Related Experiment Video
Updated: Aug 6, 2026

Stimulation of Vascular Endothelial Cells Using Neutrophil Extracellular Traps in the Presence of Low-Density Lipoprotein
Published on: August 12, 2025
Platelet activation by low density lipoprotein and high density lipoprotein
Suzanne J A Korporaal1, Jan-Willem N Akkerman
1Thrombosis and Haemostasis Laboratory, Department of Haematology, University Medical Center Utrecht and The Institute for Biomembranes, University of Utrecht, The Netherlands. j.a.korporaal@azu.nl
Insights
Low density lipoprotein (LDL) enhances platelet responsiveness, increasing risks for cardiovascular disease. High density lipoprotein (HDL) has opposing effects, influencing thrombosis and atherosclerosis development.
Area of Science:
- Cardiovascular biology
- Lipid metabolism
- Platelet signaling
Background:
- Cardiovascular disease is a leading cause of death globally.
- Lipoproteins play a critical role in atherosclerosis and thrombosis.
- Platelet-lipoprotein interactions are central to cardiovascular pathology.
Purpose of the Study:
- To review signaling pathways activated by platelet-lipoprotein interactions.
- To highlight the role of low density lipoprotein (LDL) and high density lipoprotein (HDL) in platelet activation.
- To emphasize the implications for thrombosis and atherosclerosis.
Main Methods:
- Literature review of platelet-lipoprotein signaling studies.
- Analysis of in vitro and in vivo data on platelet activation.
- Summary of identified signaling pathways, including p38 MAPK and p125 FAK.
Main Results:
- LDL enhances platelet responsiveness and activity, particularly in hypercholesterolemia.
- LDL initiates specific signaling pathways in platelets.
- HDL subtypes (HDL(2) and HDL(3)) exhibit opposing effects on platelet activation.
Conclusions:
- Platelet activation by LDL contributes to cardiovascular disease progression.
- HDL may exert protective effects against platelet hyper-responsiveness.
- Understanding these interactions is crucial for managing thrombosis and atherosclerosis.
Abstract:
Cardiovascular disease is the main cause of death and disability in the Western society. Lipoproteins are important in the development of cardiovascular disease since they change the properties of different cells involved in atherosclerosis and thrombosis. The interaction of platelets with lipoproteins has been under intense investigation. Particularly the initiation of platelet signaling pathways by low density lipoprotein (LDL) has been studied thoroughly, since platelets of hypercholesterolemic patients, whose plasma contains elevated LDL levels due to absent or defective LDL receptors, show hyperaggregability in vitro and enhanced activity in vivo. These observations suggest that LDL enhances platelet responsiveness. Several signaling pathways induced by LDL have been revealed in vitro, such as signaling via p38 mitogen-activated protein kinase and p125 focal adhesion kinase. High density lipoprotein (HDL) consists of two subtypes, HDL(2) and HDL(3), which have opposing effects on platelet activation. This review provides a summary of the activation of signaling pathways after platelet-LDL and platelet-HDL interaction, with special emphasis on their role in the development of thrombosis and atherosclerosis.
Related Concept Videos
Formation of the Platelet Plug
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
Receptor-mediated Endocytosis
Structure and Function of Platelets
Platelets are continually replenished, circulating in the bloodstream for 9-12 days before being removed by phagocytes, primarily in the spleen. A microliter of circulating blood contains between 150,000 and 450,000 platelets, with...
Peripheral Artery Disease I: Introduction
Lipid-derived Compounds in the Human Body
Fat-soluble Vitamins
Fat-soluble vitamins, including vitamins A, D, E, and K, are required in minimal quantities, but their deficiencies can lead to severely abnormal physiological conditions. For example, vitamin A deficiency can cause night blindness, dry skin, delayed...
Coronary Artery Disease II: Pathophysiology

