Key result
Type 2 diabetes was associated with lower expression of intracellular IDOL in CD14+ monocytes compared to healthy controls (21.3 vs 23.8 mean fluorescence intensity × 1,000, P<0.01).
Why the study?
The effect of type 2 diabetes on IDOL expression in circulating monocytes and its impact on macrophage function was not well characterized.
Observational (n=250)
Absolute Event Rate: 21.3% vs 23.8%
p-value: p=<0.01
Type 2 diabetes is associated with decreased IDOL expression in monocytes, which correlates with increased cell surface LDLR and may enhance macrophage inflammatory responses.
The inducible degrader of LDL receptor (IDOL) acts as a post-transcriptional degrader of the LDL receptor (LDLR). IDOL is functionally active in the liver and in peripheral tissues. We have evaluated IDOL expression in circulating monocytes in subjects with and without type 2 diabetes and determined whether changes in IDOL expression could affect macrophage function like cytokine production in vitro. One hundred forty individuals with type 2 diabetes and 110 healthy control subjects were recruited. Cellular expression of IDOL and LDLR in peripheral blood CD14+ monocytes was measured by flow cytometry. The expression of intracellular IDOL was lower in individuals with diabetes than control (21.3 ± 4.6 mean fluorescence intensity × 1,000 vs. 23.8 ± 6.2, P < 0.01), and this was accompanied by an increase in cell surface LDLR (5.2 ± 3.0 mean fluorescence intensity × 1,000 vs. 4.3 ± 1.5, P < 0.01), LDL binding, and intracellular lipid (P < 0.01). IDOL expression correlated with HbA1c (r = -0.38, P < 0.01) and serum fibroblast growth factor-21 (FGF21) (r = -0.34, P < 0.01). Multivariable regression analysis, including age, sex, BMI, smoking, HbA1c, and log(FGF21), showed that HbA1c and FGF21 were significant independent determinants of IDOL expression. IDOL knockdown human monocyte-derived macrophages produced higher concentrations of interleukin 1 beta, interleukin 6, and TNFα than control macrophages upon stimulation with lipopolysaccharide (all P < 0.01). In conclusion, the expression of IDOL in CD14+ monocytes was decreased in type 2 diabetes and was associated with glycemia and serum FGF21 concentration.
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Lam et al. (2023) conducted an observational in Type 2 diabetes (n=250). Type 2 diabetes vs. Healthy control subjects was evaluated on Expression of intracellular IDOL in peripheral blood CD14+ monocytes (mean fluorescence intensity × 1,000) (p=<0.01). Type 2 diabetes was associated with lower expression of intracellular IDOL in CD14+ monocytes compared to healthy controls (21.3 vs 23.8 mean fluorescence intensity × 1,000, P<0.01).
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