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Updated: Mar 8, 2026

Enrichment of Mammalian Tissues and Xenopus Oocytes with Cholesterol
Published on: March 25, 2020
Cholesterol Enrichment Impairs Capacitative Calcium Entry, eNOS Phosphorylation & Shear Stress-Induced NO Production
Allison M Andrews1, Tenderano T Muzorewa2, Kelly A Zaccheo2
1Department of Pathology & Laboratory Medicine, Lewis Katz School of Medicine at Temple University, 3500N. Broad St., Philadelphia, PA 19140, USA.
Insights
High cholesterol impairs nitric oxide (NO) production by disrupting calcium signaling in endothelial cells. This finding clarifies a key mechanism in early atherosclerosis development.
Area of Science:
- Cardiovascular Biology
- Cellular Signaling
- Atherosclerosis Research
Background:
- Endothelial dysfunction, marked by reduced nitric oxide (NO), is central to early atherosclerosis.
- Hypercholesterolemia is a primary risk factor, linked to impaired flow-induced dilation.
- The precise mechanism linking high cholesterol to decreased NO production remains unclear.
Purpose of the Study:
- To investigate how cholesterol enrichment impacts endothelial nitric oxide synthase (eNOS) activation via calcium signaling.
- To test the hypothesis that cholesterol affects capacitive calcium entry (CCE) and subsequently reduces NO production.
Main Methods:
- Cholesterol enrichment of endothelial cells.
- Measurement of eNOS phosphorylation and intracellular calcium responses to ATP stimulation.
- Assessment of NO production under shear stress.
- Analysis of capacitive calcium entry (CCE) function.
Main Results:
- Cholesterol enrichment abolished ATP-induced eNOS phosphorylation.
- Elevated cholesterol preferentially inhibited capacitive calcium entry (CCE).
- Shear stress-induced NO production and eNOS phosphorylation were significantly attenuated by cholesterol enrichment.
Conclusions:
- Cholesterol enrichment disrupts endothelial calcium signaling pathways, specifically inhibiting CCE.
- This disruption leads to decreased eNOS activation and reduced NO production, contributing to endothelial dysfunction in hypercholesterolemia.
- Findings elucidate a mechanism linking high cholesterol to impaired vascular function in early atherosclerosis.
Abstract:
Endothelial dysfunction, characterized by decreased production or availability of nitric oxide (NO), is widely believed to be the hallmark of early-stage atherosclerosis. In addition, hypercholesterolemia is considered a major risk factor for development of atherosclerosis and is associated with impaired flow-induced dilation. However, the mechanism by which elevated cholesterol levels leads to decreased production of NO is unclear. NO is released in response to shear stress and agonist-evoked changes in intracellular calcium. Although calcium signaling is complex, we have previously shown that NO production by endothelial nitric oxide synthase (eNOS) is preferentially activated by calcium influx via store-operated channels. We hypothesized that cholesterol enrichment altered this signaling pathway (known as capacitive calcium entry; CCE) ultimately leading to decreased NO. Our results show that cholesterol enrichment abolished ATP-induced eNOS phosphorylation and attenuated the calcium response by the preferential inhibition of CCE. Furthermore, cholesterol enrichment also inhibited shear stress-induced NO production and eNOS phosporylation, consistent with our previous results showing a significant role for ATP autocrine stimulation and subsequent activation of CCE in the endothelial flow response.
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