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Am J Physiol Heart Circ Physiol 296: H1643-H1650, 2009. First published February 27, 2009; doi:10.1152/ajpheart.00938.2008
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CRP is a novel ligand for the oxidized LDL receptor LOX-1

Heather H. Shih,1 Songwen Zhang,2 Wei Cao,1 Ashleigh Hahn,2 Juan Wang,2 Janet E. Paulsen,1 and Douglas C. Harnish2

1Biological Technologies, Wyeth Research, Cambridge, Massachusetts; and 2Cardiovascular and Metabolic Disease Research, Wyeth Research, Collegeville, Pennsylvania

Submitted 27 August 2008 ; accepted in final form 22 February 2009

C-reactive protein (CRP) is a risk factor for cardiovascular events and functions to amplify vascular inflammation through promoting endothelial dysfunction. Lectin-like oxidized low-density lipoprotein (oxLDL) receptor-1 (LOX-1) is the primary endothelial receptor for oxLDL, and both its expression and function are associated with vascular inflammation. As a scavenger receptor, LOX-1 is capable of binding to a variety of structurally unrelated ligands. Evidence is provided that demonstrates that CRP can act as a novel ligand for LOX-1. The direct interaction between these two proteins was demonstrated with purified protein in both ELISA and AlphaScreen assays. This interaction could be disrupted with known LOX-1 ligands, such as oxLDL and carrageenan. Moreover, the CRP interaction with cell surface-expressed LOX-1 was confirmed in cell-based immunofluorescent-binding studies. Mutagenesis studies demonstrated that the arginine residues forming the basic spine structure on the LOX-1 ligand-binding interface were dispensable for CRP binding, suggesting a novel ligand-binding mechanism for LOX-1, distinct from that used for oxLDL binding. The treatment of human endothelial cells with CRP led to the activation of proinflammatory genes including IL-8, ICAM-1, and VCAM-1. The inductions of these genes by CRP were LOX-1 dependent, as demonstrated by their attenuation in cells transfected with LOX-1 small-interfering RNA. Our study identifies and characterizes the direct interaction between LOX-1 and CRP and suggests that this interaction may mediate CRP-induced endothelial dysfunction.

endothelial cells; scavenger receptor; oxidized low-density lipoprotein receptor-1; C-reactive protein



Address for reprint requests and other correspondence: D. C. Harnish, 500 Arcola Rd., Collegeville, PA 19426 (e-mail: harnisd{at}wyeth.com)







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