Abstract

Oxidation of low density lipoprotein (LDL) leads to more rapid uptake by arterial wall macrophages and foam cell formation. Inhibiting LDL oxidation may impede these processes and offers a new mechanism to retard atherogenesis. The 21-aminosteroids, derived from methylprednisolone, are potent inhibitors of free radical production by stimulated monocytes and also are scavengers of lipid peroxyl radicals. The 21-aminosteroid, U74500A, was added to a mixture of low density lipoprotein cholesterol and human monocytes to which lipopolysaccharide was add to stimulate the monocytes. At a final concentration of 10 μM, U74500A reduced the production of lipid peroxidation from 6.10 ± 1.11 to 0.84 ± 0.16 nmol (mean ± SEM) MDA equivalent/1 × 10 6 monocytes, as measured by a thiobarbituric acid reacting substance (TBARS) assay. Similarly 10 μm U74500A reduced Cu 2+ induced LDL oxidation from 12.28 ± 0.10 (in vehicle) to 0.49 ± 0.12. These observations suggest that the 21-aminosteroids should be evaluated in animal models as a potential therapy to retard atherogenesis, especially considering their apparent lack of mineralocorticoid and glucocorticoid side-effects.

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