Abstract
To better understand the role of LCAT in HDL metabolism, we compared HDL subpopulations in subjects with homozygous (n = 11) and heterozygous (n = 11) LCAT deficiency with controls (n = 22). Distribution and concentrations of apolipoprotein A-I (apoA-I)-, apoA-II-, apoA-IV-, apoC-I-, apoC-III-, and apoE-containing HDL subpopulations were assessed. Compared with controls, homozygotes and heterozygotes had lower LCAT masses (-77% and -13%), and LCAT activities (-99% and -39%), respectively. In homozygotes, the majority of apoA-I was found in small, disc-shaped, poorly lipidated prebeta-1 and alpha-4 HDL particles, and some apoA-I was found in larger, lipid-poor, discoidal HDL particles with alpha-mobility. No apoC-I-containing HDL was noted, and all apoA-II and apoC-III was detected in lipid-poor, prebeta-mobility particles. ApoE-containing particles were more disperse than normal. ApoA-IV-containing particles were normal. Heterozygotes had profiles similar to controls, except that apoC-III was found only in small HDL with prebeta-mobility. Our data are consistent with the concepts that LCAT activity: 1) is essential for developing large, spherical, apoA-I-containing HDL and for the formation of normal-sized apoC-I and apoC-III HDL; and 2) has little affect on the conversion of prebeta-1 into alpha-4 HDL, only slight effects on apoE HDL, and no effect on apoA-IV HDL particles.
Highlights
To better understand the role of LCAT in HDL metabolism, we compared HDL subpopulations in subjects with homozygous (n 5 11) and heterozygous (n 5 11) LCAT deficiency with controls (n 5 22)
Our aim was to gain insight into the role that LCAT plays in HDL metabolism as well as to better understand LCAT deficiency states
The purpose of this study was to gain insight into the role that LCAT plays in HDL metabolism as well as to better understand LCAT deficiency states
Summary
To better understand the role of LCAT in HDL metabolism, we compared HDL subpopulations in subjects with homozygous (n 5 11) and heterozygous (n 5 11) LCAT deficiency with controls (n 5 22). Distribution and concentrations of apolipoprotein A-I (apoA-I)-, apoA-II-, apoA-IV-, apoC-I-, apoC-III-, and apoE-containing HDL subpopulations were assessed. The majority of apoA-I was found in small, disc-shaped, poorly lipidated preb-1 and a-4 HDL particles, and some apoA-I was found in larger, lipidpoor, discoidal HDL particles with a-mobility. No apoC-Icontaining HDL was noted, and all apoA-II and apoC-III was detected in lipid-poor, preb-mobility particles. Heterozygotes had profiles similar to controls, except that apoC-III was found only in small HDL with preb-mobility. Our data are consistent with the concepts that LCAT activity: 1) is essential for developing large, spherical, apoA-I-containing HDL and for the formation of normal-sized apoC-I and apoC-III HDL; and 2) has little affect on the conversion of preb-1 into a-4 HDL, only slight effects on apoE HDL, and no effect on apoA-IV HDL particles.—Asztalos, B.
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