Abstract
Serum amyloid P component (SAP) is a member of pentraxins. Previous studies indicate
that SAP exists in human atherosclerotic aortic intima and the plasma SAP levels are
associated with cardiovascular disease. In this study, we characterized SAP in normal
and atherosclerotic intima, investigated the source of SAP in atherosclerotic lesions,
and assessed the effect of SAP on HDL function. Immunohistochemical staining and electroimmunoassay
indicated that SAP is not present in normal aortic intima which excludes the possibility
that SAP non-specifically deposits in aortic intima via its binding to microfibrils.
Notably, SAP levels are correlated with the severity of atherosclerotic lesions. Fast
protein liquid chromatography (FPLC) and Western blot analysis revealed that SAP exists
in atherosclerotic lesions in multiple forms. Soluble SAP accumulates in the lesions
as decamer in free or bound forms via ligand-binding to its ligand(s). Insoluble SAP
accumulates in the lesions in covalent-bound forms conjugated to collagen/collagen-like
substances via disulfide (–S–S–) bonds. In situ hybridization and RT-PCR analysis
revealed that SAP is generated in atherosclerotic lesions, at least partly, by macrophages
and smooth muscle cells in neointima. Functional analysis demonstrated that SAP associated
with HDL promotes SR-BI-dependent cholesterol efflux and lipid-free SAP enhances ABCA1-dependent
cholesterol efflux. In conclusion, our findings demonstrate that SAP is specifically
accumulated and expressed in atherosclerotic lesions. SAP may be involved in cholesterol
clearance through its role in promoting cholesterol efflux.
Abbreviations:
DTT (dithiothreitol), FPLC (fast protein liquid chromatography), LPS (lipopolysaccharide), PMA (phorbol-12 myristate 13-acetate), SR-BI (scavenger receptor BI)Keywords
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Article info
Publication history
Published online: March 02, 2010
Accepted:
January 28,
2010
Received in revised form:
January 13,
2010
Received:
November 12,
2009
Identification
Copyright
© 2010 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.