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Macrophages, inflammation, and atherosclerosis.
MacRae F Linton1, Sergio Fazio
1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232-6300, USA. macrae.linton@vanderbilt.edu
Summary
Macrophage aP2 (adipocyte fatty acid-binding protein) plays a key role in atherosclerosis development, independent of its metabolic functions. Targeting macrophage aP2 may offer new strategies for treating cardiovascular disease.
Area of Science:
- Cardiovascular Biology
- Immunology
- Metabolic Syndrome
Background:
- Macrophages are central to atherogenesis, involved in lipoprotein metabolism, inflammation, and foam cell formation.
- Monocyte chemoattractant protein-1 (MCP-1) and cyclooxygenase-2 (COX-2) are implicated in recruiting monocytes and promoting inflammation in atherosclerosis.
- Foam cell formation results from cholesterol ester accumulation, mediated by scavenger receptors and ACAT-1, and is influenced by cholesterol efflux proteins.
Purpose of the Study:
- To investigate the role of macrophage adipocyte fatty acid-binding protein (aP2) in atherosclerosis development.
- To determine if macrophage aP2's role in atherosclerosis is independent of its function in systemic glucose and lipid metabolism.
- To explore the impact of macrophage aP2 deficiency on inflammatory cytokine production.
Main Methods:
- Utilized low-density lipoprotein receptor (LDLR)-deficient mice.
- Generated mice lacking macrophage-specific aP2 expression (apoE-deficient mice null for macrophage aP2).
- Assessed atherosclerotic lesion development and inflammatory cytokine profiles.
Main Results:
- Macrophage-specific aP2 deficiency significantly reduced atherosclerotic lesion formation in LDLR-deficient mice.
- The protective effect of aP2 deficiency was observed independently of systemic glucose and lipid metabolism.
- Macrophages lacking aP2 exhibited altered inflammatory cytokine production.
Conclusions:
- Macrophage aP2 plays a significant role in promoting atherosclerotic lesion formation.
- This role is independent of aP2's known functions in systemic insulin resistance and obesity.
- Macrophage aP2 influences inflammatory responses and links metabolic syndrome features to atherosclerosis.