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Arteriosclerosis, Thrombosis, and Vascular Biology
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Published Online
on April 15, 2004

Arteriosclerosis, Thrombosis, and Vascular Biology. 2004
Published online before print April 15, 2004, doi: 10.1161/01.ATV.0000128409.62292.d6
A more recent version of this article appeared on June 1, 2004
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Submitted on January 21, 2004
Accepted on March 19, 2004

Lipoprotein-Associated Phosphatidylethanol Increases the Plasma Concentration of Vascular Endothelial Growth Factor

Marja K. Liisanantti ; Minna L. Hannuksela ; Maria E. Rämet ; and Markku J. Savolainen *

From the Department of Internal Medicine, University of Oulu, Oulu, Finland.

* To whom correspondence should be addressed. E-mail: markku.savolainen{at}oulu.fi.

Objective--To study whether qualitative changes in high-density lipoprotein (HDL) phospholipids mediate part of the beneficial effects of alcohol on atherosclerosis, we investigated whether phosphatidylethanol (PEth) in HDL particles affects the secretion of vascular endothelial growth factor (VEGF) from endothelial cells.

Methods and Results--PEth increased the secretion of VEGF into the culture medium of EA.hy 926 endothelial cells. The mitogen-activated protein kinase (MAPK) phosphorylation increased by 3.3-fold and protein kinase C (PKC) by 2.2-fold by PEth-containing HDL. Moreover, we showed that intravenous injection of PEth incorporated into HDL particles increased plasma concentration of VEGF by 2.4-fold in rats in vivo. Similar effect was observed when the rats were injected with HDL particles isolated from alcohol drinkers.

Conclusions--HDL particles containing PEth affect endothelial cells by MAPK and PKC signaling. This may mediate the effects of ethanol on the arterial wall by increasing VEGF secretion from endothelial vascular cells. That may explain, at least in part, the beneficial effect of moderate alcohol consumption on atherosclerosis.


Key words: alcohol • endothelial cells • vascular endothelial growth factor • lipoproteins • phospholipids