Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Meier, SM; Wultsch, A; Hollaus, M; Ammann, M; Pemberger, E; Liebscher, F; Lambers, B; Fruhwürth, S; Stojakovic, T; Scharnagl, H; Schmidt, A; Springer, A; Becker, J; Aufricht, C; Handisurya, A; Kapeller, S; Röhrl, C; Stangl, H; Strobl, W.
Effect of chronic kidney disease on macrophage cholesterol efflux.
Life Sci. 2015; 136(5):1-6
Doi: 10.1016/j.lfs.2015.06.005
Web of Science
PubMed
FullText
FullText_MUG
- Co-Autor*innen der Med Uni Graz
- Scharnagl Hubert
- Stojakovic Tatjana
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- Abstract:
- Patients with chronic kidney disease (CKD) have a high risk to develop atherosclerosis. The capacity of high-density lipoproteins (HDL) or serum to accept cholesterol from macrophages and the capacity of macrophages to export excess cholesterol are critical for the atheroprotective role of reverse cholesterol transport. HDL cholesterol acceptor capacity was reported to be decreased in middle aged hemodialysis patients, but the role of confounding factors remains unclear. We measured the cholesterol acceptor capacity (CAC) of HDL or serum in 12 pediatric and 17 young adult patients with CKD stages 3-5, 14 young adult hemodialysis patients and 15 adult renal transplant recipients without associated diseases and matched controls using THP-1 macrophages. Moreover we studied the cholesterol export capacity (CEC) of patients' monocyte-derived macrophages (HMDMs) to control serum or HDL. In adults with CKD stages 3-5 serum CAC was slightly increased, whereas CEC of HMDMs was unaltered in both, adult and pediatric patients. In hemodialysis patients, however, serum CAC was markedly reduced to 85±11% of control (p<0.001), presumably due to low serum apolipoprotein A-I. Interestingly, CEC of HMDMs from dialysis patients was increased. In transplant patients no alterations were found. CKD without hemodialysis does not reduce cholesterol export from macrophages. Hemodialysis patients might benefit from therapies aiming to restore serum CAC by increasing apolipoprotein A-I. The enhanced export of cholesterol by HMDMs from dialysis patients may represent an adaptive response. Copyright © 2015 Elsevier Inc. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Adult -
- Case-Control Studies -
- Cells, Cultured -
- Child -
- Cholesterol - metabolism
- Female -
- Humans -
- Lipid Metabolism -
- Macrophages - metabolism
- Male -
- Renal Insufficiency, Chronic - metabolism
- Find related publications in this database (Keywords)
- Cholesterol efflux
- Macrophage
- HDL
- Serum
- Chronic kidney disease
- Hemodialysis