Reduced heparin and heparan sulfate (HS) proteoglycans (PG) have been observed in both inflammation and atherosclerosis. Methods to increase endogenous heparin and heparan sulfate are not known. We found that incubation of endothelial cells with 500 -1,000 g/ml high density lipoprotein (HDL) increased 35 SO 4 incorporation into PG by 1.5-2.5-fold. A major portion of this increase was in HS and was the result of increased synthesis. Total PG core proteins were not altered by HDL; however, the ratio of 35 SO 4 to [ 3 H]glucosamine was increased by HDL, suggesting increased sulfation of glycosaminoglycans. In addition, HDL increased the amount of highly sulfated heparin-like HS in the subendothelial matrix. HS from HDL-treated cells bound 40 ؎ 5% more 125 I-antithrombin III (requires 3-O sulfated HS) and 49 ؎ 3% fewer monocytes. Moreover, the HS isolated from HDL-treated cells inhibited smooth muscle cell proliferation (by 83 ؎ 5%) better than control HS (56 ؎ 6%) and heparin (42 ؎ 6%). HDL isolated from apolipoprotein E (apoE)-null mice did not stimulate HS production unless apoE was added. ApoE also stimulated HS production in the absence of HDL. ApoE did not increase 35 SO 4 incorporation in macrophages and fibroblasts, suggesting that this is an endothelial cell-specific process. Receptor-associated protein inhibited apoEmediated stimulation of HS only at higher (20 g/ml) doses, suggesting the involvement of a receptor-associated protein-sensitive pathway in mediating apoE actions. In summary, our data identify a novel mechanism by which apoE and apoE-containing HDL can be antiatherogenic. Identification of specific apoE peptides that stimulate endothelial heparin/HS production may have important therapeutic applications.
Proteoglycans (PG),1 important constituents of vascular cell membranes and extracellular matrix (1, 2), consist of a core protein to which long chains of negatively charged polysaccharides termed glycosaminoglycans (GAG) are attached. The three major PG classes in the vessel wall are heparan sulfate (HS), chondroitin sulfate, and dermatan sulfate. HSPG play an important role in the regulation of various vascular functions. They bind and promote lipoprotein lipase activity, the key enzyme in the hydrolysis of triglyceride-rich lipoproteins (3). Basic fibroblast growth factor, a potent mitogen and angiogenic factor, requires the presence of cell surface HSPG or exogenous heparin to bind to its high affinity cell signaling receptor (4). In addition, HSPG potentiate the thrombin-inhibiting actions of antithrombin (5). A reduction in arterial HS and heparin has been observed under conditions of inflammation and atherosclerosis as well as with increased age (6 -14). The age-dependent decrease in HS is more pronounced in atherosclerotic tissues than in normal tissues (10,11). An inverse correlation between the amount of cholesterol in the lesion and the concentration of HS was observed in human aortas. More importantly, this negative correlation was observed in both normal and atherosclerotic vessels...