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
Summary
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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