# Impact of Dysfunctional HDL on Platelet Function and in vivo Thrombosis

> **NIH NIH K08** · VANDERBILT UNIVERSITY MEDICAL CENTER · 2020 · $158,760

## Abstract

PROJECT SUMMARY/ABSTRACT
The studies outlined in this proposal will explore novel mechanisms by which dysfunctional high-density
lipoprotein (HDL) impairs platelet function and promotes the prothrombotic phenotype and will test an innovative
potential therapeutic strategy to reduce atherothrombosis. This proposal is for a Mentored Career Development
Award by Dr. Wenliang Song in the Division of Cardiovascular Medicine of the Department of Medicine at
Vanderbilt University. Dr. Song has a long-term career goal of being an independently funded physician-scientist
focused on the role of lipid metabolism in cardiovascular disease. He has already invested heavily in this career
path. He has extensive research background on lipoperoxidation and oxidative stress, platelet biology and rodent
models of cardiovascular diseases. Recent evidence suggests that HDL function may be a better indicator than
HDL cholesterol (HDL-C). Mounting evidence supports the concept that dysfunctional HDL, for example, oxidized
HDL, loses its beneficial properties and actually contributes to the development of cardiovascular disease.
Preliminary data in this proposal suggest that HDL from patients with Familial Hypercholesterolemia (FH) is
enriched with peroxidation products, including malondialdehyde (MDA) and isolevuglandins(IsoLG), and is
strikingly dysfunctional. Novel aldehyde scavengers, which targeted mitigate the adverse effects of reactive
oxidative stress(ROS) without abrogating normal signaling of ROS, can reduce the peroxidation modification of
the HDL and prevent formation of dysfunctional HDL. Previous studies suggest normal HDL can reduce agonist-
stimulated platelet activation and aggregation, while oxidized HDL enhances platelet aggregation, yet the
mechanisms are not clear. Interestingly, recent studies demonstrated that apoptosis also occurs in anucleate
platelets, and apoptotic platelets accelerate in vivo arterial thrombosis formation. It is known that normal HDL is
anti-apoptotic and oxidized HDL is pro-apoptotic in macrophages and endothelial cells, but no studies have ever
investigated HDL’s effect on platelets apoptosis. Dr. Song hypothesizes that dysfunctional HDL, such as oxidized
HDL and HDL from FH patient (FH-HDL), increase platelet activation in vivo leading to enhance thrombosis
through inducing apoptosis. The effect of peroxidation modification of HDL, as well as FH-HDL, on platelet
apoptosis and activity will be tested. Two in vivo thrombosis mouse models (acute and chronic) will also be used.
Wild type, LDLr-/- and ApoA1-/-LDLr-/- mice will be used to mimic the FH condition, and to assess the
contribution of HDL. Novel aldehyde scavengers will be used to protect HDL from dysfunction and rescue the
phenotypes. This proposed research will provide novel insights into the impact of HDL on platelet biology and
advance the field of HDL function in atherothrombosis. The principal investigator has assembled a
multidisciplinary mentorship committee. ...

## Key facts

- **NIH application ID:** 9893896
- **Project number:** 5K08HL145075-02
- **Recipient organization:** VANDERBILT UNIVERSITY MEDICAL CENTER
- **Principal Investigator:** WENLIANG SONG
- **Activity code:** K08 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $158,760
- **Award type:** 5
- **Project period:** 2019-09-01 → 2023-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9893896

## Citation

> US National Institutes of Health, RePORTER application 9893896, Impact of Dysfunctional HDL on Platelet Function and in vivo Thrombosis (5K08HL145075-02). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9893896. Licensed CC0.

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