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Cre technology and Cre driver lines provide a framework for selecting atherosclerosis mouse modelsNew guide helps researchers choose better mouse models for heart disease

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Key Takeaway
Note that Cre/loxP technology provides a systematic framework for selecting cell-specific mouse models in atherosclerosis.

This systematic review evaluates the utility of Cre/loxP technology and Cre driver lines in mouse models of atherosclerosis. The review synthesizes data on various Cre models targeting specific cell types, including endothelial cells, smooth muscle cells, macrophages, neutrophils, dendritic cells, T cells, B cells, fibroblasts, NKT cells, and platelets.

The authors provide a systematic evaluation of these models, comparing them against conventional knockout systems. Key considerations include the impact of Cre toxicity, tamoxifen leakiness, and the differences between Apoe and Ldlr knockout backgrounds regarding lipid profiles, inflammatory dynamics, and dietary dependence. The review also addresses metabolic comorbidities and the suitability of these models for studying atherosclerosis.

While the review provides a practical guide for researchers to select optimal models for accelerating mechanistic and therapeutic discoveries, the specific limitations of the included studies were not reported. The findings are intended to assist researchers in navigating the complexities of conditional and inducible systems to improve the precision of atherosclerosis research.

How this fits prior evidence

This systematic review addresses a gap in research methodology by providing a framework for selecting mouse models in atherosclerosis. While previous coverage has identified biological targets such as IL-18 and the role of gut microbiota in cardiovascular systems, this review focuses on the technical tools used to study these processes. It provides a systematic evaluation of Cre-based systems to improve the accuracy of mechanistic studies in atherosclerosis research.

Heart disease often starts with atherosclerosis, the buildup of plaque in your arteries. To find new ways to treat this, scientists rely on mouse models to study how the body reacts to fat and inflammation. However, not all mouse models are created equal, and choosing the wrong one can cloud the results of important research.

This review provides a detailed roadmap for scientists. It compares different genetic backgrounds, such as Apoe and Ldlr, to see how they handle lipid profiles and inflammatory signals. By understanding these differences, researchers can better isolate the specific factors that cause heart disease.

The study also looks at specific cell types, like smooth muscle cells and macrophages, to see how they contribute to arterial damage. It even addresses technical hurdles like Cre toxicity and tamoxifen leakiness. This guide helps ensure that the next generation of heart treatments is built on the most accurate data possible.

What this means for you:
A new guide helps researchers choose the most accurate mouse models to study and treat heart disease.

Common questions

How does this help with heart disease research?

This study provides a practical guide for researchers to select the best mouse models. By choosing the right models, scientists can better understand the mechanics of atherosclerosis. This helps them move faster toward discovering new ways to treat heart disease in humans.

What specific factors are being compared in the mouse models?

The review compares different genetic backgrounds to see how they handle lipid profiles, inflammatory dynamics, and dietary dependence. It also looks at how these models handle metabolic issues and different cell types like macrophages and smooth muscle cells.

What technical issues were addressed in the study?

The review evaluates several technical factors that can affect research accuracy. These include Cre toxicity and tamoxifen leakiness. These factors are important when choosing between conventional knockout systems and conditional or inducible systems.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedSep 2026
View Original Abstract ↓
Atherosclerosis is a chronic vascular inflammatory disease, and mouse models are essential for studying its pathogenesis. The Cre/loxP technology has become the gold standard for cell-type-specific gene targeting. However, the rapid proliferation of Cre driver lines has made model selection increasingly challenging. In this review, we provide a practical guide to choosing appropriate Cre mouse models. We compare the two most common backgrounds (Apoe and Ldlr knockout) in terms of lipid profiles, inflammatory dynamics, dietary dependence, and suitability for studying metabolic comorbidities to guide the selection of background strains, and systematically evaluate Cre models targeting all major cell types in atherosclerotic plaques (endothelial cells, smooth muscle cells, macrophages, neutrophils, dendritic cells, T cells, B cells, fibroblasts, NKT cells, and platelets), as well as lipid metabolism, hematopoietic cells and emerging AAV-based approaches. We also compare conventional knockout with conditional and inducible systems, emphasizing critical considerations, including Cre toxicity, tamoxifen leakiness, and experimental controls. Finally, we discuss future directions such as dual-recombinase, lineage tracing, comorbidity modeling, single-cell technologies, and cross-species validation, to better align mouse models with human atherosclerosis. By clarifying how model choice influences experimental outcomes, this review aims to help researchers select optimal models and accelerate mechanistic and therapeutic discoveries.
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