title: Low density lipoprotein metabolism by human macrophages activated with low density lipoprotein immune complexes. A possible mechanism of foam cell formation.
abstract: Human macrophages play a key role in atherogenesis and are believed to be the progenitors of the cholesteryl ester (CE)-laden foam cells present in early atherosclerotic lesions. Several mechanisms by which macrophages accumulate CE have been recently described. One involves a perturbation in LDL metabolism subsequent to macrophage activation. Thus, we decided to study the effect of macrophage activation by immune complexes on N-LDL metabolism. Initially, LDL-containing immune complexes (LDL-IC) were chosen, since increased plasma levels of these IC have been reported in patients with coronary heart disease. Human macrophages stimulated for 22 h with LDL-IC (250 micrograms/ml) and incubated afterwards for 20 h with 10 micrograms/ml 125I-N-LDL showed a six- and fourfold increase in the accumulation and degradation, respectively, of 125I-N-LDL over the values observed in nonstimulated cells. Scatchard analysis of 125I-N-LDL-specific binding suggests an increase (20-fold) in the number of LDL receptors in macrophages stimulated with LDL-IC. We studied other immune complexes varying in size and antigen composition. Some of the IC were able to stimulate, although to a lesser degree, the uptake of N-LDL by macrophages. Lipoprotein IC are more efficient and have the greatest capacity to increase N-LDL uptake and CE accumulation. We conclude that human macrophage activation by LDL-IC leads to an increase in LDL receptor activity and promotes in vitro foam cell formation.
authors.affiliation: Department of Basic and Clinical Immunology and Microbiology, Medical University of South Carolina, Charleston 29425.
authors.forename: R L
authors.initials: RL
authors.lastname: Griffith
authors.forename: G T
authors.initials: GT
authors.lastname: Virella
authors.forename: H C
authors.initials: HC
authors.lastname: Stevenson
authors.forename: M F
authors.initials: MF
authors.lastname: Lopes-Virella
mesh_terms: D000936:Antigen-Antibody Complex; D001161:Arteriosclerosis / Q000473:pathology*; D002784:Cholesterol / Q000378:metabolism; D005487:Foam Cells / Q000378:metabolism*; D006801:Humans; D066298:In Vitro Techniques; D008077:Lipoproteins, LDL / Q000378:metabolism; D008262:Macrophage Activation; D008264:Macrophages / Q000378:metabolism*; D011973:Receptors, LDL / Q000378:metabolism*
chemical_list: D000936:Antigen-Antibody Complex; D008077:Lipoproteins, LDL; D011973:Receptors, LDL; D002784:Cholesterol