High-density lipoproteins (HDL) levels have been shown to be inversely corr
elated with coronary heart disease, but the mechanisms of the direct protec
tive effect of HDL on endothelial cells are not fully understood. The apopt
osis of endothelial cells induced by cytokines and/or oxidized low-density
lipoproteins, etc. may provide a mechanistic clue to the "response-to-injur
y" hypothesis of atherogenesis. Here we report that HDL prevent the apoptos
is of human umbilical venous endothelial cells (HUVECs) induced by tumor ne
crosis factor-alpha (TNF-alpha) via an inhibition of CPP32-like protease ac
tivity. The incubation of HUVECs with TNF-alpha significantly increased the
CPP32-like protease activity, and induced apoptosis. Preincubation of HUVE
Cs with HDL before incubation with TNF-alpha significantly suppressed the i
ncrease in the CPP32-like protease activity, preventing apoptosis in a conc
entration-dependent manner. These results suggest that HDL prevent the suic
ide pathway leading to apoptosis of endothelial cells by decreasing the CPP
32-like protease activity and that HDL thus play a protective role against
the "response-to-injury" hypothesis of atherogenesis, (C) 2000 Academic Pre
ss.