Macrophage conditioned medium induces the expression of C-reactive protein in human aortic endothelial cells:

Senthil Kumar Venugopal1, Sridevi Devaraj, Ishwarlal Jialal

  • 1Laboratory for Atherosclerosis and Metabolic Research, Department of Pathology and Laboratory Medicine, University of California Medical Center, Sacramento, CA 95817, USA.

Insights

C-reactive protein (CRP) is produced by human aortic endothelial cells, particularly when stimulated by interleukin-1 and -6. Macrophage-conditioned media significantly increases CRP production, suggesting a role in atherosclerosis.

Area of Science:

  • Cardiovascular Research
  • Immunology
  • Cell Biology

Background:

  • C-reactive protein (CRP) is a known risk marker for cardiovascular events.
  • CRP is produced not only in the liver but also in atherosclerotic lesions, kidney, neurons, and alveolar macrophages.
  • Proatherogenic effects of CRP in endothelial cells are documented.

Purpose of the Study:

  • To investigate C-reactive protein (CRP) production in human aortic endothelial cells (HAEC).
  • To identify the specific cytokines that stimulate CRP production in HAEC.
  • To explore the influence of vascular smooth muscle cells (VSMC) and macrophages on HAEC CRP production.

Main Methods:

  • Detection of CRP mRNA via RT-PCR and in situ hybridization.
  • Analysis of intracellular and secreted CRP protein using Western blot and ELISA.
  • Incubation of HAEC with cytokines (IL-1, IL-6, TNF) and conditioned media from VSMC and macrophages (MCM).

Main Results:

  • CRP mRNA, intracellular protein, and secreted protein were detected in HAEC.
  • The combination of interleukin-1 (IL-1) and interleukin-6 (IL-6) was the most potent agonist for CRP production in HAEC.
  • Macrophage-conditioned media (MCM) significantly increased CRP synthesis and secretion by HAEC, an effect reversible by inhibiting IL-1 and IL-6.

Conclusions:

  • Human aortic endothelial cells (HAEC) synthesize and secrete C-reactive protein (CRP).
  • Cytokines IL-1 and IL-6, particularly in combination, strongly stimulate CRP production in HAEC.
  • Local production of CRP within atherosclerotic lesions, potentially driven by macrophage-derived factors, may lead to elevated concentrations contributing to inflammation and atherogenesis.