology and in the regulation of oxidative stress in macrophages. Although...

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... We first wanted to know if inhibiting EGFR alters serum lipid levels since elevated low-density lipoproteins (LDL) have been shown to be strongly related to the development of atherosclerosis. ApoE −/− mice fed a high fat diet (HFD) exhibited increased serum levels of LDL and triglycerides (TG) as compared to mice fed a control/low fat diet (LFD) (Fig. 1b). We also tested the serum insulin level and found that HFD induced the increase in serum insulin while AG or 542 did not affect the insulin level ( Supplementary Fig. S1). Inhibiting EGFR through 542 or AG1478 for 8 weeks showed no significant differences in the levels of serum lipids between the HFD mice and the treated groups (Fig. ...
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... −/− mice fed a high fat diet (HFD) exhibited increased serum levels of LDL and triglycerides (TG) as compared to mice fed a control/low fat diet (LFD) (Fig. 1b). We also tested the serum insulin level and found that HFD induced the increase in serum insulin while AG or 542 did not affect the insulin level ( Supplementary Fig. S1). Inhibiting EGFR through 542 or AG1478 for 8 weeks showed no significant differences in the levels of serum lipids between the HFD mice and the treated groups (Fig. 1b,c). ...
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... (LFD) (Fig. 1b). We also tested the serum insulin level and found that HFD induced the increase in serum insulin while AG or 542 did not affect the insulin level ( Supplementary Fig. S1). Inhibiting EGFR through 542 or AG1478 for 8 weeks showed no significant differences in the levels of serum lipids between the HFD mice and the treated groups (Fig. 1b,c). Examination of aorta tissues by immunohistochemistry showed increased levels of EGFR expression and phos- phorylation in HFD-fed mice compared to LFD-fed mice ( Fig. 1d and Supplementary Fig. S2). Interestingly, treatment of mice with 542 and AG1478 reduced the levels of p-EGFR immunoreactivity but not total EGFR. We also noted ...
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... Fig. S1). Inhibiting EGFR through 542 or AG1478 for 8 weeks showed no significant differences in the levels of serum lipids between the HFD mice and the treated groups (Fig. 1b,c). Examination of aorta tissues by immunohistochemistry showed increased levels of EGFR expression and phos- phorylation in HFD-fed mice compared to LFD-fed mice ( Fig. 1d and Supplementary Fig. S2). Interestingly, treatment of mice with 542 and AG1478 reduced the levels of p-EGFR immunoreactivity but not total EGFR. We also noted activation of predominant signaling proteins downstream of EGFR, namely extracellular signal-reg- ulated kinase (ERK) and Akt. Immunofluorescent staining analysis for p-ERK and ...
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... signal-reg- ulated kinase (ERK) and Akt. Immunofluorescent staining analysis for p-ERK and p-AKT in aorta tissues found that administration with EGFR inhibitors significantly blocked HFD-induced ERK and Akt phosphorylation in aortas of ApoE −/− mice (Supplementary Fig. S3a-d). Proteins isolated from aorta tissues confirmed these results ( Fig. 1e and Supplementary Fig. S4a-d). These results show increased EGFR phosphorylation and activity in atherosclerotic lesions in ...
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... that EGFR inhibitors 452 and AG1478 are able to attenuate atherosclerosis through reducing inflammation in mice, we investigated the anti-inflammatory effects of EGFR inhibitors in oxidized-LDL (ox-LDL)-stimulated primary macrophages. Brief exposure of macrophages to ox-LDL induced EGFR phosphorylation, but not EGFR expres- sion, as detected by western bott method ( Fig. 4a and Supplementary Fig. S9) and immunofluorescence staining ( Fig. 4b and Supplementary Fig. S10). The levels of p-EGFR were greatly reduced when cells were pre-treatment with 542 or AG1478 ( Fig. 4b and Supplementary Fig. S10). ...
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... exposure of macrophages to ox-LDL induced EGFR phosphorylation, but not EGFR expres- sion, as detected by western bott method ( Fig. 4a and Supplementary Fig. S9) and immunofluorescence staining ( Fig. 4b and Supplementary Fig. S10). The levels of p-EGFR were greatly reduced when cells were pre-treatment with 542 or AG1478 ( Fig. 4b and Supplementary Fig. S10). Downstream signaling proteins Akt and ERK were also phosphorylated by ox-LDL and inhibited with 542 and AG1478 ( Fig. 4c and Supplementary Fig. S11a). ...
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... levels of p-EGFR were greatly reduced when cells were pre-treatment with 542 or AG1478 ( Fig. 4b and Supplementary Fig. S10). Downstream signaling proteins Akt and ERK were also phosphorylated by ox-LDL and inhibited with 542 and AG1478 ( Fig. 4c and Supplementary Fig. S11a). As macrophage NF-κ B 18 has been shown to be critical in inflammation, we assessed its activation by western blotting and cell staining. ...
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... macrophage NF-κ B 18 has been shown to be critical in inflammation, we assessed its activation by western blotting and cell staining. Our results show increased NF-κ B p65 subunit in the nuclear protein fraction and increased nuclear staining of macrophages stimulated by ox-LDL, as detected by western bott method ( Fig. 4d and Supplementary Fig. S11b) and immunofluorescence staining ( Fig. 4e and Supplementary Fig. S12). In both assays, 542 and AG1478 markedly inhibited ox-LDL-induced NF-κ B activation. ...
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... macrophage NF-κ B 18 has been shown to be critical in inflammation, we assessed its activation by western blotting and cell staining. Our results show increased NF-κ B p65 subunit in the nuclear protein fraction and increased nuclear staining of macrophages stimulated by ox-LDL, as detected by western bott method ( Fig. 4d and Supplementary Fig. S11b) and immunofluorescence staining ( Fig. 4e and Supplementary Fig. S12). In both assays, 542 and AG1478 markedly inhibited ox-LDL-induced NF-κ B activation. ...
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... of EGFR and downstream signaling proteins by ox-LDL was also associated with induction of pro-inflammatory cytokines TNF-α and IL-6 at both protein and mRNA levels in cultured macrophages. As expected, AG1478 or 542 prevented this induction (Fig. 4f,g, Supplementary Fig. S13a,b). mRNA analysis also showed that AG1478 and 542 suppressed the expression of adhesion molecules ICAM-1 and VCAM-1 induced by ox-LDL (Fig. 4h,i). We then examined MMPs as our studies in aorta tissues showed dysregulated expres- sion and activity in atherosclerotic lesions. In cultured macrophages, ox-LDL increased MMP2 expression and ...
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... cultured macrophages, ox-LDL increased MMP2 expression and MMP9 activity and both of these changes were prevented by AG and 542 pretreatment (Fig. 4j,k). We also tested the anti-inflammatory effects of EGFR inhibitors in cultured SMCs and show responses similar to macrophages ( Supplementary Fig. S14a,b). ...
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... we determined the effects of EGFR inhibitors on ox-LDL-stimulated ROS generation in macrophages. Exposure of macrophages to ox-LDL for 6 h significantly increased ROS gen- eration as indicated by DCFH-DA/DHE fluorescence staining ( Fig. 5a and Supplementary Fig. S15) and flow cytometry (Fig. 5b). Pretreatment with 452 or AG1478 was able to block increased ROS generation. ...
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... with 452 or AG1478 was able to block increased ROS generation. Similar results were obtained in SMCs (Supplementary Fig. S16). To understand how EGFR induces ROS produc- tion following ox-LDL stimulation, we tested the effects of EGFR inhibitors on the expression and activity of NADPH oxidase (NOX) in macrophages. ...
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... has recently been shown to activate infiltrating immune cells, increasing ROS levels in aortic sinus of diabetic mice 23 . Our results showed that both AG1478 and 451 significantly reversed ox-LDL-induced NADP/NADPH ratio and inhibited ox-LDL-induced NOX-1 expres- sion ( Supplementary Fig. S17). In addition, we tested the determination of NO level and iNOS expression in oxLDL-stimulated macrophages. ...
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... addition, we tested the determination of NO level and iNOS expression in oxLDL-stimulated macrophages. It was observed that pre-treatment with EGFR inhibitors significantly blocked oxLDL-induced overproduction of NO and overexpression of iNOS ( Supplementary Fig. S18). ...
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... were incubated with DiI-labled ox-LDL (DiI-ox-LDL) with or without pretreatment with EGFR inhibitors and analyzed by fluorescence microscopy and flow cytometry. Here, we report that inhibition of EGFR prevented ox-LDL update in macrophages (Fig. 5d,e, and Supplementary Fig. S19a). We confirmed these results by staining macrophages exposed to ox-LDL with Oil Red O ( Fig. 5f and Supplementary Fig. S19b). ...
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... we report that inhibition of EGFR prevented ox-LDL update in macrophages (Fig. 5d,e, and Supplementary Fig. S19a). We confirmed these results by staining macrophages exposed to ox-LDL with Oil Red O ( Fig. 5f and Supplementary Fig. S19b). These studies show that EGFR inhibition reduced formation of foam cells. ...
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... and cell culture. AG1478 were purchased from Sigma-Aldrich (St. Louis, MO). Compound 542 (Fig. 1a) was prepared with a purity of 99.2% as described in our previous study 34 . AG1478 and compound 542 were dissolved in dimethyl sulfoxide (DMSO) for in vitro experiments and in 1% sodium carboxyl methyl cellulose (CMC-Na) for in vivo experiments. Antibodies against GAPDH, p-EGFR and p-AKT were purchased from Cell Signaling (Danvers, MA, ...

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... EGFR deficiency could limit lipid uptake, attenuate the inflammatory response, and impede the development of atherosclerosis. Conversely, the activation of EGFR will lead to the activation of the PI3K/AKT/mTOR signaling pathway, which plays an important role in pathophysiological processes such as hyperlipidemia and atherosclerosis [63]. VEGFA, a member of the VEGF family, plays crucial roles in angiogenesis, regulation of vascular permeability, and maintenance of vascular physiological functions. ...
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... EGFR has been associated not only with vascular homeostasis but also with diverse pathologies, including cardiovascular diseases such as hypertension or atherosclerosis 31,32 , in which it appears mostly harmful. We previously described a role of EGFR in EC for the regulation of basal vascular function in vivo, using a transgenic mouse model. ...
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... Vascular EGFR has been associated with cardiovascular health and diseases thanks to knock-out animal studies and targeted approaches in cell culture. [3][4][5][6]13 But to our knowledge, our untargeted study is the first one that reports the global effect of EGFR activation on the transcriptome of primary human VSMC. Our analysis suggests that EGFR activation in these cells primarily leads to a phenotypical switch from a differentiated/contractile to a de-differentiated/proliferative state. ...
... The proteins coded by these particular EGF-regulated genes have been described as regulators of cardiovascular pathologies, 19,25,26 and more generally, enhanced inflammatory states by VSMC have been observed at vascular injury sites and associated with the setting up of vascular diseases such as atherosclerosis. 27 An EGFR-related inflammatory state in VSMC have actually been previously reported by Wang et al., 13 who showed that EGFR inhibition led to a reduced expression of inflammation markers by human VSMC. However, they appear to have used cells from a single donor (unspecified sex and unknown EGFR expression level). ...
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