Coronary disease & ACS

The Oxidized Phospholipid PGPC Impairs Angiogenesis by Inhibiting Endothelial Autophagosomal–Lysosomal Fusion Through NPC1-Induced Syntaxin 17 Acetylation and Ubiquitination

CirculationPublished Experimental study in cultured endothelial cells and C57BL/6J mice, with plasma PGPC quantification in patients

Authors' conclusion

PGPC promotes the acetylation and subsequent ubiquitin-mediated degradation of STX17 by increasing NPC1, leading to a reduction in the level of STX17 associated with VAMP8, which inhibits autophagosomal-lysosomal fusion and angiogenesis. Targeting PGPC, NPC1, or STX17 may represent novel therapeutic approaches to promote angiogenesis in patients with CAD.

Study context

Population
Patients with coronary artery disease (CAD) (plasma PGPC); cultured endothelial cells; C57BL/6J mice
Comparison
Effects of PGPC on angiogenesis and autophagy
Methodological detailssubcutaneous Matrigel plug assay, hindlimb ischemia model, myocardial infarction model
  • Subcutaneous Matrigel plug assay
  • Hindlimb ischemia model
  • Myocardial infarction model

Main finding

As reported in the abstract

Plasma PGPC in CAD
  • Plasma PGPC levels increased in patients with CAD, positively correlated with CAD severity and negatively correlated with coronary collateral artery formation

Further findings

Angiogenesis in vitro and in vivo

PGPC inhibited endothelial cell migration and tube formation
PGPC suppressed neovascularization in Matrigel plugs and reduced blood flow recovery in hindlimb ischemia
PGPC attenuated angiogenesis in the ischemic myocardium after myocardial infarction
VEGFA-induced proangiogenic effects in ischemic hearts significantly inhibited by PGPC

Mechanism

PGPC inhibited STX17 expression by promoting its acetylation and subsequent ubiquitination and degradation
PGPC upregulated NPC1 through CD36
NPC1 recruited ACAT1 to promote STX17 acetylation and degradation, and competed with STX17 to bind VAMP8, inhibiting eNOS, ERK1/2 and nitric oxide production
E06, STX17 overexpression, or silencing of NPC1 reversed the inhibitory effect of PGPC on angiogenesis by restoring autophagic flux

Original publication

The Oxidized Phospholipid PGPC Impairs Angiogenesis by Inhibiting Endothelial Autophagosomal–Lysosomal Fusion Through NPC1-Induced Syntaxin 17 Acetylation and Ubiquitination. Circulation. Published 6 October 2026. doi:10.1161/circulationaha.126.079506

Summarised from the published abstract; every number is checked against it

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