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Originally published In Press as doi:10.1074/jbc.M007506200 on February 26, 2001

J. Biol. Chem., Vol. 276, Issue 23, 19828-19835, June 8, 2001
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Modified Phosphatidylethanolamine as the Active Component of Oxidized Low Density Lipoprotein Promoting Platelet Prothrombinase Activity*

Susanne ZiesenissDagger , Stefan ZahlerDagger , Ingrid MüllerDagger , Albin Hermetter§, and Bernd EngelmannDagger

From the Dagger  Physiologisches Institut der Universität München, Schillerstrasse 44, 80336 München, Germany and § Institut für Biochemie und Lebensmittelchemie, Technische Universität Graz, 8010 Graz, Austria

We analyzed the influence of the atherogenic oxidized low density lipoproteins (LDL) on the activity of the platelet prothrombinase complex, a major contributor to overall thrombin formation in vivo. Platelet dependent thrombin generation was found to be strongly stimulated by in vitro oxidized LDL. The enhancement was additive to that observed with the platelet agonist thrombin. Oxidized LDL increased the platelet binding of annexin-V, suggesting that the augmented surface exposure of aminophospholipids promoted the prothrombinase activity. All of the stimulatory activity of the oxidized LDL could be recovered in the microemulsions prepared from the lipid portion of the modified particles. Phospholipid vesicles were prepared containing the total lipids of the oxidized LDL but lacking specifically in one lipid component. Following the selective removal of the ethanolamine phospholipids (PE) from the LDL lipids, the platelet-dependent thrombin formation was markedly reduced. Vesicles enriched with the isolated PE fraction alone enhanced the thrombin generation. Analyses with autoxidized phospholipids indicated that oxidation products of unsaturated diacyl-PE were mainly responsible for the increased prothrombinase activity. Oxidized LDL and its PE fraction lost their stimulatory activity after treatment with NaCNBH3, a chemical reductant of Schiff base adducts. Phospholipid vesicles supplemented with synthetic aldehyde-PE adducts largely reproduced the stimulation of the thrombin generation. We conclude that the oxidized LDL particles elicit a pronounced prothrombotic response by increasing the activity of the platelet prothrombinase complex. Specific oxidative modifications of the LDL-associated ethanolamine phospholipids are mainly responsible for this stimulation.


* This study was supported by grants from the Deutsche Forschungsgemeinschaft and the Friedrich-Baur-Stiftung (to B. E.).The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

To whom correspondence should be addressed. Tel.: +49-89-5996-409; Fax: +49-89-5996-378; E-mail: Bernd.Engelmann@physiol.med.uni-muenchen.de.


Copyright © 2001 by The American Society for Biochemistry and Molecular Biology, Inc.
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