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Updated: Dec 27, 2025

Evaluation of Caspase Activation to Assess Innate Immune Cell Death
Published on: January 20, 2023
Increased macrophage activation mediated by caspase recruitment domain 6 knockdown through negatively targeting AMPK
Fangyuan Chen1, Juanli Li1, Gang Tian1
1Department of Cardiovascular Medicine, First Affiliated Hospital of Xi'an Jiaotong University, 710061, China.
Insights
Caspase recruitment domain 6 (CARD6) protects against macrophage activation. Reduced CARD6 expression promotes inflammation and foam cell formation by affecting cholesterol metabolism and AMP-activated protein kinase (AMPK) signaling.
Area of Science:
- Cardiovascular Biology
- Immunology
- Cellular Metabolism
Background:
- Caspase recruitment domain 6 (CARD6) is linked to immunity and cancer.
- Its role in macrophage activation and cardio-metabolic diseases is unclear.
- Macrophage activation is critical in atherosclerosis development.
Purpose of the Study:
- To investigate the function of CARD6 in macrophage activation.
- To elucidate the molecular mechanisms underlying CARD6's role in macrophage polarization and foam cell formation.
Main Methods:
- Quantitative RT-PCR and Western blot analysis to assess CARD6 expression.
- Immunofluorescence staining to localize CARD6 in macrophages.
- Loss-of-function studies (CARD6 knockdown) in macrophages.
- Assessment of macrophage polarization markers (M1/M2).
- Measurement of cholesterol uptake and efflux.
- Analysis of AMP-activated protein kinase (AMPK) signaling pathway.
Main Results:
- CARD6 expression decreased in macrophages from ApoE-deficient mice and those treated with oxidized LDL (OX-LDL).
- CARD6 deficiency promoted pro-inflammatory M1 macrophage polarization and impaired M2 macrophage differentiation.
- CARD6 knockdown enhanced cholesterol uptake, reduced cholesterol efflux, and increased foam cell formation.
- AMPK signaling was downregulated upon CARD6 knockdown, mediating its effects on macrophage activation.
Conclusions:
- CARD6 plays a protective role against macrophage activation and foam cell formation.
- CARD6 exerts its effects partly through the AMPK-dependent pathway.
- Targeting CARD6 may offer a therapeutic strategy for cardio-metabolic diseases involving macrophage dysfunction.
Abstract:
Caspase recruitment domain 6 (CARD6) was initially implicated in the immune system and oncogenesis, which has also been emerged to play an important role in cardio-metabolic diseases. Nevertheless, the potential role of CARD6 on macrophage activation remains unknown. In the present study, we observed a decreased CARD6 expression in bone marrow derived macrophages (BMDMs) and mouse peritoneal macrophages (MPMs) isolated from ApoE deficiency mice and administrated with OX-LDL, which were tested by RT-PCR and western bolt analysis. Moreover, the immunofluorescence co-staining revealed that a weaker immunoreactivity of CARD6 was found and primary located in cytoplasm of macrophages induced by OX-LDL. Phenotypically, loss-of-function of CARD6 dramatically increased pro-inflammatory M1 macrophage but decreased resolving M2 macrophage markers expression. Additionally, CARD6 knockdown significantly promoted cholesterol uptake but attenuated cholesterol efflux, which lead to increased foam cell formation. Mechanistically, a downregulated AMP-activated protein kinase (AMPK) expression was required for the promoted effect of CARD6 knockdown on macrophage activation. Taken together, these results suggest that CARD6 protects against macrophage activation partially through activation of AMPK-dependent mechanism.
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