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Extracellular Vesicles From Chylomicron-Treated Endothelial Cells Drive Macrophage Inflammation
Anna Tilp1,2, Dimitris Nasias, Andrew L Carley3
1Holman Division of Endocrinology, Diabetes and Metabolism, New York University Grossman School of Medicine (A.T., M.Y.P., A.M., J.O.A., I.J.G., A.G.C.).
Arteriosclerosis, Thrombosis, and Vascular Biology
|October 16, 2025
Summary
Endothelial cells (ECs) release extracellular vesicles (EVs) after processing chylomicrons, promoting macrophage inflammation and lipid droplet formation. These EVs also induce inflammation in ECs, highlighting a pathway for vascular inflammation and lipid acquisition.
Area of Science:
- Cardiovascular Biology
- Cellular Metabolism
- Lipid Transport
Background:
- Circulating lipids move into tissues and arteries via endothelial cell (EC) barriers.
- Elevated postprandial triglyceride-rich lipoproteins (TRLs) are linked to cardiovascular disease.
- Chylomicrons facilitate fatty acid transfer and lipoprotein entry into arterial walls.
Purpose of the Study:
- To investigate how chylomicrons impact ECs.
- To determine the mechanism of fatty acid transfer across the EC barrier.
- To identify components responsible for lipid droplet formation in macrophages.
Main Methods:
- Characterized extracellular vesicles (EVs) from chylomicron-treated ECs for content (protein, lipid, microRNA).
- Assessed EV-induced transcriptional changes in macrophages and ECs.
- Studied uptake and release of labeled fatty acids from chylomicrons by ECs.
Main Results:
- Chylomicron-treated ECs produced EVs that induced lipid droplet accumulation in macrophages.
- EVs contained phospholipids and diacylglycerols; chylomicron triglycerides exited ECs as phospholipids.
- EVs from treated ECs were larger, more abundant, and contained specific microRNAs, increasing inflammatory gene expression.
Conclusions:
- Endothelial cell (EC) chylomicron metabolism generates EVs that drive macrophage inflammation and lipid droplet formation.
- These EVs also promote EC inflammation, indicating an autocrine inflammatory loop.
- This process represents a key pathway for vascular inflammation and tissue lipid acquisition.
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