氧化修饰低密度脂蛋白可诱导人单核细胞源树突状细胞形成泡沫细胞

目的： 探讨氧化修饰低密度脂蛋白（ox-LDL）对人单核细胞源树突状细胞（DC）功能的影响。 方法： 采用免疫磁珠法分离人外周血CD14+单核细胞，经含rhGM-CSF（100 μg/L）和rhIL-4（20 μg/L）的Cellgro培养，使其分化为DC。DC与100 mg/L天然的或氧化修饰的LDL孵育72 h后，采用透射电镜和尼罗红染色观察细胞内脂质沉积，流式细胞术检测DC表型（CD1a，CD40，CD86，HLA-DR），混合T淋巴细胞反应检测DC对淋巴细胞增殖的影响，FITC-dextran检测DC吞噬功能，ELISA检测细胞培养上清Th1/Th2 (IL-12/IL-2)细胞因子的浓度。 结果： ox-LDL可诱导DC形成泡沫细胞，而天然的LDL无此作用。经ox-LDL处理的DC吞噬作用明显弱于天然的LDL，而对T细胞增殖作用却明显强于天然的LDL；可明显上调CD80(72.4±9.6 vs 89.5±10.1, P<0.01), CD86(67.2±8.8 vs 80.2±11.6, P＜0.01), HLA-DR(80.6±9.8 vs 86.6±10.8, P<0.01) 和CD1a(40.2±10.3 vs 60.2±9.3, P<0.01)的表达，明显促进DC细胞因子IL-12［(44.3±8.9)ng/L vs (65.1±10.4)ng/L, P<0.05］的分泌，但却降低IL-2［(43.6±7.8）ng/L vs （10.0±4.5）ng/L, P<0.01］。 结论： DC可通过摄取ox-LDL形成泡沫细胞，而后者与成熟DC的功能相似，说明DC可能是泡沫细胞新的来源，在动脉粥样硬化免疫病理发生中具有重要的作用。

Foam cells can be induced by oxidized low density lipoprotein in human monocyte-derived dendritic cells

AIM: The purpose of this study is to investigate the mechanisms related to oxidized low-density lipoprotein (ox-LDL) and dendritic cells (DCs) in the process of atherosclerosis.METHODS: Human DCs were prepared from human CD14+ peripheral blood monocytes using rhGM-CSF (100 μg/L) and rhIL-4 (40 μg/L).Cells were incubated with 100 mg/L native or oxidized LDL for 72 h.The formation of foam cells was investigated by electron microscopy and oil red O staining.Phenotypic and immune functional assays were used with FACS, FITC-dextran phagocytosis, allogeneic mixed T lymphocytes reaction and secretion of Th1/Th2 (IL-12/IL-2) cytokines were also conduced.RESULTS: DCs treated with ox-LDL, but not native LDL were induced into foam cells after cultured for 72 h.Compared with native LDL, ox-LDL-treated DCs were less potent in FITC-dextran phagocytosis.ox-LDL promoted allogeneic T cells proliferation.Moreover, ox-LDL upregulated CD80 (72.4± 9.6 vs 89.5±10.1, P<0.01), CD86 (67.2±8.8 vs 80.2±11.6, P<0.01), HLA-DR (80.6±9.8 vs 86.6±10.8, P<0.01) and CD1a (40.2±10.3 vs 60.2±9.3, P<0.01) expressions, increased IL-12 secretion ［(44.3±8.9)ng/L vs (65.1±10.4)ng/L, P<0.05］ in DCs.However, the secretion of IL-2 was decreased ［(43.6±7.8)ng/L vs (10.0±4.5 )ng/L, P<0.01］ significently.CONCLUSION: DCs were induced into foam cells by ingesting ox-LDL with some functional characteristic of mature DC.DCs seem to be a new source of foam cells and play a key role in immunopathogenesis of atherosclerosis.