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Papers In Press, published online ahead of print December 5, 2007 J. Lipid Res., doi:10.1194/jlr.M700510-JLR200
INSERM Unit 551, INSERM, Paris 75651
Corresponding Author: mguerin{at}chups.jussieu.fr
We evaluated the impact of gender differences in both the quantitative and qualitative features of HDL subspecies on cellular free cholesterol (FC) efflux through the SR-BI, ABCA1 or ABCG1 pathways. For that purpose, healthy subjects (30 men and 26 women) matched for age, BMI, triglyceride, apoAI and HDL-cholesterol levels were recruited. We observed a significant elevation (+14%; p<0.03) in the capacity of whole sera from women to mediate cellular FC efflux via the SR-BI-dependent pathway as compared to sera from men. Such enhanced efflux capacity resulted from significant elevation in plasma levels of large CE-rich HDL2 particles (+20%; p<0.04), as well as from an enhanced capacity (+14%; p<0.03) of these particles to mediate cellular FC efflux via SR-BI. By contrast, plasma from men displayed an enhanced FC efflux capacity (+31%; p<0.001) via the ABCA1 transporter pathway as compared to that from women which result from a 2.4-fold increase in plasma level of pre- particles (p<0.008). Moreover in women, SR-BI-mediated cellular FC efflux was significantly correlated with plasma HDL-C (r=0.72; p<0.0001), whereas this relationship was not observed in men. In conclusion, HDL-C level may not represent the absolute indicator of the efficiency of the initial step of the reverse cholesterol transport.
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