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Updated: Jun 6, 2026

Cholesterol Efflux Assay
Published on: March 6, 2012
MUC2 promotes cholesterol efflux in foam cells through ALKBH5-mediated m6A modification of ABCA1 mRNA
Pingping He1, Mao Peng2, Yifan Tang2
1Key Laboratory of Model Animals and Stem Cell Biology in Hunan Province, Health Science Center, Hunan Normal University, Changsha 410013, China; Aging Health Research Center, School of Nursing, Health Science Center, Hunan Normal University, Changsha 410013, China.
Background:
Atherosclerosis (AS) is characterized by lipid accumulation and foam cell formation. Mucin 2 (MUC2), a key intestinal protein, has been linked to lipid metabolism, but its role in atherosclerosis remains unclear. This study aims to elucidate the regulatory mechanism of MUC2 on cholesterol efflux and foam cell formation.
Methods:
THP-1 macrophage-derived foam cells were treated with MUC2. To investigate the mechanism, cells were transfected with lentiviral vectors for ALKBH5 knockdown (sh-ALKBH5) or overexpression (LV-ALKBH5). Lipid accumulation was assessed by Oil Red O staining and enzymatic cholesterol quantification. Cholesterol efflux was measured using a fluorescence assay. The expression of ABCA1 and ALKBH5 was determined by RT-qPCR and western blotting. M6A modification sites on ABCA1 mRNA were predicted by bioinformatics and verified by MeRIP-MazF assays.
Results:
MUC2 treatment significantly upregulated ABCA1 expression, promoted cholesterol efflux, and reduced intracellular lipid content in foam cells. Mechanistically, MUC2 inhibited the expression of the m6A demethylase ALKBH5. Consistent with this, MUC2 enhanced the m6A modification level of ABCA1 mRNA. Silencing ALKBH5 mimicked the protective effects of MUC2 by increasing ABCA1 m6A levels and protein expression, thereby facilitating cholesterol efflux. Conversely, ALKBH5 overexpression attenuated the MUC2-induced upregulation of ABCA1 and reversed its protective effects against lipid accumulation.
Conclusion:
MUC2 promotes cholesterol efflux and inhibits foam cell formation by repressing ALKBH5, which in turn enhances the m6A modification and stability of ABCA1 mRNA. .
Insights
Mucin 2 (MUC2) promotes cholesterol efflux and reduces foam cell formation in atherosclerosis. It achieves this by inhibiting ALKBH5, enhancing ABCA1 mRNA stability, and improving lipid metabolism.
Area of Science:
- Molecular Biology
- Cell Biology
- Biochemistry
Background:
- Atherosclerosis involves lipid accumulation and foam cell formation.
- Mucin 2 (MUC2), an intestinal protein, impacts lipid metabolism, but its role in atherosclerosis is not fully understood.
- This study investigates MUC2's regulatory role in cholesterol efflux and foam cell development.
Purpose of the Study:
- To elucidate the mechanism by which MUC2 regulates cholesterol efflux.
- To determine MUC2's effect on foam cell formation in atherosclerosis.
- To investigate the role of ALKBH5 and m6A modification in MUC2-mediated effects.
Main Methods:
- THP-1 macrophage-derived foam cells were treated with MUC2.
- ALKBH5 expression was manipulated using lentiviral vectors (knockdown and overexpression).
- Lipid accumulation, cholesterol efflux, gene expression (ABCA1, ALKBH5), and m6A modification of ABCA1 mRNA were assessed.
Main Results:
- MUC2 treatment increased ABCA1 expression, promoted cholesterol efflux, and decreased lipid accumulation in foam cells.
- MUC2 inhibited the m6A demethylase ALKBH5, leading to increased m6A modification and stability of ABCA1 mRNA.
- Silencing ALKBH5 mimicked MUC2's protective effects, while ALKBH5 overexpression reversed them.
Conclusions:
- MUC2 inhibits foam cell formation and promotes cholesterol efflux in atherosclerosis.
- This effect is mediated by MUC2's repression of ALKBH5, enhancing ABCA1 mRNA m6A modification and stability.
- MUC2 represents a potential therapeutic target for atherosclerosis treatment.
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