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Submitted on August 4, 2005
Revised on September 30, 2005
Accepted on October 3, 2005
From the Departments of Surgery, Division of Pediatric Surgery (J.O., J.W., H.X., Z.O., D.W.J., P.S., J.C.D., S.K., K.T.O., K.A.P.), Children’s Research Institute (J.O., J.W., H.X., Z.O., P.S., J.C.D., K.T.O., K.A.P.), and Cardiovascular Center (J.O., J.W., H.X., Z.O., K.T.O., K.A.P.), Medical College of Wisconsin, Milwaukee; Guangzhou Institute of Respiratory Disease, Division of Cardiothoracic Surgery (J.O.), and Department of Medicine, Division of Cardiology (Z.O.), The First Affiliated Hospital of Guangzhou Medical College, China; Department of Pathology (M.G.S.-T.), Wake Forest University School of Medicine, Winston-Salem, NC.
* To whom correspondence should be addressed. E-mail: kpritch{at}mcw.edu.
Previously we showed L-4F, a novel apolipoprotein A-I (apoA-I) mimetic, improved vasodilation in 2 dissimilar models of vascular disease: hypercholesterolemic LDL receptor-null (Ldlr-/-) mice and transgenic sickle cell disease mice. Here we determine the mechanisms by which D-4F improves vasodilation and arterial wall thickness in hypercholesterolemic Ldlr-/- mice and Ldlr-/-/apoA-I null (apoA-I-/-), double-knockout mice. Ldlr-/- and Ldlr-/-/apoA-I-/- mice were fed Western diet (WD) ± D-4F. Oral D-4F restored endothelium- and endothelial NO synthase (eNOS)-dependent vasodilation in direct relationship to duration of treatments and reduced wall thickness in as little as 2 weeks in vessels with preexisting disease in Ldlr-/- mice. D-4F had no effect on total or HDL cholesterol concentrations but reduced proinflammatory HDL levels. D-4F had no effect on plasma myeloperoxidase concentrations but reduced myeloperoxidase association with apoA-I as well as 3-nitrotyrosine in apoA-I. D-4F increased endothelium- and eNOS-dependent vasodilation in Ldlr-/-/apoA-I-/- mice but did not reduce wall thickness as it had in Ldlr-/- mice. Vascular endothelial cells were treated with 22(R)-hydroxycholesterol ± L-4F. 22(R)-Hydroxycholesterol decreased NO (·NO) and increased superoxide anion (O2·-) production and increased ATP-binding cassette transporter-1 and collagen expression. L-4F restored ·NO and O2·- balance, had little effect on ATP-binding cassette transporter-1 expression, but reduced collagen expression. These data demonstrate that although D-4F restores vascular endothelial cell and eNOS function to increase vasodilation, HDL containing apoA-I, or at least some critical concentration of the antiatherogenic lipoprotein, is required for D-4F to decrease vessel wall thickness.
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