The Lian-Dou-Qing-Mai Formula activates the PPARγ-LXRα-ABCA1/ABCG1 pathway by regulating IL-10, leading to the promotion of cholesterol efflux and a reduction in atherosclerotic plaques

Histol Histopathol. 2025 Apr;40(4):585-596. doi: 10.14670/HH-18-803. Epub 2024 Aug 19.

Abstract

Background: To observe the effect of the Lian-Dou-Qing-Mai (LDQM) formula on lipid metabolism in mice and explore its mechanism from the perspective of regulating the PPARγ/LXRα/ABCA1 signaling pathway.

Methods: THP-1 cells were induced to transform into foam cells with ox-LDL. Atherosclerosis (AS) models were constructed using a high-fat diet in ApoE-/- mice. Detection kits were used to evaluate triglyceride (TG) and total cholesterol (TC) content; TNF-α, MCP-1, MMP-9, TMP-1, PPARγ, LXRα, ABCA1, and ABCG1 mRNA and protein expression were identified using real-time PCR and western blot. Aortic plaque development and lipid deposition were seen using hematoxylin and eosin (HE) and oil red O staining, respectively.

Results: In the cell model, LDQM could inhibit the formation of THP-1 macrophage-derived foam cells and the expression of inflammatory factors, promote macrophage cholesterol efflux, increase the expression of IL-10, and activate the PPARγ-LXRα-ABCA1/ABCG1 pathway. Additional IL-10 treatment further promotes LDQM-induced cholesterol efflux in THP-1 cells; In vivo models, LDQM inhibited the area of atherosclerotic lesions, aortic lipid deposition, and inflammation levels in ApoE-/- mice through IL-10, and activated the expression level of the PPARγ-LXRα-ABCA1/ABCG1 pathway.

Conclusion: LDQM may affect the PPARγ/LXRα/ABCA1 signaling pathway through IL-10, regulate lipid metabolism, reduce serum inflammatory expression and lipid deposition, and improve the formation of atheroplaques.

MeSH terms

  • ATP Binding Cassette Transporter 1* / metabolism
  • ATP Binding Cassette Transporter, Subfamily G, Member 1* / metabolism
  • Animals
  • Atherosclerosis* / drug therapy
  • Atherosclerosis* / metabolism
  • Atherosclerosis* / pathology
  • Cholesterol* / metabolism
  • Drugs, Chinese Herbal* / pharmacology
  • Foam Cells / drug effects
  • Foam Cells / metabolism
  • Humans
  • Interleukin-10* / metabolism
  • Lipid Metabolism / drug effects
  • Liver X Receptors* / metabolism
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout, ApoE
  • PPAR gamma* / metabolism
  • Plaque, Atherosclerotic* / drug therapy
  • Plaque, Atherosclerotic* / metabolism
  • Plaque, Atherosclerotic* / pathology
  • Signal Transduction / drug effects
  • THP-1 Cells

Substances

  • ATP Binding Cassette Transporter, Subfamily G, Member 1
  • ATP Binding Cassette Transporter 1
  • PPAR gamma
  • Liver X Receptors
  • Cholesterol
  • ABCG1 protein, mouse
  • Interleukin-10
  • Drugs, Chinese Herbal
  • Abca1 protein, mouse
  • Nr1h3 protein, mouse
  • ABCG1 protein, human
  • ABCA1 protein, human