Atherosclerosis is a chronic inflammatory disease, which is positively and negatively regulated by T helper (Th) 1 and Th2 lymphocytes, respectively. Recent findings indicate that suppressive
oligodeoxynucleotides (ODNs) expressing TTAGGG motifs selectively reduce Th1
cytokine production and have been proven effective at blocking the development of organ-specific
autoimmune diseases. In the current research, we hypothesized that suppressive ODNs may alter the development of
atherosclerosis. Eight-week-old homozygous
ApoE(-/-) male mice were injected with 300 mug ODNs A151 (TTAGGG) or nonspecific ODNs 1612. Atherosclerotic lesion sizes were dramatically reduced by ODNs A151, but not by nonspecific ODNs. MCP-1 and
VCAM-1, which are the key inflammatory factors in
atherogenesis, were significantly attenuated by the suppressive ODNs A151. In the splenic lymphocytes, FACS analysis showed ODNs A151 reduced the percentage of IFN-gamma-producing Th1 cells and slightly increased the percentage of IL-4-producing Th2 cells, indicating that suppressive ODNs skewed the Th1/Th2 balance toward Th2
inflammation in vivo. Furthermore, ODNs A151 down-regulated the phosphorylation of STAT1 and STAT4 and suppressed up-regulation of T-bet, a signal modulator for Th1, and didn't impact GATA-3 and STAT6, which are associated with a Th2 phenotype. Consistent with this in vivo observation, ELISA analysis demonstrated that ODNs A151 suppressed Th1
cytokines IFN-gamma and
TNF-alpha, and augmented Th2
cytokines IL-4 and
IL-10 in vitro. This study provides the first experimental evidence that suppressive ODNs inhibit the development of
atherosclerosis through inhibition of the STAT1/4 and T-bet pathways, which further modulate the Th1/Th2 balance in vivo.