Activation of vascular endothelial cells (ECs) contributes importantly to
inflammation and
atherogenesis. We previously reported that
apolipoprotein CIII (apoCIII), found abundantly on circulating
triglyceride-rich
lipoproteins, enhances adhesion of human monocytes to ECs in vitro.
Statins may exert
lipid-independent anti-inflammatory effects. The present study examined whether
statins suppress apoCIII-induced EC activation in vitro and in vivo.
METHODS AND RESULTS: Physiologically relevant concentrations of purified human apoCIII enhanced attachment of the monocyte-like cell line THP-1 to human saphenous vein ECs (HSVECs) or human coronary artery ECs (HCAECs) under both static and laminar shear stress conditions. This process mainly depends on
vascular cell adhesion molecule-1 (VCAM-1), as a blocking
VCAM-1 antibody abolished apoCIII-induced monocyte adhesion. ApoCIII significantly increased
VCAM-1 expression in HSVECs and HCAECs. Pre-treatment with
statins suppressed apoCIII-induced
VCAM-1 expression and monocyte adhesion, with two lipophilic
statins (
pitavastatin and
atorvastatin) exhibiting inhibitory effects at lower concentration than those of hydrophilic
pravastatin. Nuclear factor κB (NF-κB) mediated apoCIII-induced
VCAM-1 expression, as demonstrated via loss-of-function experiments, and
pitavastatin treatment suppressed NF-κB activation. Furthermore, in the aorta of hypercholesterolaemic Ldlr(-/-) mice,
pitavastatin administration in vivo suppressed
VCAM-1 mRNA and
protein, induced by apoCIII bolus injection. Similarly, in a subcutaneous dorsal air pouch mouse model of leucocyte recruitment, apoCIII injection induced F4/80+ monocyte and macrophage accumulation, whereas
pitavastatin administration reduced this effect.
CONCLUSIONS: These findings further establish the direct role of apoCIII in
atherogenesis and suggest that anti-inflammatory effects of
statins could improve
vascular disease in the population with elevated plasma apoCIII.