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Originally published In Press as doi:10.1074/jbc.M108268200 on January 22, 2002

J. Biol. Chem., Vol. 277, Issue 14, 11811-11820, April 5, 2002
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Effects of Enrichment of Fibroblasts with Unesterified Cholesterol on the Efflux of Cellular Lipids to Apolipoprotein A-I*

Kristin Gillotte-TaylorDagger §, Margaret Nickel, William J. Johnson||, Omar L. Francone**, Paul HolvoetDagger Dagger , Sissel Lund-Katz, George H. Rothblat, and Michael C. Phillips§§

From the Dagger  Department of Biochemistry, MCP-Hahnemann University, Philadelphia, Pennsylvania 19129,  The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Abramson Research Center, Philadelphia, Pennsylvania 19104-4318, ** Central Research Division, Pfizer Inc., Groton, Connecticut 06340, and Dagger Dagger  Center for Experimental Surgery and Anesthesiology, University of Leuven, B-3000 Leuven, Belgium

This study elucidates the factors underlying the enhancement in efflux of human fibroblast unesterified cholesterol and phospholipid (PL) by lipid-free apolipoprotein (apo) A-I that is induced by cholesterol enrichment of the cells. Doubling the unesterified cholesterol content of the plasma membrane by incubation for 24 h with low density lipoprotein and lipid/cholesterol dispersions increases the pools of PL and cholesterol available for removal by apoA-I from about 0.8-5%; the initial rates of mass release of cholesterol and PL are both increased about 6-fold. Expression of the ATP binding cassette transporter A1 (ABCA1) is critical for this increased efflux of lipids, and cholesterol loading of the fibroblasts over 24 h increases ABCA1 mRNA about 12-fold. The presence of more ABCA1 and cholesterol in the plasma membrane results in a 2-fold increase in the level of specific binding of apoA-I to the cells with no change in binding affinity. Characterization of the species released from either control or cholesterol-enriched cells indicates that the plasma membrane domains from which lipids are removed are cholesterol-enriched with respect to the average plasma membrane composition. Cholesterol enrichment of fibroblasts also affects PL synthesis, and this leads to enhanced release of phosphatidylcholine (PC) relative to sphingomyelin (SM); the ratios of PC to SM solubilized from control and cholesterol-enriched fibroblasts are ~2/1 and 5/1, respectively. Biosynthesis of PC is critical for this preferential release of PC and the enhanced cholesterol efflux because inhibition of PC synthesis by choline depletion reduces cholesterol efflux from cholesterol-enriched cells. Overall, it is clear that enrichment of fibroblasts with unesterified cholesterol enhances efflux of cholesterol and PL to apoA-I because of three effects, 1) increased PC biosynthesis, 2) increased PC transport via ABCA1, and 3) increased cholesterol in the plasma membrane.


* This work was supported by National Institutes of Health Program Project HL22633 and Training Grant HL07443, a pre-doctoral fellowship from the American Heart Association, Southeastern Pennsylvania Affiliate (to K. G.-T.), and Foonds voor Wetenschappelijk Onderzoek-Vlaanderen Program G.0265.01.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

§ Current address: Amylin Pharmaceuticals, Inc., 9373 Towne Centre Dr., San Diego, CA 92121.

|| Current address: Review Branch, NHLBI, NIH, 6701 Rockledge Dr., Bethesda, MD 20892.

§§ To whom correspondence should be addressed. Tel.: 215-590-0587; Fax: 215-590-0583; E-mail: phillipsmi@email.chop.edu.


Copyright © 2002 by The American Society for Biochemistry and Molecular Biology, Inc.
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