Comparison of cholesterol transport in pulmonary, peritoneal, and blood-derived macrophages from normo- and hypercholesterolemic rabbits

The influx and efflux components of cholesterol transport were separately determined in pulmonary, peritoneal, and monocyte-derived macrophages from rabbits fed a diet containing either 4.5% fat or 4.5% fat plus 2% cholesterol. Both influx and efflux in pulmonary macrophages increased with increasing concentration of either normal or hypercholesterolemic serum in the medium. The mass of cholesterol entering the macrophages continued to increase beyond the mass of cholesterol effluxed, leading to an increase in cholesterol mass. Similar results were obtained with peritoneal macrophages. Cholesterol-enriched peritoneal macrophages in most cases had a net efflux of sterol when incubated with normocholesterolemic serum. Pulmonary and peritoneal macrophages from cholesterol-fed rabbits tended to have slower sterol influx and a slightly faster sterol efflux than pulmonary and peritoneal macrophages from control rabbits, but the combined effect of these mechanisms did not prevent these macrophages from accumulating sterol ester from hypercholesterolemic serum. Hypercholesterolemic rabbit serum was fractionated by heparin-Sepharose affinity chromatography into a beta-VLDL-deficient nonadsorbed fraction, which had very little effect on pulmonary macrophage sterol content, and an adsorbed beta-VLDL-containing fraction which promoted a large increase in macrophage sterol. As with unfractionated hypercholesterolemic serum, macrophages incubated with the adsorbed beta-VLDL-containing fraction accumulated large amounts of cellular sterol. Monocyte-macrophages cultured in vitro for 21 hr, in contrast to extravascular macrophages, closely regulated their cellular sterol, primarily by limiting the rate of sterol influx.