PMID- 34393795 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210817 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 12 DP - 2021 TI - Atrial Natriuretic Peptide Inhibited ABCA1/G1-dependent Cholesterol Efflux Related to Low HDL-C in Hypertensive Pregnant Patients. PG - 715302 LID - 10.3389/fphar.2021.715302 [doi] LID - 715302 AB - Objective: It has been reported that atrial natriuretic peptide (ANP) regulates lipid metabolism by stimulating adipocyte browning, lipolysis, and lipid oxidation, and by impacting the secretion of adipokines. In our previous study, we found that the plasma ANP concentration of hypertensive disorders of pregnancy (HDP) was significantly increased in comparison to that of normotensive pregnancy patients. Thus, this study's objective was to investigate the lipid profile in patients with HDP and determine the effects of ANP on the cholesterol efflux in THP-1 macrophages. Methods: A total of 265 HDP patients and 178 normotensive women as the control group were recruited. Clinical demographic characteristics and laboratory profile data were collected. Plasma total triglycerides (TGs), total cholesterol (TC), low-density cholesterol (LDL-C), and high-density cholesterol (HDL-C) were compared between the two groups. THP-1 monocytes were incubated with different concentrations of ANP. ATP-binding cassette transporter A1 (ABCA1) and ATP-binding cassette transporter G1 (ABCG1) mRNA and protein were evaluated. ABCA1- and ABCG1-mediated cholesterol efflux to apolipoprotein A-Ⅰ (apoA-Ⅰ) and HDL, respectively, were measured by green fluorescent labeled NBD cholesterol. Natriuretic peptide receptor A (NPR-A) siRNA and specific agonists of the peroxisome proliferator-activated receptor-gamma (PPAR-gamma) and liver X receptor alpha (LXRalpha) were studied to investigate the mechanism involved. Results: Plasma TG, TC, LDL-C, and LDL-C/HDL-C were significantly increased, and HDL-C was significantly decreased in the HDP group in comparison to the control (all p < 0.001). ANP inhibited the expression of ABCA1 and ABCG1 at both the mRNA and protein levels in a dose-dependent manner. The functions of ABCA1- and ABCG1-mediated cholesterol efflux to apoA-I and HDL were significantly decreased. NPR-A siRNA further confirmed that ANP binding to its receptor inhibited ABCA1/G1 expression through the PPAR-gamma/LXRalpha pathway. Conclusions: ABCA1/G1 was inhibited by the stimulation of ANP when combined with NPR-A through the PPAR-gamma/LXRalpha pathway in THP-1 macrophages. The ABCA1/G1-mediated cholesterol efflux was also impaired by the stimulation of ANP. This may provide a new explanation for the decreased level of HDL-C in HDP patients. CI - Copyright (c) 2021 Dong, Lin, Liu, Zhang, Jiang and Song. FAU - Dong, Yubing AU - Dong Y AD - Department of Hypertension, The First Affiliated Hospital of Dalian Medical University, DaLian, China. FAU - Lin, Yi AU - Lin Y AD - Department of Hypertension, The First Affiliated Hospital of Dalian Medical University, DaLian, China. FAU - Liu, Wanyu AU - Liu W AD - Department of Hypertension, The First Affiliated Hospital of Dalian Medical University, DaLian, China. FAU - Zhang, Wei AU - Zhang W AD - Department of Hypertension, The First Affiliated Hospital of Dalian Medical University, DaLian, China. FAU - Jiang, Yinong AU - Jiang Y AD - Department of Hypertension, The First Affiliated Hospital of Dalian Medical University, DaLian, China. FAU - Song, Wei AU - Song W AD - Department of Hypertension, The First Affiliated Hospital of Dalian Medical University, DaLian, China. LA - eng PT - Journal Article DEP - 20210728 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC8355588 OTO - NOTNLM OT - ATP-binding cassette transporter A1 OT - ATP-binding cassette transporter G1 OT - atrial natriuretic peptide OT - cholesterol efflux OT - hypertensive disorders of pregnancy COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/08/17 06:00 MHDA- 2021/08/17 06:01 PMCR- 2021/07/28 CRDT- 2021/08/16 05:47 PHST- 2021/05/26 00:00 [received] PHST- 2021/06/24 00:00 [accepted] PHST- 2021/08/16 05:47 [entrez] PHST- 2021/08/17 06:00 [pubmed] PHST- 2021/08/17 06:01 [medline] PHST- 2021/07/28 00:00 [pmc-release] AID - 715302 [pii] AID - 10.3389/fphar.2021.715302 [doi] PST - epublish SO - Front Pharmacol. 2021 Jul 28;12:715302. doi: 10.3389/fphar.2021.715302. eCollection 2021.