Chronic uremia stimulates LDL carbamylation and atherosclerosis

Research output: Contribution to journalArticle


External Institution(s)

  • University of Arkansas for Medical Sciences
  • Department of Veterans Affairs


Original languageEnglish (US)
Pages (from-to)1852-1857
Number of pages6
JournalJournal of the American Society of Nephrology
Issue number11
StatusPublished - Nov 1 2010


Carbamylated LDL (cLDL) is a potential atherogenic factor in chronic kidney disease (CKD). However, whether elevated plasma cLDL associates with atherosclerosis in vivo is unknown. Here, we induced CKD surgically in apolipoprotein E-deficient (ApoE-/-) mice fed a high-fat diet to promote the development of atherosclerosis. These mice had two- to threefold higher plasma levels of both oxidized LDL (oxLDL) and cLDL compared with control mice. Oral administration of urea increased cLDL approximately eightfold in ApoE-/- mice subjected to unilateral nephrectomy and a high-fat diet, but oxLDL did not rise. Regardless of the model, the uremic mice with high plasma cLDL had more severe atherosclerosis as measured by intravital ultrasound echography and en face aortic staining of lipid deposits. Furthermore, cLDL accumulated in the aortic wall and colocalized with ICAM-1 and macrophage infiltration. In summary, these data demonstrate that elevated plasma cLDL may represent an independent risk factor for uremia-induced atherosclerosis.

Citation formats


Apostolov, E. O., Ray, D., Savenka, A. V., Shah, S. V., & Basnakian, A. G. (2010). Chronic uremia stimulates LDL carbamylation and atherosclerosis. Journal of the American Society of Nephrology, 21(11), 1852-1857.


Apostolov, EO, Ray, D, Savenka, AV, Shah, SV & Basnakian, AG 2010, 'Chronic uremia stimulates LDL carbamylation and atherosclerosis', Journal of the American Society of Nephrology, vol. 21, no. 11, pp. 1852-1857.