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on August 26, 2002

Circulation. 2002
Published online before print August 26, 2002, doi: 10.1161/01.CIR.0000033116.22237.F9
A more recent version of this article appeared on September 17, 2002
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Submitted on May 10, 2002
Revised on July 17, 2002
Accepted on July 26, 2002

Demonstration That C-Reactive Protein Decreases eNOS Expression and Bioactivity in Human Aortic Endothelial Cells

Senthil Kumar Venugopal PhD, Sridevi Devaraj PhD, Ivan Yuhanna MS, Philip Shaul MD, and Ishwarlal Jialal MD, PhD*

From the Laboratory for Atherosclerosis and Metabolic Research, Department of Pathology (S.K.V., S.D., I.J.), UC Davis Medical Center, Sacramento, Calif; and the Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas (I.Y., P.S.).

* To whom correspondence should be addressed. E-mail: ishwarlal.jialal{at}ucdmc.ucdavis.edu.

Background—C-reactive protein (CRP), the prototypic marker of inflammation, has been shown to be an independent predictor of cardiovascular events. Endothelial nitric oxide synthase (eNOS) deficiency is a pivotal event in atherogenesis.

Methods and Results—We tested the effect of CRP on eNOS expression and bioactivity in cultured human aortic endothelial cells (HAECs). CRP decreased eNOS mRNA, protein abundance, and enzyme activity in HAECs. Furthermore, eNOS bioactivity assayed by cyclic GMP levels was significantly reduced by CRP. Preincubation of cells with CRP also significantly increased the adhesion of monocytes to HAECs.

Conclusion—CRP causes a direct reduction in eNOS expression and bioactivity in HAECs, further supporting its role in atherogenesis.


Key words: inflammation • C-reactive protein • nitric oxide synthase • endothelium




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Arterioscler. Thromb. Vasc. Bio.Home page
K. D. O'Brien, T. O. McDonald, V. Kunjathoor, K. Eng, E. A. Knopp, K. Lewis, R. Lopez, E. A. Kirk, A. Chait, T. N. Wight, et al.
Serum Amyloid A and Lipoprotein Retention in Murine Models of Atherosclerosis
Arterioscler Thromb Vasc Biol, April 1, 2005; 25(4): 785 - 790.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
S. K. Venugopal, S. Devaraj, and I. Jialal
Macrophage Conditioned Medium Induces the Expression of C-Reactive Protein in Human Aortic Endothelial Cells: Potential for Paracrine/Autocrine Effects
Am. J. Pathol., April 1, 2005; 166(4): 1265 - 1271.
[Abstract] [Full Text] [PDF]


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CirculationHome page
B. R. Clapp, G. M. Hirschfield, C. Storry, J. R. Gallimore, R. P. Stidwill, M. Singer, J. E. Deanfield, R. J. MacAllister, M. B. Pepys, P. Vallance, et al.
Inflammation and Endothelial Function: Direct Vascular Effects of Human C-Reactive Protein on Nitric Oxide Bioavailability
Circulation, March 29, 2005; 111(12): 1530 - 1536.
[Abstract] [Full Text] [PDF]


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J. Lipid Res.Home page
A. Chait, C. Y. Han, J. F. Oram, and J. W. Heinecke
Thematic review series: The Immune System and Atherogenesis. Lipoprotein-associated inflammatory proteins: markers or mediators of cardiovascular disease?
J. Lipid Res., March 1, 2005; 46(3): 389 - 403.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
C. K. Roberts and R. J. Barnard
Effects of exercise and diet on chronic disease
J Appl Physiol, January 1, 2005; 98(1): 3 - 30.
[Abstract] [Full Text] [PDF]


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Ann Rheum DisHome page
I B McInnes, D W McCarey, and N Sattar
Do statins offer therapeutic potential in inflammatory arthritis?
Ann Rheum Dis, December 1, 2004; 63(12): 1535 - 1537.
[Full Text] [PDF]


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J. Biol. Chem.Home page
S. Black, I. Kushner, and D. Samols
C-reactive Protein
J. Biol. Chem., November 19, 2004; 279(47): 48487 - 48490.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
P. J. Barter, S. Nicholls, K.-A. Rye, G.M. Anantharamaiah, M. Navab, and A. M. Fogelman
Antiinflammatory Properties of HDL
Circ. Res., October 15, 2004; 95(8): 764 - 772.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. Fichtlscherer, S. Breuer, and A. M. Zeiher
Prognostic Value of Systemic Endothelial Dysfunction in Patients With Acute Coronary Syndromes: Further Evidence for the Existence of the "Vulnerable" Patient
Circulation, October 5, 2004; 110(14): 1926 - 1932.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
K. Okita, H. Nishijima, T. Murakami, T. Nagai, N. Morita, K. Yonezawa, K. Iizuka, H. Kawaguchi, and A. Kitabatake
Can Exercise Training With Weight Loss Lower Serum C-Reactive Protein Levels?
Arterioscler Thromb Vasc Biol, October 1, 2004; 24(10): 1868 - 1873.
[Abstract] [Full Text] [PDF]


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CirculationHome page
K. Tsuda, I. Nishio, A. S.M. Shamsuzzaman, M. Winnicki, R. Wolk, A. Svatikova, D. E. Davison, V. K. Somers, B. G. Phillips, and P. B. Berger
Leptin, C-Reactive Protein, and Nitric Oxide Production in Healthy Humans * Response
Circulation, September 28, 2004; 110(13): e330 - e330.
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CirculationHome page
D. Fliser, K. Buchholz, H. Haller, and for the EUropean Trial on Olmesartan and Pravastat
Antiinflammatory Effects of Angiotensin II Subtype 1 Receptor Blockade in Hypertensive Patients With Microinflammation
Circulation, August 31, 2004; 110(9): 1103 - 1107.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. P. Zhao, L. Liu, Y. C. Cheng, M. H. Shishehbor, M. H. Liu, D. Q. Peng, and Y. L. Li
Xuezhikang, an Extract of Cholestin, Protects Endothelial Function Through Antiinflammatory and Lipid-Lowering Mechanisms in Patients With Coronary Heart Disease
Circulation, August 24, 2004; 110(8): 915 - 920.
[Abstract] [Full Text] [PDF]


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CirculationHome page
K. E. Lewis, E. A. Kirk, T. O. McDonald, S. Wang, T. N. Wight, K. D. O'Brien, and A. Chait
Increase in Serum Amyloid A Evoked by Dietary Cholesterol Is Associated With Increased Atherosclerosis in Mice
Circulation, August 3, 2004; 110(5): 540 - 545.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
S. Fichtlscherer, S. Breuer, V. Schachinger, S. Dimmeler, and A. M. Zeiher
C-reactive protein levels determine systemic nitric oxide bioavailability in patients with coronary artery disease
Eur. Heart J., August 2, 2004; 25(16): 1412 - 1418.
[Abstract] [Full Text] [PDF]


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Am. J. PsychiatryHome page
M. LE DOUX, K. BRASLOW, and T. M. BROWN
C-Reactive Protein and Serotonin Syndrome
Am J Psychiatry, August 1, 2004; 161(8): 1499 - 1499.
[Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
D. H. Endemann and E. L. Schiffrin
Endothelial Dysfunction
J. Am. Soc. Nephrol., August 1, 2004; 15(8): 1983 - 1992.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
K. K. Koh, M.-S. Shin, I. Sakuma, J. Y. Ahn, D. K. Jin, H. S. Kim, D. S. Kim, S. H. Han, W.-J. Chung, and E. K. Shin
Effects of Conventional or Lower Doses of Hormone Replacement Therapy in Postmenopausal Women
Arterioscler Thromb Vasc Biol, August 1, 2004; 24(8): 1516 - 1521.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
J. A. Beckman, J. K. Liao, S. Hurley, L. A. Garrett, D. Chui, D. Mitra, and M. A. Creager
Atorvastatin Restores Endothelial Function in Normocholesterolemic Smokers Independent of Changes in Low-Density Lipoprotein
Circ. Res., July 23, 2004; 95(2): 217 - 223.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
S. Fichtlscherer, S. Breuer, C. Heeschen, S. Dimmeler, and A. M. Zeiher
Interleukin-10 serum levels and systemic endothelial vasoreactivity in patients with coronary artery disease
J. Am. Coll. Cardiol., July 7, 2004; 44(1): 44 - 49.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
K. K. Koh and I. Sakuma
Should Progestins Be Blamed for the Failure of Hormone Replacement Therapy to Reduce Cardiovascular Events in Randomized Controlled Trials?
Arterioscler Thromb Vasc Biol, July 1, 2004; 24(7): 1171 - 1179.
[Abstract] [Full Text] [PDF]


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Eur Heart J SupplHome page
C. Kluft
Identifying patients at risk of coronary vascular disease: the potential role of inflammatory markers
Eur. Heart J. Suppl., July 1, 2004; 6(suppl_C): C21 - C27.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
I. Jialal, S. Devaraj, and S. K. Venugopal
C-Reactive Protein: Risk Marker or Mediator in Atherothrombosis?
Hypertension, July 1, 2004; 44(1): 6 - 11.
[Abstract] [Full Text] [PDF]


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CirculationHome page
U. Landmesser, B. Hornig, and H. Drexler
Endothelial Function: A Critical Determinant in Atherosclerosis?
Circulation, June 1, 2004; 109(21_suppl_1): II-27 - II-33.
[Abstract] [Full Text] [PDF]


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CirculationHome page
A. S.M. Shamsuzzaman, M. Winnicki, R. Wolk, A. Svatikova, B. G. Phillips, D. E. Davison, P. B. Berger, and V. K. Somers
Independent Association Between Plasma Leptin and C-Reactive Protein in Healthy Humans
Circulation, May 11, 2004; 109(18): 2181 - 2185.
[Abstract] [Full Text] [PDF]


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CirculationHome page
C. Wadham, N. Albanese, J. Roberts, L. Wang, C. J. Bagley, J. R. Gamble, K.-A. Rye, P. J. Barter, M. A. Vadas, and P. Xia
High-Density Lipoproteins Neutralize C-Reactive Protein Proinflammatory Activity
Circulation, May 4, 2004; 109(17): 2116 - 2122.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
Yasmin, C. M. McEniery, S. Wallace, I. S. Mackenzie, J. R. Cockcroft, and I. B. Wilkinson
C-Reactive Protein Is Associated With Arterial Stiffness in Apparently Healthy Individuals
Arterioscler Thromb Vasc Biol, May 1, 2004; 24(5): 969 - 974.
[Abstract] [Full Text]


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CirculationHome page
A.D. Booth, D.R.W. Jayne, R.K. Kharbanda, C.M. McEniery, I.S. Mackenzie, J. Brown, and I.B. Wilkinson
Infliximab Improves Endothelial Dysfunction in Systemic Vasculitis: A Model of Vascular Inflammation
Circulation, April 13, 2004; 109(14): 1718 - 1723.
[Abstract] [Full Text] [PDF]