Evidence is emerging that erythrocytes (red blood cells, RBCs) play an important modulatory role in the development of atherosclerosis. RBCs avidly bind proinflammatory chemokines such as monocyte chemoattractant protein-1 (MCP-1), KC/interleukin-8, and RANTES via the Duffy antigen receptor for chemokines (DARC). 6 Reversible binding to DARC may alter chemokine levels in the atherosclerotic milieu, depending on factors altering the balance of uptake versus release in RBCs traversing through plaque microvessels. Importantly, RBCs can become entrapped within atherosclerotic lesions at sites of intraplaque hemorrhage, where they are taken up by macrophages. RBC membranes are enriched in cholesterol, Background-High-fat diet (HFD) promotes endothelial dysfunction and proinflammatory monocyte activation, which contribute to atherosclerosis in obesity. We investigated whether HFD also induces the dysfunction of red blood cells (RBCs), which serve as a reservoir for chemokines via binding to Duffy antigen receptor for chemokines (DARC). Methods and Results-A 60% HFD for 12 weeks, which produced only minor changes in lipid profile in C57/BL6 mice, markedly augmented the levels of monocyte chemoattractant protein-1 bound to RBCs, which in turn stimulated macrophage migration through an endothelial monolayer. Levels of RBC-bound KC were also increased by HFD. These effects of HFD were abolished in DARC -/-mice. In RBCs from HFD-fed wild-type and DARC -/-mice, levels of membrane cholesterol and phosphatidylserine externalization were increased, fostering RBC-macrophage inflammatory interactions and promoting macrophage phagocytosis in vitro. When labeled ex vivo and injected into wild-type mice, RBCs from HFD-fed mice exhibited ≈3-fold increase in splenic uptake. Finally, RBCs from HFD-fed mice induced increased macrophage adhesion to the endothelium when they were incubated with isolated aortic segments, indicating endothelial activation.
Conclusions-RBC