Bone marrow-derived multidrug resistance protein ABCB4 protects against atherosclerotic lesion development in LDL

Marieke Pennings1, Reeni B Hildebrand, Dan Ye

  • 1Division of Biopharmaceutics, Leiden/Amsterdam Center for Drug Research, Leiden University, Einsteinweg 55, 2333 CC Leiden, The Netherlands. pennings@lacdr.leidenuniv.nl

Abstract

Insights

Bone marrow-derived ABCB4 limits macrophage foam cell formation, an important anti-atherosclerotic function. This study found that lacking ABCB4 in macrophages increased atherosclerotic lesion size despite lower cholesterol levels.

Area of Science:

  • Cardiovascular Biology
  • Lipid Metabolism
  • Atherosclerosis Research

Background:

  • ATP binding cassette (ABC)-transporter superfamily members in macrophages aid cholesterol and phospholipid efflux, protecting against atherosclerosis.
  • ABCB4 is crucial for cellular lipid efflux, as evidenced by impaired biliary lipid secretion in its absence.
  • The specific role of bone marrow-derived ABCB4 in atherosclerosis remains to be elucidated.

Purpose of the Study:

  • To investigate the function of bone marrow-derived ABCB4 in the development of atherosclerotic lesions.
  • To determine if ABCB4 deficiency in macrophages influences atherosclerotic plaque formation.

Main Methods:

  • Bone marrow transplantation was used to create LDL receptor knockout (LDLr-/-) mice lacking ABCB4 in bone marrow-derived cells.
  • Mice were fed a high-cholesterol diet to induce atherosclerotic lesion development.
  • In vitro foam cell formation assays were performed using peritoneal macrophages.

Main Results:

  • Mice lacking ABCB4 in bone marrow exhibited significantly lower serum cholesterol levels.
  • Despite reduced serum cholesterol, ABCB4 deficiency led to a 1.8-fold increase in atherosclerotic lesion size.
  • In vitro, macrophages lacking ABCB4 showed increased acetylated LDL (AcLDL) association and enhanced foam cell formation, with unaffected cholesterol efflux.

Conclusions:

  • Bone marrow-derived ABCB4 plays a significant anti-atherosclerotic role.
  • ABCB4 likely limits atherosclerotic lesion development by inhibiting macrophage foam cell formation.

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