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Originally published In Press as doi:10.1074/jbc.M205814200 on August 23, 2002

J. Biol. Chem., Vol. 277, Issue 49, 47486-47492, December 6, 2002
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Lipoprotein(a) Enhances Advanced Atherosclerosis and Vascular Calcification in WHHL Transgenic Rabbits Expressing Human Apolipoprotein(a)*

Huijun SunDagger §, Hiroyuki UnokiDagger §, Xiaofei WangDagger , Jingyan LiangDagger , Tomonaga IchikawaDagger , Yoshino AraiDagger , Masashi Shiomi||, Santica M. Marcovina**, Teruo Watanabe§§, and Jianglin FanDagger ¶¶

From the Dagger  Laboratory of Cardiovascular Disease, Department of Pathology, Institute of Basic Medical Sciences, University of Tsukuba, Tsukuba 305-8575, Japan, the || Institute for Experimental Animals, Kobe University School of Medicine, Kobe 650-0017, Japan, the ** Department of Medicine, Northwest Lipid Research Laboratories, University of Washington, Seattle, Washington 98103, and the §§ Saga Medical School, Saga 849-8501, Japan

High lipoprotein(a) (Lp(a)) levels are a major risk factor for the development of atherosclerosis. The risk of elevated Lp(a) concentration is increased significantly in patients who also have high levels of low density lipoprotein (LDL) cholesterol. To test the hypothesis that increased plasma levels of Lp(a) may enhance the development of atherosclerosis in the setting of hypercholesterolemia, we generated Watanabe heritable hyperlipidemic (WHHL) transgenic (Tg) rabbits expressing human apolipoprotein(a) (apo(a)). We report here that Tg WHHL rabbits developed more extensive advanced atherosclerotic lesions than did non-Tg WHHL rabbits. In particular, the advanced atherosclerotic lesions in Tg WHHL rabbits were frequently associated with calcification, which was barely evident in non-Tg WHHL rabbits. To investigate the molecular mechanism of Lp(a)-induced vascular calcification, we examined the effect of human Lp(a) on cultured rabbit aortic smooth muscle cells and found that smooth muscle cells treated with Lp(a) showed increased alkaline phosphatase activity and enhanced calcium accumulation. These results demonstrate for the first time that Lp(a) accelerates advanced atherosclerotic lesion formation and may play an important role in vascular calcification.


* This work was supported by grants-in-aid for scientific research from the Ministry of Education, Science, and Culture of Japan, by Grant JSPS-RFTF 96I00202 from the Japan Society for the Promotion of Sciences, and by a grant from the Takeda Science Foundation.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.

§ Both authors contributed equally to this work.

Research fellow of the Sasagawa Research Medical Foundation of Japan. Present address: Dept. of Pharmacology, Dalian Medical University, Dalian, 116027 China.

¶¶ To whom correspondence should be addressed. Tel.: 81-298-53-3165; Fax: 81-298-53-3262; E-mail: j-lfan@md.tsukuba.ac.jp.


Copyright © 2002 by The American Society for Biochemistry and Molecular Biology, Inc.
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Copyright © 2002 by the American Society for Biochemistry and Molecular Biology.