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Journal of Lipid Research, Vol 37, 1849-1861, Copyright © 1996 by Lipid Research, Inc.
PM Gaynor, WY Zhang, B Salehizadeh, B Pettiford and HS Kruth
The cornea is a connective tissue site where lipid accumulates as a
peripheral arcus lipoides. We found that cholesterol, in predominantly
esterified form, progressively accumulated with age in the peripheral
corneas of 20- to 90-yr-old individuals. Ultrastructural studies showed
extracellular solid spherical lipid particles (< 200 nm in diameter)
enmeshed between collagen fibers. Immunostaining showed significant apoE
and apoA-I, but very little apoB in the peripheral cornea. Lipid particles
were extracted from minced corneas into a buffer and subjected to isopycnic
density gradient centrifugation. The lipid particles had a density <
1.02 g/ml, contained > 75% of their cholesterol in esterified form, and
were distributed in two populations with average diameters of 22 +/- 5 nm
(SD) and 79 +/- 26 nm. Gel- filtration chromatographic analysis of the
corneal lipid particles showed that most cholesterol eluted with the larger
particles and these larger particles lacked apoB. ApoA-I was associated
with lipid particles the size of HDL. Most apoE was associated with lipid
particles larger than the apoA-I-containing lipid particles and smaller
than the large lipid particles that carried most of the corneal
cholesterol. Thus, the cholesteryl ester-rich lipid particles that
accumulate in the cornea are 1) similar to lipid particles previously
localized within and isolated from human atherosclerotic lesions, 2)
accumulate without foam cells, and 3) may be derived from low density
lipoproteins that have lost their apoB and fused.
ARTICLES
Cholesterol accumulation in human cornea: evidence that extracellular cholesteryl ester-rich lipid particles deposit independently of foam cells
Section of Experimental Atherosclerosis, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD 20892, USA.
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