IL-6 concentrations are positively correlated with the level of obesity and associated proinflammatory state that promotes the development of insulin resistance. The metabolic stimuli that regulate IL-6 production has not been fully revealed. Since metabolic concentrations of plasma LPS and palmitate (free fatty acid) are increased in obesity and are considered as potent inducers of IL-6. Therefore, we have examined whether interaction of palmitate with LPS trigger the production of IL-6 in human monocytic cells. THP-1 and primary human monocytic cells incubated with palmitate and LPS together produced more biological active IL-6 compared to monocytes incubated with palmitate or LPS alone. Synergistic IL-6 induction was blocked either by silencing the expression of TLR4 or MyD88. However, IRF3 did not have impact on this synergism. Non-metabolizable analog as well as specific metabolic pathway inhibitors of palmitate showed that esterification of palmitate with coenzyme A (CoA) involved, in part, in this synergism. Furthermore, synergistic upregulation of IL-6 was suppressed by histone acetyltransferase inhibitor (anacardic acid). Histone deacetylase (HDAC) inhibitor (sodium butyrate) enhanced IL-6 production.

In conclusion, our results show that an interaction between palmitate and LPS depends on TLR4/MyD88, lipid metabolism and epigenetic signaling pathways, which leads to the elevation of IL-6, providing interesting pathophysiological connections among FFAs, LPS, and IL-6 in settings such as obesity or metabolic inflammation.

Disclosure

R. Ahmad: None. M.S. Koshy: None. S.P. Kochumon: None. R.S. Thomas: None. F. Al-Mulla: None.

Funding

Kuwait Foundation for the Advancement of Science

Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at http://www.diabetesjournals.org/content/license.