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J Biol Chem, Vol. 273, Issue 41, 26388-26393, October 9, 1998
§,
,
,
§¶,
,
, and
§**
From the The molecular mechanisms of hypertriglyceridemia
(HTG), a common lipid metabolic disorder in humans, often of genetic
origin, are not well understood. In studying the effect of
apolipoprotein (apo) E on the metabolism of triglyceride-rich
lipoproteins, we found that expressing high plasma levels of human
apoE3 in transgenic mice lacking endogenous mouse apoE caused
HTG. These transgenic animals had 3-fold higher plasma
triglyceride levels, higher very low density lipoproteins (VLDL), and
lower high density lipoproteins than did nontransgenics. Removing one
or both low density lipoprotein receptor alleles in the
apoE3-overexpressing mice caused severe HTG (8-11-fold over
nontransgenics) and increased VLDL and decreased low and high density
lipoproteins, and apoE3-enriched VLDL were markedly depleted in
apoC-II. At least two mechanisms could explain HTG associated with
apoE3 overexpression: stimulated VLDL triglyceride production and
impaired VLDL lipolysis. The apoE3 mice with HTG had a 50% increase in
hepatic VLDL triglyceride production. Furthermore, overexpression of
apoE (E2, E3, or E4) in cultured hepatocytes (McA-RH7777 cells)
correlated positively with secretion of VLDL into the medium. However,
apoE3 overexpression-associated HTG was only partially explained by
VLDL overproduction, as lipoprotein lipase-mediated VLDL lipolysis was
also decreased 20-86% depending on apoE3 levels, most likely by
displacing or masking apoC-II on the particles. In human subjects, HTG
correlated positively with increased VLDL triglyceride and plasma and
VLDL apoE levels. However, plasma and VLDL apoE correlated negatively
with VLDL apoC-II levels and lipoprotein lipase-mediated VLDL
lipolysis. Thus, optimal expression of apoE is crucial for normal
metabolism of triglyceride-rich lipoproteins, and overexpression and/or
accumulation of apoE may contribute to HTG by stimulating VLDL
triglyceride production and by impairing VLDL lipolysis. The
apoE3-overexpressing mice will be useful for studying the
pathophysiology of this disorder.
Gladstone Institute of Cardiovascular
Disease, § Cardiovascular Research Institute, and the
Departments of ¶ Physiology, ** Medicine, and
Pathology, University of California, San Francisco,
California 94141-9100 and the
Institute of Arteriosclerosis
Research, University of Münster,
Münster D-48129, Germany
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