Procedures for handling mice were approved by the Washington University and Sanford-Burnham institutional animal care and use committees. LDLR−/−B6.129S7-Ldlrtm1Her/J (19 (link)) and SM22-CreTg(Tagln-cre)1Her/J (15 (link)) mice were obtained from The Jackson Laboratory. Msx1(fl/fl);Msx2(fl/fl) mice have been described (20 (link)) and were bred onto the LDLR−/− background. Experimental SM22-Cre;Msx1(fl/fl);Msx2(fl/fl);LDLR−/−, SM22-Cre;Msx2(fl/fl);LDLR−/−, and Msx1(fl/fl);Msx2(fl/fl);LDLR−/− control animals were obtained through the breeding scheme outlined in Fig. 1. At 5–10 weeks of age, animals were weighed. Male sibling cohorts (n = 4–13 per genotype as indicated) of Msx1(fl/fl);Msx2(fl/fl);LDLR−/− and SM22-Cre;Msx1(fl/fl);Msx2(fl/fl);LDLR−/− mice with equivalent starting weights were challenged with high-fat western diet (HFD) (TD88137; Teklad Lab Animal Diets; Harlan) for 2 months. At the end of the dietary challenge, thoracic aortas were harvested, weighed, and extracted for calcium, collagen, or total RNA, implementing methods previously detailed (9 (link),21 (link)).