PURPOSE: We determined whether exercise training attenuates changes in the low density lipoprotein (LDL) proteome in diabetic dyslipidemia. Chronic endurance exercise has been demonstrated to reduce the incidence of coronary artery disease (CAD). However, the exact mechanism by which exercise exerts its cardioprotective effects is yet to be determined. A role for post-translationally modified (PTM) LDL has been proposed in the development of CAD. Diabetics are 3-4 times more likely to develop CAD and undergo enhanced LDL glycation, a PTM considered to accelerate atherogenesis. Interestingly, it has been documented that endurance athletes have lower levels of plasma LDL oxidation, one type of PTM. A decrease in the number and/or extent of LDL modifications may explain the cardioprotective effects of exercise. METHODS: Yucatan male pigs were low fat fed healthy control (C), high fat/cholesterol fed and alloxan-induced diabetic (diabetic dyslipidemic, DD), and DD that were aerobically exercise trained (DDX). Increased coronary vascular constriction in a swine model of diabetic dyslipidemia (DD) was prevented by exercise training (DDX) without decreasing total LDL concentration (Mokelke et al. J. Appl. Physiol. 95:1179, 2003). Thus, we possess a nearly ideal system in which we can test the hypothesis that changes in the number of modified proteins or the extent of modification is most closely associated with exercise. The lipoproteins, isolated by FPLC from normolipidemic controls, DD, and DDX pigs, were analyzed by 2-D gel electrophoresis and identified by peptide mass fingerprinting. RESULTS: Of 430 spots matched across all gel patterns analyzed, 171 spots were differentially expressed (p ≤ 0.05) and their identities determined. Of these, 22 changed with exercise (DDX vs. DD), of which only 2 decreased in abundance while the remaining 20 increased. Apolipoprotein E, an anti-atherogenic protein, demonstrated the greatest increase in abundance in the exercise trained group, DDX. To compare the extent of PTMs the charge modification index (CMI) of each LDL charge train was calculated. Numerous charge trains demonstrated increases in CMI in the DD, which likewise were attenuated with exercise training. One such charge train, phospholipase C, increased in overall abundance and CMI in DD and to a lesser extent in DDX, thus supporting our hypothesis. CONCLUSIONS: Similar effects in other LDL proteins suggest significant differences in LDL protein modification, the nature of which requires the use of tandem mass spectrometric techniques in a subsequent investigation. Supported by NIH RR13223, HL62552 (MS) and AFOSR 49620-002-1-0089 and FA9550-05-1-0216 (FW).
Read full abstract