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J Biol Chem, Vol. 273, Issue 28, 17483-17490, July 10, 1998
§,
,
, and
§¶
From the Apolipoprotein (apo) E2 is
often associated with low levels of low density lipoprotein (LDL)
cholesterol and high levels of plasma triglycerides in humans. Mice
expressing apoE2 also have low LDL levels. To evaluate the possible
role of the LDL receptor in the cholesterol-lowering effect of apoE2,
we bred transgenic mice expressing low levels of apoE2 with LDL
receptor-null mice (hE2+/0,LDLR
Gladstone Institute of Cardiovascular
Disease, the § Cardiovascular Research Institute, and the
¶ Departments of Pathology and Medicine, University of California,
San Francisco, California 94141-9100
/
).
Even in the absence of the LDL receptor, plasma total and LDL cholesterol levels decreased progressively with increasing levels of
plasma apoE2. At plasma apoE2 levels >20 mg/dl, LDL cholesterol was
~45% lower than in LDLR
/
mice. Thus, the LDL
cholesterol-lowering effect of apoE2 is independent of the LDL
receptor. In contrast, plasma triglyceride levels increased (mostly in
very low density lipoproteins (VLDL) and intermediate density
lipoproteins (IDL)) progressively as apoE2 levels increased. At plasma
apoE2 levels >20 mg/dl, triglycerides were ~150% higher than in
LDLR
/
mice. Furthermore, in apoE-null mice
(hE2+/0, mE
/
), apoE2 levels also
correlated positively with plasma triglyceride levels, suggesting
impaired lipolysis in both
hE2+/0,LDLR
/
and
hE2+/0,mE
/
mice. Incubating VLDL or IDL
from the hE2+/0,LDLR
/
or the
hE2+/0,mE
/
mice with mouse
postheparin plasma inhibited lipoprotein lipase-mediated lipolysis of
apoE2-containing VLDL and IDL by ~80 and ~70%, respectively, versus normal VLDL and IDL. This observation was confirmed
by studies with triglyceride-rich emulsion particles, apoE2, and purified lipoprotein lipase. Furthermore, apoE2-containing VLDL had
much less apoC-II than normal VLDL. Adding apoC-II to the incubation
partially corrected the apoE2-impaired lipolysis in apoE2-containing
VLDL or IDL and corrected it completely in apoE2-containing emulsion
particles. Thus, apoE2 lowers LDL cholesterol by impairing lipoprotein
lipase-mediated lipolysis of triglyceride-rich lipoproteins (mostly by
displacing or masking apoC-II). Furthermore, the effects of apoE2 on
both plasma cholesterol and triglyceride levels are dose dependent and
act via different mechanisms. The increase in plasma cholesterol caused
by apoE2 is due mostly to impaired clearance, whereas the increase in
plasma triglycerides is caused mainly by apoE2-impaired lipolysis
of triglyceride-rich lipoproteins.
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