Inhibition of LOX-1 by statins may relate to upregulation of eNOS
1Department of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. mehtajl@uams.edu
Abstract:
LOX-1, a receptor for oxidized low-density lipoprotein (ox-LDL), plays a critical role in endothelial dysfunction and atherosclerosis; both of these conditions are associated with diminished expression of constitutive endothelial nitric oxide synthase (eNOS). Recent studies show that HMG CoA reductase inhibitors (statins) exert cardioprotective effect. We examined the role of LOX-1 in eNOS expression and modulation of this relationship by two different statins, simvastatin and atorvastatin in human coronary artery endothelial cells (HCAECs). Ox-LDL (40 microg/ml) upregulated the expression of LOX-1; simultaneously, there was a reduction in eNOS expression. Pretreatment of HCAECs with simvastatin or atorvastatin (1 and 10 microM) reduced ox-LDL-induced upregulation of LOX-1 and downregulation of eNOS (both P < 0.05). High concentration of statins (10 microM) was more potent than the low concentration (1 microM) (P < 0.05). Both statins also attenuated ox-LDL-mediated activation of MAP kinase. These observations indicate that statins attenuate the effect of ox-LDL on eNOS expression. Inhibitory effect on LOX-1 and subsequently MAP kinase activity provides a potential mechanism of beneficial effects of statins beyond lowering cholesterol.
Insights
Statins reduce oxidized LDL
Area of Science:
- Cardiovascular Biology
- Endothelial Cell Biology
- Pharmacology
Background:
- Oxidized low-density lipoprotein (ox-LDL) receptor LOX-1 is implicated in endothelial dysfunction and atherosclerosis.
- Endothelial nitric oxide synthase (eNOS) expression is diminished in these conditions.
- Statins are known to have cardioprotective effects.
Purpose of the Study:
- To investigate the role of LOX-1 in eNOS expression.
- To determine how simvastatin and atorvastatin modulate the LOX-1/eNOS relationship.
- To explore potential mechanisms of statin action beyond cholesterol reduction.
Main Methods:
- Human coronary artery endothelial cells (HCAECs) were treated with ox-LDL.
- Cells were pretreated with varying concentrations of simvastatin and atorvastatin.
- Expression of LOX-1 and eNOS, and MAP kinase activation were assessed.
Main Results:
- Ox-LDL upregulated LOX-1 and downregulated eNOS expression in HCAECs.
- Simvastatin and atorvastatin reduced ox-LDL-induced LOX-1 upregulation and eNOS downregulation.
- Higher statin concentrations showed greater efficacy, and both statins attenuated MAP kinase activation.
Conclusions:
- Statins mitigate the adverse effects of ox-LDL on eNOS expression in HCAECs.
- Inhibition of LOX-1 and MAP kinase activity may underlie the cardioprotective benefits of statins.
- These findings suggest a mechanism for statin efficacy independent of lipid-lowering.
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