The aim of our work was to determine whether fatty acid modifications
in smooth muscle cell phospholipids affect cholesterol efflux and deso
rption. [3(H)]Cholesterol was used to label cholesterol pools in the w
hole cell or selectively in the plasma membrane. Cells were incubated
for 12 h in order to increase oleate, linoleate, arachidonate, eicosap
entaenoic acid (EPA) or docosahexaenoic acid (DHA) in phospholipids. C
holesterol efflux was monitored using native or tetranitromethane modi
fied high-density lipoprotein(3) (HDL(3)). When all cholesterol pools
were labeled, the efflux from cells treated with different fatty acids
were not different. Plasma membrane cholesterol efflux remained uncha
nged after oleate, linoleate or arachidonate treatments, but was marke
dly increased after EPA and DHA enrichment, both with native HDL(3) an
d with tetranitromethane-high-density lipoprotein. These results sugge
st that the positive effects of n-3 fatty acid consumption on the athe
rosclerotic process could belinked in part to an increase in plasma me
mbrane cholesterol efflux from vascular smooth muscle cells.