The feasibility of using human cells isolated from peritoneal dialysis
effluent as a model for studying lipoprotein and cholesterol metaboli
sm was investigated. Human peritoneal cells degraded low density lipop
roteins (LDL) and acetylated LDL (acetyl-LDL) by saturable, high affin
ity receptor-mediated processes. Positive correlations of the percenta
ge of macrophage cells with degradation rates of LDL (r=0.742; p<0.05)
and acetyl-LDL (r-0.931; p<0.01) indicated that macrophage cells sign
ificantly contributed to lipoprotein degradation. LDL receptor-mediate
d degradation was calcium dependent, and sensitive to pronase and chlo
roquine treatments. The receptor exhibited specificity for lipoprotein
s containing apolipoprotein B (apoB) or apolipoprotein E (apoE). Expos
ure of cells to LDL for 24 hrs significantly down-regulated LDL recept
or-mediated degradation. Acetyl-LDL receptor-mediated degradation was
calcium independent, inhibited by chloroquine, and was sensitive to pr
onase and fucoidin treatments. The scavenger receptor exhibited specif
icity for only acetyl-LDL. These results demonstrate that human perito
neal cells can provide a source of human tissue macrophages suitable f
or studies of cholesterol and lipoprotein metabolism and offer the opp
ortunity for comparison of metabolic characteristics of in vivo matura
ted macrophages with available macrophage-like cell lines.