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A more recent version of this article appeared on March 1, 2007

Papers In Press, published online ahead of print December 20, 2006
J. Lipid Res., doi:10.1194/jlr.M600403-JLR200
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Submitted on September 12, 2006
Revised on November 29, 2006
Accepted on December 19, 2006

Role of LCAT in HDL remodeling: Investigation of LCAT deficiency states

Bela F. Asztalos, Ernst J. Schaefer, Katalin V. Horvath, Shizuya Yamashita, Michael Miller, Guido Franceschini, and Laura Calabresi

Lipid Metabolism, JM/HNRCA at Tufts Univaresity, Boston, MA 02111

Corresponding Author: bela.asztalos{at}tufts.edu

Objective: 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 (apo) A-I-, A-II-, A-IV-, C-I-, C-III-, and E-containing HDL subpopulations were assessed. Results: Compared to 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, discoidal, poorly-lipidated preß-1 and a-4 HDL particles with some apoA-I being found in larger, probably stacked, lipid-poor, discoidal HDL particles with a-mobility. No apoC-I-containing HDL was noted and all apoA-II and apoC-III were detected in lipid-poor, preß-mobility particles. ApoE-containing particles were more disperse than normal. Apo-A-IV-containing particles were normal. Heterozygotes had profiles similar to controls, except that apoC-III was only found in small particles with preß-mobility. Conclusions: 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 preß-1 into a-4 HDL, only slight effects on apoE HDL, and no effect on apoA-IV HDL particles.


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