PMID- 30833653 OWN - NLM STAT- MEDLINE DCOM- 20200921 LR - 20200921 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 9 IP - 1 DP - 2019 Mar 4 TI - Dysfunctional high-density lipoprotein activates toll-like receptors via serum amyloid A in vascular smooth muscle cells. PG - 3421 LID - 10.1038/s41598-019-39846-3 [doi] LID - 3421 AB - Serum amyloid A (SAA) is an uremic toxin and acute phase protein. It accumulates under inflammatory conditions associated with high cardiovascular morbidity and mortality in patients with sepsis or end-stage renal disease (ESRD). SAA is an apolipoprotein of the high-density lipoprotein (HDL). SAA accumulation turns HDL from an anti-inflammatory to a pro-inflammatory particle. SAA activates monocyte chemoattractant protein-1 (MCP-1) in vascular smooth muscle cells. However, the SAA receptor-mediated signaling pathway in vascular cells is poorly understood. Therefore, the SAA-mediated signaling pathway for MCP-1 production was investigated in this study. The SAA-induced MCP-1 production is dependent on the activation of TLR2 and TLR4 as determined by studies with specific receptor antagonists and agonists or siRNA approach. Experiments were confirmed in tissues from TLR2 knockout, TLR4 deficient and TLR2 knock-out/TLR4 deficient mice. The intracellular signaling pathway is IkappaBalpha and subsequently NFkappaB dependent. The MCP-1 production induced by SAA-enriched HDL and HDL isolated from septic patients with high SAA content is also TLR2 and TLR4 dependent. Taken together, the TLR2 and TLR4 receptors are functional SAA receptors mediating MCP-1 release. Furthermore, the TLR2 and TLR4 are receptors for dysfunctional HDL. These results give a further inside in SAA as uremic toxin involved in uremia-related pro-inflammatory response in the vascular wall. FAU - Schuchardt, Mirjam AU - Schuchardt M AD - Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt Universitat zu Berlin, and Berlin Institute of Health, Department of Nephrology, Hindenburgdamm 30, 12203, Berlin, Germany. FAU - Prufer, Nicole AU - Prufer N AD - Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt Universitat zu Berlin, and Berlin Institute of Health, Department of Nephrology, Hindenburgdamm 30, 12203, Berlin, Germany. FAU - Tu, Yuexing AU - Tu Y AD - Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt Universitat zu Berlin, and Berlin Institute of Health, Department of Nephrology, Hindenburgdamm 30, 12203, Berlin, Germany. AD - Zhejiang Provincial People s Hospital, Intensive Care Unit, Hangzhou, China. FAU - Herrmann, Jaqueline AU - Herrmann J AD - Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt Universitat zu Berlin, and Berlin Institute of Health, Department of Nephrology, Hindenburgdamm 30, 12203, Berlin, Germany. FAU - Hu, Xiu-Ping AU - Hu XP AD - Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt Universitat zu Berlin, and Berlin Institute of Health, Department of Nephrology, Hindenburgdamm 30, 12203, Berlin, Germany. FAU - Chebli, Sarah AU - Chebli S AD - Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt Universitat zu Berlin, and Berlin Institute of Health, Department of Nephrology, Hindenburgdamm 30, 12203, Berlin, Germany. FAU - Dahlke, Katja AU - Dahlke K AD - Deutsches Institut fur Ernaehrungsforschung, Department of Gastrointestinal Microbiology, Arthur-Scheunert-Allee 114-116, 14558, Nuthethal, Germany. FAU - Zidek, Walter AU - Zidek W AD - Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt Universitat zu Berlin, and Berlin Institute of Health, Department of Nephrology, Hindenburgdamm 30, 12203, Berlin, Germany. FAU - van der Giet, Markus AU - van der Giet M AD - Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt Universitat zu Berlin, and Berlin Institute of Health, Department of Nephrology, Hindenburgdamm 30, 12203, Berlin, Germany. Markus.vanderGiet@charite.de. FAU - Tolle, Markus AU - Tolle M AD - Charite - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt Universitat zu Berlin, and Berlin Institute of Health, Department of Nephrology, Hindenburgdamm 30, 12203, Berlin, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190304 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Chemokine CCL2) RN - 0 (Lipoproteins, HDL) RN - 0 (Serum Amyloid A Protein) RN - 0 (Toll-Like Receptor 2) RN - 0 (Toll-Like Receptor 4) RN - 0 (Toll-Like Receptors) SB - IM MH - Animals MH - Cells, Cultured MH - Chemokine CCL2/metabolism MH - Humans MH - Lipoproteins, HDL/*metabolism MH - Mice MH - Muscle, Smooth, Vascular/*cytology MH - Myocytes, Smooth Muscle/*metabolism MH - Rats MH - Serum Amyloid A Protein/*metabolism MH - Toll-Like Receptor 2/metabolism MH - Toll-Like Receptor 4/metabolism MH - Toll-Like Receptors/*metabolism PMC - PMC6399289 COIS- The authors declare no competing interests. EDAT- 2019/03/06 06:00 MHDA- 2020/09/22 06:00 PMCR- 2019/03/04 CRDT- 2019/03/06 06:00 PHST- 2017/03/06 00:00 [received] PHST- 2019/02/01 00:00 [accepted] PHST- 2019/03/06 06:00 [entrez] PHST- 2019/03/06 06:00 [pubmed] PHST- 2020/09/22 06:00 [medline] PHST- 2019/03/04 00:00 [pmc-release] AID - 10.1038/s41598-019-39846-3 [pii] AID - 39846 [pii] AID - 10.1038/s41598-019-39846-3 [doi] PST - epublish SO - Sci Rep. 2019 Mar 4;9(1):3421. doi: 10.1038/s41598-019-39846-3.