Vascular Biology |
From the Institute of Molecular Biology and Biochemistry (G.M., A.K., W.G., W.S., E.M.) and the Clinical Institute of Medical and Chemical Laboratory Diagnostics (G.F.), Medical University Graz, Austria; and the Institute of Molecular Cell Biology (R.H., A.N.), University of Jena, Erfurt, Germany.
Correspondence to Dr Ernst Malle, Medical University Graz, Institute of Molecular Biology and Biochemistry, A-8010 Graz, Austria. E-mail ernst.malle{at}meduni-graz.at
| Abstract |
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Methods and Results Here we show that HDL, modified with physiologically relevant HOCl concentrations, attenuates the expression and activity of vasculoprotective endothelial nitric oxide synthase. HOCl-HDL promotes dislocalization of endothelial nitric oxide synthase from the plasma membrane and perinuclear location of human umbilical venous endothelial cells. We could identify 2-chlorohexadecanal as the active component mediating this inhibitory activity. This chlorinated fatty aldehyde is formed during HOCl-mediated oxidative cleavage of HDL-associated plasmalogen.
Conclusion 2-Chlorohexadecanal, produced by the myeloperoxidase-hydrogen peroxide-chloride system of activated phagocytes may act as a mediator of vascular injury associated with ischemia-reperfusion injury, glomerulosclerosis, and atherosclerosis.
Modification of HDL by HOCl (generated in vivo by the myeloperoxidaseH2O2 system) promotes dislocalization of eNOS from the plasma membrane and perinuclear location of endothelial cells, and attenuates eNOS expression and NO biosynthesis. The component mediating this proatherogenic effect was identified as 2-chlorohexadecanal formed during HOCl-mediated attack of lipoprotein-associated plasmalogen.
Key Words: myeloperoxidase 2-chlorinated fatty aldehyde atherosclerosis modified lipids glomerulosclerosis neutrophils
| Introduction |
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Elevated levels of plasma high-density lipoprotein (HDL) protect against atherosclerotic vascular disease. A broad spectrum of potent antioxidant and anti-inflammatory activities has been ascribed to native HDL.11,12 However, oxidation/modification by HOCl alters the physicochemical and metabolic properties of anti-atherogenic HDL.1315 In vivo, apolipoprotein A-I, the major apolipoprotein of HDL, represents a selective target for MPO-catalyzed oxidation; a process apparently facilitated by MPO binding to apolipoprotein A-I.16 Furthermore, significantly increased levels of 3-chlorotyrosine, a protein modification specific for the MPO-hydrogen peroxide-chloride-catalyzed oxidation,17 were detected in association with apolipoprotein A-I recovered from serum of patients with cardiovascular disease.16 In situ experiments revealed colocalization of specific epitopes derived from HOCl with apolipoprotein A-I in human atherosclerotic lesions and on endothelial cells lining the blood vessel.8 MPO levels serve as a strong predictor of endothelial dysfunction in humans,18 and MPO colocalizes with HOCl-modified epitopes/(lipo)proteins on endothelial cells.
Native and modified lipoproteins have been reported to affect levels of nitric oxide (NO),1924 an ubiquitous signaling molecule modulating a plethora of physiological responses including the propagation of a number of anti-atherogenic effects in the endothelium.25 Here, we show that treatment of human umbilical venous endothelial cells (HUVECs) with HDL modified by HOCl impairs expression and activity of endothelial nitric oxide synthase (eNOS). The active component mediating this effect was found to be 2-chlorohexadecanal (2-ClHDA) formed via HOCl-mediated oxidative attack of HDL-associated plasmalogen.
| Materials and Methods |
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| Results and Discussion |
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The efficacy of NO biosynthesis critically depends on the correct compartmentalization of eNOS in specific intracellular membrane domains, ie, Golgi complex and plasmalemmal caveolae.34,35 We previously reported that low-density lipoprotein (LDL) modified by reagent HOCl inhibits NO synthesis in HUVECs via an intracellular dislocalization of eNOS without altering eNOS protein expression and without altering myristoylation or palmitoylation of the enzyme.24 Here, we show that coincubation of HUVECs with HOCl-HDL also leads to changes of intracellular eNOS distribution including translocation from the plasma membrane and disintegration of the perinuclear location (Figure 2A). But in contrast to HOCl-LDL, HOCl-HDL further decreased eNOS expression on mRNA and protein level (Figure 2B and 2C). HOCl-HDL also induced a marked downregulation of eNOS protein expression when cells were incubated in the presence of DRB, a transcription inhibitor (Figure 2D). When cells were incubated with cycloheximide, an inhibitor of protein synthesis, HOCl-HDL had no significant effect indicating that a post-translational destabilization of eNOS is not involved; thus, it is conceivable that downregulation of eNOS is a post-transcriptional event caused by decreased stability of eNOS mRNA. In line with these observations, NO biosynthesis in cell lysates in the presence of saturating concentrations of substrate and cofactors31 was also decreased (Figure 2D). Of note, HOCl-HDL-induced decrease in L-citrulline formation was much more pronounced in ionomycin-stimulated intact cells than in cell lysates, suggesting that the combination of decreased eNOS protein content and eNOS mislocalization elicits the maximal inhibitory effect.
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Apolipoprotein A-I represents a preferential target for HOCl attack.13,16,36,37 Treatment of HDL by HOCl leads also to consumption of unsaturated fatty acids.13 Furthermore, the formation of lysophospholipids from unsaturated phosphatidylcholines after HOCl treatment has been reported.38 To identify the constituent of HOCl-HDL that interferes with eNOS biosynthesis, HUVECs were treated either with the lipoproteinlipid extract (a micro-emulsion of isolated lipids) or with the remaining apolipoprotein moiety. Lipids extracted from HOCl-HDL inhibited ionomycin-induced L-citrulline synthesis in intact cells (Figure 3A) and eNOS protein expression (Figure 3B) to a similar extent as observed with intact HOCl-HDL. The apolipoprotein fraction of HOCl-HDL showed no inhibitory activity (data not shown). To further identify the active lipid component of HOCl-HDL, HDL-associated lipids were separated and modified with HOCl; an equivalent amount of these products being present in 90 µg HDL-TC/mL was used to treat HUVECs. Among the modified lipid subclasses tested, only the HOCl-modified plasmalogen fraction suppressed eNOS protein levels (Figure 3C). To further strengthen the potential role of these ether phospholipids, total HDL lipids were depleted from the plasmalogen fraction by acidic hydrolysis.27 In line with data shown in Figure 3C, total HDL lipids modified with HOCl suppressed eNOS protein levels, whereas the plasmalogen-depleted lipid fraction, after modification with HOCl, was without effect on eNOS levels (Figure 3D).
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Plasmalogens, localized in the plasma membranes of mammalian cells and present in lipoproteins,39 are considered to be antioxidants because the vinyl ether bond is susceptible to attack by oxidants.30 Recent findings revealed that the vinyl ether bonds of plasmalogens are highly accessible molecular targets of the membrane-permeable, reactive chlorinating species generated by the MPO-hydrogen peroxide-chloride system; as a result, lysophosphatidylcholine and
-chlorinated fatty aldehydes are formed.30 Thukkani et al29 have shown that 2-ClHDA is formed as the main
-chloro fatty aldehyde from cell-associated plasmalogen. In another report, these authors demonstrated that 2-ClHDA is also generated when LDL was coincubated with stimulated monocytes.40 Therefore, we first tested whether HOCl (added as reagent) targets HDL-associated plasmalogen, leading to 2-ClHDA formation. For external quantification, 2-ClHDA was synthesized and characterized by gas chromatographymass spectrometry analysis. Analysis of PFB oximes from synthetic 2-ClHDA and 2-ClHDA isolated from lipid extracts from HOCl-HDL (Figure I, available online at http://atvb.ahajournals.org) showed identical results regarding retention time of 7.25 minutes and 7.15 minutes (an expected C16:0 isoform),29 as well as full scan spectra (Figures II and III, available online at http://atvb.ahajournals.org). Prominent fragmentation peaks occurred at m/z 196 and m/z 288/290. Additional peaks from lipid extracts obtained from HOCl-HDL could be identified as dichlorinated hexadecanal (7.42 minutes), monochlorinated C18:1 fatty aldehyde (7.70 minutes), and a monochlorinated C18:0 fatty aldehyde (7.77 minutes). 2-ClHDA could not be detected in native HDL (Figure I) or in plasmalogen (data not shown). When plasmalogen-enriched HDL was subjected to HOCl-treatment, 2-ClHDA concentrations increased several-fold compared with HOCl-HDL (data not shown).
The plasmalogen content in HDL is
100 nmol/mg TC.42 After HOCl-modification of HDL (oxidant:lipoprotein molar ratio of 100:1)
80% of the total plasmalogen fraction contributes to 2-ClHDA formation (Figure 4A). HOCl-modification of HDL (oxidant:lipoprotein molar ratio of 25:1 and 100:1; 90 µg TC/mL) resulted in the generation of
4 to 6.5 µmol/L 2-ClHDA. These levels are close to the concentration range of 2-ClHDA reported to be present in atherosclerotic lesions (10 µmol/L), a concentration that is almost 1400 times that of normal aorta samples.41 The plasmalogen content in LDL was found to be
74 nmol/mg TC, respectively.42 HOCl treatment of LDL (oxidant:lipoprotein molar ratio of 400:1) also led to generation of 2-ClHDA (data not shown). However, only up to 22% of LDL-associated plasmalogen was consumed after HOCl treatment.
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Second, we tested whether HOClgenerated by the MPO-hydrogen peroxide-chloride systemwill target the plasmalogen moiety of HDL, leading to the generation of 2-ClHDA. The predominant in vivo sources for MPO released during the oxidative burst are neutrophils and monocytes, in which MPO comprises 5% and 1% in the total protein content, respectively. Here, we show that considerable amounts of 2-ClHDA were generated via the active enzymatic pathway of stimulated neutrophils coincubated with native HDL (Figure 4A). In line with studies performed on monocytes,40 the presence of the MPO inhibitor sodium azide (Figure 4A) or the HOCl scavenger methionine (data not shown) prevented 2-ClHDA formation after phorbolester activation of neutrophils.
To clarify whether 2-ClHDA directly alters eNOS expression and NO biosynthesis, 2-ClHDA was used in cell culture experiments. We present 4 lines of evidence that plasmalogen-derived 2-ClHDA is the lipid component mediating the inhibitory effects of HOCl-HDL on eNOS protein expression and activity. First, 2-ClHDA strongly inhibited ionomycin-stimulated NO formation (Figure 4B). Importantly, when cells were stimulated with the physiological agonist thrombin, the inhibitory activity of 2-ClHDA was even more pronounced. Second, as determined by confocal microscopy, 2-ClHDA affected intracellular eNOS targeting already at 2 µmol/L (Figure 4C). Higher concentrations of 2-ClHDA (5 and 10 µmol/L) led to a complete translocation of eNOS from the plasma membrane and disintegration of the perinuclear location. Third, 2-ClHDAat concentrations of 5 µmol/L and higherattenuated eNOS protein expression (Figure 4D). Fourth, 2-ClHDA (10 µmol/L) decreased eNOS mRNA expression in the presence of DRB (Figure 4E), indicating that eNOS mRNA stability is impaired. Of importance, effects of 2-ClHDA on eNOS protein expression were observed at threshold concentrations of 5 µmol/L, whereas disruption of eNOS localization was already observed at 2 µmol/L. This explains why LDL after HOCl treatment had no effect on eNOS protein expression,24 as 2-ClHDA concentrations generated were calculated to be lower under our experimental conditions.
MPO gene variations may be considered as determinants of the atherosclerotic progression.43 Elevated levels of leukocyte and blood MPO are predictive risk factors for endothelial dysfunction18 and coronary artery disease in humans.44 Moreover, products of MPO-mediated reactions are present in human atherosclerotic lesions68,16,17,41,45 and MPO has been identified as an HDL-associated protein within human atheroma.16 Thus, it is conceivable that the MPO-hydrogen peroxide-chloride system acts as a platform for the formation of inflammatory markers generated during the initiation and progression of cardiovascular disease. HOCl-HDL is bound and internalized by HUVECs.46 Also MPOreleased by intraluminal degranulation of activated phagocytesbinds to and transcytoses across the endothelium47 and may directly modulate vascular inflammatory responses by regulating NO bioavailability.48 We show that 2-ClHDAgenerated by reagent HOCl and the MPO-hydrogen peroxide-chloride system of activated phagocytesis a strong modulator of eNOS expression and activity. Normally, eNOS produces a tonic amount of NO, which is responsible for the homeostasis between the endothelium and surrounding tissues. Our data indicate that HOCl-mediated generation of chlorinated fatty aldehydes from lipoprotein-associated plasmalogens could represent a dominant pathway contributing to pathophysiological changes, ultimately leading to inflammatory responses, endothelial dysfunction, and tissue injury.
| Acknowledgments |
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Received July 24, 2004; accepted October 7, 2004.
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