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From the Institut für Arterioskleroseforschung an der Universität Münster, Münster, Germany (Y.H., Y.Z., M.R., S.W., B.W., U.S., G.A., A.v.E.); the Institut für Klinische Chemie und Laboratoriumsmedizin, Zentrallaboratorium, Westfälische Wilhelms-Universität Münster, Münster, Germany (C.L., G.A., A.v.E.); and the Department of Pathology and Curriculum in Genetics and of the Program in Molecular Biology and Biotechnology, University of North Carolina, Chapel Hill, North Carolina (N.M.).
Correspondence to Dr. Arnold von Eckardstein, Institut für Klinische Chemie und Laboratoriumsmedizin, Zentrallaboratorium, Westfälische Wilhelms-Universität Münster, Albert-Schweitzer-Strasse 33, D-48129 Münster, Germany.
Abstract We investigated the contribution of apoE to
cholesterol efflux into plasmas of normal, apoA-I-, and
apoE-deficient mice, which were fed with chow- and
cholesterol-rich diets. Plasmas of normal and
apoA-I-deficient mice contain apoE in pre-ß-migrating VLDL as well as
in HDL-like lipoproteins, which have either electrophoretic
- or
-mobilities. The latter particle resembled
-LpE in human plasma
also by its mobility on nondenaturing two-dimensional electrophoresis.
No apoE-containing lipoproteins were found in plasmas of apoE-deficient
mice. When apoA-I- and apoE-deficient mice received both chow- and
fat-rich diets, their plasmas released significantly less
3H-cholesterol from radiolabeled fibroblasts
than did plasma of normal mice. Removal of apoE from plasmas of normal
and apoA-I-deficient mice by anti-apoE immunoaffinity
chromatography decreased their cholesterol
efflux capacities (per 1 minute/per 1 hour) by 26%/40%
(P=0.0092/0.0007) and 30%/26%
(P=0.0092/0.0003), respectively. Net cholesterol
efflux from fibroblasts into apoA-I-deficient plasma was 45% lower
compared with plasma of normal mice. Incubation of fibroblasts with
apoE-deficient plasma caused net influx of cholesterol.
Prior addition of human apoE to or removal of apoB-containing
lipoproteins from apoE-deficient plasma restored its ability to cause
net cholesterol efflux to 50% of normal plasma. Some of
the differences between cholesterol efflux into normal and
apoE-deficient plasmas were attributable to the failure of
apoE-deficient plasmas to take up cell-derived
3H-cholesterol into
-LpE. Compared with
normal plasma, both apoA-I-deficient and apoE-deficient plasmas were
significantly decreased in their activity to esterify cell-derived
3H-cholesterol. Anti-apoE
chromatography decreased significantly
cholesterol esterification in normal plasma and
apoA-I-deficient plasma but not in apoE-deficient plasma. Taken
together, the data provide evidence that apoE is an important
contributor to reverse cholesterol transport, partially
because of initial uptake of cell-derived cholesterol by
-LpE and partially because of the contribution of apoE-containing
lipoproteins to esterification of cholesterol in plasma.
Key Words: reverse cholesterol transport HDL subclasses atherosclerosis animal models
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