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CD14+-Monocytes Exposed to Apolipoprotein CIII Express Tissue Factor
Oliviero Olivieri1, Sara Gasperini2, Federica Calzetti2
1Unit of Internal Medicine, Department of Medicine, University of Verona, 37134 Verona, Italy.
International Journal of Molecular Sciences
|February 11, 2023
Summary
Apolipoprotein CIII (ApoCIII) activates monocytes to express tissue factor (TF), a key initiator of blood clotting. This finding links ApoCIII to inflammation and atherothrombosis, contributing to cardiovascular disease risk.
Area of Science:
- Cardiovascular Biology
- Lipid Metabolism
- Immunology
Background:
- Apolipoprotein CIII (ApoCIII) is a critical regulator of plasma lipid metabolism and a risk factor for cardiovascular diseases.
- ApoCIII contributes to endothelial dysfunction and monocyte recruitment in atherothrombosis.
Purpose of the Study:
- To investigate whether ApoCIII induces tissue factor (TF) expression in monocytes.
- To explore the role of ApoCIII in monocyte activation and its link to atherothrombosis.
Main Methods:
- Human CD14+ monocytes and neutrophils were incubated with purified ApoCIII and human sera.
- Gene expression (RT-qPCR) and protein production (ELISA) of inflammatory cytokines and TF were measured.
- TF surface expression on monocytes was analyzed by flow cytometry.
- The effect of ApoCIII-neutralizing antibodies on TF expression was assessed.
Main Results:
- ApoCIII exposure significantly increased mRNA and protein levels of TNFα, IL-1β, IL-6, and TF in CD14+ monocytes, but not neutrophils.
- Monocytes rapidly expressed cell-surface TF upon incubation with ApoCIII or ApoCIII-containing sera.
- ApoCIII-neutralizing antibodies partially inhibited TF upregulation and cytokine release in monocytes.
Conclusions:
- Apolipoprotein CIII activates human CD14+ monocytes to express tissue factor.
- This mechanism connects circulating apolipoproteins to inflammation and atherothrombosis, highlighting a novel pathway in cardiovascular risk.

