# Endogenous CD5L controls the metabolic and inflammatory state of human macrophages

**Authors:** Kashif Rasheed, Neda Nejati Moharrami, Erlend Bjørkøy Tande, Terje Espevik, Maria Yurchenko, Victor Boyartchuk

PMC · DOI: 10.3389/fimmu.2025.1677948 · 2026-01-22

## TL;DR

This study shows that CD5L, a protein involved in inflammation and lipid metabolism, controls the behavior of human macrophages and monocytes.

## Contribution

The study reveals new roles for CD5L in regulating inflammation and lipid metabolism in human macrophages and monocytes.

## Key findings

- CD5L knockout in macrophages reduced NF-κB-regulated gene expression, even after LPS stimulation.
- CD5L deletion altered intracellular lipid composition but did not affect fatty acid synthase activity.
- CD5L deletion upregulated CD52, a gene linked to anti-inflammatory responses.

## Abstract

CD5L is a scavenger receptor-like molecule that mediates diverse physiologic processes, including cell survival, atherogenesis, inflammation, and lipid metabolism. Even though CD5L is an abundant circulatory protein, it has recently become apparent that its expression can alter inflammatory signaling in a cell-autonomous fashion. To date, the effect of endogenous CD5L expression in human macrophages remains largely unexplored. Our work addressed this question by analyzing the impact of CD5L gene disruption on the inflammatory state of the THP-1 human monocytic cell line.

In macrophage-like CD5L-knockout cells, we observed a dramatic decrease in the basal expression of a subset of NF-κB-regulated genes when compared to control cell lines. These differences persisted after stimulation with lipopolysaccharide (LPS), even though the magnitude of induction was similar in both mutant and control cells. Consistent with the lipid remodeling function attributed to CD5L, we found significant changes in the makeup of the intracellular lipid pool. However, we did not detect significant changes in the activity of fatty acid synthase, which has been suggested to mediate CD5L lipidome remodeling function. Furthermore, we explored how CD5L function impacts undifferentiated monocytes. We found that in undifferentiated, unstimulated monocytes deleted for CD5L, several dysregulated transcripts code for genes involved in cell-to-cell interactions and in the progression of atherosclerosis. Most importantly, we found that CD5L deletion upregulates the expression of CD52, a novel anti-inflammatory switch.

Overall, our findings further support the multifunctional nature of CD5L and, for the first time, suggest its involvement in monocyte localization to sites of future lesions.

## Linked entities

- **Genes:** CD5L (CD5 molecule like) [NCBI Gene 922], NFKB1 (nuclear factor kappa B subunit 1) [NCBI Gene 4790], CD52 (CD52 molecule) [NCBI Gene 1043]
- **Diseases:** atherosclerosis (MONDO:0005311)

## Full-text entities

- **Genes:** CD52 (CD52 molecule) [NCBI Gene 1043] {aka CDW52, EDDM5, HE5}, CD5L (CD5 molecule like) [NCBI Gene 922] {aka AIM, API6, CT-2, PRO229, SP-ALPHA, Spalpha}, FASN (fatty acid synthase) [NCBI Gene 2194] {aka FAS, OA-519, SDR27X1}, NFKB1 (nuclear factor kappa B subunit 1) [NCBI Gene 4790] {aka CVID12, EBP-1, KBF1, NF-kB, NF-kB1, NF-kappa-B1}
- **Diseases:** inflammation (MESH:D007249), atherogenesis (MESH:D050197)
- **Chemicals:** lipid (MESH:D008055), LPS (MESH:D008070)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

9 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12872570/full.md

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Source: https://tomesphere.com/paper/PMC12872570