Glucose enhances human macrophage LOX-1 expression: role for LOX-1 in glucose-induced macrophage foam cell formation

Circ Res. 2004 Apr 16;94(7):892-901. doi: 10.1161/01.RES.0000124920.09738.26. Epub 2004 Mar 4.

Abstract

Lectin-like oxidized LDL receptor-1 (LOX-1) is a newly identified receptor for oxidized LDL that is expressed by vascular cells. LOX-1 is upregulated in aortas of diabetic rats and thus may contribute to the pathogenesis of human diabetic atherosclerosis. In this study, we examined the regulation of human monocyte-derived macrophage (MDM) LOX-1 expression by high glucose and the role of LOX-1 in glucose-induced foam cell formation. Incubation of human MDMs with glucose (5.6 to 30 mmol/L) enhanced, in a dose- and time-dependent manner, LOX-1 gene and protein expression. Induction of LOX-1 gene expression by high glucose was abolished by antioxidants, protein kinase C (PKC), mitogen-activated protein kinases (MAPKs), nuclear factor-kappaB (NF-kappaB), and activated protein-1 (AP-1) inhibitors. In human MDMs cultured with high glucose, increased expression of PKCbeta2 and enhanced phosphorylation of extracellular signal-regulated protein kinase 1/2 was observed. Activation of these kinases was inhibited by the antioxidant N-acetyl-L-cysteine (NAC) and by the PKCbeta inhibitor LY379196. High glucose also enhanced the binding of nuclear proteins extracted from human MDMs to the NF-kappaB and AP-1 regulatory elements of the LOX-1 gene promoter. This effect was abrogated by NAC and PKC/MAPK inhibitors. Finally, high glucose induced human macrophage-derived foam cell formation through a LOX-1-dependent pathway. Overall, these results demonstrate that high glucose concentrations enhance LOX-1 expression in human MDMs and that this effect is associated with foam cell formation. Pilot data showing that MDMs of patients with type 2 diabetes overexpress LOX-1 support the relevance of this work to human diabetic atherosclerosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetylcysteine / pharmacology
  • Adult
  • Aged
  • Anti-Infective Agents / pharmacology
  • Antioxidants / pharmacology
  • Arteriosclerosis / etiology
  • Arteriosclerosis / metabolism
  • Cells, Cultured / drug effects
  • Cells, Cultured / metabolism
  • Curcumin / pharmacology
  • Diabetes Mellitus, Type 2 / complications
  • Enzyme Inhibitors / pharmacology
  • Female
  • Flavonoids / pharmacology
  • Foam Cells / metabolism
  • Foam Cells / pathology*
  • Gene Expression Regulation / drug effects
  • Glucose / pharmacology*
  • Glycation End Products, Advanced / analysis
  • Humans
  • Hyperglycemia / genetics
  • Hyperglycemia / metabolism*
  • MAP Kinase Signaling System / drug effects
  • Macrophages / drug effects*
  • Macrophages / metabolism
  • Macrophages / pathology
  • Male
  • Mesylates / pharmacology
  • Middle Aged
  • Mitogen-Activated Protein Kinase 1 / metabolism
  • Mitogen-Activated Protein Kinase 3
  • Mitogen-Activated Protein Kinases / metabolism
  • NF-kappa B / antagonists & inhibitors
  • NF-kappa B / physiology
  • Nitriles
  • Phosphorylation / drug effects
  • Protein Kinase C / antagonists & inhibitors
  • Protein Kinase C / metabolism
  • Protein Kinase C beta
  • Protein Processing, Post-Translational / drug effects
  • Pyrroles / pharmacology
  • RNA, Messenger / biosynthesis
  • Receptors, LDL / biosynthesis
  • Receptors, LDL / genetics
  • Receptors, LDL / physiology*
  • Signal Transduction / drug effects
  • Sulfones
  • Transcription Factor AP-1 / antagonists & inhibitors
  • Transcription Factor AP-1 / metabolism
  • Tumor Necrosis Factor-alpha / pharmacology

Substances

  • 5,21 - 12,17-dimetheneo-18H-dibenzo(i,o)pyrrolo(3,4-1)(1,8)diazacyclohexandecine-18,10(19H)dione,8((dimethylamino)methyl)-6,7,8,9,10,11-hexahydro,monomethanesulfonate
  • Anti-Infective Agents
  • Antioxidants
  • BAY 11-7085
  • Enzyme Inhibitors
  • Flavonoids
  • Glycation End Products, Advanced
  • Mesylates
  • NF-kappa B
  • Nitriles
  • Pyrroles
  • RNA, Messenger
  • Receptors, LDL
  • Sulfones
  • Transcription Factor AP-1
  • Tumor Necrosis Factor-alpha
  • Protein Kinase C
  • Protein Kinase C beta
  • Mitogen-Activated Protein Kinase 1
  • Mitogen-Activated Protein Kinase 3
  • Mitogen-Activated Protein Kinases
  • Curcumin
  • Glucose
  • 2-(2-amino-3-methoxyphenyl)-4H-1-benzopyran-4-one
  • Acetylcysteine