Toll-like receptor agonists promote prolonged triglyceride storage in macrophages

Macrophages in infected tissues may sense microbial molecules that significantly alter their metabolism. In a seeming paradox, these critical host defense cells often respond by increasing glucose catabolism while simultaneously storing fatty acids (FA) as triglycerides (TAG) in lipid droplets. We used a load-chase strategy to study the mechanisms that promote long term retention of TAG in murine and human macrophages. Toll-like receptor (TLR)1/2, TLR3, and TLR4 agonists all induced the cells to retain TAG for ≥3 days. Prolonged TAG retention was accompanied by the following: (a) enhanced FA uptake and FA incorporation into TAG, with long lasting increases in acyl-CoA synthetase long 1 (ACSL1) and diacylglycerol acyltransferase-2 (DGAT2), and (b) decreases in lipolysis and FA β-oxidation that paralleled a prolonged drop in adipose triglyceride lipase (ATGL). TLR agonist-induced TAG storage is a multifaceted process that persists long after most early pro-inflammatory responses have subsided and may contribute to the formation of "lipid-laden" macrophages in infected tissues.

SUMMARY Macrophages in infected tissues may sense microbial molecules that significantly alter their metabolism. In a seeming paradox, these critical host defense cells often respond by increasing glucose catabolism while simultaneously storing fatty acids (FA) as triglycerides (TAG) in lipid droplets. We used a load-chase strategy to study the mechanisms that promote long-term retention of TAG in murine and human macrophages.
Toll-like receptor (TLR)1/2, TLR3, and TLR4 agonists all induced the cells to retain TAG for > 3 days. Prolonged TAG retention was accompanied by (a) enhanced FA uptake and FA incorporation into TAG, with long-lasting increases in acyl CoA synthetase long-1 (ACSL1) and diacylglycerol acyltransferase-2 (DGAT2), and (b) decreases in lipolysis and FA beta oxidation that paralleled a prolonged drop in adipose triglyceride lipase (ATGL). TLR agonist-induced TAG storage is a multi-faceted process that persists long after most early pro-inflammatory responses have subsided and may contribute to the formation of "lipid-laden" macrophages in infected tissues.__________________________________ Lipid droplets (LD ** , also called lipid bodies) are cytosolic collections of neutral lipids (triglycerides and cholesteryl esters) that may be both storage depots and foci for the production of eicosanoids and other important mediator molecules (1). They may also give macrophages the "foamy" appearance that is often noted within granulomas, xanthogranulomatous lesions, and atherosclerotic vessels.
Although triglycerides (TAG) may comprise a substantial fraction of the lipids in LD (2), the mechanisms that promote long-term TAG storage within macrophages have received little study.
Glucose is the major food of resting macrophages (3,4). It provides precursors for the synthesis of glycerolipids, amino acids, and Cultures were carried in a humidified incubator at 37⁰C in an atmosphere of 5% CO 2 .
Elutriated human monocytes were obtained from normal volunteers by the NIH Clinical Center Blood Bank Elutriation Service with Institutional Review Board approval and subject consent. Prior to initiating experiments, the cells were cultured at 1 million cells/well in 24-well plastic plates (CoStar) for 5 days in DMEM containing 2 mM L-glutamine, 100 U/ml penicillin, 100 µg/ml streptomycin, 5.5 mM Dglucose, 44 mM NaHCO 3 and 2.5% human AB serum (generously provided by Dr. Lawrence Wahl, NIDCM, NIH).
Fatty acids were suspended in ethanol (50 mM), heated for >30 min at 50⁰C, diluted 1:50 into PBS that contained 2.5 mM essentially fatty acid-free human serum albumin (HSA, Sigma), and then diluted into warm cDMEM.
[ 3 H]palmitate or [9, H]oleate were dried under argon and added (1-1.5 µCi/ml) to cDMEM that contained nonradioactive palmitate (50 µM) and oleate (100 µM). After overnight incubation, cells were washed twice with 0.8 ml PBS before adding fresh cDMEM that contained ½ the initial FA concentrations plus agonists as indicated. Cells and media were harvested up to 96 hrs later for analysis. Lipids were isolated from twice-washed cells into isopropanol (400 µl, combined with 100 µl wash), dried under argon, resuspended in chloroform that contained carrier triolein, oleate, and diacylglycerol, and separated on Whatman silica gel G plates using hexane/ethyl acetate/ acetic acid (80/15/1) or hexane/diethyl ether/acetic acid (80/20/1) as solvent. Silica corresponding to TAG, DAG and the origin was scraped from the plate, suspended in 0.5 ml 2% SDS-5 mM EDTA in 3 ml Bio-Safe II scintillation fluid (Research Products International Corp.) and radioactivity was quantitated using a Beckman LS 6500 scintillation counter with quench and spillover correction. In some experiments, [1-14 C] palmitate was used and TLC band intensity was quantitated using a Typhoon 9410 phosphorimager (Amersham Biosciences). Radiolabeled TAG retention was calculated by multiplying the total 3 H or 14 C dpm in the lipid extract by the percentage of the 3 H or 14 C dpm that was recovered in TAG (dpm in TAG); more than 70% of the radioactivity in the lipid extract was recoverable from the scraped silica gel. Methanolic alkaline hydrolysis of labeled TAG and TLC analysis of the products confirmed that the isotopes remained in fatty acids.
To measure glucose uptake and utilization, FA-loaded cells were stimulated with LPS (2.5 ng/ml) overnight, washed, and re-incubated in glucose-free DMEM for 10 min before adding U-14 C-glucose (in 200 µM non-radioactive Dglucose) and continuing incubation for 3 hrs. Neutral lipids were isolated using TLC and the 14 C dpm in TAG and DAG were summed.
To measure lipolysis, cells that had been loaded overnight with FA and 3 H-oleate were washed 3x then treated for 24 hrs with LPS (or PBS vehicle). After washing 3x again, the 3 H dpm in TAG was measured in each group to determine baseline TAG retention. The remaining cells were chased for an additional 22-24 hrs in FA-free cDMEM that either contained, or did not contain, triacsin C (3.3 or 10 µM) to inhibit long-chain acylCoA synthetases (9)(10)(11). The percentage of the 3 H-TAG load that was lost during Tc treatment was then compared for cells that were, or were not, exposed to LPS before and during the chase. Imaging-Cells attached to coverslips were fixed in paraformaldehyde (2.5 -4.0% in PBS), washed, and stained with Nile Red (Invitrogen) and 4',6diamidino-2-phenylindole (DAPI, Sigma). Cells were visualized with an OLYMPUS BX61 motorized confocal microscope using a UPlan-FLN 40x objective equipped with a RETIGA-SRV Deep-Cooled, High Sensitivity Digital CCD Camera (QImaging Company). Images of lipiddroplets stained with Nile Red and DAPI were acquired using a sequential excitation of 457 and 528 nm, respectively. Each confocal Z-stack image consisted of 15 optical slices taken at 0.4 nm intervals with a dimension of 224.5 x 167.7 x 6.0µm (x,y,z) and a total magnification of 400x. Exposure settings remained exactly the same between treatments in the same experiment (10 ms DAPI, 1,000-1,200 ms FITC were used for all samples). All images were acquired with Slidebook 5.0 software (3I Company) and extracted at a resolution of 1392 x 1040. Lipid Droplet Quantification-Assessment of the average number of LDs per cell was carried out on confocal Z-stack images using Imaris (Bitplane) 7.4.2 software. Background subtraction was performed prior to detection using the "spot-object" command, manipulating the detection threshold when necessary to quantify only spots associated with lipid droplets that had > 500 nm diameter within cells. The average number of LDs per cell was determined by dividing the total number of LDs in the field by the number of nuclei detected by the volume-rendering command in the software. A minimum of 4 fields was analyzed for each condition with an overall average of 200-300 cells analyzed per treatment.

Microarray analysis-
Control and FA-loaded macrophages (2 x 10 6 ) were treated with LPS (10 ng/ml) or vehicle for 24 hrs prior to extraction of the RNA. Quality control was performed using the Agilent Bioanalyser. Amplification and labeling of the RNA samples were performed using the Illumina TotalPrep RNA Amplification (Applied Biosystems) with an input of 500 nanograms of total RNA per sample. Biotinylated cRNA was hybridized to Illumina MouseWT-6 v2.0 Expression BeadChip (NCBI GEO Accession GPL6887) having 45,281 unique probes, then scanned using the Illumina HiScan. Statistical Analysis-Raw data were exported from Illumina Genome Studio software without background subtraction or normalization. Signal levels for each array were normalized using quantile normalization after transforming to log base 2. Using a simple mixed-effect ANOVA model (treatment as fixed effect, independent experiment as random effect), log ratios were calculated comparing each treatment to the unstimulated control. The false discovery rate (FDR) method was used to adjusted p-values for multiple testing (multiple microarray probes to test the same biological contrast). Normalization and mixed-effects ANOVA were computed using JMP/Genomics software version 5.1 (SAS Institute).
Raw tabular data and normalized expression profiles have been deposited in NCBI GEO database (accession GSE42190).
Differences between groups were estimated using Student's T test unless indicated otherwise. Quantitative PCR-Q-PCR was performed using Fast SYBR Green PCR Master Mix in an ABI PRISM Fast 7500 sequence detection system (Applied Biosystems). Briefly, total RNA was isolated using RNeasyPlus Mini Kit with genomic DNA elimination (Qiagen) and reverse-transcribed into cDNA using iScript cDNA Synthesis Kit (Bio-rad). PCR reactions were amplified for 40 cycles (30s at 95°C, then 60s at 60°C). Cyclophilin was used as the internal control and data were analyzed by the relative quantification (ΔΔC t ) method. Primer sequences are available from the authors on request. In some experiments, Taqman primers and probes and Taqman master mix were from ABI. β-actin was used as the internal control. Western Blotting-Cells were lysed directly with RIPA buffer supplemented with 1 mM PMSF, complete-Mini Protease Inhibitor cocktail (Roche) and phosphatase inhibitor cocktail 2 (Sigma). Antibodies: anti-β-actin (sc-1615) and anti-ACSL1 (sc-98925) from Santa Cruz Biotechnology; anti-ATGL (2138S) from Cell Signaling Technology; and anti-DGAT2 from Pierce (PAS-21722). For two-color quantitative Western analysis, the membranes were incubated with infrared conjugated secondary antibodies and scanned in an Odyssey SA scanner (LICOR Biosciences). Band intensities were quantified using Odyssey software. Super Signal Western Blot Enhancer (Pierce) was used.

Microbial agonists promote prolonged TAG retention in macrophages.
To identify mechanisms that promote long-term TAG retention when macrophages that contain LD are exposed to microbes, we used a load-chase approach (Fig. 1A): after elicited macrophages had adhered to plastic culture wells for 4 -6 hours, they were washed and incubated overnight with cDMEM plus 50 µM palmitate, 100 µM oleate, and 1-2 µCi/ml radiolabeled palmitate or oleate (LOAD). Approximately 50% of the label was taken up by the cells overnight; 50% to 70% of the cell-associated label was then recovered in TAG whereas less than 5% was found in cholesteryl esters. The cells were washed and re-incubated in fresh medium (CHASE) that contained ½ the original concentration of non-radioactive FA and either a microbial agonist or media control. The cells were harvested up to 96 hrs later and the amount of label that remained in TAG was measured. In many experiments, LD abundance and intensity were also quantitated by Nile Red staining and image analysis or TAG mass was measured using an enzymatic assay.
The retention of radiolabeled TAG is influenced by the factors that govern the synthesis and catabolism of TAG. As more molecules of unlabeled TAG are synthesized and incorporated into LD during the chase period, the radiolabeled TAG undergoes dilution and its rate of lipolysis decreases pari passu. When FA are released from TAG, one potential fate is thioesterification and re-incorporation into TAG. Although measuring 3 H-TAG does not indicate the relative contributions of FA uptake, thioesterification, TAG synthesis, lipolysis, and recycling, it was useful for determining whether or not each of these steps plays a part in promoting TAG storage.
We first noted that FA-loaded macrophages retained LD much longer if they were exposed to LPS. LPS exposure increased both the percentage of the cells that retained LD and the number of droplets retained per cell (Fig. 1B-D). There was significant positive correlation between the average number of LD/cell and the retention of radiolabeled oleate in TAG after 48-72 hours of chase (n = 9, r 2 = 0.72, p = 0.004) (Fig. 1E). In 3 other experiments, we found a strong correlation between the amount of 3 H-TAG and TAG mass (r 2 = 0.90, p = 0.001, n = 48).
Following an overnight FA load, the fraction of the labeled FA that remained in TAG decreased with a half-life of approximately 20 hrs ( Fig. 2A). LPS exposure after the load increased TAG retention for at least 4 days, with an overall increase in the 3 H-TAG half-life of approximately 50%. By 96 hrs of chase, LPS-exposed cells had >3-fold more 3 H-TAG than did cells that were incubated without LPS (Fig. 2B). The response to LPS was dose-dependent (Fig. 2C), with significant increases in TAG retention observed after exposure to as little as 0.3 ng LPS/ml. PAM 3 CysK 4 (TLR1/2 agonist) and poly-I:C (TLR3 agonist) also increased TAG retention, whereas interferon-γ did not and IL-4 allowed TAG loss (Fig. 2D). LPS did not stimulate TAG retention in TLR4-deficient macrophages (Fig.  2E), whereas PAM was stimulatory toward both wildtype and TLR4-deficient cells (Fig. 2D, E) but not in MyD88 -/cells (Fig. 2F), endorsing the importance of the MyD88-dependent pathway in inducing TAG retention. LPS stimulated TAG retention in MyD88 -/macrophages, as did poly-I:C, confirming a role for the MyD88-independent (TRIF) pathway as well (14) (Fig. 2F).
Increased FA uptake and incorporation into TAG.
TAG retention increased when nonradioactive oleate was added to the medium during the chase (Fig. 3A), suggesting that FA were taken up from the medium and incorporated into TAG, increasing the TAG pool and slowing the loss of radiolabeled TAG. To confirm agonistinduced FA uptake, we loaded macrophages with nonradioactive oleate and palmitate overnight, Since glucose is the major glycerol precursor but does not contribute substantially to de novo fatty acid synthesis (15), we also measured the incorporation of 14 C from [ 14 C]glucose into glycerolipids in the presence and absence of LPS. When we incubated washed cells for 10 min in glucose-free medium, then added [ 14 C]glucose for 3 hrs, recovery of 14 C in TAG and DAG was 1.8-fold higher in FA-loaded cells that had been exposed overnight to 2.5 ng/ml LPS than in cells only loaded with FA (Fig. 3D). Twenty hours after it was added to cells, LPS thus stimulated FA uptake, FA incorporation into TAG and the utilization of glucose for glycerolipid synthesis.
LPS-stimulation of FA uptake and incorporation into TAG continued for at least 72 hrs (Fig. 3E); although at this time point 14 Cpalmitate was principally utilized for phospholipid synthesis, a substantial fraction of both palmitate and oleate was incorporated into TAG and the LPS present throughout the chase was still stimulatory.
FA utilization requires thioesterification of the FA to CoA, a reaction performed largely by acyl CoA synthetases (ACSLs). We loaded cells with FA overnight and incubated them with or without LPS for 20 hrs.
LPSinduced ACSL expression (see below) or activation thus plays a role in promoting both FA uptake (possibly by vectorial acylation (17)) and FA esterification to glycerol.
Decreased lipolysis and FA oxidation. Lipolytic activity, assayed by measuring the release of 3 H-oleate from 3 H-triolein by cell lysates, decreased by ~50% in cells that were exposed to LPS, PAM, or poly-I:C for 24 -48 hrs (Fig. 4A). FA released from TAG by lipolysis may undergo thioesterification and be (a) transported into mitochondria by carnitine palmitoyltransferase 1 (CPT1) and undergo betaoxidation, releasing CO 2 and H 2 O, (b) reincorporated into triglyceride (the triglyceridefatty acid cycle) (4,(18)(19)(20), or (c) incorporated into other lipids (11). Nonesterified FA may also leave the cell. To measure the impact of LPS stimulation on lipolysis, we loaded cells overnight with 3 Holeate and then treated them with LPS (10 ng/ml) or not (control) for 22-24 hrs. The 3 H-TAG present in LPS-treated and control cells was then measured to determine baseline TAG retention. We then washed and re-incubated the remaining cells in FA-free medium with or without triacsin C to block thioesterification. 3

H-TAG was measured 22-24 hrs later in cells that
were and were not exposed to Tc. Cells that were exposed to LPS prior to and during Tc treatment lost 10% +/-2% (S.D.) less 3 H-TAG than did control (no LPS) cells (5 determinations in 4 independent experiments, each with n = 3 or 4/group; includes determinations using 3.3 µM or 10 µM Tc, which gave similar results). Since blocking thioesterification allows lipolysis while preventing FA incorporation into TAG (11), this result is additional evidence that LPS stimulation decreases lipolysis.
To measure FA catabolism, we loaded cells with nonradioactive FA and trace amounts of [ 3 H]oleate and/or [ 3 H]palmitate. After incubation for 18 hrs in medium with or without LPS, the cells were washed and re-incubated in medium that contained etomoxir to inhibit CPT1. We found that LPS exposure significantly reduced the total amount of 3 H 2 O released into the media (Fig.  4B), and that the "etomoxir-inhibitable 3 H 2 O release" was significantly reduced by LPS exposure (Fig. 4B, C). This result is consistent with both the observed decrement in lipolytic rate and an LPS-induced decrease in CPT1a mRNA abundance (see below). Etomoxir-treated cells also retained significantly more TAG (Fig. 4D) and lipid droplets/cell (Fig. 4E) than did untreated cells, whether or not they had been exposed to LPS. FA released from TAG may undergo thioesterification and become re-incorporated into TAG; this process may increase when the entry of acyl-CoA into mitochondria is blocked by etomoxir.
The results presented in Figs. 3 and 4 suggest that LPS promotes prolonged TAG retention during the chase period by stimulating FA uptake, thioesterification, and incorporation into TAG; by increasing glucose utilization to produce glycerides; by reducing TAG lipolysis; and possibly by maintaining or enhancing TAG-FA recycling.
Changes in mRNA abundance. To help identify the molecules that promote TAG retention, we performed microarray analysis (Table 1). Relatively few differences were found between unstimulated (Unstim) and FA-loaded ("FA only") cells, and the LPS-stimulated changes in mRNA abundance were very similar in cells that had been loaded with FA ("FA + LPS") and in cells stimulated without FA loading ("LPS") ( Table 1). The differences of greatest relevance to agonist-induced TAG retention were those between (FA) and (FA + LPS) cells; we used Q-PCR to confirm many of these changes at 6, 24, 48, and/or 72 hours after exposure to LPS, PAM, or poly-I:C (Table 1, Fig. 5A-C and Fig 6).
FA uptake, FA thioesterification, and TAG synthesis. Cells that had been exposed to LPS for 24 hrs after FA loading had 10-to 15-fold higher levels of long-chain acyl CoA synthetase 1 (ACSL1) mRNA than did cells that were only loaded with FA (Fig. 5A, Table 1). PAM and poly-I:C also increased ACSL1 mRNA abundance for 24 to 72 hrs by >4-fold (Fig. 5A). When quantitated using Western blotting, ACSL1 protein abundance increased approximately 3-fold in LPSor PAM-stimulated cells and 2-fold in cells treated with poly-I:C (Fig. 5D). Elevated levels of diacylglycerol acyltransferase 2 (DGAT2) were also maintained for 72 hrs in cells exposed to each of the TLR agonists (Fig. 5B, E).
Lipolysis. Cells exposed to each of the agonists had significantly lower levels of mRNAs for adipose triglyceride lipase (ATGL, Pnpla2)( Fig. 5C; Table 1). Decreased ATGL abundance after a 72 hr chase was confirmed using Western blotting (Fig. 5F). There was also a significant drop in Mgll (monoacylglycerol lipase) mRNA abundance but not in Lipe (hormonesensitive lipase) (Fig. 6A, B).
We also looked for time-dependent, agonist induced changes in mRNA abundance for other genes related to FA and TAG metabolism. LPS stimulated a significant decrease in mRNA abundance for CD36 (Fig. 6C), a gene previously associated with LPS-induced FA uptake by a macrophage cell line (6). There were 4-to 10-fold higher levels of fatty acid binding protein 3 (FABP3) mRNA (Table 1). Perilipin-2 (adipophilin or Plin2, lipid droplet protein) mRNA decreased (Fig. 6D).
Carnitine palmitoyltransferase-1a (Cpt1a) mRNA was lower at 24-72 hrs (Fig. 6E), whereas mRNA for Hif-1α, an important metabolic regulator, was increased as long as 72 hrs after LPS or PAM exposure (Fig.  6F). Changes in mRNA abundance for other genes are shown in Table 1.
The analysis of mRNA and protein abundance was consistent with the biochemical findings. Increases in ACSL1 may increase thioesterification, FA uptake, FA incorporation into TAG, and TAG-FA recycling. DGAT2 carries out the final step in TAG synthesis. Decreases in ATGL and Mgll are consistent with the observed reduction in lipolytic rate. Both decreased lipolysis and reduced CPT1 abundance may contribute to the lower rate of beta oxidation. All of these changes persisted for >72 hrs.
Prolonged TAG retention in human monocyte-macrophages.
We also studied elutriated human monocytes after they had differentiated into macrophages in vitro. In general, the findings were similar to those described above. Although LPS-stimulated human macrophages did not show a significant increase in the percentage of cells that had LD, a two-fold increase in LD per cell was observed after 48 hrs of LPS exposure (Fig. 7A). LPS exposure increased TAG retention (Fig. 7B, C) in human macrophages, as did PAM (Fig. 7D). Poly-I:C did not stimulate TAG retention by human monocyte-macrophages yet it reproducibly augmented the ability of PAM to do so (Fig. 7D), confirming cooperation between the MyD88 and TRIF pathways in these cells. TLR4 activation increased FA uptake and FA incorporation into TAG (Fig. 7E, F). LPS also stimulated significant increases in ACSL1 and DGAT2 mRNA abundance (not shown). The degree to which LPS and PAM stimulate TAG retention was lower in human monocytemacrophages than in murine macrophages, however, there was no change in ATGL mRNA abundance (not shown), and TAG retention was increased for a shorter time.

DISCUSSION
We used thioglycollate-elicited peritoneal macrophages (TEPM) for these experiments because they are recently recruited (21) cells that can live for several days in culture. In addition, many of the foundational studies on macrophage metabolism were performed using TEPM (3,15,22,23), which undergo minimal cell division (24) and are thus suitable for studying the behavior of differentiated macrophages over several days ex vivo.
To our knowledge, these are the first experiments to show that TLR agonist-induced TAG storage can persist for several days. In summary, we found that TAG retention in TEPM was (1) enhanced by sensing TLR agonists via either the MyD88-dependent or the MyD88independent (TRIF) signaling pathway, (2) greatly enhanced when FA were present in the medium, (3) promoted by agonist-induced changes in FA uptake, glucose-derived glyceride synthesis, TAG synthesis, lipolysis, and possibly FA recycling, (4) accompanied by changes in the abundance of proteins that carry out TAG synthesis or lipolysis, and (6) long-lasting (at least 72-96 hrs).
Much of the previous evidence that TLR agonists increase FA accumulation by macrophages was found using immortalized cell lines (RAW 264.7, J774) (5,6,25,26), and the results we obtained using TEPM differed from these findings in several ways. In agreement with others (6,24), for example, we did not detect a significant increase in mRNA abundance in TEPM for CD36, the FA transporter that increases dramatically in LPS-stimulated murine macrophage cell lines. The impressive increase in GPAT3 (agpat-9) noted by Feingold et al. in RAW264.7 cells (6) was not observed here. These workers also found LPS-induced inhibition of TAG lipolysis in RAW264.7 cells without noticing a decrement in ATGL mRNA expression (6), whereas we found agonist-induced decreases in ATGL mRNA and protein expression that lasted at least 72 hrs. TLR agonists induced aP2 (FABP4) expression in RAW 264.7 cells (26) but not in the primary macrophages studied here. Another study found TLR agonist-induced increases in mRNA and protein levels of adipophilin (Plin2) and Mal1 (fatty acid binding protein, FABP5) in both RAW 264.7 and J774 murine macrophages (25). We did not find these changes in TEPM when we studied them 20 hrs or more after initiating LPS exposure (Table 1). Finally, we found that poly-I:C induced significant increases in DGAT2 mRNA and protein in TEPM; this was not seen in RAW 264.7 cells (6). The extent to which these discrepancies reflect the differences between dividing (transformed) and non-dividing cells is uncertain; we focused here on longer-term changes whereas the studies of cell lines addressed acute (< 24 hr) events; and the LPS concentrations used to stimulate the cell lines were also often much higher (>100 ng/ml) than those we used (2.5 -5.0 ng/ml). Substantial differences between RAW 264.7 cells and TEPM in other aspects of LPS-stimulated lipid metabolism were recently reported (24).
Several different mechanisms combined to prolong TAG retention. First, agonist-exposed macrophages maintained increased FA uptake and FA incorporation into TAG for at least 72 hrs. A role for ACSL1 in these phenomena was suggested by prior evidence that ACSL1 is both the major ACSL1 isoform in macrophages and the ACSL isoform most closely linked to TAG synthesis (27). In addition, basal levels of 16:0-CoA and 18:1-CoA were reduced in Acsl1 -/macrophages (14), and ACSL1-deficient macrophages incorporated significantly less 14 C-18:1 into TAG when compared with wildtype controls (28). Here we found that (1) LPS, PAM and poly-I:C all stimulated significant elevations in ACSL1 mRNA and protein (Fig. 5A, D) and (2) triacsin C inhibited LPS-induced increases in FA uptake and FA incorporation into DAG and TAG (Fig. 3, F-G) (29). These findings suggest a prominent role for ACSL1 in TAG retention. High levels of ACSL1 protein have been found in foamy macrophages within caseous granulomas, the hallmark lesion elicited by M. tuberculosis (2); the most potent mycobacterial molecule for promoting lipid accumulation is trehalose dimycolate, which stimulates macrophages via TLR2 (2,30 ). Poly-I:C induced large increases in ACSL1 mRNA, confirming an important role for the TRIF pathway in ACSL1 regulation (14), yet its ability to prolong TAG retention was weaker than that of LPS or PAM (Fig. 2D).
In addition, cells exposed to LPS, PAM , or poly-I:C had significant, sustained increases in DGAT2 mRNA and protein abundance (Fig. 5B, E) that accompanied significant increases in FA incorporation into TAG, and blocking mitochondrial uptake of acyl-CoA increased LD number/cell and TAG retention, suggesting increased FA recycling. Finally, all of the agonists induced significant reductions in lipolytic activity (6) (Fig. 4A) and in ATGL, the lipase that cleaves the initial FA from TAG (Fig. 5C, F), and. LPS decreased lipolysis in cells during the chase period.
In contrast to the acute inflammatory response program seen in LPS-stimulated macrophages (14,31,32), TAG retention is thus a prolonged response to TLR sensing. TAG retention was relative, however; TLR-activated cells stored FA in TAG significantly longer than did unstimulated cells, but FA were gradually lost from TAG whether or not the cells were exposed to TLR agonists ( Fig. 2A). Adding FA to the medium greatly enhanced the impact of TLR4 activation on TAG retention (Fig. 3A); when FA are continuously present in the cells' environment, as occurs in vivo, the impact of TLR agonists on TAG storage may be apparent much longer than the 72-96 hr time period studied here.
TLR1/2 and TLR4 agonists stimulate lipid body formation in the presence and absence of lipoprotein supplementation (33). The ability of TLR agonists to prolong TAG retention, in addition to augmenting the uptake of oxidized LDL (and promoting desmosterol synthesis (34)), suggests that both phenomena may contribute to the formation of macrophage foam cells in vivo.   Open box = no LPS, closed box = LPS (5 ng/ml). n = 4, p < 0.0001, 2-way ANOVA. B. LPS stimulates FA uptake and incorporation into TAG. FA-loaded macrophages were incubated with or without LPS (5 ng/ml) for 18 hrs prior to adding nonradioactive palmitate (20 µM) and 1 µCi/ml 3 H-palmitate. 3 H dpm were measured in the lipid extract at each time point. n = 4. C. In the same experiments, LPS significantly increased the incorporation of 3 H-palmitate into TAG. Symbols (as in A) show means + 1 SD. Similar results were obtained when 3 H-oleate was used instead of 3 H-palmitate (not shown). D. LPS stimulated incorporation of 14 C from 14 C-glucose into DAG and TAG. Bars show mean and the upper value from 2 experiments; n = 3-4 in each experiment, p <0.001 for each comparison of control and LPS-exposed cells. E. After LPS exposure for 72 hrs, 14 C-palmitate and 3 H-oleate were still taken up and incorporated into TAG. Radiolabeled FA were added to washed cells in cDMEM containing 20 uM non-radioactive oleate and palmitate (4 nmoles each/well). Cells were harvested for analysis 5 hrs later. F-G. After FA-loaded cells had been exposed to LPS or vehicle for 18 hrs, triacsin C (Tc, 7.5 µM), 14 Cpalmitate (1 µCi/ml) and 20 µM unlabeled palmitate were added for 4 hrs. Tc prevented LPS-induced increases in fatty acid uptake (F) and palmitate incorporation into TAG (G). n = 4/group; similar results were obtained for palmitate incorporation into DAG and in two additional experiments. Mean + 1 SD.

FIGURE 4.
Agonist exposure decreases lipolysis and etomoxir-inhibitable beta oxidation. A. TLR agonists decrease lipolytic activity in cell lysates. Macrophages were incubated for 48 hrs with or without LPS (5 ng/ml), PAM (1 µg/ml) or poly-I:C (15 µg/ml), lysed, and assayed to measure their ability to release [ 3 H]oleate from [ 3 H]triolein. Bars show mean + 1 SE from 3 independent experiments, each with n=3. Each agonist decreased lysate lipolytic activity relative to unstimulated control cells (p < 0.001 for all comparisons with control). B. LPS exposure decreases FA beta-oxidation. Cells were loaded overnight with FA containing trace amounts of [ 3 H]oleate and [ 3 H]palmitate. They were then exposed to LPS (5 ng/ml) or media control for 18 hrs before they were washed, etomoxir (0.2 mM) was added to block mitochondrial FA uptake, and incubation was continued for 18 -24 hrs. FA-loaded, LPS-exposed