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European Heart Journal 1990 11(Supplement E):148-157; doi:10.1093/eurheartj/11.suppl_E.148
Copyright © 1990 by the European Society of Cardiology.
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© 1990 The European Society of Cardiology

Arterial wall proteoglycans—Biological properties related to pathogenesis of atherosclerosis

B. Radhakrishnamurthy*,{dagger}, S. R. Srinivasan*,{dagger}, P. Vijayagopal* and G. S. Berenson*

* Department of Medicine, Louisiana State University Medical Center New Orleans, U.S.A.
{dagger} Department of Biochemistry and Molecular Biology, Louisiana State University Medical Center New Orleans, U.S.A.

Address for correspondence: Gerald S. Berenson, M.D., LSU Medical Center, 1542 Tulane Avenue, New Orleans, LA 70112, U.S.A.

The arterial wall is a complex organ system with respect to carbohydrate-protein macromolecules, particularly proteoglycans. Proteoglycans in the arterial wall display polydispersity and heterogeneity even in the same family. At least two major types are known: chondroitin sulphate-dermatan sulphate type and heparan sulphate type. These proteoglycans have varied biological properties, and some of these properties are implicated in the development of atherosclerosis. The chondroitin sulphate-dermatan sulphate proteoglycans are capable of forming complexes with serum low-density lipoproteins, a process conducive to lipid accumulation in the extracellular space of the arterial wall. Also, such reactions render low-density lipoprotein particles electronegative aggregates. These altered low-density lipoproteins are taken up by macrophages (and possibly by proliferative smooth muscle cells) through a high-affinity receptor pathway devoid of feedback regulation, which results in intracellular lipid accumulation and foam-cell formation, a hallmark of atherosclerosis. On the other hand, heparan sulphate proteoglycan located on the cell surface and internal elastic lamina is antithrombogenic, and facilitates binding of the lipid-clearing enzyme, lipoprotein lipase to endothelium. Thus, chondroitin sulphate and heparan sulphate proteoglycans with divergent biological properties play a crucial role in the pathogenesis of atherosclerosis.

Key Words: Atherosclerosis • arterial wall • proteoglycans • proteoglycan-lipoprotein interactions • macrophages • foam cells


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