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J. Lipid Res.
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Originally published In Press as doi:10.1194/jlr.M600513-JLR200 on April 12, 2007

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Journal of Lipid Research, Vol. 48, 1550-1558, July 2007
Copyright © 2007 by American Society for Biochemistry and Molecular Biology

Beyond HDL-cholesterol increase: phospholipid enrichment and shift from HDL3 to HDL2 in alcohol consumers

Christian Schäfer1,*, Alexandr Parlesak{dagger}, Joachim Eckoldt{dagger}, Christiane Bode{dagger}, Johann Christian Bode*, Winfried März§ and Karl Winkler**

* Division of Gastroenterology, Robert-Bosch-Hospital Stuttgart, Stuttgart, Germany
{dagger} Department of Physiology of Nutrition, Hohenheim University, Stuttgart, Germany
§ Synlab Center of Laboratory Diagnostics, Heidelberg, Germany
** Department of Medicine, University of Freiburg, Freiburg, Germany

Published, JLR Papers in Press, April 12, 2007.

1 To whom correspondence should be addressed. e-mail: christian.schaefer{at}rbk.de

The reduction of cardiovascular mortality associated with moderate alcohol consumption is chiefly thought to be mediated by an increase of high density lipoprotein cholesterol (HDL-CH). This study highlights additional qualitative changes of HDL that might augment this antiatherogenic effect. In 279 healthy men, alcohol and nutrient consumption were evaluated. Groups 1 (n = 62), 2 (n = 172), and 3 (n = 45) comprised subjects with alcohol consumption of 0–5.0, 5.1–30.0, and 30.1–75 g/day, respectively. Lipid analysis was performed in nonfractionated and fractionated plasma, including subfractions HDL2a, HDL2b, and HDL3. No difference in LDL-cholesterol was observed. Compared with group 1, groups 2 and 3 exhibited significant increases of HDL-CH (group 1, 44 ± 10 mg/dl; group 2, 51 ± 11 mg/dl; group 3, 55 ± 11 mg/dl; mean ± SD, P < 0.0005), accompanied by enhanced lipidation of HDL (increase of the HDL2-CH/HDL3-CH ratio). Moreover, phospholipid enrichment of HDL occurred in alcohol consumers, whereas the ratios between other HDL components remained constant. Multivariate analysis revealed alcohol to have the foremost statistical influence on changes of the HDL fraction, followed by body mass index and physical activity level. The increased lipidation of HDL found in alcohol consumers might augment the antiatherogenic effect of HDL-CH increase. In addition, the phospholipid enrichment of HDL might reduce the inflammatory response of atherogenesis.

Supplementary key words low density lipoprotein • very low density lipoprotein • high density lipoprotein 2 • high density lipoprotein 3 • triglycerides • beer • wine • body mass index • apolipoprotein

Abbreviations: apoA-I, apolipoprotein A-I; BMI, body mass index; CE, cholesteryl ester; CETP, cholesteryl ester transfer protein; FC, free cholesterol; HDL-CH, high density lipoprotein-cholesterol; LDL-CH, low density lipoprotein-cholesterol; PAL, physical activity level; PL, phospholipid; PLTP, phospholipid transfer protein; SM, sphingomyelin; TG, triglyceride


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