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Journal of Lipid Research, Vol. 49, 581-587, March 2008 An apolipoprotein A-I mimetic dose-dependently increases the formation of preβ1 HDL in human plasma
Lilly Research Laboratories, Eli Lilly and Company, Indianapolis, IN 46285 Published, JLR Papers in Press, December 3, 2007.
1 To whom correspondence should be addressed. e-mail: konrad_robert{at}lilly.com
Preβ1 HDL is the initial plasma acceptor of cell-derived cholesterol in reverse cholesterol transport. Recently, small amphipathic peptides composed of D-amino acids have been shown to mimic apolipoprotein A-I (apoA-I) as a precursor for HDL formation. ApoA-I mimetic peptides have been proposed to stimulate the formation of preβ1 HDL and increase reverse cholesterol transport in apoE-null mice. The existence of a monoclonal antibody (MAb 55201) and a corresponding ELISA method that is selective for the detection of the preβ1 subclass of HDL provides a means of establishing a correlation between apoA-I mimetic dose and preβ1 HDL formation in human plasma. Using this preβ1 HDL ELISA, we demonstrate marked apoA-I mimetic dose-dependent preβ1 HDL formation in human plasma. These results correlated with increases in band density of the plasma preβ1 HDL, when observed by Western blotting, as a function of increased apoA-I mimetic concentration. Increased preβ1 HDL formation was observed after as little as 1 min and was maximal within 1 h. Together, these data suggest that a high-throughput preβ1 HDL ELISA provides a way to quantitatively measure a key component of the reverse cholesterol transport pathway in human plasma, thus providing a possible method for the identification of apoA-I mimetic molecules.
Supplementary key words high density lipoprotein cholesterol reverse cholesterol transport Abbreviations: apoA-I, apolipoprotein A-I; PK, pharmacokinetic
The ability of HDL to promote and facilitate reverse cholesterol transport is an important mechanism by which HDL protects against atherosclerosis (1–7). Furthermore, several epidemiological studies have shown a strong inverse relationship between plasma HDL-cholesterol concentrations and clinical coronary heart disease (1–7). As the initial plasma acceptor of cholesterol from cell membranes (8), preβ1 HDL is of particular interest as a biomarker for therapies targeting the antiatherosclerotic capabilities of HDL. This HDL subclass exhibits preβ mobility in nondenaturing gel electrophoresis and is postulated to consist of two to three apolipoprotein A-I (apoA-I) molecules with some phospholipids and a small amount of unesterified cholesterol (9). As preβ1 HDL takes on unesterified cholesterol from cell membranes, it exhibits unique epitopes not exposed in spheroidal -HDL (10–12). As the precursor and major protein moiety of HDL, apoA-I is thought to promote reverse cholesterol transport. Additionally, it has been shown that infusion and overexpression of apoA-I significantly reduces atherosclerosis in animal models (13–17). Recently, small, amphipathic helical apoA-I mimetic peptides composed of D-amino acids have shown similar antiatherogenic properties. Moreover, a specific apoA-I mimetic peptide, D4F, has shown improved HDL-mediated efflux and reverse cholesterol transport from macrophages, in conjunction with causing the formation of preβ HDL in apoE-null mice (18–20). It is thought that this particular D-amino acid peptide mimics the amphipathic helix of apoA-I, thus allowing it to bind lipids and interact physiologically by mechanisms similar to those of the full-length apoA-I protein (21). Researchers from Daiichi Pure Chemicals recently developed a monoclonal mouse anti-human preβ1 HDL antibody (MAb 55201) that is highly specific for apoA-I in the preβ1 HDL conformation. Additionally, Daiichi now provides an ELISA kit that allows for the capture of human plasma preβ1 HDL using MAb 55201 and detection via conjugated polyclonal goat anti-human apoA-I antibody (10, 11). As a research tool, this ELISA may provide the chance to better understand the activity of potential D-amino acid peptide therapies that have been shown to mimic the functionality of apoA-I in reverse cholesterol transport. In light of this possibility, we used this ELISA method to investigate the apoA-I mimetic dose-dependent formation of preβ1 HDL in human plasma.
Sample preparation Freshly obtained human EDTA plasma from normal healthy volunteers was incubated with the apoA-I mimetic peptide D4F (21) or other similar peptides at concentrations ranging from 0 to 500 µg/ml. Human apoA-I (Academy Bio-Medical) diluted to 100–500 µg/ml in plasma was prepared as a positive control, whereas untreated plasma and vehicle (PBS) in plasma provided baseline negative controls. The resulting treated plasma samples and controls were incubated at 37°C for 0–4 h, followed by a 1:10 dilution of the plasma into a solution of 50% sucrose in MilliQ water to stabilize preβ1 HDL. During this step, the samples were diluted to 1:9 sample-50% sucrose solution. Afterward, samples were stored at –20°C before subsequent analysis. Figure 1 shows an overall flow diagram for the subsequent analyses described in more detail below.
Western blotting analysis of human plasma samples Human plasma samples treated as above were diluted 1:2 with sample buffer (60% sucrose, 0.1% bromophenol blue) and resolved by nondenaturing, nonreducing one-dimensional 12% polyacrylamide gel electrophoresis at 175 V for 90 min. Colored molecular weight markers (Invitrogen) were run on each gel. Afterward, the gels were transferred to nitrocellulose for 2 h at 100 V. After transfer, the membrane was blocked with TBS-casein (Pierce) and washed three times (10 min each) with TBST (10 mM Tris, pH 7.4, 150 mM NaCl, and 0.1% Tween 20). The membrane was then probed with 2 µg/ml polyclonal HRP-labeled goat anti-human apoA-I antibody (Academy Bio-Medical) for 1 h at room temperature. Afterward, the blots were washed as above with TBST followed by an additional 10 min wash with TBS. After washing, the blots were developed with ECL reagent (Amersham), and after drying, they were exposed to Bio-Max X-ray film (Kodak).
ELISA determination of preβ1 HDL levels
Pharmacokinetic analysis of apoA-I mimetic peptides, including preparation and extraction of plasma standards, samples, controls, and liquid chromatography-tandem mass spectrometry Reconstituted samples (20 µl) were injected onto a 35 x 2.1 mm Capcell PAK UG 300A liquid chromatography column packed with 5 µM C18 resin (Phenomenex, Torrance, CA). The mobile phases used for chromatographic separation consisted of 0.1% acetic acid (0.5:500, v/v, acetic acid-water) (mobile phase A) and 1% acetic acid in acetic acid-water-methanol-acetonitrile (5:50:325:125, v/v/v/v) (mobile phase B). The analytes and internal standard were eluted from the column using a flow rate of 150 µl/min and a programmed binary gradient starting at 10% mobile phase B for 0.5 min, then a linear ramp to 90% mobile phase B at 2.5 min. The column was maintained at 90% mobile phase B for 3.0 min and then returned to 10% mobile phase B. The cycle time from one injection to the next was 5.0 min. The liquid chromatography column was coupled to a TSQ Quantum tandem mass spectrometer (Thermo Electron, San Jose, CA). Analytes were ionized using positive ion electrospray and detected using selected reaction monitoring. Quantitative determination was performed by regressing detected analytes against their respective plasma standard curves. Integration and quantitation were performed using LCquan 2.0 (Thermo Electron).
Peptide dosing in mice and murine preβ HDL detection
Cholesterol efflux and paraoxonase assays Paraoxonase activity was measured using the EnzCheck Paraoxonase Assay Kit (Molecular Probes, Invitrogen) according to the protocol of the manufacturer. Plasma from animals treated with 30 mg/kg peptide or vehicle was collected for paraoxonase measurement and was diluted to 2% in the final reaction mixture. Intensity of emitted light was determined using Victor2 (EG&G Wallac) using 360 and 450 nm filters for excitation and emission, respectively. Enzymatic activity was calculated by converting fluorescent signal into activity using a standard curve.
Data analysis
Preβ1 HDL has been hypothesized to contain two to three molecules of apoA-I protein. To better understand the apoA-I content of preβ1 HDL, apoA-I or D4F was incubated with human plasma and samples were analyzed by one-dimensional, nondenaturing, nonreducing Western blotting. These results were also compared with those obtained after incubating apoA-I with buffer alone. Figure 2 shows the results from this series of experiments. When D4F was added to plasma, the formation of a preβ1 HDL band at 67 kDa was observed. In contrast, when apoA-I was added to buffer only, a somewhat lower band was observed, and when apoA-I was added to plasma, a broader intermediate band was observed. Because the molecular mass of human apoA-I is 29 kDa, these results suggested that plasma preβ1 HDL contains two molecules of apoA-I per particle, with some additional lipid, and that D4F increased preβ1 HDL, rather than simply displacing apoA-I from HDL to cause an increase in lipid-free apoA-I.
Next, we used one-dimensional, nondenaturing, nonreducing Western blotting to examine the effect of the apoA-I mimetic D4F on preβ1 HDL formation. As Fig. 3 demonstrates, under baseline conditions, preβ1 HDL was unable to be visualized in human plasma by direct Western blotting. The apoA-I mimetic D4F, however, dose-dependently increased the density of a 67 kDa preβ1 HDL band when it was incubated with human plasma. The intensity of this band dramatically increased in response to increasing D4F concentrations. These data suggested that HDL remodeling was taking place as a dose-dependent response to the apoA-I mimetic peptide.
These results indicated that one-dimensional, nondenaturing, nonreducing Western blotting could be used to assess preβ1 HDL levels in human plasma in response to the addition of apoA-I or an apoA-I mimetic such as D4F. Because Western blotting is limited by its relatively low throughput, we investigated whether a novel Daiichi ELISA kit could accurately measure preβ1 HDL levels. This ELISA uses a unique capture antibody that recognizes an epitope of apoA-I that is only exposed when apoA-I is in the preβ1 HDL state. Figure 4A shows the results from these experiments, in which the ELISA detected increases in preβ1 HDL concentration after apoA-I mimetic incubation. Untreated plasma and vehicle baseline controls demonstrated a preβ1 HDL concentration of 3 ± 1 µg/ml after a 1 h incubation at 37°C. Incubation of the same plasma with 31 µg/ml of the apoA-I mimetic increased the plasma preβ1 HDL concentration to 25 ± 6 µg/ml. Moreover, further increases in mimetic concentration produced dramatic increases in the formation of preβ1 HDL (Fig. 4B). Figure 4C demonstrates that these ELISA data correlated well with the Western blotting data, suggesting that the ELISA provides a robust method for quantitating human preβ1 HDL levels.
In light of the fact that paraoxonase is inhibited by EDTA and that D4F has been proposed to work in part by increasing cholesterol-containing particles with preβ mobility enriched in paraoxonase (19), an additional dose curve experiment with D4F was performed with heparinized plasma compared with EDTA plasma. The results observed with heparinized plasma were similar to those obtained with EDTA plasma across the range of D4F concentrations tested, with 500 µg/ml D4F resulting in a level of preβ1 HDL of 111 ± 2 µg/ml in EDTA plasma versus 112 ± 11 µg/ml in heparinized plasma. Preβ1 HDL concentrations across the rest of the dose curve of concentrations of D4F were also similar for EDTA and heparinized plasma (data not shown). Furthermore, in light of a previous report that a level of D4F of 0.322 µg/ml or less was able to generate preβ HDL in apoE knockout mice (19), we performed an additional experiment to examine the dose effect of D4F from 0 to 1 µg/ml. At these levels of D4F, the ELISA was unable to detect a significant effect on preβ1 HDL levels, with levels being 5 ± 1 µg/ml at doses of 0, 250, 500, and 1,000 ng/ml D4F.
We next investigated the time course of D4F-induced increases of preβ1 HDL in human plasma. Figure 5
shows the results of these experiments, in which human plasma was treated with 500 µg/ml D4F peptide for 0–4 h. D4F-induced preβ1 HDL formation occurred quickly (as early as 1 min after treatment of the plasma with the peptide), with a plateau reached after
To correlate D4F-induced preβ1 HDL increases as measured by ELISA and the function and composition of HDL particles in vitro and in vivo, we first intravenously injected 250 µl of a solution containing 3 mg/ml D4F peptide into C57BL6/J mice (weighing 25 g) and measured the pharmacokinetic (PK) concentration, which was 0.5 mg/ml. Estimating that plasma constituted 50% of the volume of the blood, this PK level was consistent with almost complete recovery, indicating that the peptide was likely localized to the plasma. Next, we identified a D-amino acid apoA-I mimetic peptide similar to D4F with regard to its ability to increase preβ1 HDL formation in human serum (data not shown), injected a comparable amount into C57BL6/J mice, and measured the effect on HDL fractions in vivo using capillary isotachophoresis (23). The response to peptide administration showed marked differences between individual HDL peaks. Specifically, the fHDL peak (corresponding to mature HDL) showed a significant dose-dependent decrease, whereas the slower migrating sHDL and chylomicron peaks (which contain preβ1 HDL) showed significant dose-dependent increases (data not shown), suggesting that the peptide was remodeling mature HDL into preβ HDL.
Next we attempted to use the ELISA to measure increases in preβ1 HDL in the mice. Unfortunately, however, it was observed that the ELISA was not able to recognize rodent preβ1 HDL (data not shown). As a result, an additional series of experiments was performed with the D-amino acid peptide described above. The peptide was again spiked into human plasma, resulting in a dose curve on the preβ1 HDL ELISA similar to that of D4F (data not shown). Next, the peptide or vehicle was added in vitro into mouse plasma at a concentration of 300 µg/ml or was injected into mice (n = 5 for each group) in amounts (20 or 30 mg/kg) that gave corresponding PK concentrations of
In light of the fact that the ELISA method was unable to recognize mouse preβ1 HDL, we also performed additional experiments to measure preβ HDL formation in vivo. C57BL6/J mice were injected with D4F peptide (
Finally, an additional D-amino acid peptide (similar in length to D4F but different from D4F, consisting of some amino acids not present in the D4F linear sequence) was identified that was inactive in increasing cAMP-dependent, ABCA1-mediated cholesterol efflux either in vitro or in vivo. This peptide was evaluated using the preβ1 HDL ELISA after being spiked into human plasma at concentrations ranging from 0 to 500 µg/ml. The baseline concentration of preβ1 HDL in this human plasma was 6 µg/ml. Compared with 500 µg/ml D4F, which caused a >40-fold increase in preβ1 HDL levels in this human plasma to 244 µg/ml, the inactive peptide at the same concentration (500 µg/ml) only minimally increased the preβ1 HDL level to 16 µg/ml (barely a 2-fold increase).
Our results demonstrate that a preβ1 HDL ELISA method can provide insight into the mechanism of action of apoA-I mimetic peptides. Using the highly selective MAb 55201 capture antibody in this sensitive and robust ELISA format, we were able to observe dose-dependent increases in human plasma preβ1 HDL after treatment of human plasma with the D4F apoA-I mimetic peptide. These increases corresponded well with the increased density of the preβ1 HDL band observed via one-dimensional nondenaturing, nonreducing Western blotting. Our findings with human plasma are in agreement with those described by Navab et al. (19), which linked D4F administration to preβ HDL formation in apoE-null mice via two-dimensional gel electrophoresis methods. Compared with two-dimensional gel electrophoresis and the earlier gel filtration (8, 9, 19), however, the Daiichi ELISA offers increased throughput. The ELISA also has a relatively broad dynamic range. Because cardiovascular disease remains a leading cause of mortality worldwide, it is likely that increased efforts will be made toward the development of HDL-modulating therapies. As it has been shown that overexpression and direct infusion of apoA-I have antiatherogenic effects in numerous animal models, treatment with apoA-I analogs presents an enticing possibility as a pharmacological approach to modulating HDL. The large size of apoA-I combined with the high doses that would be required, however, necessitate the need to explore alternative options, such as apoA-I mimetic peptides. These mimetics are currently being examined by numerous researchers as possible therapeutic agents (2, 24). The apoA-I mimetic peptides are composed of D-amino acids and are much smaller than native and full-length recombinant apoA-I, thus likely providing more favorable possibilities with regard to administration, synthesis, and production cost. For any of these compounds to ultimately become a drug, however, it will be very helpful to have a high-throughput assay that provides the potential for determining whether apoA-I mimetic peptides can associate with preexisting HDL particles in plasma to form preβ1 HDL. Such an assay could also be adapted as a high-throughput screen to identify new apoA-I mimetic peptides. Based on our results in this study, we believe that preβ1 HDL measurement by ELISA will provide this type of information by using a practical, high-throughput method capable of measuring the ability of apoA-I mimetic peptides to induce the formation of preβ1 HDL.
The authors thank their colleagues W. Kohn, H. Guo, P. Foxworthy, E. Lozano, A. Vick, S. Chintalacharuvu, R. Gill, K. Fynboe, and D. Fitzgerald for their efforts, which helped make this work possible, and Jeffery Alborn for his assistance.
Submitted on
August 27, 2007
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