Lipidomics of triglyceride‐rich lipoproteins derived from hyperlipidemic patients on inflammation
Open accessAbstract
Background and aim: Triglyceride‐rich lipoproteins (TRLs) can have an important role in atherosclerosis development due to their size and ability to penetrate the endothelium. While high plasma triglyceride (TG) levels and chronic inflammation are relevant in metabolic diseases, it remains unclear whether TGs are atherogenic or which TRL‐TG‐derived metabolites are responsible for inflammation. Here, we aimed to study the lipidome modifications of TRL particles enriched in TG in patients with hyperlipidemia and their associations with a proinflammatory status both in vivo and in vitro. Methods: Using proton nuclear magnetic resonance (1 H‐NMR), we analysed the plasma levels of glycoprotein acetyls and the TRL lipidomic profile of 307 patients with dyslipidemia. THP‐1‐derived macrophages were used as an in vitro model to explore the molecular inflammatory effects mediated by TRL. Results: In vivo, higher TRL‐TG levels were associated with higher circulating levels of NMR‐measured glycoproteins (Glyc‐A, Glyc‐B and Glyc‐F; p < .001). Lipidomic analysis showed that TRL‐TG enrichment led to decreased cholesterol and phospholipid content (p < .01), an increase in omega‐9, and a decrease in saturated fatty acids (p < .001). THP‐1 macrophages exposed to increasing TRL particle concentrations augmented the secretion of IL‐1β and TNF‐α, which varied based on particle composition. Particles with higher cholesterol and phospholipid contents exerted higher cytokine secretion. The activation of MAPK, Akt/NFκB, and caspase‐1 was concurrent with this proinflammatory response. Conclusions: High TRL‐TG levels are associated with a higher systemic inflammatory status and increased particle concentrations. In vitro, higher particle numbers increase proinflammatory cytokine secretion, with cholesterol and phospholipid‐rich TRL being more proinflammatory.
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Systemically, TRLs and their remnants have been linked to markers of low-grade inflammation, including hs-CRP, circulating cytokines such as IL-6 and TNF-α, and immune cell activation.
“Systemically, TRLs and their remnants have been linked to markers of low-grade inflammation, including hs-CRP, circulating cytokines such as IL-6 and TNF-α, and immune cell activation [22–28].”
From Targeting triglycerides for cardiovascular risk reduction (2026) · cites this paper as [27]
The Discussion (section 4; page not supplied) links higher TRL levels with glycoprotein markers of low-grade systemic inflammation. It also says hs-CRP did not differ between groups. The paper reports TNF-α secretion and macrophage responses after TRL exposure in vitro, not circulating cytokine levels or systemic immune-cell activation; it does not establish the claimed IL-6 association. (LLM, conf=0.88)
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Cites
Sampson, U. K., Fazio, S., & Linton, M. F. (2012) · Current Atherosclerosis Reports · doi:10.1007/s11883-011-0219-7 · Cited by 439 · see citing works
Balling, M., Afzal, S., Varbo, A., Langsted, A., Davey Smith, G., & Nordestgaard, B. G. (2020) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2020.09.610 · Cited by 175 · see citing works
Mahley, R. W., & Huang, Y. (2007) · Journal of Clinical Investigation · doi:10.1172/jci30889 · Cited by 159 · see citing works
Lipolysis of triglyceride-rich lipoproteins, vascular inflammation, and atherosclerosis
Schwartz, E. A., & Reaven, P. D. (2012) · Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of Lipids · doi:10.1016/j.bbalip.2011.09.021 · Cited by 130 · see citing works
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Research works printed but not linked: 34
- Ference BA, Ginsberg HN, Graham I, et al. Low-density li- poproteins cause atherosclerotic cardiovascular disease. 1. Evidence from genetic, epidemiologic, and clinical studies. A consensus statement from the European atherosclerosis society consensus panel. Eur Heart J. 2017;38:2459-2472. doi:10.1093/ eurheartj/ehx144 · DOI · Paper page
- Borén J, John Chapman M, Krauss RM, et al. Low-density lipoproteins cause atherosclerotic cardiovascular disease: pathophysiological, genetic, and therapeutic insights: a con- sensus statement from the European atherosclerosis society consensus panel. Eur Heart J. 2020;41:2313-2330. doi:10.1093/ EURHEARTJ/EHZ962 · DOI · Paper page
- Ginsberg HN, Packard CJ, Chapman MJ, et al. Triglyceride- rich lipoproteins and their remnants: metabolic insights, role in atherosclerotic cardiovascular disease, and emerging ther- apeutic strategies-a consensus statement from the European atherosclerosis society. Eur Heart J. 2021;42:4791-4806. doi:10.1093/EURHEARTJ/EHAB551 · DOI · Paper page
- Nordestgaard BG, Varbo A. Triglycerides and cardiovas- cular disease. The Lancet. 2014;384:626-635. doi:10.1016/ S0140-6736(14)61177-6 · DOI · Paper page
- Padro T, Muñoz-Garcia N, Badimon L. The role of triglycerides in the origin and progression of atherosclerosis. Clinica e Investigacion En Arteriosclerosis. 2021;33:20-28. doi:10.1016/J. ARTERI.2021.02.007 · DOI
- Johansen MØ, Vedel-Krogh S, Nielsen SF, Afzal S, Davey Smith G, Nordestgaard BG. Per-particle triglyceride-rich lipopro- teins imply higher myocardial infarction risk than low-den- sity lipoproteins: Copenhagen general population study. Arterioscler Thromb Vasc Biol. 2021;41:2063-2075. doi:10.1161/ ATVBAHA.120.315639 · DOI
- Olin-Lewis K, Krauss RM, La Belle M, et al. ApoC-III content of apoB-containing lipoproteins is associated with binding to the vascular proteoglycan biglycan. J Lipid Res. 2002;43:1969-1977. doi:10.1194/JLR.M200322-JLR200 · DOI · Paper page
- Nordestgaard BG. Triglyceride-rich lipoproteins and atheroscle- rotic cardiovascular disease: new insights from epidemiology, genetics, and biology. Circ Res. 2016;118:547-563. doi:10.1161/ CIRCRESAHA.115.306249 · DOI · Paper page
- Hansen SEJ, Madsen CM, Varbo A, Nordestgaard BG. Low-grade inflammation in the association between mild-to-moderate hypertriglyceridemia and risk of acute pancreatitis: a study of more than 115,000 individuals from the general population. Clin Chem. 2019;65:321-332. doi:10.1373/CLINCHEM.2018.294926 · DOI · Paper page
- Wu HM, Ni XX, Xu QY, Wang Q, Li XY, Hua J. Regulation of lipid-induced macrophage polarization through modulating peroxisome proliferator-activated receptor-gamma activity af- fects hepatic lipid metabolism via a toll-like receptor 4/NF-κB signaling pathway. J Gastroenterol Hepatol. 2020;35(11):1998- 2008. doi:10.1111/jgh.15025 · DOI
- Otvos JD, Shalaurova I, Wolak-Dinsmore J, et al. GlycA: a composite nuclear magnetic resonance biomarker of sys- temic inflammation. Clin Chem. 2015;61:714-723. doi:10.1373/ clinchem.2014.232918 · DOI
- Amigó N, Fuertes-Martín R, Malo AI, et al. Glycoprotein pro- file measured by a 1H-nuclear magnetic resonance based on approach in patients with diabetes: a new robust method to assess inflammation. Life (Basel). 2021;11:1407. doi:10.3390/ LIFE11121407 · DOI
- Andreychuk N, Llop D, Moreno-Vedia J, et al. Glycoprotein serum concentrations assessed by 1 H-NMR are increased in pa- tients with high blood pressure. Hypertension. 2022;80:460-469. doi:10.1161/HYPERTENSIONAHA.122.20137 · DOI
- Havel RJ, Eder HA, Bragdon JH. The distribution and chemi- cal composition of ultracentrifugally separated lipoproteins in human serum. J Clin Invest. 1955;34:1345-1353. doi:10.1172/ JCI103182 · DOI
- Mallol R, Amigó N, Rodríguez MA, et al. Liposcale: a novel advanced lipoprotein test based on 2D diffusion-ordered 1H NMR spectroscopy. J Lipid Res. 2015;56:737-746. doi:10.1194/ jlr.D050120 · DOI
- Moreno-Vedia J, Rosales R, Ozcariz E, et al. Triglyceride-rich lipoproteins and glycoprotein a and B assessed by 1 H-NMR in metabolic-associated fatty liver disease. Front Endocrinol (Lausanne). 2022;12:775677. doi:10.3389/FENDO.2021.775677 · DOI
- Rodríguez-Borjabad C, Ibarretxe D, Girona J, et al. Lipoprotein profile assessed by 2D-1 H-NMR and subclin- ical atherosclerosis in children with familial hypercholes- terolaemia. Atherosclerosis. 2018;270:117-122. doi:10.1016/J. ATHEROSCLEROSIS.2018.01.040 · DOI
- Löfgren L, Ståhlman M, Forsberg GB, Saarinen S, Nilsson R, Hansson GI. The BUME method: a novel automated chloro- form-free 96-well total lipid extraction method for blood plasma. J Lipid Res. 2012;53:1690-1700. doi:10.1194/JLR.D023036 · DOI
- Chapman MJ, Ginsberg HN, Amarenco P, et al. Triglyceride- rich lipoproteins and high-density lipoprotein cholesterol in patients at high risk of cardiovascular disease: evidence and guidance for management. Eur Heart J. 2011;32:1345-1361. doi:10.1093/EURHEARTJ/EHR112 · DOI · Paper page
- Cesena FY, Generoso G, Santos RD, et al. The association be- tween triglyceride-rich lipoproteins, circulating leukocytes, and low-grade inflammation: the Brazilian longitudinal study of adult health (ELSA-brasil). J Clin Lipidol. 2023;17:261-271. doi:10.1016/j.jacl.2023.01.007 · DOI · Paper page
- Fuertes-Martín R, Taverner D, Vallvé JC, et al. Characterization of 1 H-NMR plasma glycoproteins as a new strategy to identify inflammatory patterns in rheumatoid arthritis. J Proteome Res. 2018;17:3730-3739. doi:10.1021/acs.jproteome.8b00411 · DOI
- Malo A-I, Rull A, Girona J, et al. Glycoprotein profile assessed by 1 H-NMR as a global inflammation marker in patients with HIV infection. A Prospective Study. J Clin Med. 2020;9:1344. doi:10.3390/jcm9051344 · DOI
- Fuertes-Martín R, Moncayo S, Insenser M, et al. Glycoprotein a and B height-to-width ratios as obesity-independent novel biomarkers of low-grade chronic inflammation in women with polycystic ovary syndrome (PCOS). J Proteome Res. 2019;18:4038-4045. doi:10.1021/acs.jproteome.9b00528 · DOI
- Rehues P, Girona J, Guardiola M, et al. PCSK9 inhibitors have apolipoprotein C-III-related anti-inflammatory activity, as- sessed by 1 H-NMR glycoprotein profile in subjects at high or very high cardiovascular risk. Int J Mol Sci. 2023;24:2319. doi:10.3390/IJMS24032319/S1 · DOI
- Mokkala K, Houttu N, Koivuniemi E, Sørensen N, Nielsen HB, Laitinen K. GlycA, a novel marker for low grade inflamma- tion, reflects gut microbiome diversity and is more accurate than high sensitive CRP in reflecting metabolomic profile. Metabolomics. 2020;16:76. doi:10.1007/s11306-020-01695-x · DOI
- Kawakami A, Aikawa M, Nitta N, Yoshida M, Libby P, Sacks FM. Apolipoprotein CIII-induced THP-1 cell adhesion to en- dothelial cells involves pertussis toxin-sensitive G protein- and protein kinase Cα-mediated nuclear factor-κB activation. Arterioscler Thromb Vasc Biol. 2007;27:219-225. doi:10.1161/01. ATV.0000249620.68705.0d · DOI
- Paramel Varghese G, Folkersen L, Strawbridge RJ, et al. NLRP3 inflammasome expression and activation in human athero- sclerosis. J Am Heart Assoc. 2016;5:e003031. doi:10.1161/ JAHA.115.003031/FORMAT/EPUB · DOI
- Wang L, Gill R, Pedersen TL, Higgins LJ, Newman JW, Rutledge JC. Triglyceride-rich lipoprotein lipolysis releases neutral and oxidized FFAs that induce endothelial cell in- flammation. J Lipid Res. 2009;50:204-213. doi:10.1194/JLR. M700505-JLR200 · DOI · Paper page
- Graham VS, Lawson C, Wheeler-Jones CP, Perona JS, Ruiz- Gutierrez V, Botham KM. Triacylglycerol-rich lipoproteins derived from healthy donors fed different olive oils modu- late cytokine secretion and cyclooxygenase-2 expression in macrophages: the potential role of oleanolic acid. Eur J Nutr. 2012;51:301-309. doi:10.1007/S00394-011-0215-2 · DOI
- Fernández-Aparicio Á, Perona JS, Castellano JM, Correa- Rodríguez M, Schmidt-Riovalle J, González-Jiménez E. Oleanolic acid-enriched olive oil alleviates the Interleukin-6 overproduction induced by postprandial triglyceride-rich li- poproteins in THP-1 macrophages. Nutrients. 2021;13:3471. doi:10.3390/NU13103471 · DOI
- Varbo A, Benn M, Tybjærg-Hansen A, Nordestgaard BG. Elevated remnant cholesterol causes both low-grade in- flammation and ischemic heart disease, whereas elevated low-density lipoprotein cholesterol causes ischemic heart dis- ease without inflammation. Circulation. 2013;128:1298-1309. doi:10.1161/CIRCULATIONAHA.113.003008/FORMAT/ EPUB · DOI
- Nicholls SJ, Lincoff AM, Garcia M, et al. Effect of high-dose Omega-3 fatty acids vs corn oil on major adverse cardio- vascular events in patients at high cardiovascular risk: the STRENGTH randomized clinical trial. JAMA. 2020;324:2268- 2280. doi:10.1001/JAMA.2020.22258 · DOI · Paper page
- Das Pradhan A, Glynn RJ, Fruchart J-C, et al. Triglyceride low- ering with pemafibrate to reduce cardiovascular risk. N Engl J Med. 2022;387:1923-1934. doi:10.1056/NEJMOA2210645/ SUPPL_FILE/NEJMOA2210645_DATA-SHARING.PDF · DOI
- Bhatt DL, Steg PG, Miller M, et al. Cardiovascular risk reduc- tion with icosapent ethyl for hypertriglyceridemia. N Engl J Med. 2019;380:11-22. doi:10.1056/NEJMOA1812792 · DOI · Paper page
Cited by
Sorted by citations
Targeting triglycerides for cardiovascular risk reduction
Maiorca, C., Tramontano, D., Di Costanzo, A., & D’Erasmo, L. (2026) · Internal and Emergency Medicine · doi:10.1007/s11739-026-04383-1
- Authors
- Moreno‐Vedia, J., Llop, D., Rodríguez‐Calvo, R., Plana, N., Amigó, N., Rosales, R., Esteban, Y., Masana, L., Ibarretxe, D., & Girona, J.
- Affiliations
- Institut de Recerca Biomèdica Catalunya Sud (ES)
- Centro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas (ES)
- Corresponding author
- Ibarretxe, Daiana
- ORCID
- Venue
- European Journal of Clinical Investigation
- Publisher
- Wiley
- Published
- 2023-11-27
- Volume
- 54
- Issue
- 3
- Pages
- e14132-e14132
- ISSN
- 0014-2972 (ISSN-L)
- 1365-2362
- OpenAlex
- W4389069148
- Cited by
- 19
- References
- 4
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 3
- FWCI
- 3.74
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- European Journal of Clinical Investigation (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Rovira & Virgili repository (submittedVersion, cc-by)
- Funders
- Instituto de Salud Carlos III (PI18/00515)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
- Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Keywords
- triglyceride-rich lipoproteins, hyperlipidemia, dyslipidemia, inflammation, lipidomics, glycoprotein acetyls, THP-1 macrophages, inflammatory cytokines, IL-1β, TNF-α, MAPK signaling, AKT/NF-κB signaling, caspase-1, atherosclerosis, omega-9 fatty acids, saturated fatty acids
- MeSH terms
- Lipidomics, Cholesterol, Humans, Hyperlipidemias, Inflammation, Lipoproteins, Phospholipids, Triglycerides, Cytokines
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