OBJECTIVE
Elevated serum free fatty acid (FFA) levels are associated with an increased risk for cardiovascular disease and type 2 diabetes. Macrophages are recruited to atherosclerotic plaques and metabolic tissues during obesity and accumulate lipids, including FFAs. We investigated the molecular consequences of intracellular saturated FFA accumulation in macrophages.
METHODS AND RESULTS
Previously, we demonstrated that co-treatment of mouse peritoneal macrophages (MPMs) with stearic acid and triacsin C (TC, an inhibitor of long-chain acyl-CoA synthetases) results in intracellular FFA accumulation and apoptosis. Here, we utilized Western blot analysis, real-time RT-PCR, and TUNEL staining to assess ER stress, inflammation, and apoptosis in MPMs. Intracellular stearic acid accumulation induces toll-like receptor 4/2-independent inflammation that results in ER stress-mediated apoptosis of MPMs. Polarization of MPMs to a pro-inflammatory M1 phenotype increases their susceptibility to inflammation and ER stress, but not apoptosis, in response to co-treatment with stearic acid and TC.
CONCLUSIONS
Intracellular accumulation of stearic acid in MPMs activates inflammatory signaling, leading to ER stress-mediated apoptosis. M1 macrophages are more prone to stearic acid-induced inflammation and ER stress. These same pathways may be activated in macrophages residing in atherosclerotic plaques and metabolic tissues during conditions of obesity and hyperlipidemia.