Cholesterol, in addition to providing rigidity to the fluid membrane, plays a critical role in receptor function, endocytosis, recycling, and signal transduction. In the present study, we examined the effect of membrane cholesterol on functional expression of tissue factor (TF), a cellular receptor for clotting factor VIIa. Depletion of cholesterol in human fibroblasts (WI-38) with methyl--cyclodextrin-reduced TF activity at the cell surface. Binding studies with radiolabeled VIIa and TF monoclonal antibody (mAB) revealed that reduced TF activity in cholesterol-depleted cells stems from the impairment of VIIa interaction with TF rather than the loss of TF receptors at the cell surface. Repletion of cholesterol-depleted cells with cholesterol restored TF function. Loss of caveolar structure on cholesterol removal is not responsible for reduced TF activity. Solubilization of cellular TF in different detergents indicated that a substantial portion of TF in fibroblasts is associated with noncaveolar lipid rafts. Cholesterol depletion studies showed that the TF association with these rafts is cholesterol dependent. Overall, the data presented herein suggest that membrane cholesterol functions as a positive regulator of TF function by maintaining TF receptors, probably in noncaveolar lipid rafts, in a high-affinity state for VIIa binding.
IntroductionCholesterol is a lipid precursor for steroid hormones and bile salts and is present in cell membranes and circulation. Cholesterol in the membrane regulates flexibility and mechanical stability of the membrane. 1 Further, cholesterol plays a critical role in differentiating and maintaining cell surface microdomains of differing lipid composition, particularly sphingolipid rafts. Lipid rafts are shown to contribute to the regulation of various cellular functions, including receptor function, endocytosis, intracellular trafficking of receptors, and signaling pathways. [2][3][4][5] Tissue factor (TF) is the cellular receptor for clotting factor VIIa, and the formation of TF-VIIa complexes on cell surfaces triggers the coagulation cascade. 6 Studies suggest that exposure of TF to circulating blood on rupture of atherosclerotic plaque plays an important role in the pathogenesis of thrombus formation at sites of plaque rupture, resulting in acute coronary events and myocardial infarction. [7][8][9][10] Since cholesterol/ oxidatively modified low-density lipoprotein (LDL) present in atherosclerotic plaques is thought to play an important role in the atherogenesis through its biologic effects, including TF expression, many earlier studies were focused on investigating the effect of cholesterol on TF expression. 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors, widely used to suppress plasma LDL cholesterol levels in patients with primary hypercholesterinemia, were shown to inhibit TF expression in both in vitro and in vivo. 11,12 Consistent with this, dietary lipid lowering was found to reduce TF expression in rabbit atheroma. 13 However, in vitro studies on...