Microdomains, Inflammation, and Atherosclerosis
Open accessAbstract
Elevated levels of cholesteryl ester (CE)–enriched apoB containing plasma lipoproteins lead to increased foam cell formation, the first step in the development of atherosclerosis. Unregulated uptake of low-density lipoprotein cholesterol by circulating monocytes and other peripheral blood cells takes place through scavenger receptors and over time causes disruption in cellular cholesterol homeostasis. As lipoproteins are taken up, their CE core is hydrolyzed by liposomal lipases to generate free cholesterol (FC). FC can be either re-esterified and stored as CE droplets or shuttled to the plasma membrane for ATP-binding cassette transporter A1–mediated efflux. Because cholesterol is an essential component of all cellular membranes, some FC may be incorporated into microdomains or lipid rafts. These platforms are essential for receptor signaling and transduction, requiring rapid assembly and disassembly. ATP-binding cassette transporter A1 plays a major role in regulating microdomain cholesterol and is most efficient when lipid-poor apolipoprotein AI (apoAI) packages raft cholesterol into soluble particles that are eventually catabolized by the liver. If FC is not effluxed from the cell, it becomes esterified, CE droplets accumulate and microdomain cholesterol content becomes poorly regulated. This dysregulation leads to prolonged activation of immune cell signaling pathways, resulting in receptor oversensitization. The availability of apoAI or other amphipathic α-helix–rich apoproteins relieves the burden of excess microdomain cholesterol in immune cells allowing a reduction in immune cell proliferation and infiltration, thereby stimulating regression of foam cells in the artery. Therefore, cellular balance between FC and CE is essential for proper immune cell function and prevents chronic immune cell overstimulation and proliferation.
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Lysosomal hydrolysis of cholesteryl ester generates unesterified cholesterol, which is re-esterified in the cytoplasm into cholesteryl ester droplets, leading to foam cell formation.
“the lysosomal hydrolysis of cholesteryl ester generates unesterified cholesterol molecules, which then exit the lysosomes and become re-esterified in the cytoplasm, with ensuing formation of cytoplasmic cholesteryl ester droplets that leads to foam cell formation, a hallmark of atherosclerosis.”
From Inflammation and its resolution in atherosclerosis: mediators and therapeutic opportunities (2019) · cites this paper as [22]
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“In addition, genetic ablation of ACAT in AD mice diminished the levels of the AD marker, Aβ42, decreased the amyloid plaque burden of full-length human amyloid precursor protein, and improved cognitive function.(50) A recent gene therapy study in AD mice showed that adenoassociated virus targeting of ACAT1 for gene kn…”
Three-dimensional models of HDL apoA-I: implications for its assembly and function
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Increased Membrane Cholesterol in Lymphocytes Diverts T-Cells toward an Inflammatory Response
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MHC class II association with lipid rafts on the antigen presenting cell surface
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Conformational Adaptation of Apolipoprotein A-I to Discretely Sized Phospholipid Complexes
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Signal Transduction by HDL: Agonists, Receptors, and Signaling Cascades
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Up-Regulation of the ATP-Binding Cassette Transporter A1 Inhibits Hepatitis C Virus Infection
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ACAT as a Drug Target for Alzheimer’s Disease
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Early steps in reverse cholesterol transport
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Why Targeting HDL Should Work as a Therapeutic Tool, but Has Not
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The Conformation of Lipid-Free Human Apolipoprotein A-I in Solution
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Inflammation and its resolution in atherosclerosis: mediators and therapeutic opportunities
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- Authors
- Sorci-Thomas, M. G., & Thomas, M. J.
- Affiliations
- From the Division of Endocrinology, Metabolism and Clinical Nutrition, Department of Medicine and Senior Investigator, Blood Research Institute, BloodCenter of Wisconsin (M.G.S.-T.) and Department of Pharmacology and Toxicology (M.J.T.), Medical College of Wisconsin, Milwaukee, WI.
- Medical College of Wisconsin (US)
- ORCID
- Thomas, Michael J.
- Venue
- Circulation Research
- Published
- 2016-02-19
- Volume
- 118
- Issue
- 4
- Pages
- 679-691
- ISSN
- 0009-7330 (ISSN-L)
- 1524-4571
- PMC
- PMC5291489
- OpenAlex
- W2286296475
- Cited by
- 165
- References
- 159
- Citations by year
- 2026: 11 · 2025: 8 · 2024: 18 · 2023: 13 · 2022: 14 · 2021: 19 · 2020: 16 · 2019: 13 · 2018: 20 · 2017: 21 · 2016: 12
- FWCI
- 24.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Circulation Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL112276, HL127649, R01HL112276, R01HL127649)
- Topics
- Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
- Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Lipid Membrane Structure and Behavior
- Keywords
- lipid rafts, atherosclerosis, foam cell formation, free cholesterol, cholesterol esters, ABCA1, apolipoprotein A-I, scavenger receptors, low-density lipoprotein uptake, monocytes, inflammation, immune cell signaling, cholesterol homeostasis, microdomains
- MeSH terms
- Animals, Arteries, Cholesterol, Cholesterol Esters, Esterification, Foam Cells, Humans, Hydrolysis, Inflammation, Cholesterol, HDL, Cholesterol, LDL, Lymphocyte Activation, T-Lymphocytes, Membrane Microdomains, Atherosclerosis, ATP Binding Cassette Transporter 1
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