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Chronic Insulin Exposure Induces ER Stress and Lipid Body Accumulation in Mast Cells at the Expense of Their Secretory Degranulation Response

Lipid bodies (LB) are reservoirs of precursors to inflammatory lipid mediators in immunocytes, including mast cells. LB numbers are dynamic, increasing dramatically under conditions of immunological challenge. We have previously shown in vitro that insulin-influenced lipogenic pathways induce LB biogenesis in mast cells, with their numbers attaining steatosis-like levels. Here, we demonstrate that in vivo hyperinsulinemia resulting from high fat diet is associated with LB accumulation in murine mast cells and basophils. We characterize the lipidome of purified insulin-induced LB, and the shifts in the whole cell lipid landscape in LB that are associated with their accumulation, in both model (RBL2H3) and primary mast cells. Lipidomic analysis suggests a gain of function associated with LB accumulation, in terms of elevated levels of eicosanoid precursors that translate to enhanced antigen-induced LTC4 release. Loss-of-function in terms of a suppressed degranulation response was also associated with LB accumulation, as were ER reprogramming and ER stress, analogous to observations in the obese hepatocyte and adipocyte. Taken together, these data suggest that chronic insulin elevation drives mast cell LB enrichment in vitro and in vivo, with associated effects on the cellular lipidome, ER status and pro-inflammatory responses.

LB numbers are regulated in macrophages and other granulocytes in response to bacterial and parasitic infection [15,16] and other inflammatory states (e.g. arthritic joint leukocytes [17], lavage from patients with acute respiratory distress [18], sepsis [19,20] and mycobacterial infection [21]). Expansion of the LB pool in neutrophils and eosinophils has been correlated with enhancement in pro-inflammatory lipid release, but LB in macrophages can also simply represent accumulation of absorbed dietary lipids. Chronic insulin elevation is a third scenario that causes LB expansion in vitro in a leukocyte, the mast cell [22]. However, further studies are required to establish whether a similar phenotype is engendered by a positive energy balance and hyperinsulinemia in vivo. This in vitro lipogenesis has been associated with enhanced de novo synthesis of mediators such as LTC4 in response to antigenic stimulation [22]. However, in the absence of any published lipidomic analysis of these LB, we cannot yet state whether these structures are primarily reservoirs of absorbed dietary lipid (c.f. foam cells) or of de novo synthesized bioactive lipid precursors induced by innate stimuli in granulocytes.
The impact of a LB-rich phenotype on mast cell function may extend beyond alterations in cellular lipid content. In adipocytes and hepatocytes, steatosis is an adapted state that alters cell status [23]. For example, cellular steatosis in the obese liver is associated with induction of ER stress, and reprogramming of the ER towards lipid rather than protein synthesis [24][25][26][27]. ER distension and dysregulation of the ER calcium store have also been noted [28,29]. All of these adaptations are likely to affect cellular responses to incoming signals, as is the highly oxidative cytoplasmic environment documented in LB-rich cells [30]. Steatosis in foam cells is associated with altered cytokine profiles, phagocytic capacity and signalling responses to bacterial ligands [6,31]. The consequences of mast cell steatosis for functional responses to antigen require assessment, particularly in light of our previous in vitro data suggesting that degranulation of histamine-bearing granules may be suppressed in LB-enriched mast cells [22].
Here, we characterized the LB population that accumulates in mast cells chronically exposed to insulin. Enrichment for LB was observed in the model mast cell line RBL2H3, peripheral blood basophils and in primary bone marrow derived mast cells (BMMC) under ex vivo or in vivo exposure to high fat diet (HFD)-induced hyperinsulinemia. HFD/hyperinsulinemic conditions in vivo are associated with gains and losses of function in mast cells/basophils (elevated LTC4 release and suppressed secretory granule degranulation). We describe the first lipidome for LB isolated from mast cells, and offer the new direct evidence that these LB are enriched in precursor pools for bioactive lipid mediators. The accumulation of large numbers of cytosolic LB is sufficient to shift the whole cell lipidome to a nominally more 'pro-inflammatory' state. This lipidomic fingerprint also provides evidence for both overlapping and discrete storage functions of immunocyte LB when compared to the lipid content of adipocyte lipid droplets. Finally, LB accumulation in response to chronic insulin elevation induces ER lipid accumulation and ER stress in mast cells, analogously to alterations seen in the obese hepatocyte and adipocyte. Taken together, these data suggest that chronic insulin exposure drives a steatosis-like LB accumulation in mast cells, with marked and selective effects on their pro-inflammatory outputs.

High fat diet fed mice
Eight-week old C57 BL6 male mice were fed ad libitum on high fat diet (60% fat calories, Bio-Serv S3282) for 8 weeks (Dr. A Stokes, University of Hawaii). Littermate controls were fed normal chow (12% fat calories, LabDiet 5001). HFD-induced hyperinsulinemia was confirmed by measurement of plasma insulin (Linco St Charles, MO), in control and HFD-treated animals. Femurs were collected from euthanized mice by CO 2 asphyxiation and preparation of bone marrow derived mast cells was performed (see cell culture). All procedures were approved by the Institutional Animal Care and Use Committee of the University of Hawaii.

Imaging
Bright field and fluorescence imaging of cells in MatTek dishes (50,000 cells per cm 2) were performed on a Nikon Ti Eclipse C1 epi-fluorescence and confocal microscopy system, equipped with heated stage. Available laser lines in FITC, TxRed and Cy5 were supplied by a 488nm 10mW solid state laser, a 561nm 10mW diode pump solid state (DPSS) laser and a 638nm 10mW modulated diode laser. Z stack size was 15 microns. Each z disc (optical section) was 150 nm. Pinhole size for all images was 60 microns. Images were analysed in NIS Elements (Nikon, Melville, NY). in 0, 70, 95 and 100% EtOH were performed, followed by 100% Propylene oxide (2 x 15min), 1:1 EMBed 812 and Propylene Oxide (1 h) and 2:1 EMBed 812:Propylene Oxide (16h in dessicator). Embedding was performed with Embed in Beam capsules (60°C/48 h). Ultrathin sections were produced and grids were treated with uranyl acetate (15 min, dH 2 O rinse) and lead citrate (5 min, dH 2 O rinse). EM images were produced by IHC World (Woodstock, MD) and the Biological EM Facility at the University of Hawaii.

Cell Stimulations
Fc-epsilonRI stimulation used 100 ng/ml IgE anti-DNP (16 h/ 37°C) followed by three washes and the addition of 250 ng/ml KLH-DNP for indicated times. PMA and ionomycin were both used at 500nM. Insulin was used in isolation at 0.2-10 μg /ml or in combination with dexamethasone and IBMX at 0.05μM and 0.025 μM in the presence of 15% FBS (Insulin-FDI). BMMC from HFD mice were additionally in vitro stimulated with a sub-optimal dose of insulin (insufficient to induce LB biogenesis by itself in control experiments) of 200 ng/ml.

ER/microsomal and lipid body preparation by ultracentrifugation
ER/microsomal fractions were purified using an ER Isolation kit (Sigma). Enrichment was assessed by anti-Calnexin Western blot. ER protein and lipid levels were assayed by BCA analysis, and Bligh-Dyer extraction followed by ORO analysis using absorbance spectroscopy, respectively [32].

Staining for lipid content
Cells were fixed with 0.4% (w/v) paraformaldehyde (1h, RT), washed twice with dH2O and stained with Oil Red O (ORO, 0.35% in 6:4 EtOH:water, 15 min RT) followed by two dH2O washes or other dyes as indicated. Coverslips were mounted in Crystal-Mount (Electron Microscopy Sciences, Hatfield, PA). Imaging was performed on a Nikon Ti Eclipse, acquired through a Plan Apo VC 100X 1.40 oil objective, and analysed in NIS Elements.

Beta Hexosaminidase assay for degranulation
Cells were plated in 12-well cluster plates at 10 5 cells/well in 230 microliters/Tyrode's buffer. After 30 min at 37°C, 25 μsupernatant was removed, clarified by micro-centrifugation, and transferred to a 96-well plate containing 100 μl (per well) p-NAG (1 mM p-N-acetyl glucosamine (Sigma) in 0.05 M citrate buffer (pH 4.5) substrate solution. After 1.5 hr at 37°C, reactions were quenched by addition of 100 microliters of 0.2 M glycine (pH 9.0). Beta hexosaminidase levels were read as A405 nm in a Benchmark plate reader (BioRad, Hercules, CA). Results are reported as the mean (± SD) of triplicate samples.

mRNA analysis
RNA was extracted from RBL2H3 (Qiagen, Hilden, Germany). Agilent RNA Spike-In, One Color Mix (Agilent Technologies, Santa Clara, USA) was prepared and 100ng RNA was converted into cRNA and labeled with cyanine-3 with Low Input Quick Amp Labelling Kit (Agilent). Samples were purified using RNeasy mini columns (Qiagen) and cRNA was assessed using Nanodrop (ND-2000C). Using the one-color protocol, equal amounts of Cy3-labeled cRNA (1500 ng) from stimulated and non-treated cells were hybridized in duplicates to Agilent Whole Rat Genome Microarray 4x44K (G4131F) for 17 hrs at 65°C. The microarray comprised of 45,000 probes, representing >41,000 transcripts. Hybridized microarrays were washed, scanned and analyzed (Agilent G2565CA, Agilent Genespring v11.5). Intensities were scaled to the median of all samples and no baseline normalization was performed. Fold changes with associated p-values were calculated. For statistical analyses, an unpaired t-test was performed, using Benjamini-Hochberg for multiple testing amongst the duplicates.

Leukotriene C4 Assay
Cells were treated as indicated and stimulated via the FcεRI or using PMA/ionomycin. After 1h, supernatants were assayed for LTC4 using an EIA kit (Cayman Chemicals, Ann Arbor, MI) in reference to a standard curve. Color development proceeded for 45 min and absorbance was read as A405 nm. Results are reported as the mean (± SD) of triplicates.

ER/microsomal and lipid body preparation by ultracentrifugation
ER/microsomal fractions were purified using an ER Isolation kit (Sigma). Enrichment was assessed by anti-Calnexin Western blot. ER protein and lipid levels were assayed by BCA analysis, and Bligh-Dyer extraction followed by ORO analysis using absorbance spectroscopy, respectively [32].

Lipid body isolation
Cells were resuspended in disruption buffer (DB, 25 mM Tris-HCl, 100 mM KCl, 1 mM EDTA, 5 mM EGTA, pH of 7.4) and Dounce homogenized. The cavitate was mixed dropwise 1:1 with DB containing 1.08 mol/L sucrose, and centrifuged (1500g/10 min). Supernatant was sequentially overlaid with 0.27mol/L and 0.135mol/L sucrose buffers and TOP solution (25mM Tris, 1mM EDTA, 1mM EGTA, pH 7.4), and then centrifuged at 150,500g for 60 min at 4°C. Fractions of 575 microliters were collected from top to bottom: buoyant lipid bodies, mid-zone, microsomal pellet and nuclei. Fractions were sonicated in TOP and protein was measured by BCA assay. Western blot confirmation of perilipin enrichment in LB fractions and sham purifications were performed using ORO to track LB in the density gradient.

Lipidomic analysis
Lipids were extracted in the presence of authentic internal standards by the Folch method using chloroform:methanol (2:1 v/v) [33]. For separation of neutral lipid classes (free fatty acids, triacylglycerol, diacylglycerol, free cholesterol and cholesterol esters), a solvent system consisting of petroleum ether/diethyl ether/acetic acid (80:20:1) was employed. Individual phospholipid classes were separated by liquid chromatography (Agilent Technologies). Whole cell and microaspirated lipid body lipidomic analysis was performed in collaboration with Metabolon Inc. Heatmaps were generated using the RColorBrewer and gplots packages in R [32,34]. Relative abundance (nmol%) was calculated from the amount of each fatty acid among individual lipid groups detected in the LBs. Ribbon plots of the LB relative abundance data were visualized using Circos [17]. For ER lipid analysis each lipid class was transesterified in 1% sulfuric acid in methanol in a sealed vial under a nitrogen atmosphere at 100°C for 45 min. Fatty acid methyl esters (FAME) were extracted with hexane/0.05% butylated hydroxytoluene and sealed under nitrogen. FAME were separated and quantified by capillary GC (Agilent Technologies model 6890) equipped with a 30 m DB 88 capillary column and a flame ionization detector. ER lipid analysis was performed with Dr. Shari Forbes (University of Ottowa Institute of Technology).

Analysis
Results are shown as the mean ± standard deviation. Statistical significance was determined based on ANOVA or Student's t-test where appropriate. Adjacent to data points in the respective graphs, significant differences were recorded as follows: single asterisk, p < 0.05; double asterisk, p < 0.01; triple asterisk, p < 0.001; no symbol, p > 0.05. Experiments are all n of at least 3. For lipidome analysis only data where differences between control and inulin-treated samples exceeded the 95% confidence interval for three replicates were included in subsequent visualizations or analyses

Lipid body accumulation in insulin-treated mast cells and basophils
We have previously shown that chronic exposure to insulin in vitro causes ectopic lipid accumulation in the RBL2H3, a basophilic model that recapitulates many features of mucosal mast cells, and in primary bone marrow derived mast cells (BMMC) [22]. The lipid body (LB) population in these cells is Oil Red O positive and can be visualized by EM (Fig 1A and 1B). Quantitative analysis of the cytosolic abundance of in vitro insulin-induced LB visualized either fluorescently or by EM is shown in Fig 1C. We asked whether hyperinsulinemia in vivo is sufficient to modulate LB numbers in primary mast cells or the related basophil cell type. Bone marrow derived mast cells (BMMC) from HFD mice treated ex vivo for 6d with sub-optimal concentrations of insulin showed LB accumulation relative to controls, as did peripheral blood basophils isolated from HFD fed mice (Fig 1D and 1E). These data confirm that LB numbers are dynamic in mast cells and respond to chronic insulin elevation both in vitro and in vivo.
Hyperinsulinemia and high fat diet are associated with altered proinflammatory phenotype in primary mast cells In a previous study we have shown that chronic insulin treatment of a model mast cell line or BMMC causes a suppression in secretory granule release and an elevation in LTC4 release, associated with the appearance of a large number of cytosolic LB [22]. Our prior study did not show that this observation was relevant in vivo (for example under the conditions of chronic hyperinsulinemia that characterize HFD-induced obesity), and did not provide any direct evidence that the contents of the induced LB were consistent with an enhancement in precursor pools for the production of mediators such as LTC4. To address the first of these questions we asked whether HFD-associated hyperinsulinemia induced elevated LTC4 release. In  inset. 120,000x electron micrograph image of LB structures from 6d insulin-treated cell. C. Area measurement of insulin-induced cytosolic structures were assessed by analyses of EM micrographs (NIH Image J, n = 12) or binary threshold analysis of 25 whole cell ROI for ORO. The whole cell area was determined using a WGA membrane stain and % area of cytoplasm was ng/ml in HFD versus <3ng/ml in controls) for the degranulation and LTC4 release responses of ex vivo cultured BMMC. These cells were isolated from either control or HFD animals, differentiated ex vivo using IL-3. During the 6 week ex vivo differentiation period both control and HFD BMMC were maintained in a sub-optimal concentration of insulin that by itself did not induce LB accumulation (5ng/ml). Relative to cells from control animals, mast cells from HFD animals displayed diminished secretory granule degranulation (Fig 2A) and elevated LTC4 release (Fig 2B) in response to a given dose of antigen. Thus the experiment in Fig 2 shows that HFD itself is sufficient to cause a phenotypic shift in BMMC such that they release elevated LTC4 and exhibit suppressed degranulation responses to antigenic cross-linking of FcεRI. We made a meta-analysis of data across in vitro and in vivo experiments that support the observation that hyperinsulinemia drive this phenotypic shift. These data are summarized as follows: in 35 experiments (29 in vitro and 6 in vivo) where the difference between control and insulin-treated or HFD conditions exceeded a 95 percent confidence interval (all p<0.05), we noted a mean of 40.7% enhancement in LTC4 release (SD = 28%) and a mean of a 72.5% decrease in secretory granule release (SD = 19.6%). These data suggest that there is a connection between LB accumulation and the increased intensity of LTC4 release following antigenic stimulation of mast cells. We therefore examined whether a full-scale analysis of the lipid content of these LB could provide any support for this role.

Lipidome of LB induced by insulin in RBL2H3
A comprehensive analysis of lipid content in any mast cell or basophil LB has not previously been published. We isolated LB from LB-rich RBL2H3 using a published density gradient ultracentrifugation method [13]. Isolation of an enriched LB population was confirmed by Oil Red staining (not shown), by relative enrichment in the LB-associated protein perilipin and the concomitant loss of the ER marker Calnexin from the preparations (Fig 3A). We analyzed 342 distinct lipids (38 fatty acids in 9 major lipid classes) using LC/MS and GCMS. Fig 3B shows Circos plot visualizations of lipid content in samples enriched for LB [14,35]. Overall, 29 fatty acids and 9 major lipid classes were represented. Phosphatidylcholine (PC) (a major component of the unilamellar layer surrounding LB cores), Phosphatidylserine (PS), and Cardiolipin (CL) are highly abundant accounting for roughly 75% of the total lipid class abundance. To assist in visualization, the data are split into 3 plots (Fig 3B), which are sequentially reduced from total fatty acids, to unsaturated fatty acids, to arachidonic acid and its precursors. Fig 3B shows that although the LB are enriched with 16:0 (palmitic) and 18:0 (stearic) saturated fatty acids, the immunologically important 20:4 cis-6 (arachidonic) and its precursors 18:2 cis-6 (linoleic) and 22:4 cis-6 (adrenic) fatty acids are present in four major phosphatidylglycerol lipids: CL, PS, phosphatidylethanolamine (PE), and PC. These membrane-associated lipids are used to recruit precursors in the arachidonic acid cascade and the resulting eicosanoids [36]. In addition to palmitic and stearic acids, 18:1 cis-9 (oleic) monounsaturated fatty acids are also abundant in the LB profile. These three fatty acids comprise at least 60% or higher of all observed fatty acids. Both stearic and palmitic acids are associated with the Toll-like receptor 4 (TLR4) proinflammatory pathway in the context of insulin resistance and obesity [28,37,38]. Oleic acid is associated with the activation of the proinflammatory mediator tumor necrosis calculated. The average of the calculations (n = 12 cells for EM analysis and n = 25 cells for fluorescence analysis) are plotted. D. ORO assessment of LB numbers in BMMC from normal and HFD-maintained mice. BMMC were prepared as described and maintained for 6d in 200 ng/ml insulin. Z discs (n = 25 z discs from 6 cells) were assessed for ORO stained area and data are expressed as mean % of the z disc (ROI determined by WGA staining for cell boundaries) that was ORO positive. E. Murine peripheral blood basophils were isolated using MACS, fixed and stained for LB content as described.
Counterstains are DAPI and WGA. 3D rendered images (upper panels) were used to calculate cell volume and the % of cytoplasm (lower panel) occupied by ORO-positive structures. Con, control; Veh, Vehicle; Ins, Insulin. Veh samples are n of only 1, and are shown for comparison purposes only.
doi:10.1371/journal.pone.0130198.g001  factor-alpha (TNF-alpha) and the transcription factor nuclear factor kappa-light-chainenhancer of activated B cells (NF-kappa Β) [39]. S1 Fig breaks out the total fatty acid data into its unsaturated and saturated members and into nine different lipid classes. CL accounts for approximately 18% of the total lipid classes, which may reflect mitochondrial contamination as this lipid is identified with the inner catalytic mitochondrial membrane. However, CL typically accounts for~20% of those membranes, which would seem insufficient to account for 18% of the total lipid measured in the LB [30,40]. Interestingly, classes associated with energy storage, namely diacylglycerol (DAG) and triacylglycerol (TAG) were found in low abundance in the LB but are major components of classical lipid droplets found in adipocytes.

Whole cell lipidome remodeling in insulin-exposed RBL2H3
Density gradient centrifugation yields a highly enriched population of LB, and the very high abundance of LB in insulin-exposed cells minimizes the quantitative contribution of contamination (e.g., with LB-associated mitochondria or similarly sedimenting microsomal vesicles). In untreated cells, the low abundance of LB made this contamination more significant and enrichment difficult to validate. We therefore examined whole cell lipidomes to compare untreated and treated cells, reasoning that the abundance of insulin-induced LB would translate to an impact on the overall total lipid signature. Whole cell lipid extracts from insulinexposed RBL2H3 show alterations in major lipid classes and associated fatty acid composition (Fig 4A). Of the 9 major lipid classes examined, we find free fatty acids (FFA) and lysophosphatidylcholine (LYPC) increase more than two fold with marginal increases in 4 of the other major lipid classes (CE, TAG, PS, FC). A survey of individual FFA show the largest increase in eicosatetraenoic acid (20:4n3, 16.3-fold) and the largest decrease in palmitoleic acid (16:1n7, 8.9-fold change). Several omega-3 fatty acids are upregulated over 10-fold (e.g., 20:4n3 and 22:5n3). Di-homo-gamma-linolenic acid (20:3n6), the immediate precursor molecule for arachidonic acid (AA), increased across all major lipid classes at 5.85 fold, with eicosapentaenoic acid (20:5n3) at 5.15 fold. In terms of absolute abundance of lipid species, we find the most marked alterations in 22:6n3 and 20:3n6 (a precursor to AA), and AA itself. Overall levels of TAG and FFA, conventionally regarded as major components of adipocyte lipid droplets, are not strongly upregulated (Fig 4B).
We detected alterations in the degree of unsaturation in individual fatty acids (Fig 4C). Insulin-FDI treatment resulted in upregulation of omega-3 and omega-6 polyunsaturated fatty acids (PUFA), in particular the 18-20 carbon omega-6 PUFAs, which include precursors for AA synthesis. Fig 4C includes intermediates involved in the biosynthesis of AA. With the exception of 18:3n6 (a short-lived metabolite in this biosynthetic pathway), our data show an upregulation in each FA in all 9 major lipid classes in the AA pathway. Absolute levels increased in 3 of 4 lipids of the AA biosynthetic pathway (Fig 4D). AA showed > 3-fold increase over control levels in 7 of the 9 major lipid classes (Fig 4E), and we were able to validate this finding by pan-AA ELISA (data not shown). Fig 5 draws together data from the whole cell and isolated LB lipidomes. We assessed ( Fig  5A) the relative over-or under-representation of lipid species in LB from LB-rich cells. each class were produced and subsequently analyzed by GC/MS. Abundance of lipid species in LB from insulin-FDI treated mast cells were quantified and organized into ribbon plots using Circos. All lipid species and nmole percentage representations of the observed classes are visualized. The Circos plots draw ribbons from the fatty acids to the different associated classes. Line width is proportional to the recorded percentage. The outer ring is representative of the total nmole percentage of either the fatty acid and/or class. The inner ring is the relative amount of each element in the plot. The values listed on the inner ring are 100x larger than the percentage in order to resolve less common fatty acids. The three different plots reduce the information from the total fatty acids (top) to the unsaturated fatty acids (middle) to arachidonic acid and its precursors (bottom). This Fig resolves which   Organizing these data by lipid class, we note overall similarity between control and insulintreated whole cells. The LB signature is markedly different, with over-representation of FFA, CL and PS relative to whole cells. Notably DAG, TAG and CE are not markedly over-represented in isolated LB. PE is under-represented in LB relative to whole cells. We calculated the PC/PE ratio for whole cells and isolated LB (Fig 5B). PC expansion is consistent with the elevated need for this lipid to coat the surface of a large population of new LB was noted in insulin treated cells. Moreover, PC is highly represented in the purified LB, again reflecting its role in formation of the unilamellar coat enclosing the LB [25,29].

Insulin-induced LB accumulation is accompanied by ER reprogramming in mast cells
LB accumulation in insulin-exposed mast cells would be predicted to affect the ER due to the intimate relationship between the ER and LB biogenesis [25]. Steatosis in the liver causes ER 'reprogramming', characterized by (i) ER stress, (ii) the Unfolded Protein Response (UPR), (iii) ER distension, and (iv) a shift from predominantly protein synthesis to lipid biogenesis [41]. We assessed these responses in cells exposed chronically to insulin. Fig 6A shows that various markers of the UPR (IRE1 alpha, phospho-PERK and ATF6) are upregulated in cells exposed chronically to insulin. Ideally, the UPR protects cells against ER stress by enhancing the capacity of the secretory apparatus and by reducing the ER load [42]. However, dramatic dysregulation of the ER can lead to autophagy where the stressed ER is engulfed by autophagosomes in an attempt to regain homeostasis. Autophagy-related proteins (ATG3, ATG12, ATG7, Beclin, and LC3A) were upregulated in insulin-treated RBL2H3 (Fig 6B) [43]. This suggests that both the UPR and autophagy responses are induced by the degree of ER stress activated in insulintreated RBL2H3 cells, and we validated this observation by immunocytochemistry of autophagy-related proteins (Fig 6C, 6D and 6E).
ER lamellae are distended in insulin-FDI treated cells, with close agreement between both EM and fluorescence-based assessments of ER-area (Fig 7A and 7B). The Hotamisligil laboratory suggested that such ER remodelling is associated with ER reprogramming in the obese liver, where steatosis is associated with lipid accumulation in the ER and diminished ER protein synthesis [29]. We therefore generated enriched ER/microsomal fractions by ultracentrifugation ( Fig 7C) and assessed their overall lipid and protein content in control and LB-rich mast cells (Fig 7D). The ER in LB-rich mast cells is in a similar state to that of the obese liver, with a net increase in lipid, and decrease in protein content [29]. LB biogenesis is initiated by the accumulation of lipid 'lenses' between the ER membrane lamellae [44]. In cells where LB are major storage sites for ER-derived TAG, it would be predicted that the stressed ER in LB-rich cells would have a lipid content closely related to that of the LB themselves. We analyzed the lipid content of ER/ microsomal fractions purified from control and LB-rich mast cells by density gradient ultracentrifugation. We observe the most abundant fatty acids in our ER isolation to be palmitic acid (16:0), stearic acid (18:0) and oleic acid (18:1n9), which are the same 3 fatty acids with the highest abundance analyzed from our LB fractions. We noted redistribution in the relative abundance of summed between untreated and insulin-treated cell samples. C. The average fold change of fatty acids between the two conditions is bar plotted and organized by the degree of saturation (saturated, mono-unsaturated (MUFA), and poly-unsaturated (PUFA)) of the fatty acids. The legend on the right side indicates the scale in fold change from -3.5 to 6. D. Individual FA in the AA biosynthetic pathway were quantified according to their respective major lipid class. Fold change was calculated based on response to insulin-FDI in treated compared to control mast cells (  individual fatty acids in the samples derived from LB-rich cells (Fig 7E and 7F). We again noted upregulation in AA precursors and AA itself compared to untreated cell ER fractions (Fig 7F). We also note changes in all degrees of saturation in ER lipid content in Insulin-treated cells including saturated, mono-and poly-unsaturated fatty acids (Fig 7G).

Discussion
Our data suggest that high fat diet (HFD) exposure and hyperinsulinemia are associated with LB accumulation, suppressed degranulation and enhanced leukotriene release in both BMMC and peripheral blood basophils. These data support and extend previous in vitro findings. Chronic elevated insulin and nutrient overload can thus be added to the short list of stimuli that have been shown to regulate LB numbers in immunocytes, alongside bacterial and parasite components, cytokines, extracellular FA, and platelet activating factor (PAF) [6]. The only hormones previously shown to regulate LB numbers in an immune system cell (foamy macrophages) are resistin and leptin [6,13]. It now remains to be seen whether immunological inputs also regulate LB numbers in mast cells, in addition to the endocrine input of insulin. Insulin has previously been suggested to be a survival factor for BMMC, which may be an important factor in HFD/hyperinsulinemic animals. However, in our studies neither RBL2H3 [22] or primary BMMC showed positive effects of insulin on proliferation.
Both de novo lipid biogenesis and the import of excess dietary lipid (stored cytoplasmically as TAG/CE) from the bloodstream have been implicated in steatosis in adipocytes and hepatocytes [29]. Our lipidomic analysis suggests that the lipidome of LB-rich mast cells may reflect a more complex picture, where significant expansion occurs in lipid species that are precursors to the biosynthesis of leukotrienes and prostaglandins. This analysis of isolated LB provides the first fingerprint of these organelles in terms of lipid content, albeit in an expanded LB population that may, or may not, directly reflect the content of the LB in untreated naïve mast cells, or those in tissue. Notable features of the LB lipidome here are the representation of AA and its biosynthetic precursors, and very high levels of PC. The former is consistent with previous EM and biochemical studies, showing that mast cell LB are sites for AA metabolism and LT synthesis [11,12]. The latter is consistent with the role of PC as the primary component of the unilamellar coat of the LB surface [45]. Fu et al also identified a large shift in the PC:PE ratio in hepatocytes that were accumulating lipid droplets [29], and reasoned similarly. Like the induction of ER stress and UPR, this is another commonality between the obese liver and the insulin-exposed immunocytes studied here, where we noted transcriptional upregulation of PC synthesizing enzymes (pcyt and pemt, not shown) and the presence of~40% more PC than in control cells (note that the surface area of a spherical lipid body of 1 micron diameter would approximate 3x10 -12 m 2 , perhaps necessitating synthesis of some 3 million~1.5 nm 2 PC headgroups). It should be noted however, that the ultracentrifugation method of LB purification may be subject to contamination by associated organelles or those of similar sedimentation properties. For example, the high levels of cardiolipin (CL) observed in purified LB could derive from mitochondria that have been observed to closely associate with some LB in other cell types. However, the high levels of CL that we observe, and the interesting lipid profile within this class (S1 Fig) suggest that CL levels may not simply be reflective of this contamination. Further validation of the CL presence in LB, and study of its role, is clearly required. We note that it is also difficult to discriminate between lipids from LB and from the ER that is either  ER distension and lipid biogenesis in insulin-exposed RBL2H3. A. Electron micrographs of control and insulin-FDI exposed RBL2H3 showing normal (left) and distended (right) ER. Images are digitally zoomed from 5000x original plates. B. Area analysis of ER by electron and fluorescence microscopy. Cytoplasmic (n of 20 per condition) ROI were drawn on either micrographs (Image J) or confocal images of cells stained with ER-Tracker dye (NIS Elements). Data are expressed as percentage area of ROI occupied by ER. C. Confirmation of ER enrichment in purified ER/ microsomal fractions. ER/microsomal fractions were prepared by ultracentrifugation as described in Methods and Western blotted for enrichment in the closely associated with them [6,13], or that is residual from the LB biogenesis process. We have therefore embarked on microaspiration and nanospray LC/MS lipid analysis of LB as a method to allow us to study an even more purified population.
Expanded LB pools in adipocytes and hepatocytes from obese animals are also associated with remodelling of the cellular lipidome and the concomitant induction of ER stress. ER remodelling and reprogramming (from protein synthesis to lipogenesis) that has been observed in the obese steatotic liver is also, interestingly, paralleled in the immune cells studied here [29,45]. In parallel with studies in the obese liver, we found an upregulation of the UPR pathway and autophagy genes in the LB-rich mast cell. In this case, autophagy induction is likely to be an outcome of the lipid saturation of the ER, with autophagosome activity attempting to regain homeostasis. While acute insulin can protect against autophagy in some cell types, the relationship in our study is likely to be indirect, with autophagy resulting from the effects of chronic insulin elevation on lipid accumulation.
Isolated adipocytes and macrophages from obese tissue show large increases in PUFA and TAG levels [19,46,47]. Under the hyperinsulinemic conditions mimicked in our experiments, RBL2H3 show dramatic increases in PUFA but marginal changes overall in TAG. The increase in PUFA that we observe, if translated to mast cells found in vivo, could provide a new source for the PUFA that are dramatically elevated in adipose tissue. Obese adipose is enriched in mast cells, enriched in PUFA and is inflamed. A population of resident mast cells in obese adipose that is producing PUFA and also elevated levels of some mast cell-derived pro-inflammatory mediators such as eicosanoids, could contribute to this phenotype. Elevated LB numbers in adipose or other mast cells in response to insulin or obesogenic stimuli is, as yet, unstudied, although Theoharides has alluded to elevated sudan black-positive (a LB dye) structures in mucosal mast cells from obese mice [48].
Ectopic lipid deposition (ELD) occurs outside the classical adipose depots in obesity (e.g., liver, pericardium and skeletal muscle [49]). Our data suggest that cells of the immune system may be sites of ELD in response to nutrient overload, but that the specific character of the accumulated LB is distinct from those in adipocytes (primarily TAG/CE ported from blood) and is more closely related to the presumed physiological role of the endogenous LB in the immune context. Interestingly, while their functional roles are divergent, this suggests commonalities in the basic LB biogenesis mechanism between adipocytes and mast cells, in that insulin can drive the process in both cell types.
Our data suggest that mast cells with an expanded LB population are fundamentally reprogrammed compared to normal cells. LB biogenesis is accompanied by marked changes in their functional responses to antigen. Primary mast cells with expanded LB pools display elevated release of LTC4 after FcεRI cross-linking but their secretory degranulation responses (histamine release) are markedly suppressed. Our staining data (not shown) suggest that the latter relates to a suppression of secretory granule biogenesis rather than a defect in granule cargo or loading. This may relate to the autophagy phenotype-since lysosomes are part of the biogenesis pathway of both secretory granules and autophagosomes, one of these organelles may form at the expense of another.
ER-resident chaperone Calnexin. Relative band intensities are shown on each panel (Image J). D. Comparison of protein and lipid levels in ER/ microsomal fractions prepared from control and Insulin-FDI treated RBL2H3. Total protein was assessed by BCA analysis, and total lipid content was assessed by ORO absorbance assay after Bligh-Dyer extraction. E. Characterization of ER Fatty acids. RBL2H3 were grown for 6d with insulin-FDI as described. Isolated ER was analyzed by GC/MS and variations in ER lipids versus control levels were organized by fold change (values along y-axis) and abundance. Green, > 2 fold increase in treated over controls; gray, no change; red, decrease to < 50% of control levels. F. Relative abundance of eicosatrienoic, arachidonic and linoleic acid in ER from control and Insulin-FDI treated cells. G. Summary of alterations in saturated (SFA), monounsaturated (MUFA) and poly-unsaturated (PUFA) fatty acids in ER/microsomal fractions from control and insulin FDI-treated cells. doi:10.1371/journal.pone.0130198.g007 Exposure to acute innate stimuli has been suggested to cause leukotriene release that is independent of degranulation in mast cells [38,50]. Our data suggest that mast cells can be 'preprogrammed' with a bias towards one of these functional responses, in this case by exposure to high insulin levels. There may be a relationship between these observations and the long-established functional heterogeneity of mast cell sub-populations in vivo. Moreover, this study suggests that outcomes of inflammatory responses driven by mast cells would differ in hyperinsulinemic and high nutrient conditions compared to metabolically normal contexts, or in conditions of insulin paucity.
Supporting Information S1 Fig. Lipid profile of isolated LB by lipid class. Individual major lipid classes were separated by high performance liquid chromatography (HPLC) and fatty acid methyl esters from each class were produced and subsequently analyzed by GC/MS. Abundance of lipid species in LB from IFDI-treated mast cells were quantified and organized into ribbon plots using Circos. All lipid species and nmole percentage representations of the observed classes are visualized. The Circos plots draw ribbons from the fatty acids to the different associated classes. Line width is proportional to the recorded percentage. The outer ring is representative of the total nmole percentage of either the fatty acid and/or class. The inner ring is the relative amount of each element in the plot. The values listed on the inner ring are 100x larger than the percentage in order to resolve less common fatty acids. The top row shows the complete division of fatty acids and lipid group membership. This row is further reduced to either the unsaturated fatty acids or the saturated fatty acids. Subsequent rows show a breakout of each lipid class and the fatty acid membership and percentage for that class. They are ordered from left to right and then top to bottom by percentage abundance of the specific lipid class. By order in the