
Acylation of lysophosphatidylcholine plays a key role
in the response of monocytes to lipopolysaccharide
Bernhard Schmid
1,2
, Michael J. Finnen
3
, John L. Harwood
1
and Simon K. Jackson
2
1
School of Biosciences, Cardiff University, UK;
2
University of Wales College of Medicine, Cardiff, UK; and
3
Yamanouchi Research Institute, Oxford, UK
Mononuclear phagocytes play a pivotal role in the pro-
gression of septic shock by producing tumor necrosis factor-
a(TNF-a) and other inflammatory mediators in response to
lipopolysaccharide (LPS) from Gram-negative bacteria. Our
previous studies have shown monocyte and macrophage
activation correlate with changes in membrane phospholipid
composition, mediated by acyltransferases. Interferon-c
(IFN-c), which activates and primes these cells for enhanced
inflammatory responses to LPS, was found to selectively
activate lysophosphatidylcholine acyltransferase (LPCAT)
(P< 0.05) but not lysophosphatidic acid acyltransferase
(LPAAT) activity. When used to prime the human mono-
cytic cell line MonoMac 6, the production of TNF-aand
interleukin-6 (IL-6) was approximately five times greater in
cells primed with IFN-cthan unprimed cells. Two LPCAT
inhibitors SK&F 98625 (diethyl 7-(3,4,5-triphenyl-2-oxo2,3-
dihydro-imidazole-1-yl)heptane phosphonate) and YM
50201 (3-hydroxyethyl 5,3¢-thiophenyl pyridine) strongly
inhibited (up to 90%) TNF-aand IL-6 production in
response to LPS in both unprimed MonoMac-6 cells and
in cells primed with IFN-c. In similar experiments, these
inhibitors also substantially decreased the response of both
primed and unprimed peripheral blood mononuclear cells
to LPS. Sequence-based amplification methods showed that
SK&F 98625 inhibited TNF-aproduction by decreasing
TNF-amRNA levels in MonoMac-6 cells. Taken together,
the data from these studies suggest that LPCAT is a key
enzyme in both the pathways of activation (priming) and the
inflammatory response to LPS in monocytes.
Keywords: lysophosphatidylcholine acyltransferase; lyso-
phosphosphatidate acyltransferase; inflammatory response;
lipopolysaccharide.
Endotoxin, the lipopolysaccharide (LPS) component of the
cell walls of Gram-negative bacteria, is an important
microbial molecular pattern that initiates inflammatory
and coagulation reactions as part of the host innate immune
response to infection. However, excessive inflammatory
responses to LPS can lead to septic shock.
Many of the deleterious effects of LPS are mediated by
inflammatory cytokines including tumor necrosis factor
(TNF)-a, interleukin (IL)-1 and IL-6 produced by mono-
nuclear phagocytes (e.g. monocytes and macrophages) [1].
TNF-ahas been shown to be a key mediator in experimen-
tal LPS-induced septic shock as neutralizing antibodies to
TNF-aprevent mortality [2,3] and TNF-areceptor knock-
out mice are less sensitive to the biological effects of LPS
[4]. Understanding and modulating the production of
LPS-induced mediators such as TNF-ahas been the focus
of much research aimed at developing specific therapies for
septic shock.
Studies in our laboratories have been concerned with
elucidating mechanisms of responsiveness to low (nonlethal)
doses of LPS which, we believe, underscore the excessive
inflammatory responses leading to septic shock [5,6]. An
important regulator of LPS-induced biological activity is
interferon (IFN)-c[7,8] and the neutralization of IFN-c
or the deletion of its receptors have been shown to be
protective for the lethal outcomes of several forms of
endotoxic shock [9,10]. An important contribution of IFN-c
to the development of LPS-induced shock is by priming
monocytes/macrophages for increased inflammatory
responsiveness to LPS [11]. The molecular basis for such
priming reactions remain obscure.
In previous studies investigating the priming of mono-
cytes by IFN-c, we showed that this cytokine significantly
modified the phospholipid composition of such cells and
increased the unsaturated fatty acyl groups esterified at the
sn-2 position of phosphatidylcholine (PtdCho) [5,6]. More-
over, we found that IFN-cup-regulated monocyte lysoPC
acyltransferase (LPCAT), a key enzyme in the regulation of
PtdCho fatty acyl composition [6,12]. These results suggest
that LPCAT may regulate the priming of monocytes by
IFN-cand allow increased inflammatory cytokine produc-
tion when these cells are stimulated by LPS. In studies of
T-lymphocyte activation, Szamel and colleagues [13,14]
have demonstrated that activation of the T-cell antigen
Correspondence to S. K. Jackson, Department of Medical Microbio-
logy, University of Wales College of Medicine, Cardiff CF14 4XN,
UK. Fax: + 44 29 20742161, Tel.: + 44 29 20744725,
E-mail: jacksonsk@cardiff.ac.uk
Abbreviations: BSA, bovine serum albumin; DAG, diacylglycerol;
IFN-c, interferon-c; IL-6, interleukin-6; LPS, lipopolysaccharide;
LPAAT, lysophosphatidate acyltransferase; LPCAT, lysophospha-
tidylcholine acyltransferase; NASBATM, nucleic acid sequence based
amplification; PtdOH, phosphatidic acid; PKC, protein kinase C;
PtdCho, phosphatidylcholine; TNF-a, tumor necrosis factor-a.
(Received 11 September 2002, revised 17 March 2003,
accepted 02 May 2003)
Eur. J. Biochem. 270, 2782–2788 (2003) FEBS 2003 doi:10.1046/j.1432-1033.2003.03649.x