Arterial unesterified cholesterol, phospholipid particles have been is
olated from atherosclerotic lesions and characterized. However, the ro
le of these 'liposomes' in macrophage foam cell formation is unclear.
Recently, LDL, after trypsin and cholesteryl esterase treatment (T/CE
LDL), was shown to have physical properties similar to the unesterifie
d cholesterol, phospholipid particles isolated from atherosclerotic le
sions. Yet, when mouse peritoneal macrophages were incubated with thes
e model particles in culture medium (DMEM and 5% LPDS), only an insign
ificant accumulation of cellular cholesteryl esters was observed. Prev
iously, we demonstrated that complex formation between unesterified ch
olesterol, phosphatidylcholine liposomes and cupric sulfate-oxidized L
DL dramatically enhances the ability of the liposomes to augment cellu
lar cholesterol accretion (Greenspan P, Yu H, Mao F, Gutman RL. J Lipi
d Res 1997;38:101-109). When T/CE LDL, another cholesterol-rich phosph
olipid particle, was substituted for unesterified cholesterol phosphat
idylcholine liposomes in our complex, mouse peritoneal macrophages acc
umulated a significant amount of both cellular unesterifed cholesterol
(61 mu g/mg cell protein) and cholesteryl esters (76 mu g/mg cell pro
tein) after 48 h of incubation. These results demonstrate again that t
he interaction of two cholesterol-bearing particles (T/CE LDL and oxid
ized LDL), which individually can not promote significant cholesterol
accumulation in cells, will, when combined, produce macrophage foam ce
lls. (C) 1998 Elsevier Science Ireland Ltd. All rights reserved.