Atherosclerosis is characterized by the presence of lipid-loaded cells
which are derived from macrophages and smooth muscle cells. Several l
ipoprotein receptors may be involved in cellular lipid uptake. These r
eceptors include: scavenger receptor(s); LDL receptor-related protein/
alpha 2-macroglobulin receptor (LRP); LDL receptor; and VLDL receptor.
With the exception of the LDL receptor, all of these receptors are ex
pressed in atherosclerotic lesions. While scavenger receptors are most
ly expressed in macrophages, the LRP and VLDL receptor may play an imp
ortant role in mediating lipid uptake in smooth muscle cells. It is ev
ident that no single receptor pathway is solely responsible for the in
creased lipid uptake in lesion cells but several redundant mechanisms
may contribute to the uptake and degradation of lipoproteins in athero
sclerotic lesions. (C) 1998 Elsevier Science Ireland Ltd. All rights r
eserved.