Whole-body Metrnl knockout, but not bone marrow-specific knockout, aggravates atherosclerosis
Introduction: Meteorin-like protein (Metrnl) is a secreted protein. Circulating Metrnl primarily originates from the vascular endothelium and has been identified as a regulator of endothelial function and atherosclerosis.
Objective: This study aims to investigate the effects of whole-body Metrnl knockout and bone marrow (BM)-specific Metrnl knockout on atherosclerosis.
Methods: A mouse atherosclerosis model with whole-body Metrnl knockout (Apoe−/−Metrnl−/−) was established. Using BM transplantation, a second model with BM-specific Metrnl knockout (chimeric Apoe−/− mice with BM from Apoe−/−Metrnl−/− mice) was generated. Successful knockouts mice were verified by real-time polymerase chain reaction and Western blot analysis. After several weeks on a highfat diet, atherosclerotic lesions and related inflammation indices in the aortas of both Apoe−/−Metrnl−/− and BM-Metrnl−/− mice were assessed using Oil Red O staining and immunohistochemistry.
Results: After 10 or 16 weeks on a high-fat diet, Apoe−/−Metrnl−/− mice developed more extensive atherosclerotic plaques in the aorta compared to their littermate controls, exhibiting increased plaque burden and inflammation at the aortic roots. In contrast, BM-Metrnl−/− mice showed successful Metrnl knockout in BM, yet after 16 weeks on a high-fat diet, they developed atherosclerotic plaques comparable to those of controls.
Conclusion: These results suggest that whole-body Metrnl knockout aggravates atherosclerosis development, whereas the role of BM-derived Metrnl in atherosclerosis occurrence is not apparent.

- Libby P, Buring JE, Badimon L, et al. Atherosclerosis. Nat Rev Dis Primers. 2019;5(1):56. doi: 10.1038/s41572-019-0106-z
- Wang C, Niimi M, Watanabe T, Wang Y, Liang J, Fan J. Treatment of atherosclerosis by traditional Chinese medicine: Questions and quandaries. Atherosclerosis. 2018;277:136-144. doi: 10.1016/j.atherosclerosis.2018.08.001
- Roy P, Orecchioni M, Ley K. How the immune system shapes atherosclerosis: roles of innate and adaptive immunity. Nat Rev Immunol. 2022;22(4):251-265. doi: 10.1038/s41577-021-00584-1
- Li ZY, Song J, Zheng SL, et al. Adipocyte Metrnl Antagonizes Insulin Resistance Through PPARgamma Signaling. Diabetes. 2015;64(12):4011-4022. doi: 10.2337/db15-0274
- Rao RR, Long JZ, White JP, et al. Meteorin-like is a hormone that regulates immune-adipose interactions to increase beige fat thermogenesis. Cell. 2014;157(6):1279-1291. doi: 10.1016/j.cell.2014.03.065
- Miao ZW, Chen J, Chen CX, Zheng SL, Zhao HY, Miao CY. Metrnl as a secreted protein: Discovery and cardiovascular research. Pharmacol Ther. 2024;263:108730. doi: 10.1016/j.pharmthera.2024.108730
- Miao ZW, Hu WJ, Li ZY, Miao CY. Involvement of the secreted protein Metrnl in human diseases. Acta Pharmacol Sin. 2020;41(12):1525-1530. doi: 10.1038/s41401-020-00529-9
- Li Z, Gao Z, Sun T, et al. Meteorin-like/Metrnl, a novel secreted protein implicated in inflammation, immunology, and metabolism: A comprehensive review of preclinical and clinical studies. Front Immunol. 2023;14:1098570. doi: 10.3389/fimmu.2023.1098570
- Zheng S, Li Z, Song J, et al. Endothelial METRNL determines circulating METRNL level and maintains endothelial function against atherosclerosis. Acta Pharm Sin B. 2023;13(4):1568-1587. doi: 10.1016/j.apsb.2022.12.010
- Ushach I, Arrevillaga-Boni G, Heller GN, et al. Meteorin-like/Meteorin-beta Is a Novel Immunoregulatory Cytokine Associated with Inflammation. J Immunol. 2018;201(12):3669-3676. doi: 10.4049/jimmunol.1800653
- Qi Q, Hu WJ, Zheng SL, et al. Metrnl deficiency decreases blood HDL cholesterol and increases blood triglyceride. Acta Pharmacol Sin. 2020;41(12):1568-1575. doi: 10.1038/s41401-020-0464-5
- Aparicio-Vergara M, Shiri-Sverdlov R, de Haan G, Hofker MH. Bone marrow transplantation in mice as a tool for studying the role of hematopoietic cells in metabolic and cardiovascular diseases. Atherosclerosis. 2010;213(2):335-344. doi: 10.1016/j.atherosclerosis.2010.05.030
- Johnston JM, Angyal A, Bauer RC, et al. Myeloid Tribbles 1 induces early atherosclerosis via enhanced foam cell expansion. Sci Adv. 2019;5(10):eaax9183. doi: 10.1126/sciadv.aax9183
- Bui TM, Wiesolek HL, Sumagin R. ICAM-1: A master regulator of cellular responses in inflammation, injury resolution, and tumorigenesis. J Leukoc Biol. 2020;108(3):787-799. doi: 10.1002/JLB.2MR0220-549R
- Chistiakov DA, Grechko AV, Myasoedova VA, Melnichenko AA, Orekhov AN. The role of monocytosis and neutrophilia in atherosclerosis. J Cell Mol Med. 2018;22(3):1366-1382. doi: 10.1111/jcmm.13462
- Fan J, Watanabe T. Atherosclerosis: Known and unknown. Pathol Int. 2022;72(3):151-160. doi: 10.1111/pin.13202
- Naiya T, Meganathan I, Ness N, Oudit GY, Murray A, Kassiri Z. Contribution of the arterial cells to atherosclerosis and plaque formation. Am J Physiol Heart Circ Physiol. 2024;327(4):H804-H823. doi: 10.1152/ajpheart.00297.2024
- Devesa A, Lobo-Gonzalez M, Martinez-Milla J, et al. Bone marrow activation in response to metabolic syndrome and early atherosclerosis. Eur Heart J. 2022;43(19):1809-1828. doi: 10.1093/eurheartj/ehac022
- Mitroulis I, Hajishengallis G, Chavakis T. Bone marrow inflammatory memory in cardiometabolic disease and inflammatory comorbidities. Cardiovasc Res. 2024;119(18):2801-2812. doi: 10.1093/cvr/cvae003
- Reboll MR, Klede S, Taft MH, et al. Meteorin-like promotes heart repair through endothelial KIT receptor tyrosine kinase. Science. 2022;376(6599):1343-1347. doi: 10.1126/science.abn3027
- Payne S, De Val S, Neal A. Endothelial-Specific Cre Mouse Models. Arterioscler Thromb Vasc Biol. 2018;38(11):2550-2561. doi: 10.1161/ATVBAHA.118.310669
- Aparicio-Vergara M, Shiri-Sverdlov R, Koonen DP, Hofker MH. Bone marrow transplantation as an established approach for understanding the role of macrophages in atherosclerosis and the metabolic syndrome. Curr Opin Lipidol. 2012;23(2):111-121. doi: 10.1097/MOL.0b013e328350e4d4
- Sreeramkumar V, Hidalgo A. Bone Marrow Transplantation in Mice to Study the Role of Hematopoietic Cells in Atherosclerosis. Methods Mol Biol. 2015;1339:323-332. doi: 10.1007/978-1-4939-2929-0_22
- Wang Y, Yan LM, Wang T, Liu ZN. Identification of potential drug targets for coronary atherosclerosis from genetic insights: A Mendelian randomization study. Eurasian J Med Oncol. 2025;9(1):1-10. doi: 10.14744/ejmo.2025.12345
- Liu J, Diao L, Xia W, et al. Meteorin-like protein elevation post-exercise improved vascular inflammation among coronary artery disease patients by downregulating NLRP3 inflammasome activity. Aging (Albany NY). 2023;15(24):14720-14732. doi: 10.18632/aging.205289
- Song L, Chang X, Hu L, et al. Accelerating Wound Closure With Metrnl in Normal and Diabetic Mouse Skin. Diabetes. 2023;72(11):1692-1706. doi: 10.2337/db23-0123
