“…Several lines of evidence demonstrate that D4F exhibits an anti-atherogenic effect without changing plasma cholesterol levels in dyslipidemic mouse models (17)(18)(19)(20). It has been reported that D4F can increase paraoxonase activity in HDL, induce pre- HDL formation, improve HDL-mediated reverse cholesterol transport and antiinfl ammatory properties, and promote endothelial progenitor cell proliferation, migration, and adhesion, which are responsible for its anti-atherogenic role (21)(22)(23). In addition, our recent work has shown that D4F is able to inhibit ox-LDL-induced cytotoxicity on human umbilical vein endothelial cells via preventing the downregulation of pigment epithelium-derived factor ( 24 ), consistent with the report that small dense HDL3 potently protects endothelial cells from ox-LDL-induced apoptosis and that apoA-I is pivotal to such protection ( 25 ).…”