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Circulation. 1999;99:993-998

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(Circulation. 1999;99:993-998.)
© 1999 American Heart Association, Inc.


Clinical Investigation and Reports

Oxidized Low-Density Lipoprotein Regulates Matrix Metalloproteinase-9 and Its Tissue Inhibitor in Human Monocyte-Derived Macrophages

Xiao-Ping Xu, MD; Simcha R. Meisel, MD; John M. Ong, PhD; Sanjay Kaul, MD; Bojan Cercek, MD, PhD; Tripathi B. Rajavashisth, PhD; Behrooz Sharifi, PhD; Prediman K. Shah, MD

From the Atherosclerosis Research Center, Division of Cardiology, and the Burns and Allen Research Institute, Cedars-Sinai Medical Center and UCLA School of Medicine, Los Angeles, Calif.

Correspondence to Prediman K. Shah, MD, Division of Cardiology, Room 5347, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048-0750. E-mail ShahP{at}cshs.org

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.

Methods 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 µg/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-{kappa}B and AP-1 complex on electromobility shift assay. In contrast, ox-LDL (10 to 50 µg/mL) decreased TIMP-1 expression. Ox-LDL–induced increase in MMP-9 expression was abrogated by HDL (100 µg/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.


Key Words: lipoproteins • metalloproteinases • atherosclerosis




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