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Circulation Research. 1999;85:311-318

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(Circulation Research. 1999;85:311-318.)
© 1999 American Heart Association, Inc.


Molecular Medicine

Evidence That Phospholipid Oxidation Products and/or Platelet-Activating Factor Play an Important Role in Early Atherogenesis

In Vitro and In Vivo Inhibition by WEB 2086

Ganesamoorthy Subbanagounder1, Norbert Leitinger1, Peggy T. Shih, Kym F. Faull, Judith A. Berliner

From the Departments of Medicine/Cardiology (G.S., N.L., P.T.S., J.A.B.), Pathology (J.A.B.), and Psychiatry and Biobehavioral Sciences and the Neuropsychiatric Institute (K.F.F.), University of California, Los Angeles, Calif.

Correspondence to Ganesamoorthy Subbanagounder, PhD, Department of Medicine/Cardiology, Center for the Health Sciences, Room 47-123, UCLA Medical Center, Los Angeles, CA 90095-1679. E-mail gsubbana{at}pathology.medsch.ucla.edu

Abstract—The goal of the present studies was to determine whether phospholipid oxidation products and/or platelet-activating factor (PAF) are mediators of early atherogenesis in vivo. Monocyte–endothelial cell interactions have been shown to play an important role in early atherogenesis. We and others have demonstrated that PAF and phospholipid oxidation products, present in atherosclerotic lesions, including 1-palmitoyl-2-(5-oxovaleroyl)-sn-glycero-3-phosphocholine (POVPC), 1-palmitoyl-2-glutaroyl-sn-glycero-3-phosphocholine (PGPC), and 1-palmitoyl-2-epoxyisoprostane E2-sn-glycero-3-phosphocholine (PEIPC), mediate the activation of monocytes and/or endothelial cells in vitro. Previous studies have shown that the action of PAF and PAF-like ether-containing phospholipids was inhibited by WEB 2086. We now demonstrate that pretreatment of human aortic endothelial cells with WEB 2086 (10 µmol/L) and several other PAF antagonists before treatment with POVPC and PEIPC but not PGPC prevented the activation of the endothelial cells to bind monocytes. We present evidence to suggest that this inhibition is not mediated by the PAF receptor. The role of bioactive oxidized phospholipids in fatty streak formation was tested using C57BL/6J LDL R-/- mice fed a chow or Western diet for 5 weeks with or without WEB 2086 mixed with drinking water. Quantitative electrospray ionization mass spectrometry showed similar concentrations of WEB 2086 in the plasma of mice on both diets ({approx}4 to 5 µmol/L); this concentration was inhibitory in vitro. Administration of WEB 2086 did not affect the lipid composition of mouse plasma. However, fatty streak formation was reduced by 62% in animals fed a Western diet, whereas no change was observed in the small lesions of mice on a chow diet. These studies provide evidence that PAF and/or PAF-like phospholipid oxidation products are important mediators of atherosclerotic lesion development in vivo and that specific receptor antagonists for these molecules may represent a novel therapeutic modality.


Key Words: atherosclerosis • oxidized phospholipid • platelet-activating factor • WEB 2086 • platelet-activating factor–like lipid




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