Abstract

Endothelial lipase (EL) plays a pivotal role in HDL metabolism. We sought to characterize EL and its interaction with HDL as well as its natural variants genetically, functionally and structurally. We screened our biethnic population sample (n = 802) for selected missense mutations (n = 5) and identified T111I as the only common variant. Multiple linear regression analyses in Hispanic subjects revealed an unexpected association between T111I and elevated LDL-C (p-value = 0.012) and total cholesterol (p-value = 0.004). We examined lipase activity of selected missense mutants (n = 10) and found different impacts on EL function, ranging from normal to complete loss of activity. EL-HDL lipidomic analyses indicated that EL has a defined remodeling of HDL without exhaustion of the substrate and a distinct and preference for several fatty acids that are lipid mediators and known for their potent pro- and anti-inflammatory properties. Structural studies using homology modeling revealed a novel α/β motif in the C-domain, unique to EL. The EL dimer was found to have the flexibility to expand and to bind various sizes of HDL particles. The likely impact of the all known missense mutations (n = 18) on the structure of EL was examined using molecular modeling and the impact they may have on EL lipase activity using a novel structure-function slope based on their structural free energy differences. The results of this multidisciplinary approach delineated the impact of EL and its variants on HDL. Moreover, the results suggested EL to have the capacity to modulate vascular health through its role in fatty acid-based signaling pathways.

Highlights

  • A long list of epidemiological studies and prospective randomized trials has consistently shown a strong inverse relationship between the levels of high-density lipoprotein cholesterol (HDL-C) and the risk of coronary heart disease (CHD)

  • We found T111I to be a common polymorphism in our population sample, with slightly higher frequency in Whites (MAF = 0.276) than in Hispanics (MAF = 0.223) (Table 1)

  • We found a significant association with total cholesterol and LDL-C levels in Hispanics (Table 2), with a CC ) TC ) TT genotypic increase in the levels of cholesterol and LDL-C

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Summary

Introduction

A long list of epidemiological studies and prospective randomized trials has consistently shown a strong inverse relationship between the levels of high-density lipoprotein cholesterol (HDL-C) and the risk of coronary heart disease (CHD). Population studies demonstrate that for each 1 mg/dl increase in HDL-C level, cardiovascular mortality is decreased by 2–3% [1]. Low HDL-C (hypoalphalipoproteinemia), which is re-defined as below 40 mg/dl for both men and women, is a major CHD risk factor [5]. The prevalence of low HDL-C in the U.S adult population was 41.8 million (8.9%) in 2008 [6]. Low HDL-C was even predictive of risk of major cardiovascular events in statintreated patients who had low-density lipoprotein cholesterol

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