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J. Lipid Res.
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Originally published In Press as doi:10.1194/jlr.M800196-JLR200 on September 11, 2008

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Journal of Lipid Research, Vol. 50, 183-192, February 2009
Copyright © 2009 by American Society for Biochemistry and Molecular Biology

Serum, but not monocyte macrophage foam cells derived from low HDL-C subjects, displays reduced cholesterol efflux capacity

Shuhei Nakanishi2,*, Riikka Vikstedt2,{dagger}, Sanni Söderlund*, Miriam Lee-Rueckert§, Anne Hiukka*, Christian Ehnholm{dagger}, Mikko Muilu{dagger}, Jari Metso{dagger}, Jussi Naukkarinen{dagger}, Leena Palotie{dagger}, Petri T. Kovanen§, Matti Jauhiainen{dagger} and Marja-Riitta Taskinen1,*

* Division of Cardiology, Department of Medicine, University of Helsinki, Helsinki, Finland
{dagger} National Public Health Institute and Institute for Molecular Medicine Finland, Helsinki, Finland
§ Wihuri Research Institute, Kalliolinnantie 4, Helsinki, Finland
2 S. Nakanishi and R. Vikstedt contributed equally to this work.

This work was supported by the Sigrid Juselius Foundation (M-R.T. and M.J.); Research Council for Health, Academy of Finland, Grant 114484 (M.J.); Finnish Foundation for Cardiovascular Research (M-R.T., M.J., and C.E.); Alumni Association for Hiroshima University Graduate School of Biomedical Science, Department of Molecular and Internal Medicine (S.N.); National Graduate School of Clinical Investigation (S.S.); Finnish Government scholarship (S.N.); the Aarne Koskelo Foundation (S.N. and S.S.); the Paavo Nurmi Foundation (S.N.); the Helsinki University Central Hospital Research Foundation (M-R.T. and S.S.); Orion Pharma (S.S.); AstraZeneca (S.S.); The Finnish Medical Society Duodecim (S.S.); Finska Läkaresällskapet (R.V.);and the Jenny and Antti Wihuri Foundation (R.V.). Wihuri Research Institute is maintained by the Jenny and Antti Wihuri Foundation.

Published, JLR Papers in Press, September 11, 2008.

1 To whom correspondence should be addressed. Helsinki University Central Hospital, Biomedicum, Haartmaninkatu 8, PO Box 700, FIN-00029, Helsinki, Finland. e-mail: marja-riitta.taskinen{at}helsinki.fi

The main antiatherogenic function of HDL is to promote the efflux of cholesterol from peripheral cells and transport it to the liver for excretion in a process termed reverse cholesterol transport. The aim of this study was to evaluate the cholesterol efflux capacity in low- and high-HDL subjects by utilizing monocytes and serum from 18 low-HDL and 15 high-HDL subjects. Low and high HDL levels were defined, respectively, as HDL ≤10th and HDL ≥90th Finnish age/sex-specific percentile. Cholesterol efflux from [3H]cholesterol-oleate-acetyl-LDL-loaded monocyte-derived macrophages to standard apolipoprotein A-I (apoA-I), HDL2, and serum was measured. In addition, cholesterol efflux from acetyl-LDL-loaded human THP-1 macrophages to individual sera (0.5%) derived from the study subjects was evaluated. Cholesterol efflux to apoA-I, HDL2, and serum from macrophage foam cells derived from low- and high-HDL subjects was similar. The relative ABCA1 and ABCG1 mRNA expression levels in unloaded macrophages, as well as their protein levels in loaded macrophage foam cells, were similar in the two study groups. Cholesterol efflux from THP-1 foam cells to serum recovered from high-HDL subjects was slightly higher than that to serum from low-HDL subjects (P = 0.046). Cholesterol efflux from THP-1 macrophages to serum from study subjects correlated with serum apoB (P = 0.033), apoA-I (P = 0.004), apoA-II (P < 0.0001), and the percentage of apoA-I present in the form of preβ-HDL (P = 0.0001). Our data reveal that macrophages isolated from either low- or high-HDL subjects display similar cholesterol efflux capacity to exogenous acceptors. However, sera from low-HDL subjects have poorer cholesterol acceptor ability as compared with sera from high-HDL subjects.

Supplementary key words atherosclerosis • reverse cholesterol transport • lipoproteins


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