PMID- 34489968 OWN - NLM STAT- MEDLINE DCOM- 20211223 LR - 20211223 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 12 DP - 2021 TI - Pro-Inflammatory Implications of 2-Hydroxypropyl-beta-cyclodextrin Treatment. PG - 716357 LID - 10.3389/fimmu.2021.716357 [doi] LID - 716357 AB - Lifestyle- and genetically induced disorders related to disturbances in cholesterol metabolism have shown the detrimental impact of excessive cholesterol levels on a plethora of pathological processes such as inflammation. In this context, two-hydroxypropyl-beta-cyclodextrin (CD) is increasingly considered as a novel pharmacological compound to decrease cellular cholesterol levels due to its ability to increase cholesterol solubility. However, recent findings have reported contra-indicating events after the use of CD questioning the clinical applicability of this compound. Given its potential as a therapeutic compound in metabolic inflammatory diseases, in this study, we evaluated the inflammatory effects of CD administration in the context of cholesterol-induced metabolic inflammation in vivo and in vitro. The inflammatory and cholesterol-depleting effects of CD were first investigated in low-density lipoprotein receptor knockout (Ldlr(-/) ) mice that were transplanted with Npc1(nih) or Npc1(wt) bone marrow and were fed either regular chow or a high-fat, high-cholesterol (HFC) diet for 12 weeks, thereby creating an extreme model of lysosomal cholesterol-induced metabolic inflammation. In the final three weeks, these mice received daily injections of either control (saline) or CD subcutaneously. Subsequently, the inflammatory properties of CD were investigated in vitro in two macrophage cell lines and in murine bone marrow-derived macrophages (BMDMs). While CD administration improved cholesterol mobilization outside lysosomes in BMDMs, an overall pro-inflammatory profile was observed after CD treatment, evidenced by increased hepatic inflammation in vivo and a strong increase in cytokine release and inflammatory gene expression in vitro in murine BMDMs and macrophages cell lines. Nevertheless, this CD-induced pro-inflammatory profile was time-dependent, as short term exposure to CD did not result in a pro-inflammatory response in BMDM. While CD exerts desired cholesterol-depleting effects, its inflammatory effect is dependent on the exposure time. As such, using CD in the clinic, especially in a metabolic inflammatory context, should be closely monitored as it may lead to undesired, pro-inflammatory side effects. CI - Copyright (c) 2021 Houben, Yadati, de Kruijf, Gijbels, Luiken, van Zandvoort, Kapsokalyvas, Lutjohann, Westerterp, Plat, Leake and Shiri-Sverdlov. FAU - Houben, Tom AU - Houben T AD - Departments of Genetics and Cell Biology, School of Nutrition and Translational Research in Metabolism (NUTRIM), University of Maastricht, Maastricht, Netherlands. FAU - Yadati, Tulasi AU - Yadati T AD - Departments of Genetics and Cell Biology, School of Nutrition and Translational Research in Metabolism (NUTRIM), University of Maastricht, Maastricht, Netherlands. FAU - de Kruijf, Robbin AU - de Kruijf R AD - Departments of Genetics and Cell Biology, School of Nutrition and Translational Research in Metabolism (NUTRIM), University of Maastricht, Maastricht, Netherlands. FAU - Gijbels, Marion J J AU - Gijbels MJJ AD - Departments of Genetics and Cell Biology, School of Nutrition and Translational Research in Metabolism (NUTRIM), University of Maastricht, Maastricht, Netherlands. FAU - Luiken, Joost J F P AU - Luiken JJFP AD - Departments of Genetics and Cell Biology, School of Nutrition and Translational Research in Metabolism (NUTRIM), University of Maastricht, Maastricht, Netherlands. FAU - van Zandvoort, Marc AU - van Zandvoort M AD - Departments of Genetics and Cell Biology, School of Nutrition and Translational Research in Metabolism (NUTRIM), University of Maastricht, Maastricht, Netherlands. AD - School for Oncology and Developmental Biology GROW, School of Nutrition and Translational Research in Metabolism (NUTRIM) and School for Cardiovascular Diseases CARIM Maastricht University, Maastricht, Netherlands. AD - Institute for Molecular Cardiovascular Research IMCAR, Rheinisch-Westfalische Technische Hogeschool (RWTH) Aachen University, Aachen, Germany. FAU - Kapsokalyvas, Dimitris AU - Kapsokalyvas D AD - Departments of Genetics and Cell Biology, School of Nutrition and Translational Research in Metabolism (NUTRIM), University of Maastricht, Maastricht, Netherlands. AD - School for Oncology and Developmental Biology GROW, School of Nutrition and Translational Research in Metabolism (NUTRIM) and School for Cardiovascular Diseases CARIM Maastricht University, Maastricht, Netherlands. AD - Institute for Molecular Cardiovascular Research IMCAR, Rheinisch-Westfalische Technische Hogeschool (RWTH) Aachen University, Aachen, Germany. FAU - Lutjohann, Dieter AU - Lutjohann D AD - Institute of Clinical Chemistry and Clinical Pharmacology, University Hospital Bonn, Bonn, Germany. FAU - Westerterp, Marit AU - Westerterp M AD - Department of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen, Netherlands. FAU - Plat, Jogchum AU - Plat J AD - Department of Nutrition and Movement Sciences, School for Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, Maastricht, Netherlands. FAU - Leake, David AU - Leake D AD - School of Biological Sciences, University of Reading, Health and Life Sciences Building, Whiteknights, Reading, United Kingdom. FAU - Shiri-Sverdlov, Ronit AU - Shiri-Sverdlov R AD - Departments of Genetics and Cell Biology, School of Nutrition and Translational Research in Metabolism (NUTRIM), University of Maastricht, Maastricht, Netherlands. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210820 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Biomarkers) RN - 0 (Lipids) RN - 0 (Receptors, LDL) RN - 1I96OHX6EK (2-Hydroxypropyl-beta-cyclodextrin) RN - 97C5T2UQ7J (Cholesterol) SB - IM MH - 2-Hydroxypropyl-beta-cyclodextrin/adverse effects/*pharmacology MH - Animals MH - Biomarkers MH - Cell Line MH - Cholesterol/blood/metabolism MH - Disease Models, Animal MH - Dose-Response Relationship, Drug MH - Gene Expression Regulation/drug effects MH - Inflammation/*etiology/metabolism/pathology MH - Lipid Metabolism/drug effects MH - Lipids/blood MH - Liver/drug effects/metabolism/pathology MH - Lysosomes/metabolism MH - Macrophages/drug effects/immunology/metabolism MH - Mice MH - Mice, Knockout MH - Receptors, LDL/genetics/metabolism PMC - PMC8417873 OTO - NOTNLM OT - 2-hydroxypropyl-beta-cyclodextrin OT - cholesterol OT - hepatic inflammation OT - macrophage OT - metabolic inflammation 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- 2021/09/08 06:00 MHDA- 2021/12/24 06:00 PMCR- 2021/01/01 CRDT- 2021/09/07 07:43 PHST- 2021/05/28 00:00 [received] PHST- 2021/07/23 00:00 [accepted] PHST- 2021/09/07 07:43 [entrez] PHST- 2021/09/08 06:00 [pubmed] PHST- 2021/12/24 06:00 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2021.716357 [doi] PST - epublish SO - Front Immunol. 2021 Aug 20;12:716357. doi: 10.3389/fimmu.2021.716357. eCollection 2021.