Serum amyloid A receptor blockade and incorporation into high-density lipoprotein modulates its pro-inflammatory and pro-thrombotic activities on vascular endothelial cells

Int J Mol Sci. 2015 May 15;16(5):11101-24. doi: 10.3390/ijms160511101.

Abstract

The acute phase protein serum amyloid A (SAA), a marker of inflammation, induces expression of pro-inflammatory and pro-thrombotic mediators including ICAM-1, VCAM-1, IL-6, IL-8, MCP-1 and tissue factor (TF) in both monocytes/macrophages and endothelial cells, and induces endothelial dysfunction-a precursor to atherosclerosis. In this study, we determined the effect of pharmacological inhibition of known SAA receptors on pro-inflammatory and pro-thrombotic activities of SAA in human carotid artery endothelial cells (HCtAEC). HCtAEC were pre-treated with inhibitors of formyl peptide receptor-like-1 (FPRL-1), WRW4; receptor for advanced glycation-endproducts (RAGE), (endogenous secretory RAGE; esRAGE) and toll-like receptors-2/4 (TLR2/4) (OxPapC), before stimulation by added SAA. Inhibitor activity was also compared to high-density lipoprotein (HDL), a known inhibitor of SAA-induced effects on endothelial cells. SAA significantly increased gene expression of TF, NFκB and TNF and protein levels of TF and VEGF in HCtAEC. These effects were inhibited to variable extents by WRW4, esRAGE and OxPapC either alone or in combination, suggesting involvement of endothelial cell SAA receptors in pro-atherogenic gene expression. In contrast, HDL consistently showed the greatest inhibitory action, and often abrogated SAA-mediated responses. Increasing HDL levels relative to circulating free SAA may prevent SAA-mediated endothelial dysfunction and ameliorate atherogenesis.

Keywords: atherosclerosis; high-density lipoprotein; inflammation; serum amyloid A.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Apolipoprotein A-I / metabolism
  • Cells, Cultured
  • Endothelial Cells / cytology
  • Endothelial Cells / drug effects
  • Endothelial Cells / metabolism
  • Enzyme-Linked Immunosorbent Assay
  • Gene Expression Regulation / drug effects*
  • Humans
  • Immunohistochemistry
  • Lipoproteins, HDL / isolation & purification
  • Lipoproteins, HDL / pharmacology*
  • NF-kappa B / genetics
  • NF-kappa B / metabolism
  • Peptides / pharmacology
  • Phosphatidylcholines / pharmacology
  • Receptor for Advanced Glycation End Products / genetics
  • Receptor for Advanced Glycation End Products / metabolism
  • Receptors, Formyl Peptide / chemistry
  • Receptors, Formyl Peptide / metabolism
  • Receptors, Lipoxin / chemistry
  • Receptors, Lipoxin / metabolism
  • Recombinant Proteins / biosynthesis
  • Recombinant Proteins / genetics
  • Recombinant Proteins / pharmacology
  • Serum Amyloid A Protein / antagonists & inhibitors
  • Serum Amyloid A Protein / metabolism*
  • Serum Amyloid A Protein / pharmacology
  • Thromboplastin / genetics
  • Thromboplastin / metabolism
  • Tumor Necrosis Factor-alpha / analysis
  • Tumor Necrosis Factor-alpha / genetics
  • Tumor Necrosis Factor-alpha / metabolism
  • Vascular Endothelial Growth Factor A / metabolism

Substances

  • Apolipoprotein A-I
  • FPR2 protein, human
  • Lipoproteins, HDL
  • NF-kappa B
  • Peptides
  • Phosphatidylcholines
  • Receptor for Advanced Glycation End Products
  • Receptors, Formyl Peptide
  • Receptors, Lipoxin
  • Recombinant Proteins
  • Serum Amyloid A Protein
  • Tumor Necrosis Factor-alpha
  • Vascular Endothelial Growth Factor A
  • oxidized-L-alpha-1-palmitoyl-2-arachidonoyl-sn-glycero-3-phosphorylcholine
  • Thromboplastin