Oxysterol-induced macrophage apoptosis may have a role in atherosclerosis. Macrophages lacking the type 2 cannabinoid receptor (CB2) are partially resistant to apoptosis induced by 7-ketocholesterol (7KC). AM-251 and SR144528 are selective antagonists of CB1 and CB2 receptors, respectively. We observed that both compounds reduce 7KC-induced apoptosis in Raw 264.7 macrophages. As oxysterol-induced macrophage apoptosis requires acyl-coenzymeA:cholesterol acyltransferase (ACAT) activity, we tested their affects on ACAT activity. AM-251 and SR144528 both reduced cholesteryl ester synthesis in unstimulated and acetylated LDL-stimulated Raw 264.7 macrophages, CB2 +/+ and CB2 −/− peritoneal macrophages, as well as in vitro, in mouse liver microsomes. Consistent with inhibition of ACAT, the development of foam cell characteristics in macrophages by treatment with acetylated LDL was reduced by both compounds. This work is the first evidence that AM-251 and SR144528 are inhibitors of ACAT and as a result, might have antiatherosclerotic activities independent of their affect on cannabinoid signaling.
Keywords
7-ketocholesterol; ACAT; apoptosisDuring atherogenesis, macrophages in the vascular intima take up modified low density lipoproteins (LDL), such as oxidized LDL (OxLDL), and store much of the LDL-derived cholesterol as cholesteryl esters in cytosolic lipid droplets [1]. Accumulation of cytosolic lipid droplets within macrophages transforms them into the foam cells which define early atherosclerotic lesions known as fatty streaks [2]. Intracellular cholesteryl ester synthesis is carried out by acyl-coenzyme A:cholesterol acyltransferase (ACAT) using cholesterol and fatty-acyl CoA as substrates [3]. Inhibition of ACAT prevents foam cell formation and, in some animal studies, slows the progression of atherosclerosis [4].Lesional macrophage apoptosis plays several roles during the pathophysiology of atherosclerosis. During early lesion formation, macrophage apoptosis is anti-atherosclerotic [5,6] while at later stages it likely contributes to plaque destabilization [7]. Lesional macrophages are subject to several apoptotic inducers, including oxLDL, which potently induces apoptosis in cultured macrophages largely as a result of its cytotoxic oxysterol *Corresponding author: Phone: 423-439-2131, Fax: 423-439-2130, Email: Thewke@etsu.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. [8,9]. Oxysterols are also substrates for ACAT and reduction of ACAT activity in macrophages produces resistance to 7KC-induced apoptosis, indicating that ACAT is a required step in the signal...