Following a 1 h incubation of human platelets with low-density lipoprotein (LDL) labelled in the apoprotein fraction (125I-apoB) or in phospholipid fractions [14C-labelled phosphatidylcholine (PC), phosphatidylethanolamine (PE) or sphingomyelin (SM)], the percentage of total 14C associated with the cells was about 3-fold higher than the percentage of 125I. Differences in temperature sensitivity also indicated differential interactions of phospholipids and apoprotein with platelets. In order to assess the amount of [14C]phospholipid transferred from LDL or high-density lipoprotein (HDL) to the cells, the quantity of bound lipoproteins was estimated by adding an excess of unlabelled lipoprotein, or by selectively degrading LDL- and HDL-associated [14C]PC and [14C]PE with phospholipase C. Incubation of platelets with LDL or HDL containing pyrenedecanoic acid-labelled PC or SM (py-PC, py-SM) increased pyrene monomer fluorescence, indicating incorporation of the phospholipids into platelets. With HDl as donor, incorporation of py-SM was greater than uptake of py-PC. Pretreating platelets with elastase dose-dependently inhibited uptake of py-SM and py-PC. Treatment of cells with phospholipase C indicated that the uptake of [14C]PC by platelets, and not the binding of lipoproteins to the cells, was partially inhibited by elastase. In conclusion, LDL and HDL rapidly deliver SM, PC and PE to platelets. Incorporation of LDL-derived phospholipids into platelets is unlikely to be mediated by endocytosis of lipoprotein particles. The uptake of the two choline-containing phospholipids appears to require the presence of specialized platelet membrane protein(s).

It is unknown whether the endocytosis-independent transfer of phospholipids from lipoproteins to platelets is regulated by platelet agonists such as thrombin. The movements of the choline phospholipids phosphatidylcholine and sphingomyelin (labeled with either 14 C or the fluorescent pyrenedecanoic acid) between low density lipoproteins and platelets were unaffected by thrombin (0.5 unit/ml). In contrast, thrombin accelerated the import of diacyl phosphatidylethanolamine (PE) and alkenylacyl phosphatidylethanolamine into platelets by about 4-fold. Similarly, thrombin receptoractivating peptide (15 M), collagen (10 g/ml), and ADP (10 M) enhanced PE uptake. High density lipoprotein particles and egg phosphatidylcholine vesicles were also donors for stimulation of platelet PE import. Part of the [ 14 C]arachidonic acid-labeled PE transferred from low density lipoprotein to platelets activated by thrombin and collagen was metabolized to 14 C-eicosanoids. Inhibitors of protein kinase C partially prevented thrombin-induced [14 C]PE uptake, while direct activators of protein kinase C increased incorporation of [ 14 C]PE into platelets. Proteinaceous factor(s) recovered in the extracellular medium from ADP-and thrombin-activated platelet suspensions were found to accelerate the transfer of pyrenedecanoic acid-labeled PE between donor and acceptor lipid vesicles. The stimulation of import of ethanolamine phospholipids led to a 2-fold enhancement of the prothrombinase activity of thrombin-activated platelets. Our study demonstrates that physiological platelet stimuli increase specifically the transfer of ethanolamine phospholipids from lipoproteins to platelets through a secretion-dependent mechanism. This might contribute to the increase of procoagulant activity of stimulated platelets.