Key result
Oxidized LDL upregulates macrophage MMP-9 and reduces TIMP-1, an effect reversed by HDL.
Why the study?
Macrophages in human atherosclerotic plaques produce matrix metalloproteinases that may influence vascular remodeling and plaque disruption, and it was hypothesized that oxidized LDL regulates MMP-9 and TIMP-1 expression in monocyte-derived macrophages.
Oxidized LDL upregulates MMP-9 and downregulates TIMP-1 in human macrophages, suggesting a mechanism for plaque disruption and vascular remodeling.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for oxidized LDL in macrophage-mediated plaque instability; leaves open HDL's clinical relevance pending human studies.
BACKGROUND: Macrophages in human atherosclerotic plaques produce a family of matrix metalloproteinases (MMPs), which may influence vascular remodeling and plaque disruption. Because oxidized LDL (ox-LDL) is implicated in many proatherogenic events, we hypothesized that ox-LDL would regulate expression of MMP-9 and tissue inhibitor of metalloproteinase-1 (TIMP-1) in monocyte-derived macrophages. MWRHOSA AND RESULTS: Mononuclear cells were isolated from normal human subjects with Ficoll-Paque density gradient centrifugation, and adherent cells were allowed to differentiate into macrophages during 7 days of culture in plastic dishes. On day 7, by use of serum-free medium, the macrophages were incubated with various concentrations of native LDL (n-LDL) and copper-oxidized LDL. Exposure to ox-LDL (10 to 50 microg/mL) increased MMP-9 mRNA expression as analyzed by Northern blot, protein expression as measured by ELISA and Western blot, and gelatinolytic activity as determined by zymography. The increase in MMP-9 expression was associated with increased nuclear binding of transcription factor NF-kappaB and AP-1 complex on electromobility shift assay. In contrast, ox-LDL (10 to 50 microg/mL) decreased TIMP-1 expression. Ox-LDL-induced increase in MMP-9 expression was abrogated by HDL (100 microg/mL). n-LDL had no significant effect on MMP-9 or TIMP-1 expression. CONCLUSIONS: These data demonstrate that unlike n-LDL, ox-LDL upregulates MMP-9 expression while reducing TIMP-1 expression in monocyte-derived macrophages. Furthermore, HDL abrogates ox-LDL-induced MMP-9 expression. Thus, ox-LDL may contribute to macrophage-mediated matrix breakdown in the atherosclerotic plaques, thereby predisposing them to plaque disruption and/or vascular remodeling.
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Xu et al. (1999) studied this question. Oxidized LDL (ox-LDL) vs. Native LDL (n-LDL) was evaluated on MMP-9 and TIMP-1 expression. Oxidized LDL upregulated MMP-9 expression and reduced TIMP-1 expression in human monocyte-derived macrophages compared to native LDL, an effect that was abrogated by HDL.
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