PMID- 38280039 OWN - NLM STAT- MEDLINE DCOM- 20240129 LR - 20240206 IS - 1573-4978 (Electronic) IS - 0301-4851 (Print) IS - 0301-4851 (Linking) VI - 51 IP - 1 DP - 2024 Jan 27 TI - Desmosterol-driven atypical macrophage polarization regulates podocyte dynamics in diabetic nephropathy. PG - 213 LID - 10.1007/s11033-023-09198-3 [doi] LID - 213 AB - BACKGROUND: Diabetic nephropathy (DN) stands as a leading diabetes complication, with macrophages intricately involved in its evolution. While glucose metabolism's impact on macrophage activity is well-established, cholesterol metabolism's contributions remain less explored. Our study seeks to elucidate this association. METHODS AND RESULTS: Methods and Results: Gene expression analysis of monocytes from the blood of both normal and diabetic patients was conducted using public databases, showing that cholesterol metabolism pathways, especially Bloch and Kandutsch-Russell, were more altered in diabetic monocytes/macrophages than glucose-responsive pathways. When bone marrow-derived macrophages (BMDMs) were subjected to desmosterol, they exhibited an unconventional polarization. These BMDMs displayed heightened levels of both M1-related pro-inflammatory cytokines and M2-linked anti-inflammatory factors. Further, in co-culture, desmosterol-conditioned BMDMs paralleled M2 macrophages in augmenting Ki-67 + podocyte populations while mimicking M1 macrophages in elevating TUNEL + apoptotic podocytes. Comparable outcomes on podocytes were obtained using conditioned media from the respective BMDMs. CONCLUSIONS: Our data underscores the pivotal role of cholesterol metabolism, particularly via desmosterol, in steering macrophages toward an unconventional polarization marked by both inflammatory and regulatory traits. Such unique macrophage behavior concurrently impacts podocyte proliferation and apoptosis, shedding fresh light on DN pathogenesis and hinting at potential therapeutic interventions. CI - (c) 2024. The Author(s). FAU - Qi, Huiying AU - Qi H AD - Department of Cardiology, Branch of Tianjin Third Central Hospital, 220 Jiangdu Road, Tianjin, 300250, China. 13920699990@163.com. LA - eng PT - Journal Article DEP - 20240127 PL - Netherlands TA - Mol Biol Rep JT - Molecular biology reports JID - 0403234 RN - 313-04-2 (Desmosterol) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Humans MH - *Diabetic Nephropathies/metabolism MH - *Podocytes/metabolism MH - Desmosterol/metabolism MH - Macrophages/metabolism MH - Glucose/metabolism MH - *Diabetes Mellitus/metabolism PMC - PMC10821991 OTO - NOTNLM OT - Desmosterol OT - Diabetic nephropathy OT - Macrophages OT - Podocytes OT - Polarization COIS- The author has declared that no competing interests exist. EDAT- 2024/01/28 07:42 MHDA- 2024/01/29 06:42 PMCR- 2024/01/27 CRDT- 2024/01/27 11:15 PHST- 2023/10/23 00:00 [received] PHST- 2023/12/28 00:00 [accepted] PHST- 2024/01/29 06:42 [medline] PHST- 2024/01/28 07:42 [pubmed] PHST- 2024/01/27 11:15 [entrez] PHST- 2024/01/27 00:00 [pmc-release] AID - 10.1007/s11033-023-09198-3 [pii] AID - 9198 [pii] AID - 10.1007/s11033-023-09198-3 [doi] PST - epublish SO - Mol Biol Rep. 2024 Jan 27;51(1):213. doi: 10.1007/s11033-023-09198-3.