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Arteriosclerosis, Thrombosis, and Vascular Biology. 2001;21:560-566

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 2001;21:560.)
© 2001 American Heart Association, Inc.


Atherosclerosis and Lipoproteins

Oxidized LDL Regulates Vascular Endothelial Growth Factor Expression in Human Macrophages and Endothelial Cells Through Activation of Peroxisome Proliferator–Activated Receptor-{gamma}

Mayumi Inoue; Hiroshi Itoh; Tokuji Tanaka; Tae-Hwa Chun; Kentaro Doi; Yasutomo Fukunaga; Naoki Sawada; Jun Yamshita; Ken Masatsugu; Takatoshi Saito; Satsuki Sakaguchi; Masakatsu Sone; Ken-ichi Yamahara; Takami Yurugi; Kazuwa Nakao

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

Abstract—Vascular 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 proliferator–activated receptor-{gamma} (PPAR{gamma}) is expressed not only in adipocytes but also in monocytes/macrophages and has suggested that PPAR{gamma} 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{gamma} ligands. Therefore, we investigated the involvement of PPAR{gamma} in the regulation of VEGF by Ox-LDL. PPAR{gamma} 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{gamma} activators, troglitazone (TRO), and 15-deoxy-{Delta}12,14-prostaglandin J2 (PGJ2). In contrast, VEGF expression in another monocyte/macrophage cell line, human histiocytic lymphoma cells (U937), which lacks PPAR{gamma} expression, was not augmented by TRO or PGJ2. We established the U937 cell line, which permanently expresses PPAR{gamma} (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{gamma}.


Key Words: vascular endothelial growth factors • atherosclerosis • macrophages • endothelial cells • peroxisome proliferator–activated receptor-{gamma}




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