Platelet activation by low concentrations of intact oxidized LDL particles involves the PAF receptor

Rui Chen1, Xi Chen, Robert G Salomon

  • 1Department of Cell Biology, Lerner Research Institute, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH 44195, USA.

Abstract

Insights

Oxidized LDL (oxLDL) activates platelets via the PAF receptor, a response mediated by various oxidized phospholipids. This finding reveals a broader role for the PAF receptor in platelet activation than previously understood.

Area of Science:

  • Cardiovascular Biology
  • Platelet Physiology
  • Lipid Metabolism

Background:

  • Mitochondrial depolarization is a known factor in platelet activation.
  • Oxidized low-density lipoprotein (oxLDL) contains specific oxidized phospholipids that affect mitochondrial function in nucleated cells.
  • It is hypothesized that oxLDL may enhance platelet activation.

Purpose of the Study:

  • To investigate the role of intact oxLDL particles in platelet activation.
  • To identify the specific mechanisms and receptors involved in oxLDL-mediated platelet activation.
  • To determine the range of oxidized phospholipids recognized by the platelet activation pathway.

Main Methods:

  • Flow cytometry was used to assess platelet responses, including intracellular calcium (Ca2+) levels, platelet aggregation, and the expression of activated glycoprotein IIb/IIIa and P-selectin.
  • Platelets were stimulated with oxLDL alone or in combination with subthreshold amounts of soluble agonists.
  • The role of the platelet-activating factor (PAF) receptor was investigated using PAF receptor agonists.

Main Results:

  • Intact oxLDL particles, in synergy with low agonist concentrations, increased intracellular Ca2+, induced platelet aggregation, and promoted the expression of activated markers.
  • oxLDL alone induced platelet aggregation and increased intracellular Ca2+ at lower concentrations.
  • Specific oxidized phospholipids, including hexadecyl azelaoyl-lysoPAF (HAz-LPAF), were identified as potent platelet agonists, activating platelets and depolarizing mitochondria.
  • The PAF receptor was found to be essential for oxLDL-induced platelet activation, recognizing a wider array of oxidized phospholipids than previously expected.

Conclusions:

  • Intact oxLDL particles activate platelets through the platelet-activating factor (PAF) receptor.
  • The PAF receptor demonstrates a broader recognition profile for oxidized phospholipids present in oxLDL than previously anticipated.

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