Endothelial cell (EC) migration is a regulatory event in the formation and repair of blood vessels. Although serum contains substantial promigratory activity, the responsible components and especially the role of lipoproteins have not been determined. We examined the effect of plasma high-density lipoprotein (HDL) on the movement of ECs in vitro. Confluent cultures of bovine aortic ECs in serum-free medium were "wounded," and migration was measured after 24 hours. HDL stimulated migration in a concentration-dependent manner with a half-maximal response at 25 to 40 ,ug cholesterol per milliliter and a maximal twofold stimulation at =150 ,ug cholesterol per milliliter. HDL-stimulated migration was not due to cell proliferation, since migration was increased in the presence of hydroxyurea at a concentration that blocked proliferation. At optimal concentrations, HDL was at least as stimulatory as basic fibroblast growth factor (FGF). However, the activity of HDL was not due to contamination by basic FGF, since antibodies to basic FGF did not block HDL-stimulated movement and since the maximum promigratory activities of basic FGF and HDL were additive. These results indicate that HDL and basic FGF may use distinct signaling pathways to initiate EC movement. This possibility was confirmed by results showing that pertussis toxin suppressed basic FGF-stimulated but not HDL-stimulated EC motility and that inhibitors of phospholipase A2, aristolochic acid and ONO-RS-082, also blocked the promigratory activity of basic FGF but had no effect on the activity of HDL. The promigra-tory activity of HDL may accelerate the regeneration of the endothelium after a denuding injury in vivo and suggests a new mechanism by which HDL may be protective against cardio-vascular disease. (Circ Res. 1994;74:1149-1156.) Key Words * basic fibroblast growth factor * cell motility * endothelial cells * high-density lipoprotein * wound healing M igration and proliferation of vascular endothe-lial cells (ECs) are initiating events in the formation of capillaries during normal development and tumor angiogenesis.' In addition, a continuous and intact monolayer of ECs is required for the maintenance of normal vessel wall properties, including impermeability and nonthrombogenicity. However, the integrity of the endothelium may be transiently or chronically disrupted by EC turnover, traumatic injury after balloon angioplasty, vascular grafting, organ im-plantation, or other pathological damage. Rapid regen-eration of the endothelium under these circumstances is a critical process in the response to the injury. It is believed that migration is the rate-limiting process in the repair of endothelium, since it is an early event that is followed by proliferation.1-4 In fact, increased proliferation may be due to the release from contact inhibition caused by cell migration.25 A number of agents are known to regulate EC movement in vitro, including vascular permeability factor ,6 scatter factor,7 and acidic8 and basic fibroblast growth factor (FGF).9 Among th...