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J. Biol. Chem., Vol. 280, Issue 23, 22212-22221, June 10, 2005
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From the
Robarts Research Institute Vascular Biology Group and the Departments of ¶Medicine and
Biochemistry, the University of Western Ontario, London, Ontario N6A 5K8, Canada
The cholesterol biosynthetic pathway produces numerous signaling molecules. Oxysterols through liver X receptor (LXR) activation regulate cholesterol efflux, whereas the non-sterol mevalonate metabolite, geranylgeranyl pyrophosphate (GGPP), was recently demonstrated to inhibit ABCA1 expression directly, through antagonism of LXR and indirectly through enhanced RhoA geranylgeranylation. We used HMG-CoA reductase inhibitors (statins) to test the hypothesis that reduced synthesis of mevalonate metabolites would enhance cholesterol efflux and attenuate foam cell formation. Preincubation of THP-1 macrophages with atorvastatin, dose dependently (110 µM) stimulated cholesterol efflux to apolipoprotein AI (apoAI, 1060%, p < 0.05) and high density lipoprotein (HDL3) (250%, p < 0.05), despite a significant decrease in cholesterol synthesis (290%). Atorvastatin also increased ABCA1 and ABCG1 mRNA abundance (30 and 35%, p < 0.05). Addition of mevalonate, GGPP or farnesyl pyrophosphate completely blocked the statin-induced increase in ABCA1 expression and apoAI-mediated cholesterol efflux. A role for RhoA was established, because two inhibitors of Rho protein activity, a geranylgeranyl transferase inhibitor and C3 exoenzyme, increased cholesterol efflux to apoAI (2035%, p < 0.05), and macrophage expression of dominant-negative RhoA enhanced cholesterol efflux to apoAI (20%, p < 0.05). In addition, atorvastatin increased the RhoA levels in the cytosol fraction and decreased the membrane localization of RhoA. Atorvastatin treatment activated peroxisome proliferator activated receptor
and increased LXR-mediated gene expression suggesting that atorvastatin induces cholesterol efflux through a molecular cascade involving inhibition of RhoA signaling, leading to increased peroxisome proliferator activated receptor
activity, enhanced LXR activation, increased ABCA1 expression, and cholesterol efflux. Finally, statin treatment inhibited cholesteryl ester accumulation in macrophages challenged with atherogenic hypertriglyceridemic very low density lipoproteins indicating that statins can regulate foam cell formation.
Received for publication, March 14, 2005
* This work was supported by Grant MT 8014 (to M. W. H.) and a studentship from the Canadian Institutes for Health Research (to C. A. A.). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
|| Career Investigators of the Heart and Stroke Foundation of Ontario.
** Holds a Canada Research Chair (Tier I) in Human Genetics.

To whom correspondence should be addressed: Robarts Research Institute, Rm. 4-16, 100 Perth Dr., London, Ontario, Canada, N6A 5K8. Tel.: 519-663-3793; Fax: 519-663-3112; E-mail: mhuff{at}uwo.ca.
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