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Arteriosclerosis, Thrombosis, and Vascular Biology. 1999;19:2909-2917

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 1999;19:2909.)
© 1999 American Heart Association, Inc.


Vascular Biology

Lipoprotein-Associated Phospholipase A2, Platelet-Activating Factor Acetylhydrolase, Is Expressed by Macrophages in Human and Rabbit Atherosclerotic Lesions

Presented in part as preliminary results at the 69th Scientific Sessions of the American Heart Association, New Orleans, La, November 10–13, 1996, and published in abstract form (Circulation. 1996;94[suppl I]:I-585).

Tomi Häkkinen; Jukka S. Luoma; Mikko O. Hiltunen; Colin H. Macphee; Kevin J. Milliner; Lisa Patel; Simon Q. Rice; David G. Tew; Kari Karkola; Seppo Ylä-Herttuala

From A.I. Virtanen Institute (T.H., J.S.L., M.O.H., S.Y.-H.) and the Department of Medicine (J.S.L., S.Y.-H.), University of Kuopio, Kuopio, Finland; the Departments of Vascular Biology (C.H.M., K.J.M., L.P.), Gene Expression Sciences (S.Q.R.), and Molecular Recognition (D.G.T.), SmithKline Beecham Pharmaceuticals, Harlow, Essex, UK; and Provincial State Office of Eastern Finland (K.K.), Kuopio, Finland.

Correspondence to Dr Seppo Ylä-Herttuala, MD, PhD, A.I. Virtanen Institute, University of Kuopio, PO Box 1627, FIN-70211 Kuopio, Finland. E-mail Seppo.YlaHerttuala{at}uku.fi

Abstract—We studied the expression of lipoprotein-associated phospholipase A2 (Lp-PLA2), an enzyme capable of hydrolyzing platelet-activating factor (PAF), PAF-like phospholipids, and polar-modified phosphatidylcholines, in human and rabbit atherosclerotic lesions. Oxidative modification of low-density lipoprotein, which plays an important role in atherogenesis, generates biologically active PAF-like modified phospholipid derivatives with polar fatty acid chains. PAF is known to have a potent proinflammatory activity and is inactivated by its hydrolysis. On the other hand, lysophosphatidylcholine and oxidized fatty acids released from oxidized low-density lipoprotein as a result of Lp-PLA2 activity are thought to be involved in the progression of atherosclerosis. Using combined in situ hybridization and immunocytochemistry, we detected Lp-PLA2 mRNA and protein in macrophages in both human and rabbit atherosclerotic lesions. Reverse transcriptase—polymerase chain reaction analysis indicated an increased expression of Lp-PLA2 mRNA in human atherosclerotic lesions. In addition, {approx}6-fold higher Lp-PLA2 activity was detected in atherosclerotic aortas of Watanabe heritable hyperlipidemic rabbits compared with normal aortas from control rabbits. It is concluded that (1) macrophages in both human and rabbit atherosclerotic lesions express Lp-PLA2, which could cleave any oxidatively modified phosphatidylcholine present in the lesion area, and (2) modulation of Lp-PLA2 activity could lead to antiatherogenic effects in the vessel wall.


Key Words: platelet-activating factor • atherogenesis • oxidized LDL • macrophages • real-time fluorescence polymerase chain reaction




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