Analysis of lipid transfer activity between model nascent HDL particles and plasma lipoproteins: implications for current concepts of nascent HDL maturation and genesis.

The specifics of nascent HDL remodeling within the plasma compartment remain poorly understood. We developed an in vitro assay to monitor the lipid transfer between model nascent HDL (LpA-I) and plasma lipoproteins. Incubation of alpha-(125)I-LpA-I with plasma resulted in association of LpA-I with existing plasma HDL, whereas incubation with TD plasma or LDL resulted in conversion of alpha-(125)I-LpA-I to prebeta-HDL. To further investigate the dynamics of lipid transfer, nascent LpA-I were labeled with cell-derived [(3 )H]cholesterol (UC) or [(3)H]phosphatidylcholine (PC) and incubated with plasma at 37 degrees C. The majority of UC and PC were rapidly transferred to apolipoprotein B (apoB). Subsequently, UC was redistributed to HDL for esterification before being returned to apoB. The presence of a phospholipid transfer protein (PLTP) stimulator or purified PLTP promoted PC transfer to apoB. Conversely, PC transfer was abolished in plasma from PLTP(-/-) mice. Injection of (125)I-LpA-I into rabbits resulted in a rapid size redistribution of (125)I-LpA-I. The majority of [(3)H]UC from labeled r(HDL) was esterified in vivo within HDL, whereas a minority was found in LDL. These data suggest that apoB plays a major role in nascent HDL remodeling by accepting their lipids and donating UC to the LCAT reaction. The finding that nascent particles were depleted of their lipids and remodeled in the presence of plasma lipoproteins raises questions about their stability and subsequent interaction with LCAT.

Supplementary key words nascent apoA-I-containing particle • remodeling of high density lipoprotein • origin of high density lipoprotein • ATP iodine by IODO-GEN ® (Pierce) to a specifi c activity of 800-1500 cpm/ng apoA-I and used within 48 h.

Preparation of radiolabeled nascent LpA-I
Nascent apoA-I-containing (LpA-I) particles were prepared as previously described ( 11 ). Briefl y, human fi broblasts were stimulated with 22OH/9CRA and incubated with 10 µg/ml 125 I-apoA-I for 24 h at 37°C. Alternatively, fi broblasts were labeled with [ Concentrated medium was washed three times with PBS containing protease inhibitors (Roche Diagnostics). LpA-I particles were further dialyzed (MWCO 50,000) to remove any remaining lipidfree apoA-I. The integrity of isolated LpA-I particles was verifi ed by two-dimensional polyacrylamide nondenaturing gradient gel electrophoresis (2D-PAGGE) and used within 48 h.

Isolation and radiolabeling of pre ␤ 1 -LpA-I particles generated by HepG2
LpA-I particles generated by HepG2 were prepared as previously described ( 11 ). HepG2 grown in 100 mm diameter dishes were incubated with 10 µg/ml 125 I-apoA-I for 24 h. Media containing 125 I-LpA-I were recovered, concentrated, and dialyzed as described above. To isolate pre ␤ 1 -LpA-I particles, 125 I-LpA-I samples were further dialyzed against a solution containing 150 mM NaCl, 10 mM Tris-HCl, and 0.01% EDTA at pH 8.0. After dialysis, the density of the solution was adjusted to 1.21 g/ml using solid KBr. The 125 I-LpA-I preparation was then transferred to an ultracentrifuge tube (Beckman) and overlaid with an equal volume of KBr solution of the same density. The sample was subjected to ultracentrifugation at 48,000 rpm for 21 h in a 50. 2 Ti rotor (Beckman) at 4°C. The bottom 1.5 ml fraction containing 125 I-pre ␤ 1 -LpA-I particles was collected by tube slicing and was dialyzed extensively against 0.01 M NH 4  Generally it is thought that upon entering the plasma, nascent HDL acquire phospholipids (PLs) and unesterifi ed cholesterol (UCs) and associate with LCAT and other plasma factors, including phospholipid transfer protein (PLTP) and cholesteryl ester transfer protein (CETP), for the completion of the maturation cycle. The pioneering biophysical and biochemical studies by Forte and colleagues (5)(6)(7), have shown that nascent HDLs are defi ned by their ability to be transformed into mature plasma HDL by the action of LCAT. Indeed, LCAT alone appears sufficient to introduce heterogeneity into the size distribution of HDL particles. Newly secreted HDL generated by hepatocyte HepG2 are remarkably similar to HDL isolated from patients with familial LCAT defi ciency ( 5 ). Addition of LCAT alone to these particles produces a plasma-like subclass distribution.
Previous studies from our laboratory and others (8)(9)(10)(11) have documented that incubation of lipid-free apoA-I with different cell types expressing ABCA1 leads to the formation of heterogeneous nascent apoA-I-containing particles in the HDL size range. The availability of these models of nascent HDL has revived the interest in elucidating the pathways governing the formation, maturation, and remodeling of nascent HDL. In a recent detailed study, Mulya et al. ( 12 ) used a similar model of nascent HDL and documented that initial interaction of apoA-I with ABCA1 impacts the in vivo metabolic fate of these particles.
It remains unclear whether apolipoprotein exchange and/or lipid transfer between nascent HDL and other plasma lipoproteins affects the structural characteristics of the nascent particles and their subsequent remodeling within the plasma compartment. Studies by von Eckardstein and Assman and colleagues ( 13,14 ) have shown that cell-derived UC cycles between HDL subfractions and LDL for its effective esterifi cation in plasma. This is in accordance with earlier studies by Francone, Gurakar, and Fielding ( 15 ) demonstrating that pre ␤ -HDL acts as an initial acceptor of cellular cholesterol and shuttles it into a series of larger pre ␤ particles and ultimately to ␣ -migrating particles that contain LCAT for esterifi cation. However, the interrelationship between the observed cholesterol cycles and nascent HDL remodeling has not been examined.
In this report, we performed more detailed studies to better defi ne the nature and the specifi cs of the lipid transfer activity between model nascent HDL and plasma lipoproteins. Furthermore, we examined whether the process of lipid transfer impacts the remodeling of these nascent particles within the plasma compartment.

Samples
Blood samples were obtained from normolipidemic male subjects with apoE3/3 phenotype after an overnight fast. Blood was drawn from the antecubital vein into tubes containing EDTA (final concentration: 1.5 mg/ml). Collection tubes were immediately placed on ice before centrifugation (3,000 rpm, 15 min,

Statistical analysis
Statistical analyses were performed with SigmaPlot statistical software (Jandel Corporation). Data were expressed as mean ± SD. Student's t -test was used for comparisons between groups.

Structural characteristics and composition of model nascent LpA-I
Nascent LpA-I were generated by incubation of lipidfree apoA-I with 22OH/9CRA stimulated human fi broblasts as described in Materials and Methods. As shown in Fig. 1 A , four species of nascent LpA-I particles were routinely observed. These nascent particles exhibited ␣ -electrophoretic mobility with diameters of 7.5-18 nm. These nascent LpA-I subfractions were designated ␣ 1 -LpA-I, ␣ 2 -LpA-I, ␣ 3 -LpA-I, and ␣ 4 -LpA-I as indicated ( Fig.  1 A) ( 8,11 ). The largest proportion of nascent LpA-I was associated with ␣ 2 -LpA-I, which had an average particle size of 14 nm. Mass analysis of LpA-I species generated by human fi broblasts showed an UC to PL molar ratio of 1:7. Additionally, the percentage of phospholipid subclass composition of LpA-I was as follows: PC, 51 ± 1%; SM, 16 ± 1%; PE, 15 ± 0.6%; LPC, 4.4 ± 1.3%; and PI, 14 ± 0.2%, as we have reported previously ( 8 ). The ␣ -electrophoretic mobility of LpA-I could be attributable to the higher content of PI ( 8,9 ). Chemical cross-linking of the apoA-I molecules in LpA-I revealed one, two, three, or four molecules of apoA-I per particle, as we have reported previously ( 10,22 ).
We believe that the present model of nascent HDL may be useful for the study of apolipoprotein exchange and/or lipid transfer as it recapitulates to an extent in vivo nascent HDL while permitting manipulation of protein and lipid components. Previously, we used these model nascent particles to examine their cholesterol esterifi cation kinetics ( 11 ), and more recently, similar particles were used to investigate their in vivo metabolic fate in human apoA-I transgenic mice ( 12 ).
In vitro remodeling of model nascent LpA-I: particle size distribution analysis To determine whether the particle size distribution of model nascent LpA-I was affected by the presence of plasma lipoproteins, 125 I-LpA-I were incubated with normolipidemic plasma (1 µg LpA-I:10 µg plasma apoA-I) at 37°C for 3 h, based on the assumption that the in vivo nascent HDL pool represented ‫ف‬ 10% of total plasma apoA-I mass ( 23 ). As shown in Fig. 1 , when incubated with normolipidemic plasma ( Table 1 ), ␣ -125 I-LpA-I shifted from diameters of 7.5-18 nm ( Fig. 1 A), to rapidly associate with existing plasma HDL-sized lipoproteins ( Fig. 1 B). This is consistent with the size distribution of plasma apoA-I-containing particles detected with an anti-apoA-I antibody ( Fig. 1 H). In contrast, in the absence of plasma HDL, such as the case of TD (Table 1, Fig. 1 I), LpA-I were converted to both smaller ␣ -HDL and pre ␤ -HDL particles ( Fig. 1 C). Similarly, in the presence of isolated LDL, the majority of and then incubated with 10 µg/ml of apoA-I for 24 h. [ 3 H]UClabeled pre ␤ 1 -LpA-I particles were isolated by ultracentrifugation as described above. The integrity of isolated LpA-I particles was verifi ed by analysis with 2D-PAGGE and used within 48 h. . Inhibition of LCAT and CETP was verifi ed by standard methodology ( 17,18 ). Addition of AEBSF stimulated PLTP activity 3-fold as measured by PLTP activity assay ( 19 ). In parallel experiments, isolated LDL or HDL 3 (100 µg protein) was incubated with 10 µg 125 I-LpA-I for 3 h at 37°C. After incubation, lipid-free apoA-I was removed by ultrafi ltration (spiral ultrafi ltration cartridge, MWCO 50,000).

In vivo turnover study
In vivo studies were performed on female New Zealand White rabbits (3.5-5 kg). Rabbits were chosen as an animal model because of higher levels of LDL-C as compared with mice and the presence of the plasma remodeling factors CETP, LCAT, and PLTP. Rabbits were injected with 1.5-5 × 10 8

Lipid and lipoprotein assays
Cholesterol and triglyceride concentrations were determined enzymatically on an autoanalyzer (Cobas Mira, Roche Molecular Biochemicals). HDL-cholesterol concentration was determined by measuring cholesterol in the supernatant after precipitation of apoB-containing lipoproteins with heparin-manganese from the d > 1.006 g/ml fraction prepared by ultracentrifugation. Plasma apoA-I, apoE, and apoB concentrations were determined by nephelometry (Behring Nephelometer 100 Analyzer) or by ELISA. ApoA-I concentration in nascent LpA-I was determined by ELISA. Phospholipid concentrations in nascent LpA-I were determined by ESI-MS as we have previously described ( 20 ). 2D-PAGGE and non-denaturing (ND)-PAGGE were performed as described previously ( 18 ). Human apoB-and HDL-associated UC and total cholesterol mass were measured according to the manufacturer's protocol (Wako). Rabbit plasma lipoproteins were separated by HPLC on a Superose-6HR column, and cholesterol content was determined enzymatically (Infi nity™ kit; Thermo Electron). LCAT activity was assayed using standard methodology ( 17 ). CETP and PLTP activities were determined as described previously ( 18,19 ). Human plasma PLTP was purifi ed as described previously ( 21 ). carried out as described in Fig. 1 , in the presence of a LCAT inhibitor (DTNB), a CETP inhibitor (TP2) anti-CETP antibody, or a PLTP stimulator (AEBSF). As shown in Fig. 2 , incubations in the presence of DTNB or TP2 ( Fig.  2 C, D) did not affect the particle size distribution of 125 I-LpA-I associated with plasma HDL ( Fig. 2 B). This is consistent with the result showing that nascent 125 I-LpA-I have similar association patterns with normal and CETP-deficient plasma ( Fig. 2 B, E, respectively). CETP-defi cient plasma was characterized by larger HDL particles as detected by apoA-I antibody ( Fig. 2 K). In contrast, incubation of 125 I-LpA-I with a normolipidemic plasma in the presence of a PLTP stimulator (AEBSF) resulted in the transformation LpA-I were converted to pre ␤ -HDL ( Fig. 1 E), whereas upon incubation with HDL 3 , LpA-I were converted to particles corresponding in size to HDL 3 ( Fig. 1 F). Interestingly, both nascent 125 I-LpA-I and lipid-free 125 I-apoA-I exhibited similar patterns of association with normolipidemic plasma ( Fig. 1 B, D, respectively). We did not observe any signifi cant change in the size distribution of LpA-I incubated alone for 3 h at 37°C compared with LpA-I kept at 4°C (data not shown).
Next, we examined whether inhibition and/or stimulation of the plasma factors LCAT, CETP, and PLTP could affect the observed changes of ␣ -125 I-LpA-I size distribution following incubation with plasma. Incubations were  To verify that under the present lipid transfer assay nascent LpA-I did not artifactually associate with plasma apoB, the assay was carried out using 125 I-LpA-I. No significant 125 I-LpA-I was found associated with apoB over a 24 h incubation period (see supplementary Fig. I ). Conversely, a time course analysis of cholesterol transfer showed that after a 1 h incubation, the majority (75%) of [ 3 H]UC from LpA-I was transferred to plasma apoB, which decreased progressively after an 8 h incubation period ( Fig. 3A ). This was consistent with a proportional loss of [ 3 H]UC content from LpA-I at the 1 h time period ( Fig. 3B ). At the same time, a signifi cant proportion of [ 3 H]UC was esterifi ed by LCAT within the HDL fraction ( Fig. 3B ) and was subsequently transferred to apoB by CETP in a time-dependent manner ( Fig. 3A ). To examine whether the exchange of [ 3 H]UC between nascent LpA-I, apoB, and HDL refl ected of a signifi cant proportion of the 125 I-LpA-I previously associated with ␣ -HDL-sized particles to pre ␤ -HDL migrating species ( Fig. 2 F). This was consistent with the apparent increase of plasma pre ␤ -HDL levels following AEBSF treatment as detected by apoA-I antibody ( Fig. 2 L) compared with untreated plasma ( Fig. 2 H). The presence of DTNB and TP2 resulted in the inhibition of LCAT and CETP by 95 ± 3% and 68 ± 5%, respectively, whereas AEBSF increased PLTP activity by 300 ± 23%.

Dynamics of transfer and esterifi cation of nascent LpA-I cholesterol content
Based on the observation that nascent LpA-I were remodeled to smaller particles, including pre ␤ -HDL, upon incubation with TD plasma or isolated LDL fraction ( Fig. 1 ), the question was raised whether the change in the size distribution of LpA-I was accompanied by cholesterol transfer between nascent particles and plasma lipoproteins. To respond to this, we developed an in vitro assay to monitor the dynamics of cholesterol transfer between nascent LpA-I and plasma lipoproteins, as well as its esterifi cation. Fibroblasts were labeled with [ 3 H]UC and incubated with apoA-I to produce nascent LpA-I, as described  was transferred to apoB over a 16 h incubation period (data not shown). To determine whether the PC depletion of LpA-I was mediated by PLTP activity, incubations were carried out in the presence of a PLTP stimulator (AEBSF) or purifi ed human plasma PLTP. As shown in Fig. 4B and C , both AEBSF and purifi ed PLTP signifi cantly increased the transfer of [ 3 H]PC to apoB. Conversely, the transfer of [ 3 H]PC from nascent LpA-I to isolated LDL was drastically reduced in the presence of plasma from mice lacking PLTP ( Fig. 5A ). Consistently, incubation of 125 I-LpA-I with plasma from wild-type, but not PLTP knockout, mice in the presence of AEBSF resulted in the conversion of a signifi cant proportion of 125 I-LpA-I associated with ␣ -HDLsized particles to pre ␤ -HDL ( Fig. 5B ).

In vivo remodeling of model nascent LpA-I and reconstituted HDL in rabbits
In an attempt to determine the extent to which the changes of LpA-I particle size distribution could occur in vivo, nascent 125 I-LpA-I or lipid-free 125 I-apoA-I were injected into rabbits, and the changes in the particle size distribution were assessed by ND-PAGGE. This study was not designed to examine in detail the in vivo metabolic fate of nascent LpA-I, but rather, to provide evidence to support the in vitro data presented above.
Nascent 125 I-LpA-I and lipid-free 125 I-apoA-I were prepared as described in Materials and Methods, and rabbits were injected with either lipid-free 125 I-apoA-I (250 µg) or 125 I-LpA-I (250 µg), which represents ‫ف‬ 0.20% of the total plasma apoA-I mass in rabbits ( 24 ). Serum was drawn from injected rabbits at the indicated times, and the particle size was assessed by ND-PAGGE. As shown in Fig. 6A , at the earliest time point examined (10 min), the larger nascent 125 I-LpA-I with particle diameter of 11-18 nm associated rapidly with larger and medium-sized rabbit HDL. Remodeling of particles occurred as a function of time whereby more apoA-I was shifted from 14 to 10 nm particles with increased incubation. This is consistent with the size distribution of rabbit apoA-I-containing particles detected with an anti-apoA-I antibody ( Fig. 6C ). At the same time, smaller nascent 125 I-LpA-I with particle diameter <9 nm were converted to larger particles during the fi rst hour after injection. Interestingly, lipid-free 125 I-apoA-I was rapidly incorporated into existing rabbit HDL-sized particles, and this distribution was conserved over the 6 h time course of the study ( Fig. 6B ).

In vivo transfer and esterifi cation of r(HDL) cholesterol content
To further examine whether the transfer of unesterifi ed cholesterol content from nascent HDL particles to apoBcontaining lipoproteins could occur in vivo, we carried out experiments in rabbits, which have greater apoB-containing lipoprotein levels compared with mice. In this experiment, we used [ 3 H]UC radiolabeled r(HDL) because of the diffi culty to obtain suffi cient [ 3 H]UC labeling of LpA-I.
Rabbits were injected with 8 mg of [ 3 H]UC-r(HDL), which represents ‫ف‬ 6% of the total plasma apoA-I mass in the movement of actual UC and CE mass between plasma lipoproteins, the change in UC and CE mass in the apoB and HDL fractions was monitored over time. As shown in Fig. 3C , UC mass in plasma apoB was signifi cantly decreased after 6 and 12 h incubation at 37°C, whereas the mass of CE was signifi cantly increased after 6 and 12 h as compared with baseline. At the same time, there was a 2-fold increase in the mass of CE in HDL after 6 and 12 h incubation compared with baseline ( Fig. 3D ). Incubation at 37°C in the presence of DTNB did not inhibit the transfer of [ 3 H]UC content from LpA-I to apoB ( Fig. 3E ), but as expected, did suppress esterifi cation of cholesterol ( Fig.  3F ).
Additionally, we observed that pre ␤ 1 -LpA-I generated by incubation of lipid-free 125 I-apoA-I with HepG2 were similarly transformed to larger particles by associating with existing plasma HDL (see supplementary Fig. IIA ). Again, this conversion seemed to be independent of LCAT because the presence of DTNB did not prevent remodeling. Consistent with the fi broblast LpA-I model, cell-derived [ 3 H]UC from labeled pre ␤ 1 -LpA-I were transferred to apoB-containing lipoproteins and subsequently esterifi ed within plasma HDL (see supplementary Fig. IIB, C ).
Although the lipid exchange properties of apoB within the plasma environment have not yet been defi ned, we obtained evidence that both isolated LDL and small unilamellar vesicles (100 nm) present at an equal phospholipid concentration are effi cient acceptors of [ 3 H]UC content of LpA-I, as assessed by FPLC separation (data not shown). Furthermore, the transfer of [ 3 H]UC-LpA-I to isolated LDL occurred in the absence of mature HDL. This is consistent with the fi nding that the transfer of UC content from LpA-I to plasma apoB was preserved even in the absence of mature HDL, such as the case with TD subjects (see supplementary Fig. III ). More thorough investigations are required to determine the structural characteristics of apoB responsible for the initial lipid exchange process.

Remodeling of model nascent LpA-I particles by PLTP
We obtained evidence that incubation of 125 I-LpA-I with plasma in the presence of a PLTP stimulator (AEBSF) resulted in the conversion of a signifi cant proportion of 125 I-LpA-I associated with ␣ -HDL to pre ␤ -HDL migrating species ( Fig. 2 F). To determine whether the change in LpA-I particle size distribution was accompanied by phospholipid depletion of these particles, we investigated the dynamics of phospholipid transfer between nascent LpA-I and plasma lipoproteins. Nascent LpA-I were labeled with cell-derived [ 3 H]phospholipids as described in Materials and Methods. Radiolabeled LpA-I were incubated with normolipidemic plasma (1 µg LpA-I:10 µg plasma apoA-I) at 37°C for various time periods. Plasma apoB was precipitated as described above, and [ 3 H]PC and [ 3 H]SM were separated by TLC and assayed for radioactivity. As shown in Fig. 4A  However, the fate, route, and physiological relevance of this proposed pathway remains enigmatic. In this report, we present evidence that in vitro incubation of model nascent LpA-I with human plasma changed the LpA-I size distribution by promoting rapid association of LpA-I with existing plasma HDL. However, in the absence of HDL (TD plasma) or in the presence of isolated LDL, the majority of nascent LpA-I were remodeled to smaller ␣ -migrating particles and pre ␤ -HDL species ( Fig. 1 ). This is consistent with previous fi ndings by Jonas,Bottum,and Kezdy ( 25 ), where r(HDL) underwent major structural rearrangements upon addition of LDL. It is possible that the interaction of nascent LpA-I with plasma lipoproteins may lead to "shedding" of apoA-I from the nascent particles as they are progressively depleted of lipid to yield lipid-poor apoA-I species, including pre ␤ 1 -LpA-I and lipid-free apoA-I. Subsequently, these delipidated "remnant" particles associate rapidly with the resident plasma HDL pool. This concept is supported by the in vitro lipid transfer assay showing that the majority of radiolabeled UC content of nascent LpA-I was rapidly transferred to plasma apoB-containing lipoproteins and subsequently redistributed to HDL for its esterifi cation by LCAT before being transferred back as CE to apoB by CETP ( Fig. 3 ). At the same time, the PC content of nascent LpA-I was also transferred to plasma apoB-containing lipoproteins ( Fig. 4 ). Importantly, the fi nding that the exchange of [ 3 H]UC between nascent LpA-I, apoB, and HDL refl ected the movement of actual UC and CE mass between plasma lipoproteins ( Fig. 3C, D ) supports the concept that UC is transferred from nascent LpA-I to plasma apoB-containing lipoproteins independent of its equilibration with unlabeled UC. rabbits ( 24 ). 2D-PAGGE analysis showed that r(HDL) exhibited pre ␤ electrophoretic mobility with a mean particle diameter of 12.5 nm. Serum was drawn at the indicated times and subjected to size-exclusion chromatography. As shown in Fig. 7A , at the earliest time point examined (15 min), the majority of [ 3 H]cholesterol was found distributed within the HDL-sized fraction, with a signifi cant portion found in the LDL fraction. Importantly, the noninjected [ 3 H]UC-r(HDL) was distributed exclusively in the HDL size range. The distribution of [ 3 H]cholesterol (as measured by cpm) among lipoproteins was virtually identical to the distribution of lipoprotein cholesterol mass in the noninjected rabbits, present mostly in the HDL fraction ( Fig. 7B ). [ 3 H]cholesterol in both LDL and HDL fractions decreased progressively over the 8 h time course of study ( Fig. 6A ). Additionally, analysis of [ 3 H] UC and [ 3 H]CE in whole plasma showed that, at the earliest time point examined (15 min), >70% of cholesterol was esterifi ed ( Fig. 8A ). As expected based on lipoprotein abundance, the majority of [ 3 H]CE was found associated with the HDL fraction ( Fig. 8B ). At the earliest time point (15 min), a minor proportion of [ 3 H]UC was found associated with LDL, which decreased over 8 h as LDL became enriched in [ 3 H]CE in a time-dependent fashion ( Fig. 8C ).

DISCUSSION
It is generally thought that after entering plasma, nascent HDL acquire unesterifi ed cholesterol and associate with LCAT, leading to their conversion to mature HDL. on the assumption that the nascent HDL pool represents the daily production of apoA-I in normolipidemic subjects (10 mg/kg/day), which approximates 10% of total plasma apoA-I mass ( 23 ). Our fi nding that most of the nascent  125 I-LpA-I before injection is shown. B: Lipid-free 125 I-apoA-I was injected into rabbits and detected as described for 125 I-LpA-I. Lipid-free 125 I-apoA-I before injection is shown. C: Serum (50 l) from rabbits obtained before injection was separated by 5-35% ND-PAGGE, and apoA-I-containing particles were detected by anti-rabbit apoA-I antibody.
Although the lipid transfer properties of these model nascent particles within the plasma environment have not yet been defi ned, we have conducted the lipid transfer assays under conditions approaching those in vivo. This is based ( 26,27 ), showing that supplementation with PLTP accelerates the transfer of phospholipids from r(HDL) to LDL to generate small discoidal particles. Furthermore, the transfer of cholesterol and phospholipid between r(HDL) and isolated LDL has been found to be determined by the properties and concentrations of both the donor and acceptor particles. A similar study by Meng, Sparks, and Marcel ( 28 ) shows that the rates of cholesterol transfer from r(HDL) to LDL are higher than in the opposite direction, in particular, for the smaller r(HDL) (7.8 nm). This suggests that the lipid transfer process cannot be explained by a passive aqueous diffusion model, as proposed by Nichols and Pagano ( 29 ). It is likely that the structure and composition of nascent LpA-I, as well as the interaction with plasma factors, including PLTP, have a signifi cant LpA-I [ 3 H]UC content is transferred to apoB within 1 h of incubation ( Fig. 3 )   behave similarly as nascent ␣ -LpA-I particles in donating their UC content to plasma apoB and associating with existing plasma HDL independently of LCAT activity (see supplementary Fig. II ). It is possible, however, that other plasma factors could be involved in the conversion of pre ␤ 1 -LpA-I to ␣ -migrating particles. This is supported by our fi nding that the conversion of nascent LpA-I to larger ␣ -migrating HDL was found to be impaired in TD plasma ( Fig. 1 C). Indeed, an earlier study by Huang et al. ( 36 ) documented that normal plasma contains a factor that converts pre ␤ 1 -LpA-I to ␣ -LpA-I but that this factor is absent in TD plasma.
Although the structural features of nascent LpA-I required to form mature HDL are as yet unknown, this study raises important questions regarding the stability of nascent particles in the plasma environment: a ) how do the nascent particles interact with LCAT if they are depleted of their cholesterol and phospholipid content in the presence of other lipoproteins; b ) do the newly formed HDL exist only transiently in the plasma compartment while both their apoA-I and lipid components are incorporated into the resident plasma HDL pool; and c ) is the structural integrity of nascent particles preserved during their association with the resident plasma HDL pool? The fact that both the UC and PC contents of LpA-I were transferred to apoB-containing lipoproteins and subsequently distributed to HDL suggests that LDL plays a central role in nascent HDL remodeling. This is in accordance with earlier studies documenting that apoB acquires large amounts of UC upon entering the plasma compartment, UC likely derived from cell membranes ( 37,38 ).
It is well documented that LCAT plays a pivotal role in the reverse cholesterol transport process by maintaining a cholesterol concentration gradient between cell membranes and the plasma compartment ( 39 ). The transfer of UC content from nascent particles to apoB, which is cleared via the LDL receptor, may represent an LCATindependent reverse cholesterol transport process. This is effect on lipid transfer to other plasma lipoproteins. This is in accordance with previous studies documenting that phospholipids and PLTP play a key role in HDL remodeling and pre ␤ -HDL formation (30)(31)(32)(33).
Defi ning the molecular nature of nascent HDL remodeling in vivo is key for understanding how HDL originate. We obtained evidence that injection of nascent LpA-I into rabbits resulted in a rapid change in the LpA-I size distribution following interactions with preexisting rabbit HDL ( Fig. 6 ). This is in agreement with a recent detailed study by Mulya et al. ( 12 ) that showed that a similar model of nascent LpA-I was rapidly remodeled in human apoA-I transgenic mice. Whereas larger nascent LpA-I particles were remodeled to smaller particles, smaller LpA-I particles were enlarged. In turn, particle enlargement resulted in increased liver and decreased kidney catabolism. Despite the lower apoB levels in rabbits compared with humans, which represents a limitation to this study of lipid transfer between nascent LpA-I and apoB, we demonstrated that the [ 3 H]UC content of injected r(HDL) was rapidly redistributed to both rabbit HDL-and LDL-sized particles ( Fig. 7 ). Furthermore, we observed that [ 3 H]UC associated with HDL was rapidly esterifi ed and a minor proportion of CE was transferred to LDL ( Fig. 8 ). Future studies are thus required in monkeys and humans, which are characterized by higher LDL levels, to better defi ne the lipid transfer process between nascent HDL and apoB.
Earlier studies by Francone, Gurakar, and Fielding ( 15 ) have documented that a minor subspecies of human HDL that migrates with pre ␤ mobility on agarose gel can remove free cholesterol from cultured fi broblasts at a faster rate than ␣ -migrating HDL, which comprises the bulk of plasma HDL. Furthermore, it was documented that pre ␤ -HDL particles were present in the peripheral lymph of dogs ( 34 ) and the interstitial space ( 35 ), suggesting a key role for these particles in the initial removal of cholesterol. Our fi ndings suggest that pre ␤ 1 -LpA-I generated by HepG2 supported by the observation that the in vitro transfer of UC content from nascent LpA-I to apoB was preserved in the presence of LCAT inhibitor (DTNB) ( Fig. 3C ). This is in agreement with clinical studies showing that LDL of patients with LCAT defi ciency possess higher amounts of UC, indicating that the in vivo transfer of UC to LDL occurs in the absence of LCAT ( 14 ).
This study has provided a biochemical basis of the nascent HDL remodeling pathway that involves plasma apoBcontaining lipoproteins and PLTP. As illustrated in Fig. 9 , the UC content of the model nascent HDL pool was transferred to plasma apoB, which was then redistributed to HDL for esterifi cation by LCAT. Subsequently, CEs were transferred back to apoB by CETP. At the same time, PLTP mediated the depletion of the PC content of nascent HDL, leading to the incorporation of lipid-poor apoA-I into the plasma resident HDL pool or conversion to pre ␤ 1 -LpA-I. Continuous remodeling of the HDL resident pool by CETP, H-TGL, and PLTP contributes to the generation of pre ␤ 1 -LpA-I or lipid-free apoA-I. Importantly, our results raise questions regarding the stability and structural integrity of the nascent particles within the plasma environment, the signifi cance of which deserves further investigation. Fig. 9. A proposed model for nascent HDL remodeling within the plasma compartment. Nascent HDL particles derived from direct secretion by the liver/intestine or generated by the interaction of lipid-poor apoA-I with peripheral cells through the ABCA1 transporter transfer their lipid to both apoB-containing particles and the plasma resident HDL pool. The UC content of the nascent HDL pool is transferred to apoB-containing particles, which then redistributes to HDL for its effective esterifi cation by LCAT before being transferred back to plasma apoB by CETP. Although the mechanisms underlying this process are presently unknown, it is possible that nascent HDL remodeling may lead to "shedding" of apoA-I from nascent lipoprotein particles as they are progressively depleted of phospholipids by PLTP to yield lipid-poor apoA-I. In turn, lipid-poor apoA-I associates rapidly with the resident HDL pool or converts to pre ␤ 1 -LpA-I. Continuous remodeling of the resident HDL pool by CETP, H-TGL, and PLTP contributes to the generation of pre ␤ 1 -LpA-I. FC, free cholesterol; TG, triglycerides; H-TGL, hepatic lipase.