Microvesicles carrying LRP5 induce macrophage polarization to an anti‐inflammatory phenotype

Microvesicles (MV) contribute to cell‐to‐cell communication through their transported proteins and nucleic acids. MV, released into the extracellular space, exert paracrine regulation by modulating cellular responses after interaction with near and far target cells. MV are released at high concentrations by activated inflammatory cells. Different subtypes of human macrophages have been characterized based on surface epitopes being CD16(+) macrophages associated with anti‐inflammatory phenotypes. We have previously shown that low‐density lipoprotein receptor‐related protein 5 (LRP5), a member of the LDLR family that participates in lipid homeostasis, is expressed in macrophage CD16(+) with repair and survival functions. The goal of our study was to characterize the cargo and tentative function of macrophage‐derived MV, whether LRP5 is delivered into MV and whether these MV are able to induce inflammatory cell differentiation to a specific CD16(−) or CD16(+) phenotype. We show, for the first time, that lipid‐loaded macrophages release MV containing LRP5. LDL loading induces increased expression of macrophage pro‐inflammatory markers and increased release of MV containing pro‐inflammatory markers. Conditioning of fresh macrophages with MV released by Lrp5‐silenced macrophages induced the transcription of inflammatory genes and reduced the transcription of anti‐inflammatory genes. Thus, MV containing LRP5 induce anti‐inflammatory phenotypes in macrophages.