Abstract
PURPOSE: Intracellular cholesterol imbalance plays an important role in adipocyte dysfunction of obesity. However, it is unclear whether obesity induced monocyte chemoattractant protein-1 (MCP-1) causes the adipocyte cholesterol imbalance. In this study, we hypothesize that MCP-1 impairs cholesterol efflux of adipocytes to HDL2 and insulin rescues this process.
METHODS: We recruited coronary artery disease (CAD) patients with obesity and overweight to analyze the association between MCP-1 and HDL2-C by Pearson correlation coefficients. We performed [ 3H]-cholesterol efflux assay to demonstrate the effect of MCP-1 and insulin on cholesterol efflux from 3T3-L1 adipocytes to large HDL2 particles. Western blot, RT-qPCR, cell-surface protein assay, and confocal microscopy were performed to determine the regulatory mechanism.
RESULTS: Plasma MCP-1 concentrations were negatively correlated with HDL2-C in CAD patients with obesity and overweight (r = -0.60, p < 0.001). In differentiated 3T3-L1 adipocytes, MCP-1 reduced cholesterol efflux to large HDL2 particles by 55.4% via decreasing ATP-binding cassette A1 (ABCA1), ABCG1, and scavenger receptor class B type I (SR-BI) expression. Intriguingly, insulin rescued MCP-1 mediated-inhibition of cholesterol efflux to HDL2 in an Akt phosphorylation-dependent manner. The rescue efficacy of insulin was 138.2% for HDL2. Moreover, insulin increased mRNA and protein expression of ABCA1, ABCG1, and SR-BI at both transcriptional and translational levels via the PI3K/Akt activation.
CONCLUSIONS: These findings indicate that MCP-1 impairs cholesterol efflux to large HDL2 particles in adipocytes, which is reversed by insulin via the upregulation of ABCA1, ABCG1, and SR-BI. Therefore, insulin might improve cholesterol imbalance by an anti-inflammatory effect in adipocytes.
CLINICAL TRIAL REGISTRATION NUMBER: ChiCTR2000033297; Date of registration: 2020/05/ 27; Retrospectively registered.
| Original language | English |
|---|---|
| Pages (from-to) | 665-678 |
| Number of pages | 14 |
| Journal | Cardiovascular Drugs and Therapy |
| Volume | 36 |
| Issue number | 4 |
| DOIs | |
| State | Published - Aug 2022 |
Keywords
- Adipocytes
- Cholesterol efflux; large HDL2 particles
- Insulin
- MCP-1
- Cholesterol/metabolism
- Humans
- Adipocytes/metabolism
- Phosphatidylinositol 3-Kinases/metabolism
- ATP Binding Cassette Transporter, Subfamily G, Member 1/genetics
- Proto-Oncogene Proteins c-akt/metabolism
- Scavenger Receptors, Class B/genetics
- Overweight/metabolism
- Cholesterol, HDL
- Chemokine CCL2/metabolism
- ATP-Binding Cassette Transporters/genetics
- ATP Binding Cassette Transporter 1/genetics
- Obesity/drug therapy
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