Abstract—
Atherosclerosis initiation is associated with a pro-inflammatory state of the endothelium. Quercetin is a flavonoid abundantly present in plant-based foods, with a possible impact on cardiovascular health. In this study, the effects of quercetin on lipopolysaccharide (LPS)-mediated endothelial inflammation and monocyte adhesion and migration, which are initial steps of the atherogenic process, are studied. Novel in vitro multicellular models simulating the intestinal-endothelial-monocytes/macrophages axis allowed to combine relevant intestinal flavonoid absorption, metabolism and efflux, and the consequent bioactivity towards peripheral endothelial cells. In this triple coculture, quercetin exposure decreased monocyte adhesion to and macrophage migration through an LPS-stressed endothelium, and this was associated with significantly lower levels of soluble vascular cell adhesion molecule-1 (sVCAM-1). Furthermore, quercetin decreased the pro-inflammatory cell environment upon LPS-induced endothelial activation, in terms of tumor necrosis factor- α (TNF-α), interleukin-6 (IL-6), interleukin-8 (IL-8), and sVCAM-1 expression. These findings highlight a mode-of-action by which quercetin may positively impact the initial states of atherosclerosis under more physiologically relevant conditions in terms of quercetin concentrations, metabolites, and intercellular crosstalk.
Similar content being viewed by others
Availability of Data and Material
After request, first author can provide data.
Code Availability
Not applicable.
References
Endemann, D.H., and E.L. Schiffrin. 2004. Endothelial dysfunction. Journal of the American Society of Nephrology 15 (8): 1983–1992. https://doi.org/10.1097/01.ASN.0000132474.50966.DA.
Page, A.V., and W.C. Liles. 2013. Biomarkers of endothelial activation/dysfunction in infectious diseases. Virulence 4 (6): 507–516. https://doi.org/10.4161/viru.24530.
Kershaw, K.N., A.D. Lane-Cordova, M.R. Carnethon, H.A. Tindle, and K. Liu. 2017. Chronic stress and endothelial dysfunction: The multi-ethnic study of atherosclerosis (MESA). American journal of hypertension 30 (1): 75–80. https://doi.org/10.1093/ajh/hpw103.
WHO. 2019. World Health Organization cardiovascular disease risk charts: Revised models to estimate risk in 21 global regions. The Lancet Global Health 7 (10): e1332–e1345. https://doi.org/10.1016/S2214-109X(19)30318-3.
Gimbrone, M.A., Jr., and G. Garcia-Cardena. 2016. Endothelial cell dysfunction and the pathobiology of atherosclerosis. Circulation research 118 (4): 620–636. https://doi.org/10.1161/CIRCRESAHA.115.306301.
Bowman, J.D., S. Surani, and M.A. Horseman. 2017. Endotoxin toll-like receptor-4 and atherosclerotic heart disease. Current cardiology reviews 13 (2): 86–93. https://doi.org/10.2174/1573403X12666160901145313.
Rienks, J., J. Barbaresko, and U. Nothlings. 2017. Association of polyphenol biomarkers with cardiovascular disease and mortality risk: A systematic review and meta-analysis of observational studies. Nutrients 9 (4): 415. https://doi.org/10.3390/nu9040415.
Wang, X., Y.Y. Ouyang, J. Liu, and G. Zhao. 2014. Flavonoid intake and risk of CVD: A systematic review and meta-analysis of prospective cohort studies. British Journal of Nutrition 111 (1): 1–11. https://doi.org/10.1017/S000711451300278X.
Tang, Z., M. Li, X. Zhang, and W. Hou. 2016. Dietary flavonoid intake and the risk of stroke: A dose-response meta-analysis of prospective cohort studies. British Medical Journal Open 6 (6): e008680. https://doi.org/10.1136/bmjopen-2015-008680.
Grosso, G., A. Micek, J. Godos, A. Pajak, et al. 2017. Dietary flavonoid and Lignan intake and mortality in prospective cohort studies: Systematic review and dose-response meta-analysis. American journal of epidemiology 185 (12): 1304–1316. https://doi.org/10.1093/aje/kww207.
Kim, Y., and Y. Je. 2017. Flavonoid intake and mortality from cardiovascular disease and all causes: A meta-analysis of prospective cohort studies. Clinical nutrition ESPEN 20: 68–77. https://doi.org/10.1016/j.clnesp.2017.03.004.
Milenkovic, D., C. Morand, A. Cassidy, A. Konic-Ristic, et al. 2017. Interindividual variability in biomarkers of cardiometabolic health after consumption of major plant-food bioactive compounds and the determinants involved. Advances in Nutrition 8 (4): 558–570. https://doi.org/10.3945/an.116.013623.
Manach, C., D. Milenkovic, T. Van de Wiele, A. Rodriguez-Mateos, et al. 2017. Addressing the inter-individual variation in response to consumption of plant food bioactives: Towards a better understanding of their role in healthy aging and cardiometabolic risk reduction. Molecular nutrition & food research 61 (6): 1600557. https://doi.org/10.1002/mnfr.201600557.
Formica, J.V., and W. Regelson. 1995. Review of the biology of quercetin and related bioflavonoids. Food and chemical toxicology 33 (12): 1061–1080.
Erlund, I. 2004. Review of the flavonoids quercetin hesperetin naringenin Dietary sources bioactivities and epidemiology. Nutrition research 24 (10): 851–874. https://doi.org/10.1016/j.nutres.2004.07.005.
Russo, M., C. Spagnuolo, I. Tedesco, S. Bilotto, and G.L. Russo. 2012. The flavonoid quercetin in disease prevention and therapy: Facts and fancies. Biochemical pharmacology 83 (1): 6–15.
Serban, M.C., A. Sahebkar, A. Zanchetti, D.P. Mikhailidis, et al. 2016. Effects of quercetin on blood pressure: A systematic review and meta-analysis of randomized controlled trials. Journal of the American Heart Association 5 (7): e002713. https://doi.org/10.1161/JAHA.115.002713.
Ou, Q., Z. Zheng, Y. Zhao, and W. Lin. 2020. Impact of quercetin on systemic levels of inflammation: A meta-analysis of randomised controlled human trials. International journal of food sciences and nutrition 71 (2): 152–163. https://doi.org/10.1080/09637486.2019.1627515.
Kroon, P.A., M.N. Clifford, A. Crozier, A.J. Day, et al. 2004. How should we assess the effects of exposure to dietary polyphenols in vitro? The American journal of clinical nutrition 80 (1): 15–21.
Scalbert, A., and G. Williamson. 2000. Dietary intake and bioavailability of polyphenols. The Journal of nutrition 130 (8): 2073s–2085s.
Balentine, D.A., J.T. Dwyer, J.W. Erdman Jr., M.G. Ferruzzi, et al. 2015. Recommendations on reporting requirements for flavonoids in research. The American journal of clinical nutrition 101 (6): 1113–1125. https://doi.org/10.3945/ajcn.113.071274.
Avila-Galvez, M.A., A. Gonzalez-Sarrias, and J.C. Espin. 2018. In vitro research on dietary polyphenols and health: A call of caution and a guide on how to proceed. Journal of Agricultural and Food Chemistry 66 (30): 7857–7858. https://doi.org/10.1021/acs.jafc.8b03377.
Williamson, G., C.D. Kay, and A. Crozier. 2018. The bioavailability, transport, and bioactivity of dietary flavonoids: A review from a historical perspective. Comprehensive Reviews in Food Science and Food Safety 17 (5): 1054–1112. https://doi.org/10.1111/1541-4337.12351.
Needs, P.W., and P.A. Kroon. 2006. Convenient syntheses of metabolically important quercetin glucuronides and sulfates. Tetrahedron 62 (29): 6862–6868. https://doi.org/10.1016/j.tet.2006.04.102.
Tribolo, S., F. Lodi, C. Connor, S. Suri, et al. 2008. Comparative effects of quercetin and its predominant human metabolites on adhesion molecule expression in activated human vascular endothelial cells. Atherosclerosis 197 (1): 50–56. https://doi.org/10.1016/j.atherosclerosis.2007.07.040.
Le Ferrec, E., C. Chesne, P. Artusson, D. Brayden, et al. 2001. In vitro models of the intestinal barrier: The report and recommendations of ECVAM Workshop 46. Alternatives to Laboratory Animals 29 (6): 649–668. https://doi.org/10.1177/026119290102900604.
Gonzales, G.B., J. Van Camp, H. Vissenaekens, K. Raes, et al. 2015. Review on the use of cell cultures to study metabolism, transport, and accumulation of flavonoids: From mono-cultures to co-culture systems. Comprehensive reviews in food science and food safety 14 (6): 741–754. https://doi.org/10.1111/1541-4337.12158.
Toaldo, I.M., J. Van Camp, G.B. Gonzales, S. Kamiloglu, et al. 2016. Resveratrol improves TNF-alpha-induced endothelial dysfunction in a coculture model of a Caco-2 with an endothelial cell line. The Journal of nutritional biochemistry 36: 21–30.
Wu, T., C. Grootaert, J. Pitart, N.K. Vidovic, et al. 2018. Aronia (Aronia melanocarpa) polyphenols modulate the microbial community in a simulator of the human intestinal microbial ecosystem (SHIME) and decrease secretion of proinflammatory markers in a Caco-2/endothelial cell coculture model. Molecular nutrition & food research 62 (22): 1800607. https://doi.org/10.1002/mnfr.201800607.
Kamiloglu, S., C. Grootaert, E. Capanoglu, C. Ozkan, et al. 2017. Anti-inflammatory potential of black carrot (Daucus carota L.) polyphenols in a co-culture model of intestinal Caco-2 and endothelial EA.hy926 cells. Molecular Nutrition & Food Research 61 (2): 1600455. https://doi.org/10.1002/mnfr.201600455.
Kuntz, S., H. Asseburg, S. Dold, A. Rompp, et al. 2015. Inhibition of low-grade inflammation by anthocyanins from grape extract in an in vitro epithelial-endothelial co-culture model. Food & function 6 (4): 1136–1149. https://doi.org/10.1039/c4fo00755g.
Bian, Y., Y. Dong, J. Sun, M. Sun, et al. 2020. Protective effect of kaempferol on LPS-induced inflammation and barrier dysfunction in a coculture model of intestinal epithelial cells and intestinal microvascular endothelial cells. Journal of agricultural and food chemistry 68 (1): 160–167. https://doi.org/10.1021/acs.jafc.9b06294.
Chavez-Sanchez, L., J.E. Espinosa-Luna, K. Chavez-Rueda, M.V. Legorreta-Haquet, et al. 2014. Innate immune system cells in atherosclerosis. Archives of medical research 45 (1): 1–14. https://doi.org/10.1016/j.arcmed.2013.11.007.
Mestas, J., and K. Ley. 2008. Monocyte-endothelial cell interactions in the development of atherosclerosis. Trends in cardiovascular medicine 18 (6): 228–232. https://doi.org/10.1016/j.tcm.2008.11.004.
Gustot, A., V. Raussens, M. Dehousse, M. Dumoulin, et al. 2013. Activation of innate immunity by lysozyme fibrils is critically dependent on cross-beta sheet structure. Cellular and Molecular Life Sciences 70 (16): 2999–3012. https://doi.org/10.1007/s00018-012-1245-5.
Vissenaekens, H., G. Smagghe, H. Criel, C. Grootaert, et al. 2021. Intracellular quercetin accumulation and its impact on mitochondrial dysfunction in intestinal Caco-2 cells. Food Research International 145: 110430. https://doi.org/10.1016/j.foodres.2021.110430.
Guo, S., R. Al-Sadi, H.M. Said, and T.Y. Ma. 2013. Lipopolysaccharide causes an increase in intestinal tight junction permeability in vitro and in vivo by inducing enterocyte membrane expression and localization of TLR-4 and CD14. The American journal of pathology 182 (2): 375–387. https://doi.org/10.1016/j.ajpath.2012.10.014.
Ferraris, R.P., S. Yasharpour, K.C. Lloyd, R. Mirzayan, and J.M. Diamond. 1990. Luminal glucose concentrations in the gut under normal conditions. American Journal of Physiology-Gastrointestinal and Liver Physiology 259 (5): G822-G837. https://doi.org/10.1152/ajpgi.1990.259.5.G822.
Henry, P., F. Thomas, A. Benetos, and L. Guize. 2002. Impaired fasting glucose, blood pressure and cardiovascular disease mortality. Hypertension 40 (4): 458–463. https://doi.org/10.1161/01.hyp.0000032853.95690.26.
McMillin, J.M. Blood glucose. In Clinical methods: the history physical and laboratory examinations 3rd edition, eds. H.K. Walker, W.D. Hall, and J.W. Hurst, editors. Boston: Butterworths.
Ackermann, T., and S. Tardito. 2019. Cell culture medium formulation and its implications in cancer metabolism. Trends in Cancer 5 (6): 329–332. https://doi.org/10.1016/j.trecan.2019.05.004.
Adibi, S.A., and D.W. Mercer. 1973. Protein digestion in human intestine as reflected in luminal, mucosal, and plasma amino-acid concentrations after meals. The Journal of clinical investigation 52 (7): 1586–1594. https://doi.org/10.1172/Jci107335.
Srinivasan, B., A.R. Kolli, M.B. Esch, H.E. Abaci, et al. 2015. TEER measurement techniques for in vitro barrier model systems. Journal of laboratory automation 20 (2): 107–126. https://doi.org/10.1177/2211068214561025.
Velandia-Romero, M.L., M.A. Calderon-Pelaez, A. Balbas-Tepedino, R.A. Marquez-Ortiz, et al. 2020. Extracellular vesicles of U937 macrophage cell line infected with DENV-2 induce activation in endothelial cells EA.hy926. PLoS One 15 (1): e0227030. https://doi.org/10.1371/journal.pone.0227030.
Liu, Y., L. Bao, L. Xuan, B. Song, et al. 2015. Chebulagic acid inhibits the LPS-induced expression of TNF-alpha and IL-1beta in endothelial cells by suppressing MAPK activation. Experimental and therapeutic medicine 10 (1): 263–268. https://doi.org/10.3892/etm.2015.2447.
Kim, T.H., and J.S. Bae. 2010. Ecklonia cava extracts inhibit lipopolysaccharide induced inflammatory responses in human endothelial cells. Food and Chemical Toxicology 48 (6): 1682–1687. https://doi.org/10.1016/j.fct.2010.03.045.
Yuan, H.X., X.E. Feng, E.L. Liu, R. Ge, et al. 2019. 5,2'-dibromo-2,4',5'-trihydroxydiphenylmethanone attenuates LPS-induced inflammation and ROS production in EA.hy926 cells via HMBOX1 induction. Journal of cellular and molecular medicine 23 (1): 453–463. https://doi.org/10.1111/jcmm.13948.
Rosenfeld, M.E. 2000. An overview of the evolution of the atherosclerotic plaque: from fatty streak to plaque rupture and thrombosis. Zeitschrift für Kardiologie 89 (7): VII2-VII6. https://doi.org/10.1007/s003920070045.
Kolaczkowska, E., and P. Kubes. 2013. Neutrophil recruitment and function in health and inflammation. Nature reviews immunology 13 (3): 159–175. https://doi.org/10.1038/nri3399.
Lee, W., S.K. Ku, and J.S. Bae. 2015. Anti-inflammatory effects of Baicalin, Baicalein, and Wogonin in vitro and in vivo. Inflammation 38 (1): 110–125. https://doi.org/10.1007/s10753-014-0013-0.
Lee, W., S.K. Ku, and J.S. Bae. 2014. Vascular barrier protective effects of orientin and isoorientin in LPS-induced inflammation in vitro and in vivo. Vascular Pharmacology 62 (1): 3–14. https://doi.org/10.1016/j.vph.2014.04.006.
Cho, Y.S., C.H. Kim, T.S. Ha, and H.Y. Ahn. 2016. Inhibition of Nf-Kb and Stat3 by quercetin with suppression of adhesion molecule expression in vascular endothelial cells. Farmácia 64 (5): 668–673.
Legein, B., L. Temmerman, E.A. Biessen, and E. Lutgens. 2013. Inflammation and immune system interactions in atherosclerosis. Cellular and Molecular Life Sciences 70 (20): 3847–3869. https://doi.org/10.1007/s00018-013-1289-1.
Gessani, S., U. Testa, B. Varano, P. Di Marzio, et al. 1993. Enhanced production of LPS-induced cytokines during differentiation of human monocytes to macrophages Role of LPS receptors. The Journal of Immunology 151 (7): 3758–3766.
Park, E.K., H.S. Jung, H.I. Yang, M.C. Yoo, et al. 2007. Optimized THP-1 differentiation is required for the detection of responses to weak stimuli. Inflammation research 56 (1): 45–50. https://doi.org/10.1007/s00011-007-6115-5.
Triantafilou, M., and K. Triantafilou. 2005. The dynamics of LPS recognition: Complex orchestration of multiple receptors. Journal of endotoxin research 11 (1): 5–11. https://doi.org/10.1179/096805105225006641.
Wolff, B., A.R. Burns, J. Middleton, and A. Rot. 1998. Endothelial cell “memory” of inflammatory stimulation: Human venular endothelial cells store interleukin 8 in Weibel-Palade bodies. The Journal of experimental medicine 188 (9): 1757–1762. https://doi.org/10.1084/jem.188.9.1757.
Kawai, Y., T. Nishikawa, Y. Shiba, S. Saito, et al. 2008. Macrophage as a target of quercetin glucuronides in human atherosclerotic arteries: Implication in the anti-atherosclerotic mechanism of dietary flavonoids. Journal of Biological chemistry 283 (14): 9424–9434. https://doi.org/10.1074/jbc.M706571200.
Eklou-Lawson, M., F. Bernard, N. Neveux, C. Chaumontet, et al. 2009. Colonic luminal ammonia and portal blood l-glutamine and l-arginine concentrations: A possible link between colon mucosa and liver ureagenesis. Amino Acids 37 (4): 751–760. https://doi.org/10.1007/s00726-008-0218-3.
McKee, T.J., and S.V. Komarova. 2017. Is it time to reinvent basic cell culture medium? American Journal of Physiology-Cell Physiology 312 (5): C624–C626. https://doi.org/10.1152/ajpcell.00336.2016.
Cani, P.D., J. Amar, M.A. Iglesias, M. Poggi, et al. 2007. Metabolic endotoxemia initiates obesity and insulin resistance. Diabetes 56 (7): 1761–1772. https://doi.org/10.2337/db06-1491.
Funding
Hanne Vissenaekens is holder of a doctoral (PhD) grant Strategic Basic Research (SB) of Research Foundation-Flanders (FWO-Vlaanderen; 1S18417N). The authors would like to thank BOF (01B04212) for the funding of the automated TEER equipment (REMS) and flow cytometer.
Author information
Authors and Affiliations
Contributions
Conceptualization: Hanne Vissenaekens, Charlotte Grootaert, Katleen Raes, Guy Smagghe, John Van Camp. Data curation: Hanne Vissenaekens. Formal analysis: Hanne Vissenaekens. Funding acquisition: Hanne Vissenaekens, Charlotte Grootaert, Katleen Raes, Guy Smagghe, John Van Camp. Investigation: Hanne Vissenaekens, Julie De Munck. Methodology: Hanne Vissenaekens, Charlotte Grootaert, Nico Boon. Project administration: Charlotte Grootaert, Katleen Raes, Guy Smagghe, John Van Camp. Resources: Nico Boon, Katleen Raes, Guy Smagghe, John Van Camp. Software: Hanne Vissenaekens. Supervision: Katleen Raes, Guy Smagghe, John Van Camp. Validation: Hanne Vissenaekens, Charlotte Grootaert. Visualization: Hanne Vissenaekens, Charlotte Grootaert. Writing-original draft: Hanne Vissenaekens. Writing-review and editing: Charlotte Grootaert, Katleen Raes, Julie De Munck, Guy Smagghe, Nico Boon, John Van Camp.
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Vissenaekens, H., Grootaert, C., Raes, K. et al. Quercetin Mitigates Endothelial Activation in a Novel Intestinal-Endothelial-Monocyte/Macrophage Coculture Setup. Inflammation 45, 1600–1611 (2022). https://doi.org/10.1007/s10753-022-01645-w
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10753-022-01645-w