Smirnova, I. V., T. Sawamura, and M. S. Goligorsky. Upregulation of lectin-like oxidized low-density lipoprotein receptor-1 (LOX-1) in endothelial cells by nitric oxide deficiency. Am J Physiol Renal Physiol 287: F25-F32, 2004. First published March 9, 2004 10.1152/ajprenal.00449.2003.-Endothelial cell dysfunction (ECD) is emerging as a common denominator for diverse cardiovascular abnormalities associated with inhibition of endothelial nitric oxide (NO) synthase (eNOS). Elevated levels of asymmetric dimethylarginine (ADMA), a potent eNOS inhibitor, are common in renal failure and may contribute to ECD. Through DNA microarray screening of genes modulated in human umbilical vein endothelial cells (HUVEC) by N G -nitro-L-arginine methyl ester (L-NAME), we found a 1.8-fold increase in low-density lipoprotein receptor-1 (LOX-1) expression. LOX-1 is a major endothelial receptor for oxidized low-density lipoproteins (OxLDL) and is assumed to play a role in the initiation and progression of atherosclerosis. Here, we confirmed the upregulation of LOX-1 mRNA and protein level by quantitative RT-PCR and Western blot analysis. Increased expression of LOX-1 was associated with the accumulation of DiI-labeled OxLDL (DiI-OxLDL) in ADMA-and L-NAME-pretreated HUVEC. To evaluate the contribution of LOX-1 in ADMA-induced accumulation of OxLDL by HUVEC, we used the competitive receptor inhibitor, soluble LOX-1. Treatment of HUVEC with soluble LOX-1 was associated with an approximately two-to threefold inhibition of DiI-OxLDL uptake in L-NAME-or ADMA-treated HUVEC. In conclusion, ADMA-or L-NAME-induced NO deficiency leads to the increased expression of LOX-1 mRNA and protein in HUVEC, which in turn results in the accumulation of OxLDL. Competition with LOX-1-soluble extracellular domain reduces OxLDL accumulation. In summary, elevated ADMA levels, i.e., in patients with renal failure, may be responsible for endothelial accumulation of OxLDL via upregulated LOX-1 receptor, thus contributing to endothelial lipidosis and dysfunction. asymmetric dimethylarginine; endothelial dysfunction; chronic renal failure ENDOTHELIAL DYSFUNCTION IS emerging as a common denominator for diverse cardiovascular abnormalities, such as atherosclerosis, diabetes, hypertension, and renal failure. Inhibition of endothelial nitric oxide (NO) synthase (eNOS) is one of the hallmarks of developing endothelial cell dysfunction (2, 9, 15, 37). Impaired endothelium-dependent vasorelaxation precedes the development of clinical manifestations of the disease and is detectable even before angiographic manifestations become apparent (2,9,14,20,36). One of the mechanisms leading to endothelial dysfunction is the accumulation of an endogenous inhibitor of eNOS, asymmetric dimethylarginine (ADMA) (1,8,13,31,43,46). Plasma levels of ADMA are elevated in patients with chronic renal failure (11,21,22,32,34,44,49), hypercholesterolemia (8, 9, 29, 47), occlusive vascular disease, and hypertension (1, 5, 14, 16 -18, 20, 42, 43, 48) and associated with reduced NO production an...