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Updated: Jun 23, 2026

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Published on: October 12, 2017
Antimitogenic effects of HDL and APOE mediated by Cox-2-dependent IP activation
Devashish Kothapalli1, Ilia Fuki, Kamilah Ali
1Department of Pharmacology, University of Pennsylvania School of Medicine, Philadelphia 19104-6084, USA.
Abstract:
HDL and its associated apo, APOE, inhibit S-phase entry of murine aortic smooth muscle cells. We report here that the antimitogenic effect of APOE maps to the N-terminal receptor-binding domain, that APOE and its N-terminal domain inhibit activation of the cyclin A promoter, and that these effects involve both pocket protein-dependent and independent pathways. These antimitogenic effects closely resemble those seen in response to activation of the prostacyclin receptor IP. Indeed, we found that HDL and APOE suppress aortic smooth muscle cell cycle progression by stimulating Cox-2 expression, leading to prostacyclin synthesis and an IP-dependent inhibition of the cyclin A gene. Similar results were detected in human aortic smooth muscle cells and in vivo using mice overexpressing APOE. Our results identify the Cox-2 gene as a target of APOE signaling, link HDL and APOE to IP action, and describe a potential new basis for the cardioprotective effect of HDL and APOE.
Insights
Apolipoprotein E (APOE) and HDL inhibit smooth muscle cell proliferation by activating the prostacyclin pathway via Cox-2. This finding reveals a new mechanism for the cardioprotective effects of HDL and APOE.
Area of Science:
- Cardiovascular Biology
- Cell Cycle Regulation
- Lipid Metabolism
Background:
- High-density lipoprotein (HDL) and its associated apolipoprotein E (APOE) are known to influence vascular smooth muscle cell (VSMC) function.
- The precise molecular mechanisms by which APOE and HDL exert their effects on cell cycle progression remain incompletely understood.
Purpose of the Study:
- To elucidate the role of APOE and HDL in regulating VSMC S-phase entry.
- To identify the specific domains and signaling pathways involved in the antimitogenic effects of APOE.
- To investigate the link between APOE/HDL signaling and the prostacyclin pathway.
Main Methods:
- Investigated the antimitogenic effects of APOE and its N-terminal domain on murine aortic smooth muscle cells.
- Analyzed the impact on cyclin A promoter activation using pocket protein-dependent and independent pathways.
- Assessed the role of cyclooxygenase-2 (Cox-2) expression and prostacyclin synthesis.
- Utilized human aortic smooth muscle cells and APOE-overexpressing mice for in vivo validation.
Main Results:
- The antimitogenic effect of APOE was localized to its N-terminal receptor-binding domain.
- APOE and its N-terminal domain inhibited cyclin A promoter activation.
- HDL and APOE suppressed VSMC cell cycle progression by stimulating Cox-2 expression, leading to prostacyclin synthesis.
- This process involved prostacyclin receptor IP-dependent inhibition of the cyclin A gene.
Conclusions:
- APOE signaling targets the Cox-2 gene, linking HDL and APOE to prostacyclin receptor IP action.
- HDL and APOE suppress VSMC proliferation through a Cox-2/prostacyclin-dependent pathway.
- This mechanism provides a potential new basis for the cardioprotective effects of HDL and APOE in cardiovascular disease.
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