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Updated: Jun 25, 2025

Cholesterol Efflux Assay
Published on: March 6, 2012
Effect of hypercholesterolemia on circulating and cardiomyocyte-derived extracellular vesicles
Csenger Kovácsházi1, Szabolcs Hambalkó1, Nabil V Sayour1
1Department of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary.
Insights
High cholesterol (hypercholesterolemia) alters circulating and cardiomyocyte extracellular vesicles (EVs). These changes in EVs may contribute to heart problems caused by high cholesterol.
Area of Science:
- Cardiovascular Biology
- Metabolomics
- Extracellular Vesicle Research
Background:
- Hypercholesterolemia (HC) is a major risk factor for cardiovascular diseases, but its precise mechanisms remain unclear.
- Extracellular vesicles (EVs) play a role in disease pathogenesis, including cardiovascular conditions.
Purpose of the Study:
- To investigate the impact of HC on the metabolomic profile of circulating EVs.
- To analyze the proteomic and functional characteristics of cardiomyocyte (CM)-derived EVs in HC.
Main Methods:
- Circulating EVs were isolated from rats fed a high-cholesterol diet using Vezics technology.
- Cardiomyocyte-derived EVs were analyzed after treating AC16 human CMs with a hypercholesterolemia supplement.
- EVs' biophysical properties, protein composition, and effects on monocyte activation were assessed.
Main Results:
- HC diet altered phosphatidylcholine levels in circulating EVs.
- HC significantly increased EV secretion from CMs and modified their proteome, including proteins involved in tissue remodeling.
- CM-derived EVs did not induce monocyte activation.
Conclusions:
- Hypercholesterolemia significantly impacts the metabolome of circulating EVs and dysregulates CM-derived EVs.
- These EV alterations may contribute to cardiac dysfunction in HC.
- Further research is needed to fully elucidate the role of EVs in HC-induced cardiovascular derangements.
Abstract:
Hypercholesterolemia (HC) induces, propagates and exacerbates cardiovascular diseases via various mechanisms that are yet not properly understood. Extracellular vesicles (EVs) are involved in the pathomechanism of these diseases. To understand how circulating or cardiac-derived EVs could affect myocardial functions, we analyzed the metabolomic profile of circulating EVs, and we performed an in-depth analysis of cardiomyocyte (CM)-derived EVs in HC. Circulating EVs were isolated with Vezics technology from male Wistar rats fed with high-cholesterol or control chow. AC16 human CMs were treated with Remembrane HC supplement and EVs were isolated from cell culture supernatant. The biophysical properties and the protein composition of CM EVs were analyzed. THP1-ASC-GFP cells were treated with CM EVs, and monocyte activation was measured. HC diet reduced the amount of certain phosphatidylcholines in circulating EVs, independently of their plasma level. HC treatment significantly increased EV secretion of CMs and greatly modified CM EV proteome, enriching several proteins involved in tissue remodeling. Regardless of the treatment, CM EVs did not induce the activation of THP1 monocytes. In conclusion, HC strongly affects the metabolome of circulating EVs and dysregulates CM EVs, which might contribute to HC-induced cardiac derangements.
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