RT Journal Article SR Electronic T1 Familial Hypercholesterolemia and Atherosclerosis in Cloned Minipigs Created by DNA Transposition of a Human PCSK9 Gain-of-Function Mutant JF Science Translational Medicine FD American Association for the Advancement of Science SP 166ra1 OP 166ra1 DO 10.1126/scitranslmed.3004853 VO 5 IS 166 A1 Al-Mashhadi, Rozh H. A1 Sørensen, Charlotte B. A1 Kragh, Peter M. A1 Christoffersen, Christina A1 Mortensen, Martin B. A1 Tolbod, Lars P. A1 Thim, Troels A1 Du, Yutao A1 Li, Juan A1 Liu, Ying A1 Moldt, Brian A1 Schmidt, Mette A1 Vajta, Gabor A1 Larsen, Torben A1 Purup, Stig A1 Bolund, Lars A1 Nielsen, Lars B. A1 Callesen, Henrik A1 Falk, Erling A1 Mikkelsen, Jacob Giehm A1 Bentzon, Jacob F. YR 2013 UL http://stm.sciencemag.org/content/5/166/166ra1.abstract AB Lack of animal models with human-like size and pathology hampers translational research in atherosclerosis. Mouse models are missing central features of human atherosclerosis and are too small for intravascular procedures and imaging. Modeling the disease in minipigs may overcome these limitations, but it has proven difficult to induce rapid atherosclerosis in normal pigs by high-fat feeding alone, and genetically modified models similar to those created in mice are not available. D374Y gain-of-function mutations in the proprotein convertase subtilisin/kexin type 9 (PCSK9) gene cause severe autosomal dominant hypercholesterolemia and accelerates atherosclerosis in humans. Using Sleeping Beauty DNA transposition and cloning by somatic cell nuclear transfer, we created Yucatan minipigs with liver-specific expression of human D374Y-PCSK9. D374Y-PCSK9 transgenic pigs displayed reduced hepatic low-density lipoprotein (LDL) receptor levels, impaired LDL clearance, severe hypercholesterolemia, and spontaneous development of progressive atherosclerotic lesions that could be visualized by noninvasive imaging. This model should prove useful for several types of translational research in atherosclerosis.