Abstract

Background: Macrophages play a critical role in atherosclerosis. We have previously shown that Clock mutant and global or tissue-specific Bmal1 deficient mice show enhanced atherosclerosis. Yet, the role of time restricted feeding (TRF) in cholesterol transport and atherosclerosis in macrophage Bmal1 deficient mice remains unknown. Objectives: To establish a novel regulatory link between TRF, circadian clock, and atherosclerosis. Methods: We studied the effect of day or nighttime TRF on macrophage-specific Bmal1 deficient (M- Bmal1 –/– Apoe –/– ) or control mice on cholesterol efflux to clarify the role of Bmal1 in macrophage function and in atherosclerosis. Results: We found that daytime-TRF increased atherosclerosis. Biochemical studies showed that macrophages from daytime TRF M- Bmal1 –/– Apoe –/– mice exhibit increased expression of Lox-1 and Cd36, and take up more oxLDL compared to nighttime TRF mice. Furthermore, daytime TRF mice showed decreased expression of Abca1 and Abcg1, reduced cellular cholesterol efflux and in vivo reverse cholesterol transport compared to nighttime TRF mice. Thus, TRF regulates macrophage cholesterol metabolism by regulating uptake of oxidized lipoproteins and cholesterol efflux pathways. Molecular studies showed that TRF regulates HDAC3 interactions with p300 to regulate Znf202 gene expression. Thus, TRF regulates Bmal1 and Znf202 to regulate uptake of oxidized lipoproteins and cholesterol efflux. Conclusions: TRF is an important regulator of cholesterol metabolism in macrophages and affects atherosclerosis. It regulates macrophage function by modulating the expression of different transcription factors. It is likely that nighttime-TRF may prevent atherosclerosis.

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