Abstract

Diets high in saturated fatty acids are linked to increased cardiovascular disease risk, whereas monounsaturated fatty acids have been associated with improved cardiovascular outcomes. Accordingly, cell culture studies have demonstrated that saturated fatty acids, particularly long chain saturated fatty acids such as palmitate, induce dysfunction and cell death in a variety of cell types, and monounsaturated fatty acids may confer protection against palmitate-mediated damage. The aim of the present study was to examine whether monounsaturated fatty acids could protect against palmitate-mediated cell death in endothelial cells, to determine if AMPK inactivation and activation (via compound C and AICAR, respectively) underlies both palmitate-induced damage and monounsaturated fatty acid-mediated protection, and to explore the role of ER stress in this context. Human umbilical vein endothelial cells were examined for cell viability and apoptosis following treatment for 24 hours with palmitate (0.25 and 0.5mM) alone or in combination with the monounsaturated fatty acids oleate or palmitoleate (0.25 and 0.5mM), AICAR, compound C, 4μ8C, or TUDCA. Compared to control cells, palmitate significantly decreased cell viability and increased apoptosis in a dose-dependent manner. The monounsaturated fatty acids oleate and palmitoleate completely prevented the cytotoxic effects of palmitate. Although palmitate induced markers of ER stress, chemical inhibition of ER stress did not prevent palmitate-induced lipoapoptosis. Conversely, the AMPK activator AICAR (0.1 and 0.5mM) conferred protection from palmitate mediated-alterations in viability, apoptosis and ER stress, whereas the AMPK inhibitor compound C (20 and 40μM) significantly exacerbated palmitate-mediated damage. Lastly, co-incubation with palmitate, monounsaturated fatty acids, and compound C significantly mitigated the protective effects of both oleate and palmitoleate. In conclusion, monounsaturated fatty acids confer protection against the cytotoxic effects of palmitate in vascular endothelial cells; and palmitate-mediated damage, as well as monounsaturated-mediated protection, are due in part to inactivation and activation, respectively, of the metabolic regulator AMPK. These results may have implications for understanding the deleterious effects of high saturated fat diets on cardiovascular dysfunction and disease risk.

Highlights

  • The vascular endothelium is comprised of a single-cell monolayer that lines the internal surface of blood vessels and serves as the primary interface between luminal blood and underlying tissues

  • We first examined whether the saturated fatty acid palmitate altered endothelial cell viability and apoptosis

  • The present study examined the effects of the saturated fatty acid palmitate on endothelial cell viability and apoptosis, and the potential protective effects of monounsaturated fatty acids

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Summary

Introduction

The vascular endothelium is comprised of a single-cell monolayer that lines the internal surface of blood vessels and serves as the primary interface between luminal blood and underlying tissues. Given this strategic location, endothelial cells are capable of detecting mechanical and chemical changes within the luminal environment and orchestrating autocrine and paracrine responses that help regulate cardiovascular function. Apoptosis compromises the endothelial cell barrier and alters the balance of endothelium-derived substances towards a pro-inflammatory, prothrombotic and oxidative phenotype [3] Given their location, endothelial cells are exposed to numerous luminal substances that can prevent or promote apoptosis. Elevated circulating fatty acids impair endothelium-dependent dilation [7, 8], and lipid-mediated endothelial cell apoptosis (or lipoapoptosis) has been suggested as an important mechanism linking elevated circulating fatty acids with cardiovascular disease [9]

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