Key result
Novel NSG-ApoE KO mice drive ~10-fold higher cholesterol and full penetrance of atherosclerosis while enabling humanization.
Why the study?
The C57BL/6 background strain limits translatability for immunotherapy development due to inherent species differences between human and mouse immune systems, and developing a humanized atherosclerosis model has been hindered by the lack of a mouse strain that both develops atherosclerosis and supports human immune cell engraftment.
Does CRISPR-Cas9 knockout of the Apoe gene in immunodeficient NSG mice induce hypercholesterolemia and atherosclerosis on a high-fat diet while supporting human CD34+ hematopoietic stem cell engraftment?
Does CRISPR-Cas9 knockout of the Apoe gene in immunodeficient NSG mice induce hypercholesterolemia and atherosclerosis on a high-fat diet while supporting human CD34+ hematopoietic stem cell engraftment?
The NSG-ApoE KO mouse strain develops severe hypercholesterolemia and atherosclerotic plaques on a high-fat diet while supporting human hematopoietic stem cell engraftment, providing a novel humanized mouse model to study human-specific immune mechanisms and immunotherapies in atherosclerosis.
Murine research on atherosclerosis has been conducted largely on the C57BL/6 (B6) strain background, and most commonly, the B6.129P2‐ Apoe tm1Unc /J (B6‐ApoE KO ) strain. The use of the B6 background strain limits translatability for immunotherapy development due to inherent species differences between human and mouse immune systems. A proposed solution to this limitation is a humanized mouse model of atherosclerosis that would support the engraftment of human lymphoid and myeloid cell populations. The development of such a model has been hindered by the lack of a mouse strain that both develops atherosclerosis and supports human immune cell engraftment. In this paper, we report on a NOD.Cg‐ Prkdc scid Il2rg tm1Wjl /Sz (NSG) immunodeficient mouse strain that has a 383 bp deletion in the Apoe gene which prevents ApoE protein expression. When maintained on a high fat diet, NSG‐ApoE KO mice develop hypercholesteremia and atherosclerosis at levels similar to B6‐ApoE KO mice. While atherosclerosis in B6‐ApoE KO mice has been widely studied in many laboratories under multiple conditions, our initial study of disease development in NSG‐ApoE KO mice was limited and future comparative studies with B6‐ApoE KO mice are necessary. NSG‐ApoE KO mice concomitantly support human cell engraftment while developing atherosclerosis, thereby making them useful to study human‐specific immune aspects.
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Megathlin et al. (2026) studied Atherosclerosis. CRISPR-Cas9 Apoe gene knockout in NSG mice (NSG-ApoE KO) fed a high-fat diet vs. NSG and B6-ApoE KO control mice was evaluated on Atherosclerotic plaque development and plaque collagen content (fibrosis) after 28 weeks on high-fat diet (p=0.0049).
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