Endothelial Cell CD36 Reduces Atherosclerosis and Controls Systemic Metabolism

High-fat Western diets contribute to tissue dysregulation of fatty acid and glucose intake, resulting in obesity and insulin resistance and their sequelae, including atherosclerosis. New therapies are desperately needed to interrupt this epidemic. The significant idea driving this research is that t...

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Autores principales: Umar R. Rekhi, Mohamed Omar, Maria Alexiou, Cole Delyea, Linnet Immaraj, Shokrollah Elahi, Maria Febbraio
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/671d5a6538fb442fa6311ce5b7747a92
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spelling oai:doaj.org-article:671d5a6538fb442fa6311ce5b7747a922021-11-30T12:30:16ZEndothelial Cell CD36 Reduces Atherosclerosis and Controls Systemic Metabolism2297-055X10.3389/fcvm.2021.768481https://doaj.org/article/671d5a6538fb442fa6311ce5b7747a922021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.768481/fullhttps://doaj.org/toc/2297-055XHigh-fat Western diets contribute to tissue dysregulation of fatty acid and glucose intake, resulting in obesity and insulin resistance and their sequelae, including atherosclerosis. New therapies are desperately needed to interrupt this epidemic. The significant idea driving this research is that the understudied regulation of fatty acid entry into tissues at the endothelial cell (EC) interface can provide novel therapeutic targets that will greatly modify health outcomes and advance health-related knowledge. Dysfunctional endothelium, defined as activated, pro-inflammatory, and pro-thrombotic, is critical in atherosclerosis initiation, in modulating thrombotic events that could result in myocardial infarction and stroke, and is a hallmark of insulin resistance. Dyslipidemia from high-fat diets overwhelmingly contributes to the development of dysfunctional endothelium. CD36 acts as a receptor for pathological ligands generated by high-fat diets and in fatty acid uptake, and therefore, it may additionally contribute to EC dysfunction. We created EC CD36 knockout (CD36°) mice using cre-lox technology and a cre-promoter that does not eliminate CD36 in hematopoietic cells (Tie2e cre). These mice were studied on different diets, and crossed to the low density lipoprotein receptor (LDLR) knockout for atherosclerosis assessment. Our data show that EC CD36° and EC CD36°/LDLR° mice have metabolic changes suggestive of an uncompensated role for EC CD36 in fatty acid uptake. The mice lacking expression of EC CD36 had increased glucose clearance compared with controls when fed with multiple diets. EC CD36° male mice showed increased carbohydrate utilization and decreased energy expenditure by indirect calorimetry. Female EC CD36°/LDLR° mice have reduced atherosclerosis. Taken together, these data support a significant role for EC CD36 in systemic metabolism and reveal sex-specific impact on atherosclerosis and energy substrate use.Umar R. RekhiMohamed OmarMaria AlexiouCole DelyeaLinnet ImmarajShokrollah ElahiMaria FebbraioFrontiers Media S.A.articleCD36fatty acid transportendotheliumatherosclerosismetabolismDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic CD36
fatty acid transport
endothelium
atherosclerosis
metabolism
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle CD36
fatty acid transport
endothelium
atherosclerosis
metabolism
Diseases of the circulatory (Cardiovascular) system
RC666-701
Umar R. Rekhi
Mohamed Omar
Maria Alexiou
Cole Delyea
Linnet Immaraj
Shokrollah Elahi
Maria Febbraio
Endothelial Cell CD36 Reduces Atherosclerosis and Controls Systemic Metabolism
description High-fat Western diets contribute to tissue dysregulation of fatty acid and glucose intake, resulting in obesity and insulin resistance and their sequelae, including atherosclerosis. New therapies are desperately needed to interrupt this epidemic. The significant idea driving this research is that the understudied regulation of fatty acid entry into tissues at the endothelial cell (EC) interface can provide novel therapeutic targets that will greatly modify health outcomes and advance health-related knowledge. Dysfunctional endothelium, defined as activated, pro-inflammatory, and pro-thrombotic, is critical in atherosclerosis initiation, in modulating thrombotic events that could result in myocardial infarction and stroke, and is a hallmark of insulin resistance. Dyslipidemia from high-fat diets overwhelmingly contributes to the development of dysfunctional endothelium. CD36 acts as a receptor for pathological ligands generated by high-fat diets and in fatty acid uptake, and therefore, it may additionally contribute to EC dysfunction. We created EC CD36 knockout (CD36°) mice using cre-lox technology and a cre-promoter that does not eliminate CD36 in hematopoietic cells (Tie2e cre). These mice were studied on different diets, and crossed to the low density lipoprotein receptor (LDLR) knockout for atherosclerosis assessment. Our data show that EC CD36° and EC CD36°/LDLR° mice have metabolic changes suggestive of an uncompensated role for EC CD36 in fatty acid uptake. The mice lacking expression of EC CD36 had increased glucose clearance compared with controls when fed with multiple diets. EC CD36° male mice showed increased carbohydrate utilization and decreased energy expenditure by indirect calorimetry. Female EC CD36°/LDLR° mice have reduced atherosclerosis. Taken together, these data support a significant role for EC CD36 in systemic metabolism and reveal sex-specific impact on atherosclerosis and energy substrate use.
format article
author Umar R. Rekhi
Mohamed Omar
Maria Alexiou
Cole Delyea
Linnet Immaraj
Shokrollah Elahi
Maria Febbraio
author_facet Umar R. Rekhi
Mohamed Omar
Maria Alexiou
Cole Delyea
Linnet Immaraj
Shokrollah Elahi
Maria Febbraio
author_sort Umar R. Rekhi
title Endothelial Cell CD36 Reduces Atherosclerosis and Controls Systemic Metabolism
title_short Endothelial Cell CD36 Reduces Atherosclerosis and Controls Systemic Metabolism
title_full Endothelial Cell CD36 Reduces Atherosclerosis and Controls Systemic Metabolism
title_fullStr Endothelial Cell CD36 Reduces Atherosclerosis and Controls Systemic Metabolism
title_full_unstemmed Endothelial Cell CD36 Reduces Atherosclerosis and Controls Systemic Metabolism
title_sort endothelial cell cd36 reduces atherosclerosis and controls systemic metabolism
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/671d5a6538fb442fa6311ce5b7747a92
work_keys_str_mv AT umarrrekhi endothelialcellcd36reducesatherosclerosisandcontrolssystemicmetabolism
AT mohamedomar endothelialcellcd36reducesatherosclerosisandcontrolssystemicmetabolism
AT mariaalexiou endothelialcellcd36reducesatherosclerosisandcontrolssystemicmetabolism
AT coledelyea endothelialcellcd36reducesatherosclerosisandcontrolssystemicmetabolism
AT linnetimmaraj endothelialcellcd36reducesatherosclerosisandcontrolssystemicmetabolism
AT shokrollahelahi endothelialcellcd36reducesatherosclerosisandcontrolssystemicmetabolism
AT mariafebbraio endothelialcellcd36reducesatherosclerosisandcontrolssystemicmetabolism
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