PMID- 28760652 OWN - NLM STAT- MEDLINE DCOM- 20180523 LR - 20180523 IS - 1873-460X (Electronic) IS - 1056-8727 (Linking) VI - 31 IP - 10 DP - 2017 Oct TI - Serum amyloid A enrichment impairs the anti-inflammatory ability of HDL from diabetic nephropathy patients. PG - 1538-1543 LID - S1056-8727(17)30504-4 [pii] LID - 10.1016/j.jdiacomp.2017.07.005 [doi] AB - AIMS: Impaired anti-inflammatory ability of high-density lipoprotein (HDL) has been demonstrated in patients with type-2 diabetes mellitus (T2DM). However, whether HDL from patients with diabetic nephropathy (DN) suffers additional damage remains unknown. This study compared the anti-inflammatory capacities of HDL from healthy controls, T2DM patients with normal renal function, and T2DM patients with DN. MATERIALS AND METHODS: HDL was isolated from healthy controls (n=33) and T2DM patients with normal renal function (n=21), chronic kidney disease (CKD) (n=27), and end-stage renal disease (ESRD) (n=27). Human peripheral blood mononuclear cells (PBMCs) from healthy volunteers were pretreated with HDL (100mug/mL) for 1h, then incubated with lipopolysaccharide (LPS) (50ng/mL) for 24h. The anti-inflammatory ability of HDL was measured as the secretion of TNF-alpha in LPS-activated monocytes. RESULTS: The anti-inflammatory ability of HDL was gradually impaired as kidney function declined. Serum amyloid A (SAA) concentration in HDL(DN) significantly increased and was positively correlated with the impaired anti-inflammatory ability of HDL (Pearson r=0.315, P=0.006). Furthermore, HDL supplemented with SAA significantly increased TNF-alpha release from PBMCs compared with that from control HDL. CONCLUSIONS: These findings identified an impaired anti-inflammatory capacity of HDL from DN patients, which might be attributable to SAA enrichment. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Mao, Jing Yan AU - Mao JY AD - Department of Biochemistry and Molecular Cell Biology, Shanghai Key Laboratory for Tumor Microenvironment and Inflammation, Key Laboratory of Cell Differentiation and Apoptosis of Chinese Ministry of Education, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China. FAU - Sun, Jia Teng AU - Sun JT AD - Department of Cardiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China. FAU - Yang, Ke AU - Yang K AD - Institute of Cardiovascular Disease, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China. FAU - Shen, Wei Feng AU - Shen WF AD - Department of Cardiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China; Institute of Cardiovascular Disease, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China. FAU - Lu, Lin AU - Lu L AD - Department of Cardiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China. FAU - Zhang, Rui Yan AU - Zhang RY AD - Department of Cardiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China. FAU - Tong, Xuemei AU - Tong X AD - Department of Biochemistry and Molecular Cell Biology, Shanghai Key Laboratory for Tumor Microenvironment and Inflammation, Key Laboratory of Cell Differentiation and Apoptosis of Chinese Ministry of Education, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China. Electronic address: xuemeitong@shsmu.edu.cn. FAU - Liu, Yan AU - Liu Y AD - Department of Cardiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China. Electronic address: liuyan_ivy@126.com. LA - eng PT - Journal Article DEP - 20170713 PL - United States TA - J Diabetes Complications JT - Journal of diabetes and its complications JID - 9204583 RN - 0 (Lipopolysaccharides) RN - 0 (Lipoproteins, HDL) RN - 0 (Serum Amyloid A Protein) SB - IM MH - Adult MH - Aged MH - Cells, Cultured MH - China/epidemiology MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*complications MH - Diabetic Angiopathies/epidemiology/immunology/*metabolism/pathology MH - Diabetic Nephropathies/immunology/*metabolism/pathology/physiopathology MH - Female MH - Hospitals, University MH - Humans MH - Kidney/physiopathology MH - Kidney Failure, Chronic/complications/immunology/metabolism/pathology MH - Leukocytes, Mononuclear/drug effects/immunology/metabolism/pathology MH - Lipopolysaccharides/toxicity MH - Lipoproteins, HDL/*blood/isolation & purification/metabolism MH - Male MH - Middle Aged MH - Outpatient Clinics, Hospital MH - Renal Insufficiency, Chronic/complications/immunology/metabolism/pathology MH - Risk Factors MH - Serum Amyloid A Protein/*analysis/metabolism MH - Severity of Illness Index MH - Vasculitis/*complications/immunology/metabolism/pathology OTO - NOTNLM OT - Anti-inflammatory OT - Cardiovascular disease OT - Diabetic nephropathy OT - High-density lipoprotein OT - Serum amyloid A EDAT- 2017/08/02 06:00 MHDA- 2018/05/24 06:00 CRDT- 2017/08/02 06:00 PHST- 2017/04/07 00:00 [received] PHST- 2017/07/06 00:00 [revised] PHST- 2017/07/07 00:00 [accepted] PHST- 2017/08/02 06:00 [pubmed] PHST- 2018/05/24 06:00 [medline] PHST- 2017/08/02 06:00 [entrez] AID - S1056-8727(17)30504-4 [pii] AID - 10.1016/j.jdiacomp.2017.07.005 [doi] PST - ppublish SO - J Diabetes Complications. 2017 Oct;31(10):1538-1543. doi: 10.1016/j.jdiacomp.2017.07.005. Epub 2017 Jul 13.