Abstract

Apolipoprotein C-III (apoC-III) production rate (PR) is strongly correlated with plasma triglyceride (TG) levels. ApoC-III exists in three different isoforms, according to the sialylation degree of the protein. We investigated the kinetics and respective role of each apoC-III isoform in modulating intravascular lipid/lipoprotein metabolism. ApoC-III kinetics were measured in a sample of 18 healthy men [mean age (+/-SD) 42.1 +/- 9.5 years, body mass index 29.8 +/- 4.6 kg/m2] using a primed-constant infusion of l-(5,5,5-D3) leucine for 12 h. Mono-sialylated and di-sialylated apoC-III (apo-CIII1 and apoC-III2) exhibited similar PRs (means +/- SD, 1.22 +/- 0.49 mg/kg/day vs. 1.15 +/- 0.59 mg/kg/day, respectively) and similar fractional catabolic rates (FCRs) (0.51 +/- 0.13 pool/day vs. 0.61 +/- 0.24 pool/day, respectively). Nonsialylated apoC-III (apoC-III0) had an 80% lower PR (0.25 +/- 0.12 mg/kg/day) and a 60% lower FCR (0.21 +/- 0.07 pool/day) (P < 0.0001 for comparison with CIII1 and CIII2 isoforms). The PRs of apoC-III1 and apoC-III2 were more strongly correlated with plasma TG levels (r > 0.8, P < 0.0001) than was apoC-III0 PR (r = 0.54, P < 0.05). Finally, the PR of apoC-III2 was strongly correlated with the proportion of LDL <255 A (r = 0.72, P = 0.002). These results suggest that all apoC-III isoforms, especially the predominant CIII1 and CIII2 isoforms, contribute to hypertriglyceridemia and that apoC-III2 may play a significant role in the expression of the small, dense LDL phenotype.

Highlights

  • Apolipoprotein C-III production rate (PR) is strongly correlated with plasma triglyceride (TG) levels

  • Significant positive correlations were observed between body mass index (BMI), visceral adiposity measured by standardized axial tomography as described previously [23], and plasma concentrations of apoC-III1 (r 5 0.59, P 5 0.01 and r 5 0.57, P 5 0.02, respectively) but not with the other two isoforms

  • All recent studies that have investigated apoC-III kinetics using stable isotopes have limited their analysis to the predominant mono-sialylated isoform of the peptide, and only a few studies, performed with radioisotopes [24,25,26], have considered both the mono-sialylated and disialylated isoforms

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Summary

Introduction

Apolipoprotein C-III (apoC-III) production rate (PR) is strongly correlated with plasma triglyceride (TG) levels. We investigated the kinetics and respective role of each apoC-III isoform in modulating intravascular lipid/lipoprotein metabolism. The PRs of apoC-III1 and apoCIII2 were more strongly correlated with plasma TG levels The PR of apoC-III2 was strongly correlated with the proportion of LDL ,255 A (r 5 0.72, P 5 0.002). These results suggest that all apoC-III isoforms, especially the predominant CIII1 and CIII2 isoforms, contribute to hypertriglyceridemia and that apoC-III2 may play a significant role in the expression of the small, dense LDL phenotype.—Mauger J-F., P. Apolipoprotein C-III isoforms: kinetics and relative implication in lipid metabolism.

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