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(Received for publication, January 30, 1997, and in revised form, March 21, 1997)
,
,
From the The effect of hepatic lipase (HL) deficiency on
the susceptibility to atherosclerosis was tested using mice with
combined deficiencies in HL and apoE. Mice lacking both HL and apoE
(hhee) have a plasma total cholesterol of 917 ± 252 mg/dl (n = 24), which is 184% that of mice lacking
only apoE (HHee; 497 ± 161 mg/dl, n = 20, p < 0.001). The increase in cholesterol was
mainly in
Department of Pathology and Laboratory
Medicine, University of North Carolina, Chapel Hill, North Carolina
27599-7525 and the ¶ Département
d'Athérosclérose U-325, Institut Pasteur, 59019 Lille,
France
-migrating very low density lipoproteins, although high
density lipoprotein cholesterol (HDLc) was also increased (53 ± 37 versus 20 ± 13 mg/dl, p < 0.01).
Despite the increase in plasma cholesterol, we found that HL deficiency
significantly decreased aortic plaque sizes in female mice fed normal
chow (31 × 103 ± 22 × 103
µm2 in hhee versus 115 × 103 ± 69 × 103 µm2 in
HHee, p < 0.001). Reduction of plaque
sizes was also observed in female heterozygous apoE-deficient mice fed
an atherogenic diet (2 × 103 ± 2.5 × 103 µm2 in hhEe versus 56 × 103 ± 49 × 103 µm2 in
HHEe, p < 0.01). Changes in aortic lesion
size were not apparent in the small number of male mice studied. In
HHee females, both HDLc and the capacity of high density
lipoprotein (HDL) particles to promote cholesterol efflux from cultured
cells were 26% of the wild type. The absence of HL in hhee
females partially restored HDLc levels to 57% and cholesterol efflux
to 55% of the wild type. Circulating pre-
1-migrating
HDL were present in all mutants, suggesting that there are alternative
pathways in the formation of these pre-
-HDL not involving apoE, HL,
or cholesteryl ester transfer protein. The improved capacity to promote
cholesterol efflux, together with increased HDL, may explain why these
animals can overcome the increase in atherogenic lipoproteins.
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