PMID- 23012375 OWN - NLM STAT- MEDLINE DCOM- 20130131 LR - 20220409 IS - 1083-351X (Electronic) IS - 0021-9258 (Print) IS - 0021-9258 (Linking) VI - 287 IP - 46 DP - 2012 Nov 9 TI - Vitamin D suppression of endoplasmic reticulum stress promotes an antiatherogenic monocyte/macrophage phenotype in type 2 diabetic patients. PG - 38482-94 LID - 10.1074/jbc.M112.386912 [doi] AB - Cardiovascular disease is the leading cause of morbidity/mortality in patients with type 2 diabetes mellitus (T2DM), but there is a lack of knowledge about the mechanism(s) of increased atherosclerosis in these patients. In patients with T2DM, the prevalence of 25-hydroxy vitamin D (25(OH)D) deficiency is almost twice that for nondiabetics and doubles the relative risk of developing cardiovascular disease compared with diabetic patients with normal 25(OH)D. We tested the hypothesis that monocytes from vitamin D-deficient subjects will have a proatherogenic phenotype compared with vitamin D-sufficient subjects in 43 patients with T2DM. Serum 25(OH)D level inversely correlated with monocyte adhesion to endothelial cells even after adjustment for demographic and comorbidity characteristics. Vitamin D-sufficient patients (>/=30 ng/ml 25(OH)D) had lower monocyte endoplasmic reticulum (ER) stress, a predominance of M1 over M2 macrophage membrane receptors, and decreased mRNA expression of monocyte adhesion molecules PSGL-1, beta(1)-integrin, and beta(2)-integrin compared with patients with 25(OH)D levels of <30 ng/ml. In vitamin D-deficient macrophages, activation of ER stress increased adhesion and adhesion molecule expression and induced an M2-predominant phenotype. Moreover, adding 1,25(OH)(2)D(3) to vitamin D-deficient macrophages shifted their phenotype toward an M1-predominant phenotype with suppressed adhesion. Conversely, deletion of the vitamin D receptor in macrophages from diabetic patients activated ER stress, accelerated adhesion, and increased adhesion molecule expression. The absence of ER stress protein CCAAT enhancer-binding protein homologous protein suppressed monocyte adhesion, adhesion molecule expression, and the M2-predominant phenotype induced by vitamin D deficiency. Thus, vitamin D is a natural ER stress reliever that induced an antiatherogenic monocyte/macrophage phenotype. FAU - Riek, Amy E AU - Riek AE AD - Division of Endocrinology, Metabolism, and Lipid Research, Washington University, St. Louis, Missouri 63110, USA. FAU - Oh, Jisu AU - Oh J FAU - Sprague, Jennifer E AU - Sprague JE FAU - Timpson, Alexandra AU - Timpson A FAU - de las Fuentes, Lisa AU - de las Fuentes L FAU - Bernal-Mizrachi, Leon AU - Bernal-Mizrachi L FAU - Schechtman, Kenneth B AU - Schechtman KB FAU - Bernal-Mizrachi, Carlos AU - Bernal-Mizrachi C LA - eng GR - R01HL094818-0/HL/NHLBI NIH HHS/United States GR - P30DK079333/DK/NIDDK NIH HHS/United States GR - UL1TR000448/KL2TR000450/TR/NCATS NIH HHS/United States GR - UL1RR024992/KL2RR024994/RR/NCRR NIH HHS/United States GR - R01 HL094818/HL/NHLBI NIH HHS/United States GR - UL1 TR000448/TR/NCATS NIH HHS/United States GR - P30 DK079333/DK/NIDDK NIH HHS/United States GR - 2 T32 HD043010/HD/NICHD NIH HHS/United States GR - KL2 TR000450/TR/NCATS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20120924 PL - United States TA - J Biol Chem JT - The Journal of biological chemistry JID - 2985121R RN - 0 (CD18 Antigens) RN - 0 (Integrin beta1) RN - 0 (Membrane Glycoproteins) RN - 0 (P-selectin ligand protein) RN - 0 (RNA, Messenger) RN - 0 (RNA, Small Interfering) RN - 1406-16-2 (Vitamin D) SB - IM MH - Adult MH - Aged MH - Atherosclerosis/*pathology MH - CD18 Antigens/biosynthesis MH - Cell Adhesion MH - Cell Differentiation MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*metabolism MH - Endoplasmic Reticulum/*metabolism MH - Female MH - Humans MH - Integrin beta1/biosynthesis MH - Macrophages/*cytology MH - Male MH - Membrane Glycoproteins/biosynthesis MH - Middle Aged MH - Monocytes/*cytology MH - Phenotype MH - RNA, Messenger/metabolism MH - RNA, Small Interfering/metabolism MH - Vitamin D/*metabolism PMC - PMC3493893 EDAT- 2012/09/27 06:00 MHDA- 2013/02/01 06:00 PMCR- 2013/11/09 CRDT- 2012/09/27 06:00 PHST- 2012/09/27 06:00 [entrez] PHST- 2012/09/27 06:00 [pubmed] PHST- 2013/02/01 06:00 [medline] PHST- 2013/11/09 00:00 [pmc-release] AID - S0021-9258(20)62314-6 [pii] AID - M112.386912 [pii] AID - 10.1074/jbc.M112.386912 [doi] PST - ppublish SO - J Biol Chem. 2012 Nov 9;287(46):38482-94. doi: 10.1074/jbc.M112.386912. Epub 2012 Sep 24.