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Papers In Press, published online ahead of print April 1, 2004
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Pathology, Wake Forest University Health Sciences, Winston-Salem, NC 27157
Corresponding Author: msthomas{at}wfubmc.edu
From a total of 47 known apoA-I mutations only 18 are linked to low plasma HDL apoA-I concentrations and 78% of these map to apoA-I helices 6 and 7 (residues 143-186). Gene transfer and transgenic mouse studies have shown that several helix 6 apoA-I mutations have reduced hepatic HDL production. Our objective was to examine the impact of helix 6 modifications on intracellular biosynthetic processing and secretion of apoA-I. Cells were transfected with wild-type or mutant apoA-I, radiolabeled with [35S]Met/Cys, then placed in unlabeled medium for up to 4 hr. Results show that >90% of newly synthesized wild-type apoA-I was secreted by 60 min. Over the same length of time, only 20% of helix 6 deletion mutant (6 apoA-I) was secreted, while 80% remained cell-associated. Microscopic and biochemical studies revealed that cell-associated 6 apoA-I was located predominately within the cytoplasm as lipid-protein inclusions while wild-type apoA-I was localized in the ER/Golgi. Results using other helix deletions or helix 6 substitution mutations indicated that only complete removal of helix 6 resulted in massive cytoplasmic accumulation. These data suggest that alterations in native apoA-I conformation can lead to aberrant trafficking and accumulation of apoprotein-phospholipid structures. Thus, conformation dependent alterations in intracellular trafficking and turnover may underlie reduced plasma HDL concentrations observed in individuals harboring deletion mutations within helix 6.
Revised on March 25, 2004
Accepted on March 26, 2004
Quality control in the ApoA-I secretory pathway: Deletion of ApoA-I helix 6 leads to the formation of cytosolic phospholipid inclusions
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