Inhibition of inflammation-mediated DPP-4 expression by linagliptin increases M2 macrophages in atherosclerotic

Shuhei Nishida1, Takeshi Matsumura1, Takafumi Senokuchi1

  • 1Department of Metabolic Medicine, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.

Abstract

Insights

Linagliptin, a dipeptidyl peptidase-4 (DPP-4) inhibitor, promotes M2 macrophage polarization by inhibiting DPP-4. This suggests DPP-4 inhibitors may benefit diabetic macrovascular complications.

Area of Science:

  • Immunology
  • Cardiovascular Research
  • Pharmacology

Background:

  • Dipeptidyl peptidase-4 (DPP-4) inhibitors are known to potentially suppress atherosclerosis, but the mechanisms remain unclear.
  • Macrophage polarization plays a critical role in the development and progression of atherosclerosis.

Purpose of the Study:

  • To investigate the effect of the DPP-4 inhibitor linagliptin on macrophage polarization in vitro and in vivo.
  • To elucidate the role of DPP-4 in regulating macrophage phenotype during atherosclerosis.

Main Methods:

  • In vitro studies utilized mouse bone marrow macrophages (BMMs) stimulated with LPS and IFNγ.
  • In vivo studies involved high-fat diet-fed Apoe-/- mice treated with linagliptin or vehicle control.
  • DPP-4 expression and activity were assessed, along with M2 macrophage markers and atherosclerotic lesion size.

Main Results:

  • Linagliptin treatment prevented the decrease in M2 macrophage markers induced by inflammatory stimuli in vitro.
  • In vivo, linagliptin increased M2 macrophage markers and reduced atherosclerotic lesion size in Apoe-/- mice.
  • Inflammatory stimulation increased DPP-4 expression, which was suppressed by linagliptin; DPP-4 siRNA mimicked linagliptin's effects on M2 polarization.

Conclusions:

  • Linagliptin enhances M2 macrophage polarization by inhibiting DPP-4 expression and activity.
  • These findings suggest a potential therapeutic benefit of DPP-4 inhibitors in mitigating diabetic macrovascular complications.

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