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Published on: August 12, 2025
Myeloperoxidase-Oxidized LDL Activates Human Aortic Endothelial Cells through the LOX-1 Scavenger Receptor
Layal El-Hajjar1, Judy Hindieh2, Rana Andraos2
1Department of Anatomy, Cell Biology and Physiological Sciences, Faculty of Medicine, American University of Beirut, Beirut 1107 2020, Lebanon.
Insights
Myeloperoxidase-oxidized LDL (Mox-LDL) exacerbates endothelial dysfunction by upregulating the LOX-1 receptor in human aortic endothelial cells. This finding reveals a novel pathway in atherosclerosis development.
Area of Science:
- Cardiovascular Biology
- Endothelial Cell Biology
- Atherosclerosis Research
Background:
- Atherosclerosis, a major cause of cardiovascular disease mortality, stems from endothelial dysfunction and oxidized LDL accumulation.
- The lectin-like oxidized low-density lipoprotein receptor-1 (LOX-1) is implicated in oxidized LDL's role in atherogenesis.
- LOX-1 expression is increased by inflammatory mediators and proatherogenic stimuli.
Purpose of the Study:
- To investigate the impact of myeloperoxidase-oxidized LDL (Mox-LDL) on human aortic endothelial cell (HAEC) function.
- To determine the role of the LOX-1 scavenger receptor in Mox-LDL-induced endothelial dysfunction.
Main Methods:
- Utilized a physiologically relevant model of LDL oxidation using myeloperoxidase.
- Exposed human aortic endothelial cells (HAECs) to Mox-LDL.
- Assessed changes in LOX-1 receptor expression, inflammation markers, and tubulogenesis in HAECs.
Main Results:
- Mox-LDL significantly increased the expression of the LOX-1 receptor in HAECs.
- Mox-LDL exposure led to enhanced inflammation within the endothelial cells.
- Tubulogenesis, a measure of vascular repair, was decreased in HAECs treated with Mox-LDL.
Conclusions:
- Mox-LDL, acting through the LOX-1 receptor, drives endothelial dysfunction.
- This study identifies a novel mechanism by which Mox-LDL contributes to the progression of atherosclerosis.
- Findings provide initial insights into Mox-LDL-initiated pathways in endothelial dysfunction.
Abstract:
Cardiovascular disease as a result of atherosclerosis is a leading cause of death worldwide. Atherosclerosis is primarily caused by the dysfunction of vascular endothelial cells and the subendothelial accumulation of oxidized forms of low-density lipoprotein (LDL). Early observations have linked oxidized LDL effects in atherogenesis to the lectin-like oxidized low-density lipoprotein receptor-1 (LOX-1) scavenger receptor. It was shown that LOX-1 is upregulated by many inflammatory mediators and proatherogenic stimuli including cytokines, reactive oxygen species (ROS), hemodynamic blood flow, high blood sugar levels and, most importantly, modified forms of LDL. Oxidized LDL signaling pathways in atherosclerosis were first explored using LDL that is oxidized by copper (Cuox-LDL). In our study, we used a more physiologically relevant model of LDL oxidation and showed, for the first time, that myeloperoxidase oxidized LDL (Mox-LDL) may affect human aortic endothelial cell (HAEC) function through the LOX-1 scavenger receptor. We report that Mox-LDL increases the expression of its own LOX-1 receptor in HAECs, enhancing inflammation and simultaneously decreasing tubulogenesis in the cells. We hypothesize that Mox-LDL drives endothelial dysfunction (ED) through LOX-1 which provides an initial hint to the pathways that are initiated by Mox-LDL during ED and the progression of atherosclerosis.
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