Atherosclerosis and Lipoproteins |
From the Department of Medicine and Clinical Science, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Correspondence to Hiroshi Itoh, MD, PhD, Department of Medicine and Clinical Science, Kyoto University Graduate School of Medicine, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan. E-mail hiito{at}kuhp.kyoto-u.ac.jp
AbstractVascular
endothelial growth factor (VEGF) has been recognized as
an angiogenic factor that induces endothelial
proliferation and vascular permeability. Recent studies have also
suggested that VEGF can promote macrophage migration, which is
critical for atherosclerosis. We have reported that
VEGF is remarkably expressed in activated macrophages,
endothelial cells, and smooth muscle cells within human
coronary atherosclerotic lesions, and we have proposed the
significance of VEGF in the progression of
atherosclerosis. To clarify the mechanism of VEGF
expression in atherosclerotic lesions, we examined the regulation of
VEGF expression by oxidized low density lipoprotein (Ox-LDL), which is
abundant in atherosclerotic arterial walls. A recent report
has revealed that peroxisome proliferatoractivated
receptor-
(PPAR
) is expressed not only in adipocytes but also in
monocytes/macrophages and has suggested that PPAR
may have a
role in the differentiation of monocytes/macrophages.
Furthermore, 9- and
13-hydroxy-(S)-10,12-octadecadienoic
acid (9- and 13-HODE, respectively), the components of Ox-LDL, may be
PPAR
ligands. Therefore, we investigated the involvement of PPAR
in the regulation of VEGF by Ox-LDL. PPAR
expression was detected in
human monocyte/macrophage cell lines, human acute monocytic
leukemia (THP-1) cells, and human coronary artery
endothelial cells (HCAECs). Ox-LDL (10 to 50 µg/mL)
upregulated VEGF secretion from THP-1 dose-dependently. VEGF mRNA
expression in HCAECs was also upregulated by Ox-LDL. The mRNA
expression of VEGF in THP-1 cells and HCAECs was also augmented by
PPAR
activators, troglitazone (TRO), and
15-deoxy-
12,14-prostaglandin
J2 (PGJ2). In contrast, VEGF expression in
another monocyte/macrophage cell line, human histiocytic
lymphoma cells (U937), which lacks PPAR
expression, was not
augmented by TRO or PGJ2. We established the U937 cell line, which
permanently expresses PPAR
(U937T). TRO and Ox-LDL augmented VEGF
expression in U937T. In addition, VEGF production by THP-1
cells was significantly increased by exposure to 9-HODE and 13-HODE. In
conclusion, Ox-LDL upregulates VEGF expression in macrophages
and endothelial cells, at least in part, through the
activation of
PPAR
.
Key Words: vascular endothelial growth factors atherosclerosis macrophages endothelial cells peroxisome proliferatoractivated receptor-
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