Abstract-We demonstrate that physiological concentrations of HDL 3 inhibit the thrombin-induced platelet fibrinogen binding and aggregation in a time-and concentration-dependent fashion. The underlying mechanism includes HDL 3 -mediated inhibition of phosphatidylinositol 4,5-bis-phosphate turnover, 1,2-diacylglycerol and inositol 1,4,5-tris-phosphate formation, and intracellular calcium mobilization. The inhibitory effects of HDL 3 on inositol 1,4,5-tris-phosphate formation and intracellular calcium mobilization were abolished after covalent modification of HDL 3 with dimethylsuberimidate. Furthermore, they could be blocked by calphostin C and bis-indolylmaleimide, 2 highly selective and structurally unrelated protein kinase C inhibitors. However, the inhibitory effects of HDL 3 were not blocked by H89, a protein kinase A inhibitor. In addition, HDL 3 failed to induce cAMP formation but stimulated the phosphorylation of the protein kinase C 40-to 47-kD major protein substrate. We observed a close temporal relationship between the HDL 3 -mediated inhibition of thrombininduced inositol 1,4,5-tris-phosphate formation, intracellular calcium mobilization, and fibrinogen binding and the phosphorylation of the protein kinase C 40-to 47-kD major protein substrate. Taken together, these findings indicate that the HDL 3 -mediated inhibition of thrombin-induced fibrinogen binding and aggregation occurs via inhibition of phosphatidylinositol 4,5-bis-phosphate turnover and formation of 1,2-diacylglycerol and inositol 1,4,5-tris-phosphate. Protein kinase C may be involved in this process. (Arterioscler Thromb Vasc Biol. 1998;18:861-869.)Key Words: high-density lipoprotein Ⅲ protein kinase C Ⅲ signal transduction Ⅲ platelet aggregation Ⅲ fibrinogen B oth HDL and platelets are intimately involved in the pathogenesis of atherosclerosis, thrombosis, and coronary heart disease.1-3 Numerous observations demonstrated a direct effect of HDL on platelet functions.4 Platelet hyperreactivity was noted in subjects with hypoalphalipoproteinemia.5 Decreased activation of platelets by strong agonists such as thrombin and collagen has been reported in the presence of physiological concentrations of HDL.6-8 Furthermore, HDL inhibited thromboxane A 2 liberation, and addition of HDL to clotting blood diminished platelet thromboxane A 2 formation capacity.
9,10The mechanism underlying the effects of HDL on platelet function is little understood. HDL 3 , the major HDL subfraction in blood, is known to interact with specific binding sites on platelets that appear to be identical with GP IIb/IIIa. [11][12][13][14] In human platelets, HDL 3 was also shown to activate cellular phospholipases, resulting in the formation of DAG.15-18 The involvement of both phosphatidylcholine-specific phospholipase C and phosphatidylcholine-specific phospholipase D was postulated. 16 -18 Recently, the PKC-dependent enhancement of the Na ϩ /H ϩ antiport in the presence of HDL 3 has been reported.
19Both HDL 3 -induced DAG formation and Na ϩ /H ϩ exchange stimulation w...