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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2017.00958</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Dyslipidemic Diet-Induced Monocyte &#x0201C;Priming&#x0201D; and Dysfunction in Non-Human Primates Is Triggered by Elevated Plasma Cholesterol and Accompanied by Altered Histone Acetylation</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Short</surname> <given-names>John D.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/157734"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Tavakoli</surname> <given-names>Sina</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/438719"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Nguyen</surname> <given-names>Huynh Nga</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/465378"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Carrera</surname> <given-names>Ana</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/466551"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Farnen</surname> <given-names>Chelbee</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/463428"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Cox</surname> <given-names>Laura A.</given-names></name>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/465607"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Asmis</surname> <given-names>Reto</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff7"><sup>7</sup></xref>
<xref ref-type="corresp" rid="cor1">&#x0002A;</xref>
<uri xlink:href="http://frontiersin.org/people/u/153751"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Pharmacology, The University of Texas Health Science Center at San Antonio</institution>, <addr-line>San Antonio, TX</addr-line>, <country>United States</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Radiology, The University of Texas Health Science Center at San Antonio</institution>, <addr-line>San Antonio, TX</addr-line>, <country>United States</country></aff>
<aff id="aff3"><sup>3</sup><institution>Department of Biochemistry and Structural Biology, The University of Texas Health Science Center at San Antonio</institution>, <addr-line>San Antonio, TX</addr-line>, <country>United States</country></aff>
<aff id="aff4"><sup>4</sup><institution>Department of Molecular Medicine, The University of Texas Health Science Center at San Antonio</institution>, <addr-line>San Antonio, TX</addr-line>, <country>United States</country></aff>
<aff id="aff5"><sup>5</sup><institution>Department of Genetics, Texas Biomedical Research Institute</institution>, <addr-line>San Antonio, TX</addr-line>, <country>United States</country></aff>
<aff id="aff6"><sup>6</sup><institution>Southwest National Primate Research Center</institution>, <addr-line>San Antonio, TX</addr-line>, <country>United States</country></aff>
<aff id="aff7"><sup>7</sup><institution>Department of Clinical Laboratory Sciences, The University of Texas Health Science Center at San Antonio</institution>, <addr-line>San Antonio, TX</addr-line>, <country>United States</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Lorraine M. Sordillo, Michigan State University, United States</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Mourad Aribi, University of Tlemcen, Algeria; Christopher Alan Jolly, University of Texas at Austin, United States</p></fn>
<corresp content-type="corresp" id="cor1">&#x0002A;Correspondence: Reto Asmis, <email>asmis&#x00040;uthscsa.edu</email></corresp>
<fn fn-type="other" id="fn001"><p>Specialty section: This article was submitted to Nutritional Immunology, a section of the journal Frontiers in Immunology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>22</day>
<month>08</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>8</volume>
<elocation-id>958</elocation-id>
<history>
<date date-type="received">
<day>17</day>
<month>05</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>26</day>
<month>07</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017 Short, Tavakoli, Nguyen, Carrera, Farnen, Cox and Asmis.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Short, Tavakoli, Nguyen, Carrera, Farnen, Cox and Asmis</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Monocytes and the recruitment of monocyte-derived macrophages into sites of inflammation play a key role in atherogenesis and other chronic inflammatory diseases linked to cardiometabolic syndrome and obesity. Previous studies from our group have shown that metabolic stress promotes monocyte priming, i.e., enhanced adhesion and accelerated chemotaxis of monocytes in response to chemokines, both <italic>in vitro</italic> and in dyslipidemic LDLR<sup>&#x02212;/&#x02212;</sup> mice. We also showed that metabolic stress-induced monocyte dysfunction is, at least to a large extent caused by the <italic>S</italic>-glutathionylation, inactivation, and subsequent degradation of mitogen-activated protein kinase phosphatase 1. Here, we analyzed the effects of a Western-style, dyslipidemic diet (DD), which was composed of high levels of saturated fat, cholesterol, and simple sugars, on monocyte (dys)function in non-human primates (NHPs). We found that similar to mice, a DD enhances monocyte chemotaxis in NHP within 4&#x02009;weeks, occurring concordantly with the onset of hypercholesterolemia but prior to changes in triglycerides, blood glucose, monocytosis, or changes in monocyte subset composition. In addition, we identified transitory decreases in the acetylation of histone H3 at the lysine residues 18 and 23 in metabolically primed monocytes, and we found that monocyte priming was correlated with the acetylation of histone H3 at lysine 27 after an 8-week DD regimen. Our data show that metabolic stress promotes monocyte priming and hyper-chemotactic responses in NHP. The histone modifications accompanying monocyte priming in primates suggest a reprogramming of the epigenetic landscape, which may lead to dysregulated responses and functionalities in macrophages derived from primed monocytes that are recruited to sites of inflammation.</p>
</abstract>
<kwd-group>
<kwd>diabetes</kwd>
<kwd>monocytes</kwd>
<kwd>mitogen-activated protein kinase phosphatase 1</kwd>
<kwd>histone</kwd>
<kwd>epigenetics</kwd>
</kwd-group>
<contract-num rid="cn01">HL70963, AT006885, NCI P30 CA054174, C06 RR013556, C06 RR017515</contract-num>
<contract-sponsor id="cn01">National Institutes of Health<named-content content-type="fundref-id">10.13039/100000002</named-content></contract-sponsor>
<counts>
<fig-count count="7"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="52"/>
<page-count count="13"/>
<word-count count="8764"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1" sec-type="introduction">
<title>Introduction</title>
<p>Cardiometabolic syndrome (CMS) is a combination of metabolic disorders or risk factors, including abdominal obesity, hypertension, dyslipidemia [elevated low-density lipoprotein (LDL)-cholesterol, elevated triglycerides and low levels of circulating high-density lipoproteins], and hyperglycemia (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). CMS affects more than one-fifth of US adults over the age of 20 and is becoming a global burden (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). Furthermore, CMS increases the risk of various diseases, including type 2 diabetes (T2D), cardiovascular disease, heart failure, kidney disease, and certain types of cancer (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B3">3</xref>). More recently, systemic inflammation has been associated with obesity, CMS, T2D, and cardiovascular disease (<xref ref-type="bibr" rid="B4">4</xref>). For example, there is a vast infiltration of blood monocyte-derived macrophages (MDMs) into the adipose tissue of obese mice and of obese patients (<xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B6">6</xref>), and MDM recruitment is a rate-limiting event that drives atherosclerosis related to CMS (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>).</p>
<p>Several genetic and dietary mouse models have been used to study CMS, and these models have been classified according to which aspects of CMS they most closely mimic in human pathophysiology, including (i) obesity and insulin resistance, (ii) hypertension or obesity with hypertension, (iii) lipodystrophy, and (iv) hyperlipidemia (<xref ref-type="bibr" rid="B9">9</xref>). For example, the low-density lipoprotein receptor-deficient (LDLR<sup>&#x02212;/&#x02212;</sup>) mouse, which is a model of hyperlipidemia (<xref ref-type="bibr" rid="B9">9</xref>), develops hypercholesterolemia with elevated LDL (<xref ref-type="bibr" rid="B10">10</xref>). In response to a &#x0201C;Western-type diet&#x0201D; with high-fat content (42% of calorie content) and high cholesterol levels (0.15%), these mice develop obesity, severe hyperlipidemia, insulin resistance, and atherosclerosis (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>). Previous studies from our group have shown that a dyslipidemic, atherogenic diet (i.e., high-fat and high cholesterol) or diabetic conditions (high-fat diet&#x02009;&#x0002B;&#x02009;streptozotocin) also enhances monocyte chemotaxis and the recruitment rate of MDMs in LDLR<sup>&#x02212;/&#x02212;</sup> mice in response to chemokines, thereby contributing to the enhanced macrophage content in atherosclerotic lesions (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>). Importantly, the degree of monocyte priming was a strong predictor of the rate of atherogenesis (<xref ref-type="bibr" rid="B13">13</xref>). This metabolic stress-enhanced chemotactic activity of blood monocytes, which we termed &#x0201C;metabolic priming&#x0201D; of monocytes (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B15">15</xref>), and the enhanced recruitment of MDMs to sites of inflammation can also be recapitulated <italic>in vitro</italic> by stressing monocytes with hyperglycemic and hyperlipidemic conditions (<xref ref-type="bibr" rid="B15">15</xref>&#x02013;<xref ref-type="bibr" rid="B18">18</xref>). More recently, we showed that metabolic priming of monocytes, both <italic>in vitro</italic> and <italic>in vivo</italic>, is mediated, at least in part, by the <italic>S</italic>-glutathionylation, inactivation, and degradation of mitogen-activated protein kinase phosphatase 1 (MKP-1) (<xref ref-type="bibr" rid="B17">17</xref>). Importantly, MKP-1 activity is dramatically reduced in blood monocytes of diabetic mice (<xref ref-type="bibr" rid="B17">17</xref>), and hematopoietic MKP-1 deficiency in LDLR<sup>&#x02212;/&#x02212;</sup> mice promotes atherosclerosis (<xref ref-type="bibr" rid="B19">19</xref>). We also showed that loss of MKP-1 activity in response to metabolic priming leads to increased p38 mitogen-activated protein kinase (p38 MAPK) and extracellular signal-regulated kinase (ERK) signaling in MCP-1-stimulated THP-1 monocytes (<xref ref-type="bibr" rid="B17">17</xref>). Lastly, our lab demonstrated that overexpression of glutaredoxin 1 (Grx1), an enzyme that reverses protein <italic>S</italic>-glutathionylation (<xref ref-type="bibr" rid="B7">7</xref>), blocks the effects of metabolic stress on monocyte chemotaxis and protects MKP-1 from inactivation (<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B17">17</xref>). Together, these findings strongly suggest that metabolic stress-induced monocyte priming and dysfunction, which is mediated by MKP-1 <italic>S</italic>-glutathionylation and inactivation, contributes to and accelerates atherogenesis.</p>
<p>The baboon has served as one of the primary primate models for understanding obesity and CMS (<xref ref-type="bibr" rid="B20">20</xref>). Baboons, like humans and many other non-human primates (NHPs), are known to develop metabolic abnormalities, such as obesity and dyslipidemia, as they age (<xref ref-type="bibr" rid="B20">20</xref>). In addition, high-fat diets and diets rich in simple sugars have long been known to cause an increase in atherosclerotic lesions in these animals (<xref ref-type="bibr" rid="B21">21</xref>&#x02013;<xref ref-type="bibr" rid="B23">23</xref>). More recently, baboons fed a diet rich in saturated fats and simple sugars along with a liquid source of simple sugars were shown to have increased adiposity and dyslipidemia after only 8&#x02009;weeks of this dietary regimen (<xref ref-type="bibr" rid="B24">24</xref>). These baboons also displayed elevated adipokine concentrations and increased levels of glycated HbA1c (<xref ref-type="bibr" rid="B24">24</xref>), recapitulating several features of human CMS.</p>
<p>The primary objective of this study was to assess whether blood monocytes are metabolically primed early during the progression of CMS in an NHP model, since the metabolic priming of blood monocytes has thus far only been demonstrated in mouse models of CMS. Furthermore, this study aims to identify novel biomarkers, including possible epigenetic changes, that are associated with metabolic priming of blood monocytes in NHP in response to a dyslipidemic diet (DD).</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S2-1">
<title>Animals and Diets</title>
<p>Thirteen male baboons (<italic>Papio hamadryas</italic> sp.) between the ages of 5 and 7&#x02009;years were studied. All baboons were from the Southwest National Primate Research Center colony and had no prior significant medical history. Standard health assessments were performed on all animals by a veterinarian prior to initiating the study. All animals were group-housed in outdoor enclosures according to established National Research Council guidelines, and all procedures were approved by the Institutional Animal Care and Use Committee of the Texas Biomedical Research Institute (San Antonio, TX, USA). Animals were fed a maintenance diet (MD: 18% protein, 13% fat, and 69% carbohydrates) from LabDiet<sup>&#x000AE;</sup> (Monkey Diet &#x00023;5038) or a dyslipidemia-inducing diet enriched in monosaccharides and saturated fatty acids (DD: 7% lard, 4% Crisco, 4% coconut oil, 0.15% cholesterol wt/wt, and 10.5% high fructose corn syrup wt/wt) for 8&#x02009;weeks (<xref ref-type="bibr" rid="B24">24</xref>).</p>
</sec>
<sec id="S2-2">
<title>Blood Analysis</title>
<p>Fasting plasma concentrations of glucose, total cholesterol, LDL&#x02009;&#x0002B;&#x02009;very low-density lipoprotein (VLDL) cholesterol (LDL&#x02009;&#x0002B;&#x02009;VLDL), high-density lipoproteincholesterol (HDL), and triglycerides were measured using an Unicel DxC 600 Synchron Clinical System (Beckman Coulter). The normal range of total cholesterol was anticipated to be 53&#x02013;146&#x02009;mg/dL, and the normal HDL levels in these animals have been reported previously to be approximately 62&#x02009;mg/dL (<xref ref-type="bibr" rid="B25">25</xref>). LDL&#x02009;&#x0002B;&#x02009;VLDL was calculated by subtracting HDL from total cholesterol levels for each animal. Complete blood counts were determined using an Unicel DxH 800 Coulter<sup>&#x000AE;</sup> Cellular Analysis System (Beckman Coulter).</p>
</sec>
<sec id="S2-3">
<title>Monocyte Purification and Subset Analysis</title>
<p>Whole blood (3.3&#x02009;mL/kg body weight, up to 75&#x02009;mL) was collected immediately prior to initiating the diets (week 0) and at weeks 4 and 8 of the dietary regimens. Blood was immediately diluted at a 1:1 ratio with PBS containing 2% fetal bovine serum (PBS-2% FBS). Diluted blood was then separated in SepMate&#x02122; tubes using Lymphoprep&#x02122; density gradient centrifugation medium (Stemcell Technologies) according to the manufacturer&#x02019;s protocol, and washed twice with PBS-2% FBS. Cells were then lysed twice at room temperature (RT) for 10&#x02009;min each with red blood cell lysis solution (155&#x02009;mM NH<sub>4</sub>Cl, 14&#x02009;mM NaHCO<sub>3</sub>, 0.1&#x02009;mM EDTA, pH&#x02009;&#x0003D;&#x02009;7.3). After centrifugation (400&#x02009;&#x000D7;&#x02009;<italic>g</italic> for 10&#x02009;min), cells were placed in separation buffer (PBS, 0.5% BSA, 2&#x02009;mM EDTA) and magnetically separated using NHP CD14 Microbeads (MACS Miltenyi Biotec) according to the manufacturer&#x02019;s protocol.</p>
<p>After red blood cell lysis of whole blood, purified monocytes or total blood leukocytes were stained with the following antibodies: Brilliant violet 421-conjugated anti-human cluster of differentiation 10 (BioLegend, clone HI10a); phycoerythrin-conjugated anti-human CD11b (eBioscience, clone ICRF44); allophycocyanin-conjugated anti-human CD14 (MACS Miltenyi Biotec, clone T&#x000DC;K4); and AlexaFluor 488-conjugated anti-human CD16 (BioLegend, clone 3G8). Labeled cells were then fixed with PBS containing 2% paraformaldehyde (PBS-2% PFA) and analyzed by flow cytometry using a BD LSR-II instrument, and data were analyzed with FACSDiva (BD Biosciences) and FloJo v.10 software (FloJo, LLC).</p>
</sec>
<sec id="S2-4">
<title><italic>Ex Vivo</italic> Monocyte Chemotaxis</title>
<p>Immediately after purification, baboon blood monocytes were resuspended at a concentration of 7.5&#x02009;&#x000D7;&#x02009;10<sup>5</sup>&#x02009;cells/mL in &#x0201C;complete growth medium&#x0201D; (a 1:1 mixture of Hyclone RPMI 1640 and glucose-free RPMI 1640 from Cellgro) containing 5% human serum (Valley Biomed), 5.5&#x02009;mM glucose, 2&#x02009;mM glutamax (Cellgro), 1&#x02009;mM sodium pyruvate (Cellgro), and 100&#x02009;IU/mL penicillin/streptomycin (Cellgro). Cells were then loaded into the upper wells of a 48-well modified Boyden chamber (NeuroProbe, Inc.) in which the lower wells contained either vehicle or 2&#x02009;nM recombinant mouse C-C motif chemokine ligand 2 (CCL2: R&#x00026;D Systems). A 5&#x02009;&#x000B5;m polyvinyl pyrrolidone-free polycarbonate filter was layered between the chambers, and the unit was incubated for 2.5&#x02009;h in a 37&#x000B0;C incubator with 5% CO<sub>2</sub>. The filter was then washed to remove cells from the upper side, and the lower side was fixed with 100% methanol for 60&#x02009;s and then allowed to air dry. Fixed cells were then stained with propidium iodide (1&#x02009;&#x000B5;M; Sigma) for 30&#x02009;min at RT and then washed with distilled H<sub>2</sub>O for 10&#x02009;min. Cells were then imaged and quantified using a Kodak Image Station 4000MM (excitation: 535&#x02009;nm, emission: 600&#x02009;nm) and Carestream Molecular Imaging software (Nguyen et al., submitted<xref ref-type="fn" rid="fn1"><sup>1</sup></xref>.</p>
<p>To metabolically &#x0201C;prime&#x0201D; purified baboon blood monocytes, cells were resuspended at 0.4&#x02009;&#x000D7;&#x02009;10<sup>6</sup>&#x02009;cells/mL and cultured in Teflon bags under non-adherent conditions in a 37&#x000B0;C incubator with 5% CO<sub>2</sub> (<xref ref-type="bibr" rid="B26">26</xref>). Cells (2&#x02009;mL) were cultured overnight in complete growth media as described above or cultured in complete growth media supplemented with 20&#x02009;mM glucose and 100&#x02009;&#x000B5;g/mL freshly isolated human LDL. After 20&#x02009;h, cells were resuspended at a concentration of 4.0&#x02009;&#x000D7;&#x02009;10<sup>5</sup>&#x02009;cells/mL in complete growth media, and chemotaxis assays were performed as described above. For all experiments, cell viability was assessed by Trypan Blue exclusion (0.2% Trypan Blue in saline, Sigma) using a Cellometer Vision instrument and software (Nexcelom Bioscience).</p>
</sec>
<sec id="S2-5">
<title>MKP-1 Activity Assay</title>
<p>Mitogen-activated protein kinase phosphatase 1 activity assays were performed with a modified commercially available Malachite green (MG)-based protein tyrosine phosphatase assay, as described previously (<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>). Briefly, purified blood monocytes were washed with Tris-buffered saline and lysed in a mild lysis buffer (20&#x02009;mM Tris&#x02013;HCl, 150&#x02009;mM NaCl, 1% NP-40, pH 7.5). Lysates (2&#x02009;&#x000B5;g protein) were incubated with a phosphotyrosine peptide (200&#x02009;&#x000B5;M; EMD Millipore) at 30&#x000B0;C for 10&#x02009;min in the absence or presence of 40-&#x000B5;M sanguinarine chloride (SaCl; R&#x00026;D Systems). The reaction was then stopped and MG blue solution was added for an additional 10&#x02009;min at RT. Absorbance (620&#x02009;nm) was quantified using a VersaMax plate reader (Molecular Devices) with KH<sub>2</sub>PO<sub>4</sub> as a standard to measure both total phosphate release from the peptide and SaCl-dependent phosphate cleavage.</p>
</sec>
<sec id="S2-6">
<title>Western Blotting</title>
<p>Purified blood monocytes were lysed using 0.5% SDS lysis buffer (50&#x02009;mM Tris&#x02013;HCl, 0.5% SDS, pH 8.0) containing 1&#x000D7; Pierce&#x02122; Protease and Phosphatase Inhibitor (ThermoFisher Scientific). Lysate quantification and normalization, as well as Western blotting, was performed as described previously (<xref ref-type="bibr" rid="B27">27</xref>). All primary antibodies except anti-Grx1 (R&#x00026;D Systems) were from Cell Signaling, Inc., and secondary antibodies conjugated to horseradish peroxidase were from Santa Cruz Biotechnology or from Jackson ImmunoResearch Laboratories, Inc.</p>
</sec>
<sec id="S2-7">
<title>Statistical Analyses</title>
<p>All data were analyzed using SigmaPlot 12.0 software (SigmaStat, Inc.). Baboon characteristics, e.g., body weight, blood lipids, and CBC analysis, as well as cellular and biochemical assays were tested by one-way repeated measures ANOVA with Holm&#x02013;Sidak <italic>post hoc</italic> test. The <italic>in vitro</italic> monocyte chemotaxis assay data were analyzed by a Student&#x02019;s <italic>t</italic>-test. All data were tested for normality using a Shapiro&#x02013;Wilk test, and results were considered significant at the <italic>P</italic>&#x02009;&#x0003C;&#x02009;0.05. Linear regression analyses were also performed using SigmaPlot 12.0 software.</p>
</sec>
</sec>
<sec id="S3">
<title>Results</title>
<sec id="S3-1">
<title>Diet-Induced Early-Stage Hypercholesterolemia in Baboons</title>
<p>To determine the early-stage effects of a diet rich in saturated fats, cholesterol, and simple sugars on blood lipids in baboons, male baboons between 5 and 6&#x02009;years of age were fed either an MD or a DD for up to 8&#x02009;weeks. Total plasma cholesterol levels were increased by 31% (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.006) and 41% (<italic>P</italic>&#x02009;&#x0003C;&#x02009;0.001) at 4 and 8&#x02009;weeks, respectively (Figure <xref ref-type="fig" rid="F1">1</xref>A), and this hypercholesterolemia was due to increases in both plasma HDL and LDL&#x02009;&#x0002B;&#x02009;VLDL levels (Figures <xref ref-type="fig" rid="F1">1</xref>B,C). Plasma HDL levels increased 44.6% (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.001) and 52.7% (<italic>P</italic>&#x02009;&#x0003C;&#x02009;0.001) at 4 and 8&#x02009;weeks, respectively (Figure <xref ref-type="fig" rid="F1">1</xref>B), whereas LDL&#x02009;&#x0002B;&#x02009;VLDL levels increased 23.7% (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.131) after 4&#x02009;weeks and 35.8% (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.008) after 8&#x02009;weeks (Figure <xref ref-type="fig" rid="F1">1</xref>C). Plasma triglyceride levels were similar to LDL&#x02009;&#x0002B;&#x02009;VLDL in that they increased throughout the diet feeding period, but differences between the DD and the MD groups only reached statistical significance after 8&#x02009;weeks (53.4%; <italic>P</italic>&#x02009;&#x0003D;&#x02009;0.009) (Figure <xref ref-type="fig" rid="F1">1</xref>D). Furthermore, these changes in blood lipids preceded any changes in baboon weights (Figure <xref ref-type="fig" rid="F1">1</xref>E) and blood glucose levels (Figure <xref ref-type="fig" rid="F1">1</xref>F), which were not significantly different between MD-fed and DD-fed baboons over the course of this 8-week study. These data indicate that, in primates, a diet rich in saturated fats, cholesterol, and simple sugars causes hypercholesterolemia and dyslipidemia within 4&#x02009;weeks.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>High-fat diet feeding causes dyslipidemia in baboons. Serum cholesterol levels <bold>(A)</bold>, high-density lipoprotein cholesterol (HDL) levels <bold>(B)</bold>, low-density lipoprotein (LDL)&#x02009;&#x0002B;&#x02009;very low-density lipoprotein (VLDL) levels <bold>(C)</bold>, serum triglyceride levels <bold>(D)</bold>, body weight <bold>(E)</bold>, and blood glucose levels <bold>(F)</bold> of male baboons fed a maintenance diet (MD&#x02009;&#x0003D;&#x02009;&#x025A1;; <italic>n</italic>&#x02009;&#x0003D;&#x02009;6) or a high-fat dyslipidemic diet (DD&#x02009;&#x0003D;&#x02009;&#x025A0;; <italic>n</italic>&#x02009;&#x0003D;&#x02009;7) for up to 8&#x02009;weeks. All data points represent the mean&#x02009;&#x000B1;&#x02009;SEM. <sup>&#x00023;</sup><italic>P</italic>&#x02009;&#x0003C;&#x02009;0.05 when comparing diets between groups at same time point; <sup>&#x0002B;</sup><italic>P</italic>&#x02009;&#x0003C;&#x02009;0.05 when comparing within the same dietary group to its corresponding pre-diet (0-week) measure.</p></caption>
<graphic xlink:href="fimmu-08-00958-g001.tif"/>
</fig>
</sec>
<sec id="S3-2">
<title>Early-Stage Hypercholesterolemia Is Correlated with Hyper-Responsiveness of Baboon Monocytes to MCP-1</title>
<p>To determine if metabolic stress promotes NHP monocyte hyper-responsiveness to chemokines similarly to that seen in rodents, we first purified primary monocytes from freshly drawn baboon blood and exposed the cells to metabolic stress, i.e., 20&#x02009;mM glucose plus 100&#x02009;&#x000B5;g/mL freshly isolated human LDL (HG&#x02009;&#x0002B;&#x02009;LDL). Our purification strategy resulted in a greater than 90% pure monocyte population (Figure <xref ref-type="supplementary-material" rid="SM2">S1</xref> in Supplementary Material). Treatment of purified baboon monocytes with HG&#x02009;&#x0002B;&#x02009;LDL resulted in an approximately sevenfold increase in MCP-1-mediated chemotaxis when compared with monocytes cultured in physiological glucose levels, i.e., 5&#x02009;mM glucose (Figure <xref ref-type="fig" rid="F2">2</xref>A), indicating that primary NHP blood monocytes, like murine and human blood monocytes, are capable of being metabolically primed. Treatment of these cells with HG&#x02009;&#x0002B;&#x02009;LDL did not affect monocyte viability (Figure <xref ref-type="fig" rid="F2">2</xref>B).</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Dyslipidemic diet (DD)-induced metabolic priming of baboon monocytes is correlated with hypercholesterolemia. <bold>(A)</bold> MCP-1-dependent chemotaxis of purified baboon monocytes that were cultured overnight in complete RPMI culture media with 5&#x02009;mM glucose (C) or media containing an additional 20&#x02009;mM glucose and 100&#x02009;&#x000B5;g/mL low-density lipoprotein (LDL) (HG&#x02009;&#x0002B;&#x02009;LDL). Chemotaxis data (mean&#x02009;&#x000B1;&#x02009;SEM) were normalized to the control group at each time point and is expressed as &#x0201C;Fold Induction.&#x0201D; <bold>(B)</bold> Cell viability of purified baboon monocytes described in panel <bold>A</bold> (mean&#x02009;&#x000B1;&#x02009;SEM). NS, not statistically significant. <bold>(C)</bold> MCP-1-dependent chemotaxis of purified monocytes from baboons that were fed an maintenance diet (MD) (&#x025A1;) or a DD (&#x025A0;) for either 4 or 8&#x02009;weeks (mean&#x02009;&#x000B1;&#x02009;SEM). <bold>(D)</bold> Linear regression analysis assessing the relationship between serum cholesterol levels and monocyte chemotaxis in baboons fed an MD for 4&#x02009;weeks (&#x025A1;) or 8&#x02009;weeks (&#x026AA;), or a DD for 4&#x02009;weeks (&#x025A0;) or 8&#x02009;weeks (&#x026AB;). Exact <italic>P</italic>-values are shown for the chemotaxis data <bold>(A,C)</bold>, and the exact <italic>r</italic><sup>2</sup> and <italic>P</italic>-values for the correlation analysis are shown <bold>(D)</bold>.</p></caption>
<graphic xlink:href="fimmu-08-00958-g002.tif"/>
</fig>
<p>To determine whether a DD causes hyper-responsiveness of blood monocytes in NHP <italic>in vivo</italic>, MCP-1-mediated recruitment of purified blood monocytes isolated from DD-fed baboons was compared with purified monocytes from MD-fed baboons at both the 4- and 8-week time points. Indeed, MCP-1-mediated chemotaxis of purified monocytes from baboons fed a DD was increased 1.86-fold (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.022) and 1.88-fold (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.001) when compared with purified monocytes from MD-fed animals at the 4- and 8-week time points, respectively (Figure <xref ref-type="fig" rid="F2">2</xref>C). Furthermore, MCP-1-mediated chemotaxis of purified monocytes from baboons fed a DD for 8&#x02009;weeks was significantly higher (1.42-fold; <italic>P</italic>&#x02009;&#x0003D;&#x02009;0.017) when compared with monocytes from the same baboons fed a DD for 4&#x02009;weeks (Figure <xref ref-type="fig" rid="F2">2</xref>C). These data indicate that monocytes from DD-fed baboons are primed as early as 4&#x02009;weeks after initiating a DD and continue to have increased monocyte chemotaxis rates over the course of 8&#x02009;weeks. Importantly, the onset of monocyte priming coincided with an increase in total plasma cholesterol levels (compare Figures <xref ref-type="fig" rid="F2">2</xref>C and <xref ref-type="fig" rid="F1">1</xref>A), and there was a highly significant correlation (<italic>P</italic>&#x02009;&#x0003C;&#x02009;0.001) between plasma cholesterol levels and monocyte chemotaxis (Figure <xref ref-type="fig" rid="F2">2</xref>D). These data strongly suggest that hypercholesterolemia alone is sufficient to promote monocyte priming in NHP <italic>in vivo</italic>.</p>
</sec>
<sec id="S3-3">
<title>Early-Stage Hypercholesterolemia Is Correlated with Neutrophilia in NHP</title>
<p>To further assess the effects of the DD on monocytes and other blood leukocytes and to correlate dyslipidemia with these effects, leukocyte counts obtained by complete blood count analyses were first compared between diet groups after 4 and 8&#x02009;weeks of diet feeding. The DD stimulated a 32.6% increase (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.027) in blood leukocyte counts within 4&#x02009;weeks of initiating the diet (Figure <xref ref-type="fig" rid="F3">3</xref>A), and this significant increase in leukocytosis was maintained for the remainder of the 8-week study (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.039; Figure <xref ref-type="fig" rid="F3">3</xref>A). No changes in white blood cells were observed in the MD-fed animals over the 8-week feeding period (Figure <xref ref-type="fig" rid="F3">3</xref>A). Surprisingly, there was no change in blood monocyte levels over the 8-week feeding period in either group (Figure <xref ref-type="fig" rid="F3">3</xref>B). We also analyzed whether the DD altered monocyte subset composition in baboons (Figure <xref ref-type="supplementary-material" rid="SM2">S1</xref>A in Supplementary Material) since both CD14<sup>lo</sup>CD16<sup>hi</sup> and CD14<sup>hi</sup>CD16<sup>hi</sup> monocyte subsets are increased in obese patients (<xref ref-type="bibr" rid="B28">28</xref>). However, the monocyte subset composition was also not altered in DD-fed baboons over the course of the 8-week feeding period (Figure S1A and Table <xref ref-type="supplementary-material" rid="SM1">S1</xref> in Supplementary Material). Blood lymphocyte counts were decreased by 29.3% in the MD group (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.074) and 35.5% (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.017) in the DD group at the 8-week time point (Figure <xref ref-type="fig" rid="F3">3</xref>C); however, there was no statistically significant difference in the lymphocyte count between the two dietary groups at the 8-week time point (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.674) (Figure <xref ref-type="fig" rid="F3">3</xref>C). The DD-fed group also displayed a 30.1% increase (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.044) in platelet counts in response to 8&#x02009;weeks of DD feeding (Figure <xref ref-type="fig" rid="F3">3</xref>D); however, the difference in platelet concentrations between DD-fed baboons and MD-fed baboons also did not reach statistical significance (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.163; Figure <xref ref-type="fig" rid="F3">3</xref>D).</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>Dyslipidemic diet (DD)-induced neutrophilic leukocytosis is correlated with hypercholesterolemia in baboons. Concentrations (mean&#x02009;&#x000B1;&#x02009;SEM) of blood leukocytes <bold>(A)</bold>, monocytes <bold>(B)</bold>, lymphocytes <bold>(C)</bold>, platelets <bold>(D)</bold>, and neutrophils <bold>(E)</bold> in male baboons fed an maintenance diet (MD) (&#x025A1;; <italic>n</italic>&#x02009;&#x0003D;&#x02009;6) or a DD (&#x025A0;; <italic>n</italic>&#x02009;&#x0003D;&#x02009;7) for up to 8&#x02009;weeks. <sup>&#x00023;</sup><italic>P</italic>&#x02009;&#x0003C;&#x02009;0.05 when comparing between groups at same time point; <sup>&#x0002B;</sup><italic>P</italic>&#x02009;&#x0003C;&#x02009;0.05 when comparing within the same group with 0-week time point. <bold>(F)</bold> Linear regression analysis examining the relationship between serum cholesterol levels and blood neutrophil concentrations in baboons fed an MD for 4&#x02009;weeks (&#x025A1;) or 8&#x02009;weeks (&#x026AA;), or a DD for 4&#x02009;weeks (&#x025A0;) or 8&#x02009;weeks (&#x026AB;). The exact <italic>r</italic><sup>2</sup> and <italic>P-</italic>value for the correlation analysis are shown.</p></caption>
<graphic xlink:href="fimmu-08-00958-g003.tif"/>
</fig>
<p>Leukocytosis in DD-fed baboons (Figure <xref ref-type="fig" rid="F3">3</xref>A) was primarily due to an increase in neutrophils, which were increased by 84.4% (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.001) after 4&#x02009;weeks and by 91.2% (<italic>P</italic>&#x02009;&#x0003C;&#x02009;0.001) after 8&#x02009;weeks (Figure <xref ref-type="fig" rid="F3">3</xref>E). Furthermore, there was a significant correlation (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.014) between plasma cholesterol levels and blood neutrophil levels in baboons (Figure <xref ref-type="fig" rid="F3">3</xref>F). These data suggest that a DD induces early changes in blood neutrophils, which like monocyte priming appear to be triggered by rising blood cholesterol levels.</p>
</sec>
<sec id="S3-4">
<title>Hypercholesterolemia Is Correlated with Loss of Monocytic MKP-1 Activity</title>
<p>To determine whether metabolic priming of baboon monocytes is mediated by a loss of MKP-1 activity, we compared sanguinarine-dependent monocytic phosphatase activity, a measure of MKP-1 activity, in purified monocytes from MD-fed and DD-fed baboons. Interestingly, an MD regimen led to a slight increase in MKP-1 activity over the course the 8-week dietary regimen (Figure <xref ref-type="fig" rid="F4">4</xref>A), although this increase was not statistically significant (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.147). When comparing monocytic MKP-1 activity in DD-fed baboons with MD-fed baboons, MKP-1 activity was reduced by 25% (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.39) and 40% (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.034) at 4 and 8&#x02009;weeks, respectively (Figure <xref ref-type="fig" rid="F4">4</xref>A). Importantly, total phosphatase activity was not significantly altered between the groups (Figure <xref ref-type="fig" rid="F4">4</xref>B). There was also a statistically significant correlation (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.006) between plasma cholesterol levels and monocytic MKP-1 activity in baboons at the 8-week time point (Figure <xref ref-type="fig" rid="F4">4</xref>C); however, plasma cholesterol levels and monocytic MKP-1 activity were not significantly correlated (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.97) at the 4-week time point (data not shown). Furthermore, monocytic MKP-1 activity and monocyte chemotaxis were not significantly correlated at the 8-week time point (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.051; Figure <xref ref-type="fig" rid="F4">4</xref>D). Taken together, these data suggest that loss of monocytic MKP-1 activity appears to be induced by increasing plasma cholesterol levels, but only partially accounts for metabolic priming of monocytes, with additional factors contributing to aberrant monocyte chemotaxis associated with hypercholesterolemia in NHPs.</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p>Dyslipidemic diet (DD) feeding leads to reduced monocytic mitogen-activated protein kinase phosphatase 1 (MKP-1) activity in baboons. <bold>(A)</bold> Sanguinarine-dependent protein tyrosine phosphatase (PTP) phosphate release (mean&#x02009;&#x000B1;&#x02009;SEM) from purified baboon monocyte lysates. Lysates were generated using purified monocytes from baboons that were fed an maintenance diet (MD) (&#x025A1;) or a DD (&#x025A0;) for either 4 or 8&#x02009;weeks. <bold>(B)</bold> Total PTP phosphate release (mean&#x02009;&#x000B1;&#x02009;SEM) from purified baboon monocyte lysates described in panel <bold>A</bold>. Phosphate release was normalized to protein concentration, and the exact <italic>P</italic>-values are shown for each time point <bold>(A)</bold>. NS, not statistically significant. <bold>(C)</bold> Linear regression analysis assessing the relationship between serum cholesterol levels and MKP-1 activity in monocytes from baboons fed an MD (&#x026AA;) or a DD for 8&#x02009;weeks (&#x026AB;). <bold>(D)</bold> Linear regression analysis examining the relationship between MKP-1 activity and chemotaxis of monocytes from baboons fed an MD (&#x026AA;) or a DD (&#x026AB;) for 8&#x02009;weeks. The exact <italic>r</italic><sup>2</sup> values and <italic>P</italic>-values for the correlation analyses are shown <bold>(C,D)</bold>.</p></caption>
<graphic xlink:href="fimmu-08-00958-g004.tif"/>
</fig>
</sec>
<sec id="S3-5">
<title>A DD Does Not Affect Grx1 Protein Levels or Baseline ERK Signaling in Baboon Monocytes</title>
<p>To determine whether the loss of MKP-1 activity in response to metabolic priming increased p38 MAPK and ERK signaling in baboon monocytes and to assess the effects of metabolic stress on Grx1 protein levels, we compared ERK and p38 MAPK signaling in monocytes from DD-fed baboons with monocytes from the MD-fed group, and we assessed whether a DD-mediated reduction in Grx1 levels accounted for the reduced MKP-1 activity in monocytes from DD-fed baboons, at least at the 8-week time point (Figure <xref ref-type="fig" rid="F4">4</xref>A). Phosphorylated ERK (p-ERK<sup>T202/Y204</sup>) and phosphorylated p38 (p-p38<sup>T180/Y182</sup>) levels in purified monocytes from DD-fed baboons were not significantly altered when compared with those from MD-fed animals (Figure <xref ref-type="supplementary-material" rid="SM3">S2</xref> in Supplementary Material). In addition, monocytic Grx1 protein levels in the DD-fed group were not decreased but instead slightly increased when compared with Grx1 levels in monocytes from the MD-fed group (Figure <xref ref-type="fig" rid="F5">5</xref>); however, differences in Grx1 protein levels in monocytes between the two groups were not statistically significant (Figure <xref ref-type="fig" rid="F5">5</xref>B). These data indicate that baseline ERK and p38 MAPK signaling are not affected by suppressed MKP-1 activity in monocytes from DD-fed baboons. Furthermore, these data suggest that changes in Grx1 expression levels do not account for the effects of a DD on MKP-1 activity in baboon monocytes.</p>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p>Dyslipidemic diet (DD) feeding does not affect glutaredoxin 1 (Grx1) expression in baboon monocytes. <bold>(A)</bold> Western blot analysis of Grx1 and &#x003B2;-actin using lysates from monocytes, which were purified from baboons that were fed an maintenance diet (MD) or a DD for either 4&#x02009;weeks (left panels) or 8&#x02009;weeks (right panels). <bold>(B)</bold> The density (mean net intensity&#x02009;&#x000B1;&#x02009;SEM) of each protein at each time point was calculated, and the ratio of Grx1:&#x003B2;-actin is shown. NS, not statistically significant.</p></caption>
<graphic xlink:href="fimmu-08-00958-g005.tif"/>
</fig>
</sec>
<sec id="S3-6">
<title>Dynamic Changes in Monocytic Histone H3 Acetylation in MD- and DD-Fed Baboons</title>
<p>To assess changes in histone acetylation in metabolically primed NHP monocytes, we analyzed the acetylation status of histone H3 (H3) at several lysine residues within monocytes from MD-fed and DD-fed baboons. Surprisingly, we found that H3 acetylation at certain lysine residues was significantly altered in monocytes from baboons that were switched from their regular chow to an MD for 4 and 8&#x02009;weeks. For example, acetylated H3 at lysine 14 (Ac-H3<sup>K14</sup>) and Ac-H3<sup>K23</sup> were significantly decreased in monocytes from MD-fed baboons (<italic>P</italic>&#x02009;&#x0003C;&#x02009;0.001) when comparing cells at the 8-week time point with the 4-week time point (Figures <xref ref-type="fig" rid="F6">6</xref>B,D), while Ac-H3<sup>K18</sup> (<italic>P</italic>&#x02009;&#x0003C;&#x02009;0.001) and Ac-H3<sup>K56</sup> (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.019) were significantly increased in monocytes from the MD-fed group at 8&#x02009;weeks (Figures <xref ref-type="fig" rid="F6">6</xref>C,F). Although Ac-H3<sup>K9</sup> and Ac-H3<sup>27</sup> were decreased in monocytes from MD-fed baboons when comparing cells at the 8-week time point with the 4-week time point, these differences were not statistically significant (Figures <xref ref-type="fig" rid="F6">6</xref>A,E). These data suggest that the MD regimen has selective effects on H3 acetylation at various residues over the course of this 8-week study.</p>
<fig id="F6" position="float">
<label>Figure 6</label>
<caption><p>Dyslipidemic diet (DD) feeding leads to reduced histone H3 acetylation at lysine 18 and 23 in baboon monocytes. The densitometric ratio (mean&#x02009;&#x000B1;&#x02009;SEM) of Ac-H3<sup>K9</sup>: H3 <bold>(A)</bold>, Ac-H3<sup>K14</sup>: H3 <bold>(B)</bold>, Ac-H3<sup>K18</sup>: H3 <bold>(C)</bold>, Ac-H3<sup>K23</sup>: H3 <bold>(D)</bold>, Ac-H3<sup>K27</sup>: H3 <bold>(E)</bold>, and Ac-H3<sup>K56</sup>: H3 <bold>(F)</bold>, which were calculated using Western blot images shown in Figure <xref ref-type="supplementary-material" rid="SM4">S3</xref> in Supplementary Material. Exact <italic>P</italic>-values are indicated.</p></caption>
<graphic xlink:href="fimmu-08-00958-g006.tif"/>
</fig>
<p>Although the MD had a selective effect on H3 acetylation during this 8-week study, monocytes from NHPs on a DD showed major temporal changes in histone H3 acetylation at several residues (Figure <xref ref-type="fig" rid="F6">6</xref>). Acetylation of lysine 18 (Ac-H3<sup>K18</sup>) was reduced by 39% (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.049) and Ac-H3<sup>K23</sup> was reduced by 41% (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.003) in monocytes from DD-fed baboons at the 4-week time point when compared with MD-fed baboons (Figures <xref ref-type="fig" rid="F6">6</xref>C,D). However, acetylation at both of these residues had recovered after 8&#x02009;weeks and there was no longer significantly different than Ac-H3<sup>K18</sup> or Ac-H3<sup>K23</sup> in monocytes from DD-fed and MD-fed baboons (Figures <xref ref-type="fig" rid="F6">6</xref>C,D).</p>
<p>Although blood cholesterol levels and MKP-1 activity in blood monocytes was not found to be correlated with H3 acetylation at any of the aforementioned residues (data not shown), monocyte chemotaxis was significantly correlated with Ac-H3<sup>K27</sup> at the 8-week time point (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.010; Figure <xref ref-type="fig" rid="F7">7</xref>A). However, monocyte chemotaxis was not significantly correlated with Ac-H3<sup>K27</sup> at the 4-week time point (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.693; data not shown). In addition, the correlation between monocyte chemotaxis and Ac-H3<sup>K18</sup> status in these cells (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.092) as well as Ac-H3<sup>K23</sup> (<italic>P</italic>&#x02009;&#x0003D;&#x02009;0.051) nearly reached significance (Figures <xref ref-type="fig" rid="F7">7</xref>B,C). These data, when taken together, suggest that metabolic priming of blood monocytes caused by a DD is associated with dynamic epigenetic changes in these cells.</p>
<fig id="F7" position="float">
<label>Figure 7</label>
<caption><p>Monocyte chemotaxis is correlated with select H3 acetylation events in maintenance diet (MD)-fed and dyslipidemic diet (DD)-fed baboons. <bold>(A)</bold> Linear regression analysis assessing the relationship between Ac-H3<sup>K27</sup> levels in monocytes with monocyte chemotaxis from baboons fed an MD (&#x026AA;) or a DD (&#x026AB;) for 8&#x02009;weeks. <bold>(B)</bold> Linear regression analysis examining the relationship between Ac-H3<sup>K18</sup> levels in monocytes with monocyte chemotaxis from baboons fed an MD for 4&#x02009;weeks (&#x025A1;) or 8&#x02009;weeks (&#x026AA;), or a DD for 4&#x02009;weeks (&#x025A0;) or 8&#x02009;weeks (&#x026AB;). <bold>(C)</bold> Linear regression analysis examining the relationship between Ac-H3<sup>K23</sup> levels in monocytes with monocyte chemotaxis from baboons fed an MD for 4&#x02009;weeks (&#x025A1;) or 8&#x02009;weeks (&#x026AA;), or a DD for 4&#x02009;weeks (&#x025A0;) or 8&#x02009;weeks (&#x026AB;). In each case, the exact <italic>r</italic><sup>2</sup> value and <italic>P-</italic>value for the correlation analysis are shown.</p></caption>
<graphic xlink:href="fimmu-08-00958-g007.tif"/>
</fig>
</sec>
</sec>
<sec id="S4" sec-type="discussion">
<title>Discussion</title>
<p>The primary goal of this study was to determine whether monocyte priming occurs in NHP in response to a DD, to address potential mechanisms underlying blood monocyte priming and the nature of monocyte dysfunction, and to identify potential epigenetic changes in these metabolically primed monocytes. Our results indicate that purified primary monocytes from baboons, such as monocytes from mice and humans, can be metabolically primed <italic>in vitro</italic>, displaying a sevenfold higher rate of CCL2-induced chemotaxis when cultured under metabolic stress conditions, i.e., high glucose and high LDL (Figure <xref ref-type="fig" rid="F2">2</xref>A). The degree of priming in baboon monocyte was somewhat surprising since previous studies by our group showed that primed THP-1 monocytes showed only a 1.7-fold to 2-fold increase in CCL2-induced chemotaxis under these same conditions (<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>). Similarly, human blood monocytes, which were purified by negative selection, displayed a 1.5-fold to 3-fold increases in CCL2-induced chemotaxis (see text footnote 1). One possibility for this discrepancy in <italic>in vitro</italic> monocyte priming is that primary baboon monocytes used in this study were purified by positive selection of classical monocytes (CMs: CD14<sup>hi</sup>). In mice and humans, CMs have been shown to have higher levels of the CCL2 receptor, C-C chemokine receptor type 2 (CCR2) (<xref ref-type="bibr" rid="B29">29</xref>), and CMs from rodents were shown to migrate into both inflamed and non-inflamed tissues at a higher rate when compared with non-classical monocytes (NCMs: CD14<sup>lo</sup>CD16<sup>hi</sup>) (<xref ref-type="bibr" rid="B29">29</xref>). In addition, a recent study has identified at least two additional human monocyte subsets in addition to CMs and NCMs, which are a heterogeneous cell population within the intermediate monocyte (IM: CD14<sup>hi</sup>:CD16<sup>hi</sup>) subset (<xref ref-type="bibr" rid="B30">30</xref>). Whether metabolic stress differentially affects monocyte chemotaxis in different monocyte subsets, i.e., differentially primes monocyte subsets, in response to CCL2 and other chemokines was not investigated as part of this study. Our data also show that <italic>in vivo</italic> metabolic stress generated by a DD in baboons metabolically primes blood monocytes, rendering them hyperresponsive to CCL2 (Figure <xref ref-type="fig" rid="F2">2</xref>C). These data further support our previous studies showing that metabolic stress induced by feeding mice obesogenic, diabetogenic, or atherogenic diets promotes monocyte hyperresponsiveness to chemokines (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>). Interestingly, metabolic priming of baboon monocytes in response to a DD continually increased throughout the 8-week study and had potentially not reached its peak at this time point.</p>
<p>Our data also show that the timing of DD-enhanced monocyte chemotaxis and DD-mediated inhibition of MKP-1 activity are incongruous in baboons during this 8-week study. Furthermore, feeding baboons a DD for up to 8&#x02009;weeks did not significantly alter p38 or ERK signaling in monocytes, at least at baseline levels. These data do not appear to match previous <italic>in vitro</italic> data from our group demonstrating that metabolic priming of THP-1 monocytes was facilitated by the <italic>S</italic>-glutathionylation and inactivation of the MKP-1 protein, thereby leading to enhanced ERK and p38 MAPK signaling in response to CCL2 (<xref ref-type="bibr" rid="B19">19</xref>). However, in this study, we only analyzed the ERK and p38 MAPK activation status in resting monocytes but not in CCL2-stimulated cells. We have also shown that <italic>S</italic>-glutathionylation of &#x003B2;-actin and 14-3-3&#x003B6; contribute to monocyte priming <italic>in vitro</italic> (<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B16">16</xref>), indicating that multiple mechanisms contribute to the hyper-chemotactic response of primed monocytes to chemoattractants. Furthermore, we showed that increased protein-<italic>S</italic>-glutathionylation is correlated with monocyte priming <italic>in vivo</italic> (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B15">15</xref>), and we have recently identified over 130 proteins that are <italic>S</italic>-glutathionylated in monocytes and macrophages, many of which are altered in response to metabolic stress (<xref ref-type="bibr" rid="B31">31</xref>). Therefore, it is possible that at least at these early time points, <italic>S</italic>-glutathionylated protein(s) other than MKP-1, e.g., &#x003B2;-actin and 14-3-3&#x003B6;, contribute to monocyte priming in baboon monocytes <italic>in vivo</italic>.</p>
<p>Glutaredoxin 1 protein levels did not differ in monocytes from MD-fed and DD-fed baboons. However, we cannot rule out that in response to a DD Grx1 was inactivated. It is also possible that, at least at these early stages, monocyte priming in baboon monocytes <italic>in vivo</italic> is regulated in a manner that is not controlled by protein-<italic>S</italic>-glutathionylation.</p>
<p>In addition to monocyte priming, obesity and CMS have been reported to lead to abnormal hematopoiesis, including increased counts of neutrophils, monocytes, and platelets, which contribute to atherogenesis and the subsequent cardiovascular events resulting from CMS [reviewed in Ref. (<xref ref-type="bibr" rid="B32">32</xref>)]. For example, an increase in circulating monocytes, especially NCMs and IMs, has been demonstrated in obese human patients when compared with lean or normal-weight individuals (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B33">33</xref>). In addition, platelet size, as measured by the mean platelet volume (MPV), is also increased in patients with CMS and is associated with cardiovascular events; however, results linking increased MPV with hypercholesterolemia have been conflicting [reviewed in Ref. (<xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B34">34</xref>)]. Our results indicate that in response to a DD, NHPs display a temporal change in hematopoiesis that accompanies hypercholesterolemia, whereby neutrophilic leukocytosis precedes increased platelet counts, and both of these hematopoietic changes precede changes in monocyte counts or altered monocyte subset composition (Figure <xref ref-type="fig" rid="F3">3</xref> and data not shown). By contrast, metabolic priming of monocytes occurred as early as neutrophilia and also preceded changes in monocyte levels or changes in monocyte subset composition. Lastly, no significant changes in MPV were observed over the course of this 8-week study (data not shown), indicating that increased MPV occurs later than metabolic priming of monocytes, neutrophilia, and increased platelet counts. It also suggests that increased MPV is driven by factors other than hypercholesterolemia.</p>
<p>Thus far, much of the research concerning hypercholesterolemia-induced monocytosis and neutrophilia has focused on the effects of hypercholesterolemia on hematopoietic stem/progenitor cells (HSPCs). Hypercholesterolemia has multiple effects on HSPCs, including (i) inducing HSPC proliferation and differentiation, (ii) mobilizing HSPCs for release from the bone marrow niche, and (iii) potentiating HSPCs for homing to extramedullary sites, including sites of tissue damage [reviewed in Ref. (<xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B36">36</xref>)]. In rodent models of obesity, Nagareddy et al. showed that obesity is associated with both monocytosis and neutrophilia. Both events appear to be driven by adipose tissue macrophages, which secrete IL-1&#x003B2; and promote proliferation of both common myeloid progenitor cells and granulocyte macrophage progenitor cells (<xref ref-type="bibr" rid="B37">37</xref>). However, our data showing that neutrophilia precedes monocytosis suggests that there is a disparate mechanism regulating these two hematopoietic events, possibly directly in the bone marrow, at least at early time points. For example, it is possible that early-stage hypercholesterolemia in baboons enhances mobilization of neutrophils from the bone marrow, which is facilitated by CXC chemokine receptor 2, without yet affecting monocyte mobilization, which is facilitated by CCR2 (<xref ref-type="bibr" rid="B36">36</xref>).</p>
<p>Lastly, there is increasing evidence that supports interactions between intracellular metabolism and immune function, with epigenetics and histone modifications playing a critical role in regulating immune cell functions and in immunometabolism (<xref ref-type="bibr" rid="B38">38</xref>). For example, histone acetyltransferases (HATs) utilize the small intracellular metabolite, acetyl-coenzyme A, as a substrate to acetylate both histone and non-histone proteins in immune cells and in other cell types (<xref ref-type="bibr" rid="B39">39</xref>). In addition, monocytes from diabetic patients compared with cells from healthy volunteers show increased acetylation of histone H3 at lysine 9 (Ac-H3<sup>K9</sup>) and lysine 14 (Ac-H3<sup>K14</sup>) in both the tumor necrosis factor &#x003B1; (<italic>TNF-</italic>&#x003B1;) and <italic>PTGS2</italic> (cyclooxygenase 2) promoters (<xref ref-type="bibr" rid="B40">40</xref>). Our results indicate that both MD feeding and DD feeding have selective effects on H3 acetylation at various lysine residues over the course of this 8-week study. When compared with standard baboon chow, the MD contained several differences in dietary composition that could account for MD-mediated effects, including a 36% higher cholesterol content and an 8% higher metabolizable energy (kilocalories/gram) content. However, there were also differences in several minerals and vitamins when comparing the MD and standard chow. Nonetheless, our results also indicate that metabolically primed monocytes exhibit altered histone H3 acetylation at three lysine residues at either the 4- or 8-week time point. First, we observed hypoacetylation of H3<sup>K18</sup> and H3<sup>K23</sup> at the 4-week time point (Figures <xref ref-type="fig" rid="F6">6</xref>C,D). Although hypoacetylation of H3 at these two sites in monocytes has not been reported, previous studies have shown histone deacetylase 3 (HDAC3)-mediated H3<sup>K18</sup> and H3<sup>K23</sup> hypoacetylation occurs during the mitotic phase of 293 T cells (<xref ref-type="bibr" rid="B41">41</xref>). It is unlikely that H3<sup>K18</sup> and H3<sup>K23</sup> hypoacetylation is occurring due to hyperproliferation of monocytes since blood monocyte concentrations remained unchanged (Figure <xref ref-type="fig" rid="F3">3</xref>B). In addition, we observed no changes in phosphorylated H3<sup>S10</sup>, which is an epigenetic mark of cell proliferation (<xref ref-type="bibr" rid="B42">42</xref>) and is highly enriched in monocytes compared with macrophages (<xref ref-type="bibr" rid="B43">43</xref>). However, it is possible that H3<sup>K18</sup> and H3<sup>K23</sup> hypoacetylation poises primed monocytes for hyperproliferation once they extravasate into inflamed tissues. At this point, the underlying molecular mechanisms for H3<sup>K18</sup> and H3<sup>K23</sup> hypoacetylation in primed baboon monocytes is unclear, but both increased activity of the HDACs that regulate H3<sup>K18</sup> and H3<sup>K23</sup> acetylation, e.g., HDAC3, Sirtuin 7 (Sirt7), or Sirt2 (<xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B44">44</xref>, <xref ref-type="bibr" rid="B45">45</xref>), or decreased activity of HATs or transcriptional regulators shown to facilitate the acetylation of H3<sup>K18</sup>, such as E1A binding protein p300 (p300) or CREB-binding protein (<xref ref-type="bibr" rid="B46">46</xref>), may have contributed to this effect.</p>
<p>Our data also show that metabolic priming is correlated with Ac-H3<sup>K27</sup> in monocytes at the 8-week time point, suggesting that primed monocytes will impact the macrophages derived from these altered monocytes. Thus, altered Ac-H3<sup>K27</sup>, or Ac-H3<sup>K18</sup> or Ac-H3<sup>K23</sup> for that matter, could impact the differentiation of monocytes into macrophages. Ac-H3<sup>K27</sup> is acquired on enhancers with active RNA transcription in terminally differentiated hematopoietic cells, including monocytes, macrophages, granulocytes, and pro-erythrocytes (EryB) (<xref ref-type="bibr" rid="B47">47</xref>), and differential distribution of Ac-H3<sup>K27</sup> at active enhancers between monocytes and MDMs is associated with lineage-determining transcription factor binding sites that are important in driving cell differentiation (<xref ref-type="bibr" rid="B48">48</xref>&#x02013;<xref ref-type="bibr" rid="B50">50</xref>). Similarly, Wallner et al. recently identified differentially methylated DNA regions (DMRs) around the transcription start site of 4,766 genes that were differentially expressed in differentiated macrophages compared with monocytes, and Ac-H3<sup>K27</sup> was upregulated in 2 of 3 clusters of these DMRs as a characteristic of active enhancers (<xref ref-type="bibr" rid="B51">51</xref>). Changes in Ac-H3<sup>K27</sup>, Ac-H3<sup>K18</sup>, or Ac-H3<sup>K23</sup>Ac-H3 in metabolically primed monocytes could also impact the activation of MDMs. Ac-H3<sup>K27</sup> is the most dynamically changing histone mark in response to lipopolysaccharide (LPS)-induced &#x0201C;tolerance&#x0201D; and &#x003B2;-glucan-induced &#x0201C;training&#x0201D; in human blood MDMs, changing at 19% of regulatory elements (<xref ref-type="bibr" rid="B50">50</xref>). In addition, approximately 65,000 regulatory elements exhibit changes in Ac-H3<sup>K27</sup> in response to LPS and other macrophage-activating stimuli, and changes in Ac-H3<sup>K27</sup> at these regulatory elements are associated with transcription factor recruitment in response to macrophage stimulation (<xref ref-type="bibr" rid="B52">52</xref>). For example, hyperacetylated enhancers induced by LPS are enriched in activatory protein-1 binding sites, whereas hyperacetylated and signal transducer and activator of transcription-enriched sites are associated with interleukin-4 and interferon-&#x003B3; (IFN&#x003B3;) stimulation (<xref ref-type="bibr" rid="B52">52</xref>). Thus, our data strongly suggest that dyslipidemia induced by a DD alters the epigenetic landscape in blood monocytes, thereby reprogramming the metabolic memory of these cells and that particularly changes in H3 acetylation may poise primed blood monocytes to differentiate into a hyperproliferative MDM with dysregulated activation states. In support of this hypothesis, we reported that primed MDMs as well as MKP-1-deficient macrophage convert into a hyper-inflammatory phenotype in response to IFN&#x003B3;&#x02009;&#x0002B;&#x02009;TNF&#x003B1; activation but show a blunted inflammation resolving phenotype in response to interleukin-4 stimulation (<xref ref-type="bibr" rid="B19">19</xref>). Further elucidation of how metabolic stress alters epigenetics, especially at specific promoters that control monocyte differentiation and macrophage functions, is needed to improve our understanding of the links between metabolic disorders, the dysregulation of the immune system and the onset and progression of chronic inflammatory diseases, including obesity, cardiovascular diseases, and certain types of cancers.</p>
</sec>
<sec id="S5">
<title>Ethics Statement</title>
<p>This study was carried out in accordance with the recommendations of the US Public Health Service Guide for the Care and Use of Laboratory Animals, the US Animal Welfare Act, and the Institutional Animal Care and Use Committee at the Texas Biomedical Research Institute (TBRI). The protocol was approved by the TBRI Institutional Animal Care and Use Committee and conducted in Association for Assessment and Accreditation of Laboratory Animal Care-approved facilities.</p>
</sec>
<sec id="S6" sec-type="author-contributor">
<title>Author Contributions</title>
<p>This study was designed by JS, RA, and LC with RA as the principal investigator. The study was directed and coordinated by JS and RA with LC provided conceptual and technical guidance for aspects of the study related to NHPs. JS and ST designed and optimized the monocyte purification strategy. The monocyte chemotaxis assays and MKP-1 activity assays were designed and executed by HN and AC with oversight from JS. Western blotting assays were performed by CF, AC, and JS. The manuscript was written by JS and RA; comments and edits were provided by all other authors (ST, HN, AC, CF, and LC).</p>
</sec>
<sec id="S7">
<title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<ack>
<p>This work was supported by grants to RA from the NIH (HL70963 and AT006885) and pilot funds to RA, JS, and LC from the Southwest National Primate Research Center. The Texas Biomedical Research Institute facilities were supported, in part, from NIH Research Facilities Improvement Program Grants C06 RR013556 and C06 RR017515, and the Flow Cytometry Facility at UT Health San Antonio was supported with funding from the University and the NIH (NCI P30 CA054174). The authors wish to thank Dr. Melissa de la Garza and the team of veterinary research technicians at the SNPRC and the Pathology Core Facility at the Texas Biomedical Research Institute for their technical assistance in collecting blood and performing blood analyses. The authors also wish to thank Jessica Han, Kevin Downs, and Yong Joo Ahn for technical assistance and in writing the manuscript. Lastly, the authors would like to thank Dr. Benjamin Daniel and Karla Moncada of the Flow Cytometry Facility at UT Health San Antonio for technical assistance.</p>
</ack>
<sec id="S8" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at <uri xlink:href="http://journal.frontiersin.org/article/10.3389/fimmu.2017.00958/full&#x00023;supplementary-material">http://journal.frontiersin.org/article/10.3389/fimmu.2017.00958/full&#x00023;supplementary-material</uri>.</p>
<supplementary-material xlink:href="Table_1.docx" id="SM1" mimetype="applicationn/docx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Image_1.JPEG" id="SM2" mimetype="applicationn/JPEG" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Figure S1</label>
<caption><p>Baboon blood monocyte analysis and purification. <bold>(A)</bold> Gating strategy for monocyte subset analysis. Blood leukocytes, which were stained with PE-conjugated CD11b, APC-conjugated CD14, and AF488-conjugated CD16 antibodies, were gated as shown and analyzed by flow cytometry. <bold>(B)</bold> Flow cytometry analysis of leukocytes following purification of baboon blood monocytes, as described in Section &#x0201C;<xref ref-type="sec" rid="S2">Materials and Methods</xref>.&#x0201D; The monocyte population is outlined by the quadrilateral polygon, and the monocyte percentage within the polygon is indicated.</p></caption>
</supplementary-material>
<supplementary-material xlink:href="Image_2.JPEG" id="SM3" mimetype="applicationn/JPEG" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Figure S2</label>
<caption><p>DD feeding does not alter baseline p38 or extracellular signal-regulated kinase (ERK) signaling in baboon monocytes. <bold>(A)</bold> Western blot analysis of p38 and ERK signaling pathways using lysates from monocytes, which were purified from baboons that were fed an MD or a DD for either 4&#x02009;weeks (left panels) or 8&#x02009;weeks (right panels). <bold>(B)</bold> The densitometric ratio (mean&#x02009;&#x000B1;&#x02009;SEM) of p-p38<sup>T180/Y182</sup>: p38, which was calculated using images shown in panel <bold>(A)</bold>. <bold>(C)</bold> The densitometric ratio (mean&#x02009;&#x000B1;&#x02009;SEM) of p-ERK<sup>T202/Y204</sup>: ERK, which was calculated using images shown in panel <bold>(A)</bold>. NS, not statistically significant.</p></caption>
</supplementary-material>
<supplementary-material xlink:href="Image_3.JPEG" id="SM4" mimetype="applicationn/JPEG" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Figure S3</label>
<caption><p>DD feeding leads to reduced histone H3 acetylation at lysine 18 and 23 in baboon monocytes. Western blot analysis of acetylated H3 at the indicated residues, or total H3, using lysates generated from MD-fed or DD-fed baboon monocytes&#x02014;monocytes were purified from baboons at either the 4-week time point (left panels) or 8-week time point (right panels).</p></caption>
</supplementary-material>
</sec>
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