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Updated: Dec 13, 2025

Stimulation of Vascular Endothelial Cells Using Neutrophil Extracellular Traps in the Presence of Low-Density Lipoprotein
Published on: August 12, 2025
OxLDL-mediated immunologic memory in endothelial cells.
Yahya Sohrabi1, Sina M M Lagache1, Vivienne C Voges1
1Department of Cardiology I - Coronary and Peripheral Vascular Disease, Heart Failure, University Hospital Münster, Germany.
Oxidized low-density lipoprotein (oxLDL) reprograms endothelial cells, creating a trained immunity memory. This sustained inflammation enhances atheroprone functions, suggesting a link to atherosclerosis.
Area of Science:
- Immunology
- Cell Biology
- Metabolic Regulation
Background:
- Trained innate immunity involves metabolic reprogramming and sustained activation of immune cells.
- Oxidized low-density lipoprotein (oxLDL) is implicated in inflammatory processes.
- Endothelial cells play a crucial role in vascular health and inflammation.
Purpose of the Study:
- To investigate if trained innate immunity mechanisms regulate endothelial cell activation by oxLDL.
- To explore the metabolic and epigenetic reprogramming in endothelial cells following oxLDL priming.
- To assess the functional consequences of oxLDL-induced endothelial cell memory on immune cell interactions.
Main Methods:
- Human aortic endothelial cells (HAECs) were primed with oxLDL and restimulated with a TLR2 agonist.
- Analysis of cytokine production, metabolic changes (glucose consumption, lactate production), and epigenetic modifications.
- Inhibition of key signaling pathways (mTOR-HIF1α) and histone methyltransferases.
- Live cell imaging to assess monocyte adhesion and transmigration.
Main Results:
- OxLDL priming induced a proinflammatory memory in HAECs, with increased cytokine production upon restimulation.
- This memory was TLR2-dependent and associated with metabolic reprogramming (mTOR-HIF1α activation) and epigenetic changes.
- Inhibition of mTOR-HIF1α or histone methyltransferases blocked the trained immunity phenotype.
- Primed HAECs exhibited increased ICAM-1 expression and enhanced monocyte adhesion and transmigration.
Conclusions:
- OxLDL-mediated endothelial cell activation is an immunologic event triggering metabolic and epigenetic reprogramming.
- Mechanisms of trained innate immunity in immune cells also govern sustained proinflammatory responses in endothelial cells.
- This oxLDL-induced endothelial cell memory enhances atheroprone functions, potentially contributing to atherosclerosis.
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