Normal high density lipoprotein inhibits three steps in the formation of mildly oxidized low density lipoprotein:

M Navab1, S Y Hama, G M Anantharamaiah

  • 1Atherosclerosis Research Unit, Division of Cardiology, Department of Medicine, University of California, Los Angeles, Los Angeles, CA 90095, USA.

Journal of Lipid Research
|September 7, 2000
PubMed

Insights

Normal high-density lipoprotein (HDL) prevents artery wall cells from oxidizing low-density lipoprotein (LDL). However, HDL from some coronary artery disease patients is defective, failing to inhibit LDL oxidation and its harmful effects.

Area of Science:

  • Biochemistry
  • Cardiovascular Biology
  • Lipid Metabolism

Background:

  • Artery wall cells can oxidize low-density lipoprotein (LDL).
  • Oxidized LDL contributes to cardiovascular disease.
  • The role of high-density lipoprotein (HDL) in preventing LDL oxidation by artery wall cells is not fully understood.

Purpose of the Study:

  • To investigate the mechanisms of LDL oxidation by human artery wall cells.
  • To determine the role of 12-lipoxygenase (12-LO) in LDL oxidation.
  • To assess the ability of high-density lipoprotein (HDL) to inhibit LDL oxidation and the biological activity of oxidized phospholipids in patients with coronary artery disease (CAD).

Main Methods:

  • Human aortic wall cells were treated with various agents, including apolipoprotein A-I (apoA-I), apoA-I peptide mimetic, HDL, and paraoxonase.
  • Cells were transfected with antisense or sense oligonucleotides to 12-lipoxygenase (12-LO).
  • The oxidation of phospholipids and cholesteryl linoleate was induced by hydroperoxides.
  • The biological activity of oxidized phospholipids was assessed.
  • HDL function was tested using LDL oxidation assays and oxidized phospholipid activity assays.

Main Results:

  • Apolipoprotein A-I (apoA-I), HDL, and paraoxonase inhibited LDL oxidation by artery wall cells.
  • Human aortic wall cells express 12-lipoxygenase (12-LO); inhibiting 12-LO prevented LDL-induced monocyte chemotactic activity.
  • Hydroperoxides significantly enhanced the oxidation of phospholipids, forming biologically active oxidized phospholipids.
  • Normal HDL inhibited LDL oxidation and the activity of oxidized phospholipids.
  • HDL from CAD patients with normal lipid levels failed to inhibit LDL oxidation and oxidized phospholipid activity.

Conclusions:

  • Mildly oxidized LDL is formed in a multi-step process involving 12-LO.
  • Normal HDL effectively inhibits LDL oxidation and the biological activity of oxidized phospholipids.
  • HDL from some coronary artery disease patients is functionally deficient, impairing its ability to prevent LDL oxidation and mitigate the effects of oxidized phospholipids.

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