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Cardiovascular Research Advance Access [Accepted Manuscript] published online on April 17, 2009

Cardiovascular Research, doi:10.1093/cvr/cvp118
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

CD36-mediated cholesterol efflux is associated with PPAR{gamma} activation via a MAPK-dependent COX-2 pathway in macrophages

Kim Bujold1, David Rhainds1,4, Christian Jossart1, Maria Febbraio3, Sylvie Marleau1 and Huy Ong1,2

1 Faculty of Pharmacy, Université de Montréal, Montréal, Québec, Canada
2 Department of Pharmacology, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada
3 Department of Cell Biology, Lerner Research Institute, Cleveland, OH, USA

Author for correspondence: Huy Ong, PhD, Faculty of Pharmacy, Université de Montréal, P.O. Box 6128, Station, Centre-Ville, Montréal, Québec, Canada, H3C 3J7; Fax: 514-343-2102, Tel: 514-343-6440; E-mail: huy.ong{at}umontreal.ca

Aims: Growth hormone-releasing peptides (GHRPs) as CD36 selective ligands feature potent anti-atherosclerotic activity that is associated with an upregulation of the peroxisome proliferator-activated receptor {gamma} (PPAR{gamma})-liver X receptor {alpha} (LXR{alpha})-ATP-binding cassette (ABC) transporter pathway. However, the mechanism involved in PPAR{gamma} activation in response to CD36 signalling has yet to be determined. Therefore, the present study aims to elucidate the upstream molecular mechanisms through which EP 80317, a selective CD36 ligand, promotes lipid efflux from macrophages through PPAR{gamma} activation.

Methods and results: [3H]-cholesterol- and [3H]-methylcholine chloride-labelled murine macrophages treated with EP 80317 showed a significant increase in cholesterol and phospholipid efflux to both apolipoprotein A-I and high-density lipoprotein in a CD36-dependent manner. Lipid efflux was associated with enhanced activation of PPAR{gamma}. The signalling pathway by which this CD36 ligand promoted lipid efflux involved an increase in intracellular 15-deoxy-{Delta}12,14-prostaglandin J2 (15d-PGJ2) levels induced by extracellular signal-regulated kinase 1/2 (ERK1/2)-dependent COX-2 expression, leading to PPAR{gamma} activation. In agreement, EP 80317-mediated cholesterol efflux was abrogated by inhibitors of PPAR{gamma}, ERK1/2 and COX-2 as well as ABC transporter inhibitors, whereas a p38 mitogen-activated protein kinase (MAPK) inhibitor had no effect.

Conclusion: These findings suggest a central role for the prostanoid 15d-PGJ2 in PPAR{gamma} activation and the upregulation of the ABC transporter pathway in response to CD36 activation by synthetic GHRPs analogues. The resulting enhanced cholesterol efflux might explain, at least in part, the atheroprotective effect of selective CD36 ligands.

KEYWORDS CD36; cholesterol efflux; COX-2; macrophages; PPAR{gamma}


Time for primary review: 26 Days

4 Present address: Genizon BioSciences Inc., St-Laurent, Québec, Canada


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