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Updated: Aug 30, 2025

Analyzing Ex Vivo Metabolic Flux in Splenic and Cardiac Macrophages and Bone Marrow Monocytes
Published on: March 28, 2025
Multi-omics analysis identifies potential mechanisms by which high glucose accelerates macrophage foaming
Jie Qi1,2, Ying Lv3, Ni-Er Zhong2
1Cardiovascular Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, No. 227 Yanta West Road, Xi'an, 710061, Shaanxi, China.
High glucose accelerates foam cell formation in diabetes by disrupting lipid metabolism and increasing pro-atherosclerotic lipids in macrophages. This study reveals key molecular mechanisms underlying this process.
Area of Science:
- Biochemistry
- Cell Biology
- Metabolomics
Background:
- Diabetic patients exhibit higher atherosclerotic morbidity.
- Hyperglycemia accelerates foam cell formation, a key process in atherosclerosis.
- The precise molecular mechanisms of high glucose-induced foam cell formation are not fully understood.
Purpose of the Study:
- To elucidate the molecular mechanisms by which high glucose promotes foam cell formation in macrophages.
- To investigate the impact of high glucose on lipid accumulation, efflux, and inflammation in macrophages.
- To identify metabolic and transcriptional alterations in macrophages under high glucose conditions.
Main Methods:
- THP-1-derived macrophages were differentiated into M1 macrophages and activated with ox-LDL under high glucose or normal conditions.
- Lipid accumulation was assessed using Oil red O staining and total cholesterol detection.
- Gene expression analysis (qRT-PCR), metabolomics, and transcriptomics were employed to investigate molecular changes.
Main Results:
- High glucose significantly increased lipid accumulation (droplets and cholesterol) and inflammation (IL1B, TNF) while decreasing lipid efflux (ABCG1).
- Multi-omics analysis revealed alterations in 392 metabolites and 293 genes, primarily affecting glycerolipid, glycerophospholipid, and arachidonic acid metabolism.
- High glucose suppressed triglyceride hydrolase (LIPG, LPL) transcription, leading to triglyceride deposition and foam cell formation, and accumulated pro-atherosclerotic lipids.
Conclusions:
- High glucose promotes foam cell formation by disrupting macrophage lipid metabolism and inflammatory responses.
- The study identified specific metabolic pathways (glycerolipid, glycerophospholipid, arachidonic acid) disrupted by high glucose.
- This research provides novel insights into the mechanisms of glucose-induced foam cell formation using a multi-omics approach.
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