CCAAT/enhancer-binding protein delta promotes intracellular lipid accumulation in M1 macrophages of vascular lesions

HY Lai, LW Hsu, HH Tsai, YC Lo… - Cardiovascular …, 2017 - academic.oup.com
HY Lai, LW Hsu, HH Tsai, YC Lo, SH Yang, PY Liu, JM Wang
Cardiovascular Research, 2017academic.oup.com
Aims Lipid homeostasis is reprogrammed in the presence of inflammation, which results in
excessive lipid accumulation in macrophages, and leads to the formation of lipid–laden
foam cells. We aimed to link an inflammation-responsive transcription factor
CCAAT/enhancer-binding protein delta (CEBPD) with polarized macrophages and dissect
its contribution to lipid accumulation. Methods and results We found that CEBPD protein
colocalized with macrophages in human and mouse (C57BL/6, Apoe−/−) atherosclerotic …
Aims
Lipid homeostasis is reprogrammed in the presence of inflammation, which results in excessive lipid accumulation in macrophages, and leads to the formation of lipid–laden foam cells. We aimed to link an inflammation-responsive transcription factor CCAAT/enhancer-binding protein delta (CEBPD) with polarized macrophages and dissect its contribution to lipid accumulation.
Methods and results
We found that CEBPD protein colocalized with macrophages in human and mouse (C57BL/6, Apoe/−) atherosclerotic plaques and that Cebpd deficiency in bone marrow cells suppressed atherosclerotic lesions in hyperlipidemic Apoe/− mice. CEBPD was responsive to modified low-density lipoprotein (LDL) via the p38MAPK/CREB pathway, and it promoted lipid accumulation in M1 macrophages but not in M2 macrophages. CEBPD up-regulated pentraxin 3 (PTX3), which promoted the macropinocytosis of LDL, and down-regulated ATP-binding cassette subfamily A member 1 (ABCA1), which impaired the intracellular cholesterol efflux in M1 macrophages. We further found that simvastatin (a HMG–CoA reductase inhibitor) could target CEBPD to block lipid accumulation in a manner not directly related to its cholesterol-lowering effect in M1 macrophages.
Conclusion
This study underscores how CEBPD functions at the junction of inflammation and lipid accumulation in M1 macrophages. Therefore, CEBPD-mediated lipid accumulation in M1 macrophages could represent a new therapeutic target for the treatment of cardiovascular diseases.
Oxford University Press