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Review| Volume 230, P232-240, March 01, 2017

How do macrophages sense modified low-density lipoproteins?

  • Dimitry A. Chistiakov
    Affiliations
    Department of Molecular Genetic Diagnostics and Cell Biology, Division of Laboratory Medicine, Institute of Pediatrics, Research Center for Children's Health, 119991 Moscow, Russia
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  • Alexandra A. Melnichenko
    Affiliations
    Institute of General Pathology and Pathophysiology, Russian Academy of Medical Sciences, Moscow 125315, Russia
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  • Alexander N. Orekhov
    Affiliations
    Institute of General Pathology and Pathophysiology, Russian Academy of Medical Sciences, Moscow 125315, Russia

    Institute for Atherosclerosis Research, Skolkovo Innovative Center, Moscow 121609, Russia
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  • Yuri V. Bobryshev
    Correspondence
    Corresponding author at: Institute for Atherosclerosis Research, Skolkovo Innovative Center, Moscow, Russia.
    Affiliations
    Institute of General Pathology and Pathophysiology, Russian Academy of Medical Sciences, Moscow 125315, Russia

    Institute for Atherosclerosis Research, Skolkovo Innovative Center, Moscow 121609, Russia

    Faculty of Medicine, School of Medical Sciences, University of New South Wales, Sydney, NSW 2052, Australia

    School of Medicine, University of Western Sydney, Campbelltown, NSW 2560, Australia
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Published:December 28, 2016DOI:https://doi.org/10.1016/j.ijcard.2016.12.164

      Highlights

      • Macrophages are capable of recognizing and binding foreign or altered-self targets.
      • Modified LDL can be sensed and taken up by macrophages with a battery of scavenger receptors.
      • In atherosclerosis, lipid balance is deregulated that induces the inability of macrophages to completely recycle modified LDL.

      Abstract

      In atherosclerosis, serum lipoproteins undergo various chemical modifications that impair their normal function. Modification of low density lipoprotein (LDL) such as oxidation, glycation, carbamylation, glucooxidation, etc. makes LDL particles more proatherogenic. Macrophages are responsible for clearance of modified LDL to prevent cytotoxicity, tissue injury, inflammation, and metabolic disturbances. They develop an advanced sensing arsenal composed of various pattern recognition receptors (PRRs) capable of recognizing and binding foreign or altered-self targets for further inactivation and degradation. Modified LDL can be sensed and taken up by macrophages with a battery of scavenger receptors (SRs), of which SR-A1, CD36, and LOX1 play a major role. However, in atherosclerosis, lipid balance is deregulated that induces inability of macrophages to completely recycle modified LDL and leads to lipid deposition and transformation of macrophages to foam cells. SRs also mediate various pathogenic effects of modified LDL on macrophages through activation of the intracellular signaling network. Other PRRs such Toll-like receptors can also interact with modified LDL and mediate their effects independently or in cooperation with SRs.

      Graphical abstract

      Keywords

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