Acid Sphingomyelinase Mediates Oxidized-LDL Induced Apoptosis in Macrophage via Endoplasmic Reticulum Stress

Min Zhao1, Wei Pan, Rui-Zheng Shi

  • 1Departments of Nuclear Medicine, Xiangya Hospital, Central South University.

Abstract

Insights

Oxidized low-density lipoprotein (ox-LDL) triggers macrophage apoptosis through the acid sphingomyelinase (ASM)/ceramide pathway, which involves endoplasmic reticulum (ER) stress. Inhibiting ASM or ceramide reduces this ox-LDL-induced cell death.

Area of Science:

  • Cardiovascular Biology
  • Cellular Stress Responses
  • Lipid Metabolism

Background:

  • Macrophage apoptosis is a critical process in advanced atherosclerosis.
  • Oxidized low-density lipoprotein (ox-LDL) significantly contributes to macrophage apoptosis.
  • The acid sphingomyelinase (ASM) and ceramide pathway are implicated in apoptosis induction.

Purpose of the Study:

  • To investigate the role of ASM in ox-LDL-induced macrophage apoptosis.
  • To elucidate the involvement of the ASM/ceramide signaling pathway in endoplasmic reticulum (ER) stress during ox-LDL-induced apoptosis.

Main Methods:

  • Macrophages (human THP-1 and mouse peritoneal) were treated with ox-LDL in vitro.
  • ASM activity and ceramide levels were measured using ultra-performance liquid chromatography.
  • Protein and mRNA expression were analyzed via Western blot and quantitative real-time PCR.
  • Apoptosis was assessed using Hoechst staining and flow cytometry.

Main Results:

  • Ox-LDL induced macrophage apoptosis via ER stress, upregulating ASM activity and ceramide levels.
  • Inhibition of ASM (siRNA, desipramine) or ceramide degradation (recombinant acid ceramidase) attenuated ER stress and apoptosis.
  • Recombinant ASM increased ceramide and ER stress, while its inhibition, along with ceramide degradation or ER stress inhibition (4-phenylbutyric acid), blocked CHOP upregulation and apoptosis.

Conclusions:

  • The ASM/ceramide signaling pathway plays a significant role in ox-LDL-induced macrophage apoptosis.
  • This pathway mediates apoptosis through the induction of endoplasmic reticulum (ER) stress.