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Domingues N, Gaifem J, Matthiesen R, Saraiva DP, Bento L, Marques ARA, Soares MIL, Sampaio J, Klose C, Surma MA, Almeida MS, Rodrigues G, Gonçalves PA, Ferreira J, E Melo RG, Pedro LM, Simons K, Pinho E Melo TMVD, Cabral MG, Jacinto A, Silvestre R, Vaz W, Vieira OV. Cholesteryl hemiazelate identified in CVD patients causes in vitro and in vivo inflammation. J Lipid Res 2023; 64:100419. [PMID: 37482218 PMCID: PMC10450993 DOI: 10.1016/j.jlr.2023.100419] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 07/13/2023] [Accepted: 07/14/2023] [Indexed: 07/25/2023] Open
Abstract
Oxidation of PUFAs in LDLs trapped in the arterial intima plays a critical role in atherosclerosis. Though there have been many studies on the atherogenicity of oxidized derivatives of PUFA-esters of cholesterol, the effects of cholesteryl hemiesters (ChEs), the oxidation end products of these esters, have not been studied. Through lipidomics analyses, we identified and quantified two ChE types in the plasma of CVD patients and identified four ChE types in human endarterectomy specimens. Cholesteryl hemiazelate (ChA), the ChE of azelaic acid (n-nonane-1,9-dioic acid), was the most prevalent ChE identified in both cases. Importantly, human monocytes, monocyte-derived macrophages, and neutrophils exhibit inflammatory features when exposed to subtoxic concentrations of ChA in vitro. ChA increases the secretion of proinflammatory cytokines such as interleukin-1β and interleukin-6 and modulates the surface-marker profile of monocytes and monocyte-derived macrophage. In vivo, when zebrafish larvae were fed with a ChA-enriched diet, they exhibited neutrophil and macrophage accumulation in the vasculature in a caspase 1- and cathepsin B-dependent manner. ChA also triggered lipid accumulation at the bifurcation sites of the vasculature of the zebrafish larvae and negatively impacted their life expectancy. We conclude that ChA behaves as an endogenous damage-associated molecular pattern with inflammatory and proatherogenic properties.
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Affiliation(s)
- Neuza Domingues
- iNOVA4Health, NOVA Medical School, Faculdade de Ciências Médicas, (NMS, FCM), Universidade Nova de Lisboa, Lisboa, Portugal
| | - Joana Gaifem
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Portugal and ICVS/3B's, PT Government Associate Laboratory, Braga/Guimarães, Portugal
| | - Rune Matthiesen
- iNOVA4Health, NOVA Medical School, Faculdade de Ciências Médicas, (NMS, FCM), Universidade Nova de Lisboa, Lisboa, Portugal
| | - Diana P Saraiva
- iNOVA4Health, NOVA Medical School, Faculdade de Ciências Médicas, (NMS, FCM), Universidade Nova de Lisboa, Lisboa, Portugal
| | - Luís Bento
- iNOVA4Health, NOVA Medical School, Faculdade de Ciências Médicas, (NMS, FCM), Universidade Nova de Lisboa, Lisboa, Portugal
| | - André R A Marques
- iNOVA4Health, NOVA Medical School, Faculdade de Ciências Médicas, (NMS, FCM), Universidade Nova de Lisboa, Lisboa, Portugal
| | - Maria I L Soares
- Department of Chemistry, Coimbra Chemistry Centre, Institute of Molecular Sciences, University of Coimbra, Coimbra, Portugal
| | | | | | | | - Manuel S Almeida
- Hospital Santa Cruz, Centro Hospitalar de Lisboa Ocidental, Carnaxide, Portugal
| | - Gustavo Rodrigues
- Hospital Santa Cruz, Centro Hospitalar de Lisboa Ocidental, Carnaxide, Portugal
| | | | - Jorge Ferreira
- Hospital Santa Cruz, Centro Hospitalar de Lisboa Ocidental, Carnaxide, Portugal
| | - Ryan Gouveia E Melo
- Department of Vascular Surgery, Hospital de Santa Maria, Centro Hospitalar Universitario Lisboa Norte (CHULN), Lisboa, Portugal
| | - Luís Mendes Pedro
- Department of Vascular Surgery, Hospital de Santa Maria, Centro Hospitalar Universitario Lisboa Norte (CHULN), Lisboa, Portugal
| | | | - Teresa M V D Pinho E Melo
- Department of Chemistry, Coimbra Chemistry Centre, Institute of Molecular Sciences, University of Coimbra, Coimbra, Portugal
| | - M Guadalupe Cabral
- iNOVA4Health, NOVA Medical School, Faculdade de Ciências Médicas, (NMS, FCM), Universidade Nova de Lisboa, Lisboa, Portugal
| | - Antonio Jacinto
- iNOVA4Health, NOVA Medical School, Faculdade de Ciências Médicas, (NMS, FCM), Universidade Nova de Lisboa, Lisboa, Portugal
| | - Ricardo Silvestre
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Portugal and ICVS/3B's, PT Government Associate Laboratory, Braga/Guimarães, Portugal
| | - Winchil Vaz
- iNOVA4Health, NOVA Medical School, Faculdade de Ciências Médicas, (NMS, FCM), Universidade Nova de Lisboa, Lisboa, Portugal
| | - Otília V Vieira
- iNOVA4Health, NOVA Medical School, Faculdade de Ciências Médicas, (NMS, FCM), Universidade Nova de Lisboa, Lisboa, Portugal.
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