C-reactive protein decreases prostacyclin release from human aortic endothelial cells

Background-In addition to being a risk marker for cardiovascular disease, much recent data suggest that C-reactive protein (CRP) promotes atherogenesis. Decreased endothelial NO and prostacyclin (PGI(2)) contribute to a proatherogenic and prothrombotic state. We have shown that CRP decreases endothelial NO synthase expression and bioactivity in human aortic endothelial cells (HAECs). PGI(2) is a potent vasodilator and inhibitor of platelet aggregation. Hence, the aim of this study was to examine the effect of CRP on PGI(2) release from HAECs and human coronary artery endothelial cells (HCAECs). Methods and Results-HAECs and HCAECs were incubated with human CRP (0 to 50 mug/mL for 24 hours). The release of PGF-1alpha, a stable product of PGI(2), was also assayed in the absence and presence of a potent agonist, A23187. CRP significantly decreased PGF-1alpha release from HAECs under basal (48% decrease, P<0.001; n=5) and stimulated (26% decrease, P<0.01; n=5) conditions. CRP had no effect on PG(I)2 synthase (PGIS) mass. By increasing both superoxide and inducible NO synthase, CRP resulted in increased nitration of PGIS by peroxynitrite. The increased nitration and decreased activity of PGIS by CRP was reversed with peroxynitrite scavengers. Conclusions-Thus, CRP decreases PGI(2) release from HAECs by inactivating PGIS via nitration, additionally contributing to its atherogenicity.