Abstract

Increased levels of oxidized low-density lipoprotein oxLDL) are shown to elevate the risk of cardiovascular diseases such as atherosclerosis, thrombosis, stroke, and myocardial infarction. This is possibly due to the toxic effects of oxLDLs on vascular cells. Various oxLDLs including lysophosphatidylcholine (LPC) and 7-ketocholesterol injure vascular endothelial cells and stimulate inflammatory reaction. However the toxicity of LPC on endothelial cells is not clear. In this study, human endothelial cells were exposed to LPC. Cytotoxicity was measured by 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide assay. Propidium iodide (PI) staining or PI/Annexin V dual staining flow cytometry were used to determine cell cycle progression and apoptosis. Reactive oxygen species (ROS) level was analyzed by DCFH-DA labeling flow cytometry. RNA and protein expression of endothelial cells was studied by reverse transcriptase-polymerase chain reaction and western blotting. IL-8 secretion was measured by enzyme-linked immunosorbant assay. LPC showed cytotoxicity to endothelial cells (>50 µg/ml). LPC induced cell cycle arrest and apoptosis with concomitant inhibition of cdc2 and cyclin B1 expression. LPC stimulated intracellular ROS production and ATM/Chk2, ATR/Chk1 and Akt activation. IL-8 expression and secretion in endothelial cells were induced by LPC. LPC-induced apoptosis, and IL-8 expression/secretion was attenuated by LY294002, a PI3K/Akt inhibitor. These results reveal that LPC is involved in the pathogenesis of atherosclerosis and vascular diseases by stimulation of inflammation and injury to endothelial cells. These events are related to ROS, ATM/Chk2, ATR/Chk2 and PI3K/Akt signaling. Understanding the toxic mechanisms of LPC is useful for future prevention and treatment atherosclerosis.

Highlights

  • IntroductionCardiovascular diseases (stroke, myocardial infarction etc.) are the major systemic diseases of peoples in the world

  • Cardiovascular diseases are the major systemic diseases of peoples in the world

  • These results reveal that LPC is involved in the pathogenesis of atherosclerosis and vascular diseases by stimulation of inflammation and injury to endothelial cells

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Summary

Introduction

Cardiovascular diseases (stroke, myocardial infarction etc.) are the major systemic diseases of peoples in the world This is possibly due to increased levels of oxidized low-density lipoprotein (oxLDL) that elevate the risk of cardiovascular diseases. 25-hydroxycholesterol, (25R)-26- hydroxycholesterol), and cholesta-3,5-dien-7-one [1] These ox-LDLs show differential toxic effects toward vascular smooth muscle cells, endothelial cells and macrophages [2]. LPC and oxidized non-esterized fatty acids are generated by lipoprotein-associated phospholipase A2 (Lp-PLA2) and linked to the pathogenesis of atherosclerosis, myocardiac infarction, and stroke. LPC has the ability to impair endothelium-dependent vasorelaxation, enhance endothelial proliferation and permeability, induce adhesion and activation of lymphocytes, initiate macrophage chemotaxis and stimulate the activities of vascular smooth muscle cells and platelets [5]. Targeting therapy against Lp-PLA2 and LPC are recently recommended for treatment of associated diseases [6]

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