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.

Related Concept Videos

Cholesterol: Significance and Regulation01:29

Cholesterol: Significance and Regulation

Although not a source of energy, cholesterol plays a significant role as a foundational structure for bile salts, steroid hormones, and vitamin D, as well as being a crucial component of plasma membranes. Approximately 15% of blood cholesterol is derived from our diet, with the remainder synthesized from acetyl CoA by the liver and intestines. Cholesterol is eliminated from the body through its conversion into bile salts, which are eventually discarded in the feces.
Considering cholesterol and...
Inflammation01:38

Inflammation

Overview
Differentiation of Common Myeloid Progenitor Cells01:15

Differentiation of Common Myeloid Progenitor Cells

Common myeloid progenitors (CMPs) are oligopotent cells that can differentiate into granulocytes and macrophages. Granulocytes and macrophages are essential for protecting the body against bacterial, viral, or fungal infections. They migrate from the bone marrow into the circulating blood to reach specific tissue sites where they differentiate and help in immune surveillance. However, they survive only for a few days and must be continuously made available to the organism to maintain a robust...
Coronary Artery Disease II: Pathophysiology01:26

Coronary Artery Disease II: Pathophysiology

Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...