Meyer MC, McHowat J. Calcium-independent phospholipase A2-catalyzed plasmalogen hydrolysis in hypoxic human coronary artery endothelial cells. Am J Physiol Cell Physiol 292: C251-C258, 2007. First published August 30, 2006; doi:10.1152/ajpcell.00120.2006.-Thrombin stimulation of human coronary artery endothelial cells (HCAEC) results in activation of a membrane-associated, calcium-independent phospholipase A2 (iPLA2) that selectively hydrolyzes membrane plasmalogen phospholipids. Rupture of an atherosclerotic plaque and occlusion of the coronary vasculature results in a coronary ischemic event in which HCAEC in the ischemic area would be exposed to dramatic decreases in oxygen tension in addition to thrombin exposure. We exposed HCAEC to hypoxia in the presence or absence of thrombin stimulation and measured iPLA 2 activation, membrane phospholipid hydrolysis, and the accumulation of biologically active phospholipid metabolites. HCAEC exposed to hypoxia, thrombin stimulation, or a combination of the two conditions demonstrated an increase in iPLA2 activity and an increase in arachidonic acid release from plasmenylcholine. Thrombin stimulation of normoxic HCAEC did not result in an accumulation of choline lysophospholipids, but hypoxia alone and in combination with thrombin stimulation led to a significant accumulation of lysoplasmenylcholine (LPlsCho). We propose that the presence of hypoxia inhibits LPlsCho catabolism, at least in part, as a result of the accumulation of long-chain acylcarnitines. The combination of increased production and decreased catabolism of LPlsCho is necessary for its accumulation. Pretreatment with bromoenol lactone to inhibit iPLA2 blocked membrane phospholipid hydrolysis and production of membrane phospholipid-derived metabolites. The increase in iPLA2 activity and the subsequent accumulation of membrane phospholipid-derived metabolites in HCAEC exposed to hypoxia or thrombin stimulation alone, and particularly in combination, have important implications in inflammation and arrhythmogenesis in atherosclerosis/thrombosis and subsequent myocardial ischemia. myocardial ischemia; arrhythmogenesis; thrombosis SUDDEN CARDIAC DEATH in humans invariably results from malignant ventricular arrhythmias secondary to acute myocardial ischemia precipitated by the evolution of an intracoronary thrombus (3,7,32). We have demonstrated previously that thrombin stimulation of human coronary artery endothelial cells (HCAEC) results in hydrolysis of membrane plasmalogen phospholipids by a Ca 2ϩ -independent phospholipase A 2 (iPLA 2 ) that leads to the generation of several phospholipid metabolites that may play an important role in inflammation or arrhythmogenesis in the heart (21).Once blood flow is interrupted or severely reduced by increased or complete occlusion of a coronary artery precipitating an ischemic event, the endothelial cells in the ischemic area would be exposed to dramatic decreases in oxygen tension in addition to exposure to thrombin. Results from studies involving release of arachido...