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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Cardiovasc+Diabetol
2016 ; 15
(1
): 152
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Cyclophilin A enhances macrophage differentiation and lipid uptake in high
glucose conditions: a cellular mechanism for accelerated macro vascular disease
in diabetes mellitus
#MMPMID27809851
Ramachandran S
; Vinitha A
; Kartha CC
Cardiovasc Diabetol
2016[Nov]; 15
(1
): 152
PMID27809851
show ga
BACKGROUND: Vascular disease in diabetes is initiated by monocyte adhesion to
vascular endothelium, transmigration and formation of foam cells. Increasing
clinical evidence supports a role for the secretory protein, cyclophilin A in
diabetic vascular disease. The means by which cyclophilin A contributes to
vascular lesion development in diabetes is however largely unknown. METHODS: In
this study we investigated using THP1 cells and human monocytes whether
cyclophilin A under hyperglycemic conditions, functions in the inflammatory
cascade as a chemoattractant and increases lipid uptake by formation of foam
cells invitro. We developed an invitro model of monocytes cultured in 20 mm
glucose (high glucose) equivalent to 360 mg/dL of plasma glucose levels. These
monocytes were then differentiated into macrophages using PMA and subsequently
transformed to lipid laden foam cells using oxidized low density lipoproteins in
the presence and absence of cyclophilin A. This cellular model was used to study
monocyte to macrophage differentiation, transmigration and foam cell formation. A
similar cellular model using siRNA mediated transient elimination of the
cyclophilin A gene as well as chemical inhibitors were used to further confirm
the role of cyclophilin A in the differentiation and foam cell formation process.
RESULTS: Cyclophilin A effectively increased migration of high glucose treated
monocytes to the endothelial cell monolayer (p < 0.0001). In the presence of
cyclophilin A, differentiated macrophages, when treated with oxLDL had a 36
percent increase in intracellular lipid accumulation (p = 0.01) when compared to
cells treated with oxLDL alone. An increased flux of reactive oxygen species was
also observed (p = 0.01). Inflammatory cytokines such as TNF-?, MCP-1 and
cyclophilin A were significantly increased. Silencing cyclophilin A in THP-1
cells and human monocytes using siRNA or chemical inhibitor, TMN355 resulted in
decrease in lipid uptake by 65-75% even after exposure to oxidized LDL. The
expression of scavenger receptors expressed during differentiation process, CD36
and LOX-1 were decreased (p < 0.0001). Levels of extracellular cyclophilin A and
other inflammatory cytokines such as TNF-? and MCP-1also significantly reduced.
CONCLUSIONS: Taken together, we describe here a possible cellular basis by which
cyclophilin A may accelerate atherogenesis in diabetes mellitus.