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The Journal of Immunology, 2001, 166: 826-831.
Copyright © 2001 by The American Association of Immunologists

Soluble CD14 Mediates Efflux of Phospholipids from Cells1

Tsuyoshi Sugiyama2 and Samuel D. Wright3

Lipid Biochemistry, Merck Research Laboratories, Rahway, NJ 07065


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Soluble CD14 (sCD14), a 55-kDa glycoprotein found in plasma, has been shown to act as a shuttle for bacterial LPS and phospholipids, transporting LPS and phospholipid monomers from LPS aggregates or liposomes to high density lipoprotein particles. sCD14 has also been shown to mediate the transport of LPS and phosphatidylinositol into cells. Here we show that sCD14 mediates not only the influx but also the efflux of cellular phospholipids. Addition of sCD14 enhanced efflux of cellular phospholipids labeled with [3H]palmitic acid, [3H]oleic acid, or [3H]choline chloride from differentiated THP-1 monocytic cells. Efflux was dependent on the concentration of sCD14 added and was essentially complete in 30 min. The role of membrane-bound CD14 (mCD14) in lipid efflux was assessed using matched pairs of cell lines that express or fail to express this protein. While efflux was very dependent on mCD14 in U373 cells, it was not dependent on mCD14 in Chinese hamster ovary cells, suggesting a role for additional cellular proteins in determining the pathway of phospholipid efflux. A deletion mutant of sCD14 lacking the LPS binding site had less ability to efflux phospholipids than intact sCD14, suggesting that this site is needed for CD14 to serve in phospholipid transport. [3H]Palmitate-labeled lipids released by sCD14 were precipitated with anti-CD14 then analyzed by HPLC. Phosphatidylcholine was the dominant phospholipid exported and bound to sCD14. These results demonstrate that sCD14 mediates efflux of phospholipids from cells and suggest that sCD14 contributes to phospholipid transport in blood.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Membrane-bound CD14 (mCD14)4 is a 55-kDa GPI-anchored glycoprotein that is found expressed on the surface of monocytes, macrophages, and granulocytes (1). CD14 is also found as a plasma protein (soluble CD14 (sCD14)) at a concentration of 2–6 µg/ml (1, 2). Both mCD14 and sCD14 bind LPS, the major lipid component of the outer membrane of Gram-negative bacteria, and the major bacterial stimulant of proinflammatory responses (1, 3). After binding to CD14, LPS may be transferred out of CD14 into the plasma membrane of cells, and this transfer facilitates cellular responses to LPS (4). LPS bound to sCD14 can also be transferred to high density lipoprotein (HDL), and this transfer neutralizes the ability of LPS to activate cells (5, 6). CD14 thus serves to transport LPS by acting as a shuttle.

In studies on the transport of phospholipids to HDL, Yu et al. (7) have shown that phospholipids, such as phosphatidylinositol (PI) and phosphatidylethanolamine (PE), bind to sCD14. The phospholipids bound to sCD14 can in turn be transferred to HDL. It is thus clear that CD14 shuttles not only LPS but also phospholipids.

Recent studies by Wang and Munford have confirmed the ability of CD14 to shuttle PI into cells and demonstrated that the PI becomes a substrate for phospholipase activity (8). These findings suggest a role for CD14 in the transport of phospholipids into cells.

Here we have sought evidence that CD14 may transfer phospholipids in the reverse direction, out of cells and into plasma. We show that sCD14 binds not only PI and PE but also phosphatidylserine (PS) and phosphatidylcholine (PC). We further show that cells export endogenously synthesized phospholipids to sCD14 and that mCD14 may play a role in that export. Finally, we identify the phospholipid species exported by cells to sCD14.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials

1,2-Dioleoyl-L-3-phosphatidyl-L-[3-14C]serine, [14C]PS (54.0 mCi/mmol) and glycerol tri[9,10(N)- 3H]oleate, [3H]triolein (21.0 Ci/mmol) were purchased from Amersham Pharmacia Biotech (Piscataway, NJ). L-{alpha}-[Myo-inositol-2-[3H](N)]phosphatidylinositol, [3H]PI (6.61 Ci/mmol), L-{alpha}-dipalmitoyl-[2-palmitoyl-9,10-[3H](N)]phosphatidylcholine, [3H]PC (92.3 Ci/mmol), L-{alpha}-1-stearoyl-2-arachidonyl-[arachidonyl-1-14C]-phosphatidylinositol, [14C]PI (48 mCi/mmol), L-{alpha}-1-palmitoyl-2-arachidonyl-[arachidonyl-1-14C]-phosphatidylethanolamine, [14C]PE (54.6 mCi/mmol), [1, 2, 6, 7(N)-3H]cholesterol, [3H]cholesterol (84.0 Ci/mmol), [cholesteryl-1,2,6,7(N)-3H]cholesteryl oleate, [3H]cholesteryl oleate (84.0 Ci/mmol), [9,10(N)-3H]palmitic acid, [3H]palmitate (43.0 Ci/mmol), [9,10(N)-3H]oleic acid, [3H]oleate (5.00 Ci/mmol), and [methyl-3H]choline chloride, [3H]choline chloride (75.0 Ci/mmol) were purchased from NEN Life Science Products (Boston, MA). Recombinant human sCD141–356, sCD141–348-His6, sCD141–356{Delta}57–64 (sCD141–356 lacking amino acid residues from 57 to 64), and the human astrocytoma cell line, U373 MG, stably transfected with recombinant human CD14 (U373-CD14) or with vector (U373-neo) were gifts from Dr. Rolf Thieringer (Merck Research Laboratories, Rahway, NJ). Because preliminary data showed that sCD141–356 and sCD141–348-His6 have equivalent effects on lipid efflux, sCD141–348-His6 was used in most of the experiments shown here. Only Figs. 1Go and 6Go used sCD141–348. Purified, lipid-free human apolipoprotein A-I (apo A-I) was prepared as previously described (5). Human serum albumin (HSA) was purchased from Baxter Healthcare Corporation (Glendale, CA). The Chinese hamster ovary (CHO) fibroblast cells, CHO-K1, stably transfected with recombinant human CD14 (CHO-CD14) or with vector (CHO-neo) were gifts from Dr. Douglas T. Golenbock (Boston University, MA). Agarose conjugated-monoclonal anti-CD14, UCH-M1, was purchased from Santa Cruz Biotechnology (Santa Cruz, CA). PMA and other reagents were purchased from Sigma (St. Louis, MO).



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FIGURE 1. Native PAGE analysis of [3H]- or [14C]-labeled phospholipid-CD14 complexes. a, [3H]PI, [3H]PC, [14C]PI, [14C]PS, or [14C]PE was incubated with or without sCD14 in PD-EDTA at 37°C for 20 h. Molar ratios of phospholipid to sCD14 were 5:1. A total of 661 nCi of [3H]- or 24 nCi of [14C]-labeled lipids were electrophoresed on an 8–16% gradient native PAGE. The gel was soaked in Enlightning, dried, and exposed to x-ray film for 48 days. b, [3H]PI or [3H]PC was incubated with or without 1:15, 1:5, or 3:5 molar ratio of sCD14 (lipid in excess) in PD-EDTA at 37°C for 20 h. A total of 661 nCi of [3H]-labeled lipids were electrophoresed. The gel was exposed to x-ray film for 38 days.

 


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FIGURE 6. Lipid efflux to sCD14 and a deletion mutant lacking the LPS binding site. [3H]Palmitate (a)-, [3H]oleate (b)-, or [3H]choline (c)-labeled THP-1 cells were incubated with or without 25 µg/ml of sCD14 or sCD14{Delta}57–64 for 30 min. Efflux was expressed as a percent of total [3H]-labeled lipid in a well. Background efflux without proteins was measured and subtracted. Differences of [3H]-labeled lipid efflux between sCD14 and sCD14{Delta}57–64 were statistically significant (p < 0.05).

 
Formation of lipid-sCD14 complexes and analysis on nondenaturing PAGE (native PAGE)

Two hundred fifty picomoles of [3H]PI or [3H]PC, or 1250 pmol of [14C]PI, [14C]PS, or [14C]PE, were dried under a stream of nitrogen, resuspended in PD-EDTA (Dulbecco’s PBS lacking Ca2+ and Mg2+ but containing 0.01% NaN3 and 1 mM EDTA), and sonicated. To adjust the specific activity to equivalence with [3H]PI, [3H]PC was mixed 1:14 (w/w) ratio with unlabeled PC from egg yolk (Sigma). The suspensions were incubated with or without 50 pmol (for [3H]-labeled phospholipids) or 250 pmol (for [14C]-labeled phospholipids) of sCD14 at 37°C for 20 h. Just before electrophoresis, an equal volume of native sample buffer (Novex, San Diego, CA) was added. Next, 661 nCi of [3H]- or 24 nCi of [14C]-labeled lipids were electrophoresed on an 8–16% gradient nondenaturing Tris-glycine polyacrylamide gel (Novex). The gel was soaked in Enlightning (NEN), dried, and exposed to XAR film (Eastman Kodak, Rochester, NY) for 32 or 48 days (bands were visible within 5 days).

Cell culture

The THP-1 human monocytic cell line was maintained in RPMI 1640 medium (BioWhittaker, Walkersville, MD) supplemented with 10% FBS (BioWhittaker), 100 U/ml penicillin (Sigma), and 100 µg/ml streptomycin (Sigma). Cells were kept at 37°C in a humidified atmosphere of 95% air/5% CO2. For experiments, cells were plated at a density of 2 x 105/cm2 in growth medium with 50 ng/ml PMA and incubated for 3 days to become fully differentiated macrophages.

U373-CD14 and U373-neo were grown as monolayers in RPMI 1640 with 10% FBS, 100 U/ml penicillin, and 100 µg/ml streptomycin. Cells were seeded at a density of 3 x 104/cm2 in the growth medium and were grown overnight. CHO-CD14 and CHO-neo were grown in the same condition except that Ham’s F-12 (BioWhittaker) was used instead of RPMI 1640 and that the cells were seeded at a density of 3 x 104/cm2.

Measurement of lipid efflux from cells

Monolayers of cells grown in 48-well plates were incubated with 25 µCi/ml [3H]palmitate, 25 µCi/ml [3H]oleate, or 5 µCi/ml [3H]choline chloride in growth medium for 24 h (ethanol concentrations in medium did not exceed 0.5%). After the labeling, cells were washed twice by incubation for 30 min with RPMI 1640 (for THP-1 and U373) or Ham’s F-12 (for CHO) containing 0.1% fatty-acid free BSA, 100 U/ml penicillin, and 100 µg/ml streptomycin, then washed three times with RPMI 1640 or Ham’s F-12. Radioactivity of labeled lipids from THP-1 cells was normally ~5,000,000 dpm per well for [3H]palmitate and [3H]oleate labeling and ~300,000 dpm per well for [3H]choline labeling. Under these conditions, [3H]palmitate and [3H]oleate labeled all phospholipid classes in the ratios expected on the basis of their known cellular abundance. HPLC verification of this is shown in Fig. 3Goa for [3H]palmitate and is not shown for [3H]oleate.



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FIGURE 3. HPLC profile of [3H]palmitate-labeled cellular lipid of THP-1 or U373-CD14 cells and lipids bound to sCD14. [3H]Palmitate-labeled cellular lipids from THP-1 (a) and U373-CD14 (c) and lipids precipitated with sCD14 from the medium of THP-1 (b) and U373-CD14 (d) were extracted and applied to HPLC column as described in Materials and Methods. Retention time of triglyceride (TG), palmitate, PE, PI, PC, and PS were determined with [3H]triolein, [3H]palmitate, [14C]PE, [14C]PI, [3H]PC, and [14C]PS, respectively. Under these conditions, sphingomyelin elutes at 17~19 min as a double peak.

 
To measure lipid efflux, cells were incubated with or without sCD14 in RPMI 1640 or Ham’s F-12 containing 100 U/ml penicillin and 100 µg/ml streptomycin. After the desired incubation time, the medium from these cells was harvested and centrifuged at 14,000 x g for 5 min to remove any cellular debris. [3H]Palmitate-, [3H]oleate-, or [3H]choline-labeled lipids were extracted by the method of Bligh and Dyer (9). Radioactivity in the lipid fraction was determined by counting in a liquid scintillation counter. At the end of the incubation, cells were washed with PBS and lysed with 0.1 ml of 0.1 N NaOH. Aliquots were used for protein concentrations assayed by bicinchoninic acid protein assay reagent (Pierce, Rockford, IL). In some experiments, efflux is expressed as a percent calculated as the number of counts in the lipid fraction extracted from the medium divided by the number of counts in the lipid fraction extracted from the cells at the beginning of the incubation. Initial radioactivity of cellular lipids were determined in parallel cultures after overnight extraction with isopropanol followed by a 1-h extraction with hexane/isopropanol (3:2).

Analysis of lipids bound to sCD14

THP-1 cells differentiated by PMA or U373-CD14 cells were labeled with 250 µCi/ml of [3H]palmitate in six-well plates for 24 h. After washing as above, cells were incubated with 10 µg/ml of sCD14 at 37°C for 30 min. The medium was harvested and centrifuged at 14,000 x g for 5 min. Then 1 ml of supernatant was incubated with 150 µg anti-CD14 (UCH-M1) conjugated to 75 µl agarose gel at 4°C for 16 h. The beads were washed five time with ice-cold PBS, then the lipids bound to sCD14 were extracted by the method of Bligh and Dyer (9). The extracted lipids were dried under a stream of nitrogen and resuspended in chloroform:methanol in a 2:1 solution. The lipids were applied to an HPLC column (Kromasil 100 Silica; Higgins Analytical, Mountain View, CA) and eluted by the method of Bünger and Pison with slight modifications (10). Briefly, the mobile phase reservoirs contained an A solvent of 80% dichloromethane, 19.85% methanol, 0.15% ammonium hydroxide and a B solvent of 80% methanol, 19.85% water, 0.15% ammonium hydroxide. The following gradient was used at a flow rate of 1.5 ml/min: 100% A from 0 to 2 min, gradient from 0 to 20% B from 2 to 20 min, gradient from 20 to 25% B from 20 to 25 min, gradient from 25 to 40% B from 25 to 28 min, hold at 40% B from 28 to 40 min. Radioactivity in the eluent was continuously detected with an in-line instrument ({beta}-RAM; IN/US Systems, Tampa, FL). The elution positions of various phospholipid types were determined in separate runs using radiolabeled standards.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
sCD14 binds phospholipids

To test for the binding of a variety of lipids to sCD14, we used radiolabeled PI, PC, PS, PE, triolein, cholesterol, and cholesteryl oleate. The lipids were first incubated with sCD14, and lipids bound to sCD14 were separated from unbound lipid by using native PAGE. Lipids bound to sCD14 migrated into the gel and resolved at a lower m.w. than unbound micellar lipids. PI, PC, PS, and PE clearly bound to sCD14 (Fig. 1Goa). PI gave the highest signal intensity among these phospholipids. Increasing the amount of sCD14 incubated with PC yielded a dose-dependent increase of signal at the position of sCD14 (Fig. 1Gob). These data confirm the binding of PI and PS to CD14 shown in previous studies (7, 11) and offer the first direct evidence of binding of PE and PC to sCD14. In contrast, binding of triolein, cholesterol, or cholesteryl oleate to sCD14 was not detectable under the same conditions (data not shown). It should be noted that binding was measured after a 20-h incubation designed to eliminate the need for lipid transfer proteins such as LPS binding protein.

sCD14 mediates lipid efflux from cells

We next studied the effect of sCD14 on lipid efflux from [3H]fatty acid-labeled, PMA-differentiated THP-1 cells. As described in Materials and Methods, the radioactivity in these cells is distributed across the several phospholipid classes. Labeled cells were incubated with or without sCD14, then [3H]-labeled lipids released in the medium were extracted and counted. The results for the cells labeled with both [3H]palmitate and [3H]oleate showed that ~200 dpm/µg cell protein of phospholipid was spontaneously released into the medium in 30 min (Fig. 2Goa). This corresponds to ~0.11% of total cellular lipids. Addition of sCD14 to the medium dramatically increased efflux in a dose-dependent fashion to ~0.62% of total lipids (Fig. 2Goa). The effect of sCD14 at physiological concentrations (5 µg/ml) was statistically very significant (p < 0.01). The efflux of lipid labeled with either [3H]palmitate and [3H]oleate appeared to reach completion in 30–60 min (Fig. 2Go, b and c). To confirm the ability of sCD14 to promote lipid efflux, these studies were repeated using U373-CD14 cells (data not shown). A comparable amount of efflux and a comparable dose dependence for sCD14 were observed.



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FIGURE 2. Lipid efflux of [3H]fatty acid-labeled THP-1 cells by sCD14. a, [3H]Palmitate ({square})- or [3H]oleate ({triangleup})-labeled differentiated THP-1 cells were incubated with the indicated concentration of sCD14 in RPMI 1640 for 30 min. Each point represents the mean of three measurements ± SD. b and c, [3H]Palmitate (b)- or [3H]oleate (c)-labeled THP-1 cells were incubated with (•) or without ({circ}) 10 µg/ml sCD14 in RPMI 1640. Each point represents the mean of three measurements ± SD. The increase in efflux in the presence of sCD14 was considered sCD14-dependent efflux ({blacksquare}).

 
Lipid species exported from cells are bound to sCD14

The amount of cellular lipid released by sCD14 was calculated based on counts released and a specific radioactivity number derived from the measurement of lipid phosphorus (data not shown). These measurements indicated that, under our conditions, sCD14 in the medium was present in a >2-fold stoichiometric excess over lipid released in the medium, suggesting that the sCD14 could serve as the binding site for released lipid. To confirm that the released lipid was bound to sCD14, released lipids from [3H]palmitate-labeled THP-1 and U373-CD14 cells were subjected to immunoprecipitation with anti-CD14. Cells were labeled and incubated with sCD14 as described in Materials and Methods. Under these conditions, sCD14-dependent efflux from THP-1 and U373-CD14 cells into the medium was 305,992 ± 7,149 dpm/ml and 315,742 ± 13,463 dpm/ml, respectively. sCD14 and radioactive lipids were precipitated by this procedure, and the specificity of the precipitation was demonstrated by the finding that significant radioactivity could not be precipitated if either sCD14 was omitted from the medium or HSA was added into the medium instead of sCD14 (data not shown). Approximately 10% of the total radioactivity specifically exported by sCD14 into the medium was precipitated with anti-CD14. We attribute this relatively low proportion of radiolabeled lipid to losses during immunoprecipitation. Lipid could be lost through incomplete precipitation of the sCD14 and from disassociation of phospholipids from sCD14 during washing of the agarose.

HPLC analysis of the labeled lipids in cell extracts of THP-1 and U373-CD14 showed the expected constituents of lipids with a dominant constituent of PC (Fig. 3Go, a and c). Lipids precipitated with anti-CD14 were extracted in parallel and subjected to HPLC to determine the lipid species present (Fig. 3Go, b and d). These experiments showed that PC was also the dominant lipid species bound by sCD14. This finding is consistent with the binding of PC to sCD14 shown in Fig. 1Go. In addition to PC, small amounts of other lipid species also precipitated with sCD14. These roughly mirror the bulk lipid composition of the source cells. One exception is the presence of free palmitate in the materials immunoprecipitated by anti-CD14 but not in the source THP-1 cells. This might arise from hydrolysis during immunoprecipitation and could contribute to the relatively low efficiency of precipitation of lipid.

Efflux of PC to sCD14

To confirm the ability of sCD14 to promote export of PC, we labeled the phospholipids by incubating cells with [3H]choline chloride. At the same time, we compared the efficiency of phospholipid efflux by sCD14 with that of a well-characterized acceptor of phospholipids, apo A-I, and with a control protein, HSA. Labeled THP-1 cells were washed and incubated with or without sCD14, apo A-I ,or HSA for 30 min. Labeled lipids exported into the medium were extracted and counted. As with cells labeled with palmitate or oleate, sCD14 could facilitate efflux of [3H]choline-labeled lipids in a dose-dependent manner (Fig. 4Go), thus confirming the ability of sCD14 to promote efflux of PC. In contrast, the control protein HSA had very little effect on [3H]choline-labeled lipid efflux even at the high concentration of 50 µg/ml. The amount of [3H]choline-labeled lipid efflux to sCD14 and to apo A-I was comparable at 15 µg/ml, while efflux to apo A-I clearly exceeded that to sCD14 when the proteins were used at 50 µg/ml. The ability of sCD14 to mediate lipid efflux on a scale comparable with apo A-I suggests an important role of CD14 in cellular phospholipid efflux.



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FIGURE 4. [3H]Choline-labeled lipid efflux from THP-1 cells by sCD14. THP-1 cells labeled with [3H]choline chloride were incubated with or without sCD14 ({blacksquare}), apo A-I (), or HSA ({square}) for 30 min. Lipids exported into the medium were extracted and counted. Each point represents the mean of three measurements ± SD. Asterisks indicate that the difference between values with and without protein is statistically significant (*, p < 0.05; **, p < 0.005).

 
Role of mCD14 in lipid efflux from cells to sCD14

We have previously demonstrated that LPS can very rapidly exchange between CD14 molecules (12) and that mCD14 may accelerate LPS uptake from sCD14 (4, 13). Because PMA-differentiated THP-1 cells express mCD14 (14), we asked whether mCD14 played a critical role in lipid efflux to sCD14. To do so, we used clones from two types of cell lines, U373 and CHO. We used control U373-neo and CHO-neo clones that do not express mCD14 and the mCD14-expressing clones U373-CD14 and CHO-CD14. The lipid efflux measured from cells labeled with [3H]palmitate, [3H]oleate, or [3H]choline chloride is shown in Fig. 5Go. With U373 cells, sCD14-dependent lipid efflux was higher on mCD14 expressing cells than on control cells (Fig. 5Go, a–c). This was most evident in studies using [3H]choline-labeled cells (Fig. 5Goc). These data suggest that mCD14 may contribute to phospholipid efflux. However, in CHO cells, significant lipid efflux was observed in CHO-neo cells, and expression of mCD14 appeared to reduce the efflux of lipids mediated by sCD14 (Fig. 5Go, d–f). These data suggest that the role of mCD14 in lipid efflux may depend critically on the cell type.



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FIGURE 5. Role of mCD14 for lipid efflux by sCD14. U373-neo or U373-CD14 (a–c) or CHO-neo or CHO-CD14 (d–f) labeled with [3H]palmitate (a and d), [3H]oleate (b and e), or [3H]choline (c and f) were incubated with ({blacksquare}) or without ({square}) 10 µg/ml of sCD14 for 30 min. Asterisks indicate that the difference between with and without sCD14 is statistically significant (*, p < 0.05; **, p < 0.01).

 
Contribution of LPS binding site on sCD14 for phospholipid efflux

Amino acid residues from 57 to 64 of sCD14 have been shown to be part of an LPS binding site (15). To ask whether the LPS binding site is necessary for phospholipid efflux to sCD14, we employed the mutant sCD14{Delta}57–64, which bears a deletion of the critical residues. Significantly less efflux of phospholipid to sCD14{Delta}57–64 was observed using [3H]choline, [3H]palmitate, or [3H]oleate labeling, although efflux was not completely blocked (Fig. 6Go). These data suggest at least a partial contribution of the LPS binding site to PC efflux.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Previous work has shown that sCD14 binds a wide range of amphipathic lipids. These include LPS, lipoteichoic acid, lipoarabinomannan, and lipidated bacterial proteins such as OSP-A, PI, PS, and Rhodamine-PE (1, 3, 7, 11, 16, 17, 18). Here we confirm the binding of sCD14 to PI and PS and extend these findings to show that sCD14 directly binds the most prevalent membrane phospholipid, PC. Three lines of evidence document this: 1) radiolabeled PC comigrated with sCD14 in native PAGE (Fig. 1Go); 2) anti-CD14 precipitated both CD14 and PC from the supernatants of cells with radiolabeled phospholipids (Fig. 3Go); and 3) sCD14 caused efflux of choline-labeled phospholipids from cells (Fig. 4Go). These studies suggest a role for sCD14 in transport of the dominant lipid component of cell membranes and lipoproteins, PC.

Additional studies indicated that PC in the membranes of cells may pass readily to a binding site on sCD14 in the medium. The amount of lipid that passes out of cells in this way rises linearly with the concentration of sCD14 in the medium (Fig. 1Goa), suggesting that sCD14 availability, not cellular processes, are limiting for this event. Moreover, the efflux is rapid, reaching equilibrium by 30 min (Fig. 1Go, b and c). These data suggest that CD14 may provide a conduit for lipids out of cells and into the plasma. A role of sCD14 in transport of common lipids is further suggested by its abundance. With a plasma concentration of ~3 µg/ml, sCD14 is in great molar excess (~1000-fold) over the plasma concentrations of LPS even during acute sepsis (1).

Previous work from Wang and Munford has documented a role for CD14 in the transport of PI from extracellular depots into cells (8). Therefore, it is clear that CD14 can mediate bidirectional flux of phospholipids, both into and out of cell membranes. We may therefore ask which of these processes, influx or efflux, predominates in vivo. Several observations suggest that efflux may be the most traveled route. Plasma contains lipoproteins, such as HDL, which transport phospholipids and may serve as acceptors of cellular phospholipids. Previous work from our group has demonstrated that sCD14 readily donates both LPS and phospholipids to HDL particles (5, 7). sCD14 may thus shuttle phospholipids from peripheral cells to HDL particles for eventual transport to the liver. This route of lipid transport to the liver is suggested by a large body of work on cholesterol, which is known to follow this precise path: cells cannot degrade cholesterol, and all excess cholesterol synthesized is removed from peripheral cells and brought to the liver by a process known as "reverse cholesterol transport." Additional data also argue for net movement of phospholipids to HDL. Plasma contains several enzymes, including hepatic lipase, soluble phospholipase A2, and lecithin-cholesterol acyl transferase, which act to destroy PC in HDL. Therefore, net movement of PC to HDL is needed to account for the destruction of PC by these enzymes.

Our studies suggest two routes for transfer of PC from cells to sCD14, one that is direct and one that involves mCD14. In U373 cells, efflux of lipid to sCD14 is strongly enhanced by expression of mCD14 (Fig. 5Go). The ability of mCD14 to enhance efflux of phospholipids to sCD14 appears analogous to the ability of mCD14 to enhance influx of LPS from sCD14 to cells that has been previously documented (4, 13). In both cases, we postulate that the lipids bind to mCD14 en route to or from sCD14. Previous work from our laboratory indicates that LPS exchanges between CD14 molecules very rapidly and without the requirement for a lipid transfer protein (12). Therefore, we would expect that the rate-limiting step in efflux from U373 cells is transport of phospholipids from the plasma membrane to mCD14. Previous work has suggested the existence of a lipid transporter with such an activity. Vasselon et al. have shown that monocytes express a protease-sensitive activity necessary for mCD14-dependent influx of LPS (13). It thus appears likely that U373 cells use a mCD14-dependent pathway of lipid efflux because they possess a transporter that rapidly transfers phospholipids to mCD14 in preference to sCD14.

In contrast with the findings on U373 cells, we observed that phospholipid efflux was not enhanced by mCD14 expression on CHO cells. We conclude that phospholipids may exit CHO cells directly to sCD14, without mCD14 as an intermediate. In keeping with the argument above, we may speculate that CHO cells do not express a lipid transfer protein specific for transport to and from mCD14. Rather, they may have a transporter that can directly transfer phospholipids to and from sCD14.

PC effluxed from cells to sCD14 is likely to be in equilibrium with the PC in HDL particles. The role of sCD14 in transport of lipids to HDL is the topic of ongoing studies.


    Acknowledgments
 
We thank Dr. Rolf Thieringer for providing purified sCD14 and U373 cells, Dr. Douglas T. Golenbock for CHO cells, and Drs. Thierry Vasselon and Patricia Detmers for critical reading of the manuscript.


    Footnotes
 
1 This work was supported by The Banyu Fellowships in Lipid Metabolism and Atherosclerosis, which are sponsored by Banyu Pharmaceutical Co. Ltd. and The Merck Company Foundation (to T.S.). Back

2 Current address: Department of Microbiology and Immunology, and Division of Bacterial Toxin, Research Center for Infectious Disease, Aichi Medical University, Nagakute, Aichi 480-1195, Japan. Back

3 Address correspondence and reprint requests to Dr. Samuel D. Wright, Merck Research Laboratories, 126 East Lincoln Avenue, R80W-250, Rahway, NJ 07065. Back

4 Abbreviations used in this paper: mCD14, membrane-bound CD14; sCD14, soluble CD14; HDL, high density lipoprotein; PI, phosphatidylinositol; PE, phosphatidylethanolamine; PS, phosphatidylserine; PC, phosphatidylcholine; apo A-I, apolipoprotein A-I; HSA, human serum albumin; native PAGE, nondenaturing PAGE; PD-EDTA, Dulbecco’s PBS lacking Ca2+ and Mg2+ but containing 0.01% NaN3 and 1 mM EDTA; CHO, Chinese hamster ovary. Back

Received for publication July 20, 2000. Accepted for publication October 16, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Wright, S. D.. 1999. Innate recognition of microbial lipids. J. I. Gallin, and R. Snyderman, eds. Inflammation: Basic Principles and Clinical Correlates 3rd Ed.525. Raven Press, New York.
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