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Published on: October 17, 2017
Different functions of monocyte subsets in familial hypercholesterolemia: potential function of CD14+ CD16+ monocytes
Sandy Mosig1, Knut Rennert, Siegfried Krause
1Molecular Hemostaseology, Friedrich-Schiller-University of Jena, Jena, Germany. sandy.mosig@mti.uni-jena.de
Insights
In hypercholesterolemia, CD14(+)CD16(+) monocytes show increased uptake of oxidized low-density lipoprotein (oxLDL) and enhanced adherence to endothelial cells. These specialized functions are crucial for clearing oxLDL deposits in the vessel wall.
Area of Science:
- Immunology
- Cardiovascular Biology
Background:
- Hypercholesterolemia is characterized by elevated cholesterol levels, contributing to atherosclerosis.
- Monocytes are key immune cells involved in vascular inflammation and lipid metabolism.
Purpose of the Study:
- To investigate differential responses of CD14(+)CD16(+) and CD14(++)CD16(-) monocyte subsets to hypercholesterolemia.
- To elucidate the role of these monocyte subsets in low-density lipoprotein (LDL) uptake and endothelial cell interactions.
Main Methods:
- Isolation of monocytes from familial hypercholesterolemia (FH) patients and controls.
- Flow cytometry, LDL uptake assays, adhesion assays, and laser scanning microscopy.
- Analysis of surface protein expression (CD68, stabilin-1, CD11c) and phagocytosis capacity.
Main Results:
- CD14(+)CD16(+) monocytes showed increased oxidized LDL (oxLDL) uptake via CD36, while CD14(++)CD16(-) monocytes preferentially took up native LDL (nLDL).
- FH-CD14(+)CD16(+) monocytes exhibited enhanced expression of CD68, stabilin-1, CD11c, and increased adherence to activated endothelial cells.
- CD14(+)CD16(+) monocytes demonstrated superior phagocytosis and resistance to oxLDL-induced impairment.
Conclusions:
- FH-CD14(+)CD16(+) monocytes possess specialized functions for oxLDL uptake at activated endothelial cells.
- These functions are hypothesized to be critical for clearing oxLDL deposits and apoptotic cells in hyperlipidemic conditions.
Abstract:
The study was undertaken to investigate whether the two major monocyte subsets defined by the surface markers CD14(+)CD16(+) and CD14(++)CD16(-) show differences in their responses to hypercholesterolemia. Monocytes were rapidly isolated from the blood of hypercholesterolemic, low-density lipoprotein (LDL) receptor-defective familial hypercholesterolemia (FH) patients and from control persons. Using flow cytometry and uptake, adhesion, and phagocytosis assays as well as laser scanning microscopy, we found significant differences between the monocyte subsets. FH-CD14(+)CD16(+) monocytes exhibit an increased uptake of oxidized LDL (oxLDL) via CD36, whereas FH-CD14(++)CD16(-) monocytes preferentially take up native LDL (nLDL). FH-CD14(+)CD16(+) monocytes have an increased expression of surface proteins CD68, stabilin-1, and CD11c and a higher adherence to activated endothelial cells in response to oxLDL and nLDL stimulation. In addition, all CD14(+)CD16(+) monocytes have an increased ability for phagocytosis and a higher resistance to phagocytosis impairment by oxLDL compared with CD14(++)CD16(-) monocytes. We conclude that FH-CD14(+)CD16(+) monocytes have specialized functions in the uptake of oxLDL at activated endothelial cell surfaces, and we hypothesize that these functions are critical for the clearance of oxLDL deposits and apoptotic cells from the vessel wall under hyperlipidemic conditions.
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