Articles |
From INSERM U.143 (C.K., T.S., E.A-C.) and the Cardiology Department (C.F.), Hôpital de Bicêtre, Paris, and Clinique Médicale of the CHUR de Reims (V.D.), France.
Correspondence to Dr. E. Anglés-Cano, INSERM U.143, Hôpital de Bicêtre, Bât. C. Bernard, F-94276-Cedex, Bicêtre, France. E mail angles@infobiogen.fr or angles@kb.inserm.fr
Abstract Binding of lipoprotein(a) (Lp(a)) to membrane
proteins of the monocyte-macrophage cell lineage may be an
important event in atheroma formation. Since Lp(a) with
distinct apolipoprotein(a) (apo(a)) isoforms may show differences in
their affinity with regard to fibrin binding, the existence of such a
functional behavior in the interaction of apo(a) in Lp(a) with these
cells was explored using the monocytic cell line THP-1. Lp(a)
preparations containing small size apo(a) isoforms
(Mr=450 000 to 550 000) and high molecular mass
isoforms (Mr
700 000) were purified from
plasmas containing >0.35 g/L of Lp(a) obtained from subjects (n=14)
with cardiovascular atherosclerotic disease. Binding of
plasminogen to THP-1 cells was performed using the method
of radioisotopic dilution. For binding of Lp(a) to cells, the THP-1
monocytic cells were incubated with varying concentrations of the
different Lp(a) preparations; cells were then washed and the amount of
Lp(a) bound was detected with a radiolabeled polyclonal antibody
directed against apo(a). Binding due to kringle interactions with
lysine residues was calculated by subtracting from the total bound the
amount of Lp(a) bound (
10%) in the presence of 6-aminohexanoic
acid. Analysis of data with the Langmuir equation indicated
identical and independent (noninteracting) sites and allowed evaluation
of the Kd. Binding isotherms of small size
isoforms showed saturation and a high affinity
(Kd=25.8±19 nmol/L) relative to that of
plasminogen (Kd=1750±760 nmol/L). A
similar difference (Kd=17.5±7.9 nmol/L versus
Kd=600±220 nmol/L) was found when binding
experiments were performed with a fibrin surface. In contrast, binding
isotherms of the high molecular mass isoforms did not show saturation
at the highest Lp(a) concentrations used, thus indicating a lower
affinity. In conclusion, these results show that apo(a) isoforms may
display polymorphism-linked functional
heterogeneity with regard to cell binding, which may
explain the higher association with cardiovascular risk
of small size isoforms. These qualitative differences in the binding of
apo(a) isoforms to fibrin or cells may modulate the
cardiovascular risk associated with high levels of
Lp(a).
Key Words: lipoprotein(a) apo(a) isoforms plasminogen monocytes
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