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J Biol Chem, Vol. 274, Issue 12, 8247-8253, March 19, 1999
Recycling of Apolipoprotein E in Mouse Liver*
Sergio
Fazio §¶ ,
MacRae F.
Linton ¶**,
Alyssa H.
Hasty§ , and
Larry L.
Swift§
From the Departments of Medicine,
§ Pathology, and ** Pharmacology, Vanderbilt University
School of Medicine, Nashville, Tennessee 37232
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ABSTRACT |
Following the internalization of
low density lipoprotein (LDL) by the LDL receptor within cells, both
the lipid and the protein components of LDL are completely degraded
within the lysosomes. Remnant lipoproteins are also internalized by
cells via the LDL receptor as well as other receptors, but the events
following the internalization of these complexes, which use
apolipoprotein E (apoE) as their ligand for receptor capture, have not
been defined. There is evidence that apoE-containing -very low
density lipoproteins follow differential intracellular routing
depending on their size and apoE content and that apoE internalized
with lipoproteins can be resecreted by cultured hepatocytes and
fibroblasts. In the present studies, we addressed the question of apoE
sparing or recycling as a physiologic phenomenon. Remnant lipoproteins (d < 1.019 g/ml) from normal mouse plasma were
iodinated and injected into normal C57BL/6 mice. Livers were collected
at 10, 30, 60, and 120 min after injection, and hepatic Golgi fractions
were prepared for gel electrophoresis analysis. Golgi preparations were
analyzed for galactosyltransferase enrichment (>40-fold above cell
homogenate) and by appearance of the Golgi stacks and vesicles on
electron microscopy. Iodinated apoE was consistently found in the
Golgi fractions peaking at 10 min and disappearing by 2 h after
injection. Although traces of apoB48 were present in the Golgi
fractions, the apoE/apoB ratio in the Golgi was 50-fold higher compared
with serum. Quantitatively similar results were obtained when the very
low density lipoprotein remnants were injected into mice deficient in
either apoE or the LDL receptor, indicating that the phenomenon of apoE
recycling is not influenced by the production of endogenous apoE and is
not dependent on the presence of LDL receptors. In addition,
radioactive apoE in the Golgi fractions was part of d = 1.019-1.21 g/ml complexes, indicating an association of recycled
apoE with either newly formed lipoproteins or the internalized
complexes. These studies show that apoE recycling is a physiologic
phenomenon in vivo and establish the presence of a unique
pathway of intracellular processing of apoE-containing remnant lipoproteins.
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INTRODUCTION |
The series of events following internalization of plasma low
density lipoprotein
(LDL)1 has been
dissected in detail by the classic studies of Goldstein and Brown (1,
2). The LDL particle, which contains apolipoprotein B100 (apoB100) as
the sole protein component, is internalized as a lipoprotein-receptor
complex within an endosomal compartment that subsequently fuses with
lysosomes. Whereas the LDL receptor recycles back to the cell surface,
the lipoprotein particle continues on its routing toward the lysosomal
compartment where complete hydrolysis of apoB and the lipid components
of the particle occurs (3). It is not known whether other lipoproteins
follow the same intracellular pathways of LDL after internalization.
Chylomicron and very low density lipoprotein (VLDL) remnants, for
example, despite containing apoB utilize apoE as the ligand for
receptor interactions (4, 5). In addition to binding to the LDL
receptor, apoE can also interact with the LDL receptor-related protein
(LRP) (6-8), as well as with heparan sulfate proteoglycans on the cell surface (9). Because of these multiple choices of cellular entry, it is
possible that the fate of internalized apoE-containing lipoproteins may
be different from that of LDL.
Previous studies have shown that the routing of -VLDL, an
apoE-containing remnant lipoprotein, is dependent upon size and possibly the apoE content of the lipoprotein. In two studies, Tabas
et al. (10, 11) reported that smaller -VLDL are routed to
the perinuclear region of the mouse macrophage in a similar fashion to
LDL, whereas larger -VLDL remained closer to the plasma membrane.
Although this phenomenon appeared to be mostly dependent on particle
size, it is also possible that the higher apoE content of larger
-VLDL was at least partially responsible for the different intracellular routing of this particle. Recent studies have shown that
incubation of tissue culture cells with 125I-labeled
lipoproteins results in the secretion of apoE-associated label after
heparinase treatment (12, 13). In addition, following the injection of
radiolabeled lipoproteins in rats, the contribution of exogenous apoB
to the total apoB endosomal content was less than 10%, whereas that of
exogenous apoE was higher than 60% (relative to total apoE) (14).
These data would indicate that apoE internalized by cells may not
undergo complete degradation, and thus it can be hypothesized that some
of this apoE may be utilized for resecretion.
Based on this information, we propose that apoE-containing lipoproteins
undergo an intracellular destiny different from that of apoB-containing
lipoproteins and that a portion of the apoE component of the
lipoprotein is spared from degradation and routed through a secretory
pathway that might involve the Golgi apparatus. A series of studies
were performed in normal C57BL/6 mice and in mutant apoE and LDLR null
mice to determine whether exogenously administered apoE could be found
in the liver Golgi fraction at different time points after intravenous
injection of 125I-labeled remnant lipoproteins
(d < 1.019 g/ml). Our studies show that apoE recycling
is a physiologic phenomenon in the mouse liver in vivo. This
phenomenon is evident in normal mice as well as in mice lacking apoE or
the LDL receptor, suggesting that a different receptor, possibly the
LRP, is involved in the selective retroendocytosis of apoE.
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MATERIALS AND METHODS |
Preparation of Iodinated d < 1.019 Lipoproteins--
The
d < 1.019 lipoproteins were prepared from
Triton-treated mice as described previously (15). Briefly, in each
experiment four donor C57BL/6 mice were treated with 10% tyloxapol
(Sigma, 4 µl/g of body weight) via tail vein injection. Four hours
following injection, mice were exsanguinated, and serum was separated
by centrifugation. The d < 1.019 g/ml fraction was
isolated by ultracentrifugation at 120,000 × g for
2.5 h on a Beckman TL-120 tabletop centrifuge. Iodination was
carried out according to a modification of the McFarlane ICl method
(16, 17). The iodinated d < 1.019 lipoproteins were
dialyzed against 0.15 M NaCl. The protein concentration was determined by the Lowry procedure (18), and samples were diluted to 20 µg/ml. The integrity of the VLDL preparation was verified by
electrophoresis on 4-12% SDS gels followed by exposure to film. The
specific activities of the lipoprotein preparations ranged from 300 to
800 cpm/ng.
Golgi Preparation--
Recipient mice were anesthetized with
methoxyflurane (Mallinckrodt Veterinary, Mundelein, IL), and 5 µg
(200 µl) of radioactive fraction was injected into the jugular bulb.
At various times following injection, blood was collected from the
retro-orbital venous plexus. The mice were killed by cervical
dislocation, and the liver was quickly removed, trimmed of excess fat
and connective tissue, rinsed in distilled water, blotted, and weighed.
Golgi apparatus-rich fractions were isolated from the liver according to a modification of the method of Swift et al. (19, 20). The livers were minced finely with scalpel blades and placed in homogenization buffer (0.1 M phosphate-buffered saline, pH
7.3, 0.25 M sucrose, 1% dextran, and 0.01 M
MgCl2). Pools of three livers were homogenized together for
18 s with a Polytron at setting 0.5 (model PT 10-35, Brinkmann
Instruments). The homogenate was centrifuged in an SW 40 rotor at
4 °C at 2600 rpm for 10 min and 9700 rpm for 30 min. The supernatant
was discarded, and 1.7 ml of the homogenizing buffer was added to the
pellet. The top one-third of the pellet was dislodged and layered on 8 ml of 1.2 M sucrose in an SW 40 centrifuge tube (5100 rpm
for 10 min, 10,200 rpm for 10 min, and 25,600 rpm for 45 min). At the
end of the centrifugation the white band at the interface was carefully
removed, diluted with ice-cold distilled water, and pelleted in the SW
40 rotor at 10,000 rpm for 30 min. To analyze galactosyltransferase
activity, the pellet was resuspended in 15 mM Tris, pH 7.4, 0.15 M NaCl and frozen in liquid nitrogen. To recover the
nascent lipoproteins, the Golgi-enriched fraction was resuspended in
0.1 M Na2CO3, pH 11.0, and
incubated on ice for 60 min. The membranes were pelleted by
centrifugation in an SW 50.1 rotor at 45,000 rpm for 30 min. The
supernatant was dialyzed against 0.15 M NaCl, 0.01% EDTA, pH 7.4, overnight. The density was raised to 1.019 g/ml using solid
NaCl, and the d < 1.019 g/ml fraction was isolated by
centrifugation in a Beckman Optima TLX tabletop ultracentrifuge at
120,000 rpm for 2.5 h. A d < 1.019 g/ml fraction
was isolated from serum in a similar manner. The Golgi and serum
lipoprotein fractions were stored in lyophilized form. A similar set of
procedures was used in the experiment with rats. Because we cannot
exclude the presence of minor endocytic contaminants, the Golgi
preparations will be referred to as Golgi apparatus-enriched fractions
throughout the article.
SDS-Polyacrylamide Gel Electrophoresis--
SDS-polyacrylamide
slab gels (3-20% gradient) were run as described by Swift et
al. (20). Samples were solubilized in 0.06 M Tris-HCl,
pH 6.8, 2.2% SDS, 10% glycerol, and 5% -mercaptoethanol by
heating at 100 °C for 5 min and separated by gel electrophoresis. The gels were dried and exposed to film using DuPont Cronex Lightning Plus intensifying screens. Gels were exposed to film for up to 3 weeks.
Densitometric analyses were performed on a MultiImage light cabinet
equipped with AlphaImage 3.24 software (Alpha Innotech Corp., San
Leandro, CA).
Galactosyltransferase--
Galactosyltransferase activity was
assayed using the method of Morre et al. (21) and modified
to include ATP at the initial concentration of 1 mM to
reduce nonspecific hydrolysis of the UDP galactose (22).
Turnover Analyses--
At the specified time points after
injection of the radiotracer, mice were killed and blood was collected.
Perfusion of the carcass was done using 20 ml of cold saline injected
at physiologic pressure from the tip of the heart after making an
incision in the abdominal aorta below the renal artery level, and the
perfusion continued until the liver was completely depleted of blood.
The radioactivity in a 10-µl aliquot of plasma and the whole liver were measured in a -counter. Plasma clearance of the radiolabel was
calculated assuming that the total plasma volume of a mouse is 3.5% of
body weight and by dividing the total plasma counts at each time point
by the injected amount (minus any losses during injection). Liver
uptake at each time point was calculated as the ratio between liver
counts and initial counts in plasma.
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RESULTS |
The aim of this study was to determine whether intact exogenous
apolipoproteins could be identified in the Golgi apparatus-rich fractions of different strains of mice after injection of radiolabeled murine VLDL (d < 1.019 g/ml lipoproteins). The purity
of mouse hepatic Golgi apparatus-enriched fractions was evaluated by
both morphologic and biochemical criteria. By negative stain electron microscopy, the fractions exhibited morphologic characteristics consistent with the known features of the Golgi apparatus. Among the
identifiable structures were cisternae, appearing as central plates or
fenestrated plates continuous with an anastomosing tubular network
containing secretory vesicles filled with lipoproteins (Fig.
1A). Intravesicular particles,
as well as particles inside plates, measured 40-70 nm, which is
consistent with the size of VLDL. By thin section electron microscopy,
the Golgi-enriched fractions consisted of parallel stacks of flattened
cisternae along with secretory vesicles, some of which remained
attached to the cisternae (Fig. 1B). Structures with
characteristics of multivesicular bodies were not observed within our
preparations of Golgi apparatus-enriched fractions (23). Biochemically,
the purity of Golgi-rich fractions was assessed by the activity of galactosyltransferase, a Golgi-specific enzyme. Golgi-rich fractions were enriched in galactosyltransferase activity from 43- to 96-fold compared with the initial liver homogenates, not unlike values obtained
using rat liver (19).

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Fig. 1.
Electron micrographs of Golgi apparatus-rich
fractions from mouse liver. In negatively stained fractions,
structures characteristic of Golgi apparatus were prevalent and
included central plates with intact anastomosing tubular network
(A). In some instances the plates were disrupted, permitting
stain to enter and visualize nascent lipoproteins (B).
Lipoprotein diameters ranged between 40 and 70 nm. Stacks of Golgi
cisternae were visible by thin section electron microscopy
(C). Bar = 100 nm.
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The fate of injected lipoproteins in a representative experiment is
shown in Fig. 2. More than 70% of the
label disappeared from plasma within 2 h after injection, whereas
about 20% of the initial serum counts accumulated in the liver over
the same period of time. The injected d < 1.019 g/ml
lipoproteins were composed primarily of apoB100 and apoB48 and
contained relatively smaller amounts of apoE (Fig.
3, A and B,
lanes 1 and 2). On average, the radioactive label
in the apoB proteins was 50-fold greater than in apoE. This
preponderance of radioactive apoB was maintained in the plasma and VLDL
fraction of the mice receiving the radiotracer, indicating that no
selective loss or degradation of the injected particles was occurring.
This ratio was dramatically altered in the luminal lipoproteins
recovered from the Golgi apparatus-rich fractions of the liver of
recipient mice where apoB100 was barely detectable, and apoB48 was
consistently decreased compared with apoE (Fig.
4). Interestingly, this enrichment in
apoE was most evident at 10 min postinjection, a time at which only a
small portion of the radiolabeled material was taken up by the liver.

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Fig. 2.
Plasma clearance and liver uptake of the
injected 125I-labeled d < 1.019 g/ml
lipoproteins. Data points were calculated as described under
"Materials and Methods." Each data point is the average of three
mice. Vertical bars represent standard error. Note that the
y1 and y2 axes have different scales.
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Fig. 3.
Evidence of apoE recycling in mouse
liver. SDS-polyacrylamide gel electrophoresis of VLDL and Golgi
preparations from C57BL/6 mice after injection of
125I-labeled mouse VLDL (d < 1.019 g/ml).
The experiment was performed as described under "Materials and
Methods." Samples were separated on a 4-12% gradient gel. The gel
was dried and exposed for 24 h to autoradiographic film. A,
lane 1 is the preparation of iodinated VLDL before injection.
Lane 2 shows the radioactivity distribution in mouse plasma
10 min after injection of radiolabeled VLDL. Lanes 3 and
4 show the radioactivity in the Golgi-enriched fractions of
livers pooled from three mice 10 and 30 min after injection,
respectively. B, lane 1 shows the radioactivity distribution
in mouse plasma 10 min after injection of radiolabeled VLDL. Lane
2 shows the VLDL prepared from mouse plasma 10 min after injection
of radiolabeled VLDL. Lanes 3 and 4 show the
radioactivity in the Golgi-enriched fractions of livers pooled from
three mice 10 and 60 min after injection, respectively. The whole Golgi
pellet from three livers was loaded in each lane.
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Fig. 4.
ApoE/apoB48 ratios in plasma VLDL and
Golgi-rich preparations of C57BL/6 mice after injection with
radiolabeled d < 1.019 g/ml lipoproteins. Data
are mean and standard deviation of five (VLDL) or three (Golgi-rich
fraction) separate experiments with three mice in each experiment. The
difference between VLDL and both Golgi time points is significant
(Student's t test, p < 0.001). The
difference between the two Golgi time points is also significant
(p < 0.005).
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Selective sparing of apoE from the degradative pathway following
lipoprotein internalization can best be shown by the appearance of
internalized apoE in the secretory pathway. When C57BL/6 mice were
injected with radiolabeled VLDL, the Golgi-rich fractions from pooled
livers were selectively enriched in apoE (Fig. 3), an indication that a
portion of the internalized apoE was carried back into the secretory
pathway. Considering that the radioactivity distribution in the
original VLDL preparation (Fig. 3A, lane 1) and
in the plasma VLDL of mice after injection (Fig. 3A,
lane 2) is more than 98% associated with apoB, it is
apparent that the appearance of plasma apoE in the Golgi
apparatus-enriched fractions represents a selective mechanism that
excludes apoB100 and, to a lesser degree, apoB48. As determined in four
separate experiments, the ratio apoE/apoB showed a 50-fold increase in the Golgi-rich fractions relative to the plasma compartment. The effect
was time-dependent with the peak accumulation of labeled apoE being detected 10 min after injection (Fig. 3, A and
B, lane 3) and progressively diminishing by 30 (Fig. 3A, lane 4) and 60 min (Fig. 3B,
lane 4). No radioactivity in the Golgi-rich fraction was
detected 120 min after injection of the radiotracer (data not shown).
Plasma clearance of the injected tracer was only about 30% by the
10-min time point, and only about 13% of the initial serum counts were
detected in the liver (Fig. 2).
To determine whether the phenomenon of apoE recycling was affected by
parameters such as the lack of endogenously produced apoE or the
absence of the LDL receptor on the cell surface, we performed a similar
series of experiments in genetically engineered mice carrying the
homozygous disruption of either the apoE (24) or the LDL receptor gene
(25). As shown in Fig. 5A
(lanes 4 and 6), apoE was visible in the
Golgi-enriched fractions of both groups of mice 10 min after the
injection of 125I-VLDL. However, the
time-dependent progression of internalized apoE in the
Golgi apparatus-rich fraction of apoE( / ) and LDLR( / ) mice was
different from that of normal mice with the peak apoE radioactivity
being reached at 30 min after injection (Fig. 5B, lanes 2 and 4) rather than at 10 min. This was
likely an effect of the retarded clearance of the radiotracer in mice
lacking either apoE or the LDL receptor.

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Fig. 5.
Evidence that apoE recycling through the
Golgi is detectable in livers of mice lacking either apoE or the LDL
receptor. A, lanes 1, 3, and 5 are
plasma VLDL (V) from C57BL/6, apoE( / ), and LDLR( / )
mice, respectively. Lanes 2, 4, and 6 are Golgi-rich fractions (G) from pooled livers of C57BL/6,
apoE( / ), and LDLR( / ) mice, respectively, collected 10 min after
injection of radiolabeled VLDL. Gels were run and treated as described
in the legend to Fig. 1. B, lanes 1 and 3 are
plasma VLDL (V) from apoE( / ) and LDLR( / ) mice,
respectively. Lanes 2 and 4 are Golgi-rich
fractions (G) from pooled livers of apoE( / ) and
LDLR( / ) mice, respectively, collected 30 min after the injection of
radiolabeled VLDL. Gels were run and treated as described in the legend
to Fig. 1.
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Studies were performed to examine whether apoE, which had reentered the
secretory pathway, existed as a free protein or as part of a
lipoprotein. Fig. 6 shows studies to
determine the density distribution of radioactive Golgi apoE from
livers of normal mice 10 min after injection of the tracer. Panel
A shows that the radioactive apoE in the Golgi-rich fraction is
primarily associated with a lipoprotein particle of density
1.006-1.210 g/ml, whereas some of the apoB48 could also be identified
in the d < 1.006 g/ml region. Only traces of apoE were
detected in the d < 1.006 g/ml and the lipoprotein-free bottom fractions. In Panel B, a similar
experiment was performed to determine whether apoE in the Golgi
apparatus-rich fraction would maintain the density distribution of the
original VLDL preparation (d < 1.019 g/ml). As shown
in lanes 3 and 4, a clear density shift occurs at
the level of the Golgi-rich fraction, where all of the apoE is part of
a complex with d >1.019 g/ml.

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Fig. 6.
Evidence that apoE recycles in the Golgi as
part of a lipoprotein complex. A, 10 min after injection of
radiolabeled d < 1.019 g/ml mouse lipoproteins, livers
of C57BL/6 mice were collected as described under "Materials and
Methods" and were subjected to sequential ultracentrifugation after
NaCl density adjustment to separate different lipoprotein classes.
A, lanes 1 and 2 show the original preparation of
labeled VLDL before injection and the radioactivity distribution in
mouse plasma VLDL 10 min after injection, respectively. Lanes
3-5 represent three consecutive salt cuts of Golgi lipoproteins.
Lane 3, d < 1.006 g/ml VLDL; lane 4, d = 1.006-1.21 g/ml lipoproteins; and lane 5, d > 1.21 g/ml lipoprotein-free bottom fraction.
B, lanes 1 and 2 show the original preparation of
labeled VLDL before injection and the radioactivity distribution in
mouse plasma VLDL 10 min after injection, respectively. Golgi
lipoproteins were separated by different cuts. Lane 3, d < 1.019 g/ml VLDL; lane 4, d > 1.019 g/ml.
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Fig. 7 shows that the phenomenon of apoE
enrichment in the liver Golgi is not limited to the mouse system but
extends also to the rat, an established model of hepatic Golgi studies.
The presence of internalized apoE in the Golgi-rich fraction of livers from rats 10 min after injection of radiolabeled rat VLDL was more
dramatic than in the mouse system. ApoE was barely visible in the
original preparation (not shown) and in the plasma of the injected
animals (lane 1) and was selectively enriched in the Golgi-enriched fraction at the expenses of apoB100 and, to a lesser extent, apoB48.

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Fig. 7.
Evidence that apoE recycling is observed in
livers of normal rats. Ten min after injection of the radiotracer
(rat lipoproteins d < 1.019 g/ml) the rats were
killed, and plasma and livers were processed similarly to what was
described for the mouse experiments. Lane 1 is the
radioactivity distribution in rat plasma. Lane 2 is the
distribution of radioactivity in the hepatic Golgi-rich fraction from
the same rat.
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DISCUSSION |
In this study we show that the various apoprotein components of
exogenously administered VLDL are processed differently by the mouse
liver after internalization. The vast majority of the radioactivity in
the 125I-labeled murine d < 1.019 g/ml
lipoproteins was associated with apoB100 and apoB48, whereas only a
small portion of the radioiodine was associated with apoE. The ratio
apoE/apoB48 in the Golgi-rich fraction increased 10-fold relative to
serum, and only traces of apoB100 were detected. The implications of
such findings are as follows: 1) unlike LDL, components of the
internalized VLDL are spared from complete intracellular degradation
and appear in the secretory pathway; 2) apoB48-containing VLDL may have
a different intracellular fate than apoB100-containing VLDL; and 3)
apoE can recycle through the secretory pathway either free or
associated with lipoproteins. It is important to notice that the
phenomenon of apoE recycling to Golgi was also present in mice lacking
either apoE or the LDL receptor, suggesting that the recycling of apoE
is not affected by the production of endogenous apoE, which in liver
does not appear to be increased by the common lipogenic stimuli (26,
27), and that the route of VLDL internalization followed by apoE
recycling does not depend exclusively on the LDL receptor.
A possible argument against our interpretations is that the enrichment
of apoE within the Golgi-rich fraction simply reflects the
prioritization of lipoprotein uptake by the liver with apoE-rich particles being selected more avidly and more rapidly for
internalization than apoE-poor particles. This would be especially true
if endosomal contamination was present in the Golgi preparations. Some
Golgi apparatus-enriched fractions have been shown to be contaminated with endosomal vesicles (28). Elimination of this contaminant is
crucial in assessing the true secretory products within the Golgi
fraction. Our methodology for preparation of Golgi fractions from mouse
liver was based on procedures developed in our laboratory (29) and
subsequently modified specifically to eliminate endosomal contamination
(23, 30). Enzymatic analysis of our preparations demonstrated
enrichment in galactosyltransferase, a recognized marker of Golgi
purity. Further morphologic analyses by electron microscopy revealed a
fraction enriched in Golgi elements devoid of other recognizable
elements (with the exception of scattered rough endoplasmic reticulum
membrane). From an experimental standpoint it is difficult to eliminate
completely endosomal contamination because of the absence of a unique
marker for elements of the endocytic compartment. However, in addition
to this experimental evidence other observations argue against
endosomal contamination as an explanation of our results. If the
10-fold increase in the VLDL apoE/apoB48 ratio from plasma to
Golgi-rich fractions was just a consequence of endosomal contamination,
it would represent the rapid uptake of a select group of apoE-enriched,
apoB48-containing remnants within the larger number of
d < 1.019 g/ml tracer lipoproteins. Later time points
should then reflect the uptake of the remaining particles, with an
expected increase in apoB48 relative to apoE and eventually with the
appearance of apoB100. However, this was not the case. Although the
ratio apoE/apoB48 in Golgi-rich fractions decreases slightly after 30 min, it never reaches the values found in the plasma compartment, and
apoB100 only represents a faint band in our Golgi-enriched preparations
even 2 h after injection. Moreover, even if these results were
partly because of endosomal contamination, the relevance of the
observation would not be diminished, i.e. apoE undergoes an
intracellular processing uniquely different from that of the apoB
components of the same lipoprotein vehicle.
Although our studies do not define whether apoE recycles in free or
lipoprotein-associated form, the data presented in Fig. 6 show that
apoE in the Golgi-rich fractions is part of a lipoprotein complex of
density smaller than the original radiolabeled VLDL. This could be due
either to the association of recycling lipoprotein-free apoE with the
nascent lipoproteins in the Golgi or to the recycling of apoE as part
of smaller remnant particles. The presence of detectable levels of
apoB48 in the Golgi-rich fraction allows us to speculate that the
recycling particles may be small apoB48 remnants highly enriched in
apoE. The finding that 125I-labeled apoB48 was isolated
from the Golgi apparatus-enriched fraction floats in the same density
range as 125I-labeled apoE is also compatible with this
hypothesis and suggests the presence of a unique intracellular pathway
in the liver that directs apoE-rich remnant particles through a
recycling route, which may eventually lead to resecretion of the
particle as such or after repackaging.
The finding that in vivo recycling of apoE is not affected
by the absence of the LDLR is a strong indication that additional receptors may be involved in this pathway. A possible candidate is the
LDLR-related protein or LRP, which is abundantly expressed in the liver
(6) and whose hepatic inactivation leads to dramatic accumulations of
remnant lipoproteins in plasma (8, 31). LRP is uniquely responsive to
apoE-containing lipoproteins, as was recently demonstrated in our
laboratory, where mice lacking both LDLR and apoE were transplanted
with wild-type bone marrow and showed no changes in lipoprotein levels
despite high levels of macrophage-derived apoE in plasma (32).
Additionally, this phenomenon may be related to direct lipoprotein
uptake through heparan sulfate proteoglycans. Ji et al. (33)
have presented evidence of a differential cellular accumulation of apoE
isoforms in neuronal cells that is detectable in the absence of both
LDLR and LRP but is eliminated by heparan sulfate proteoglycan
inactivation. Finally, it is also possible that apoE recycling is
dependent on the lipoprotein size, composition, and apoE content rather than on the kind of receptor involved in particle uptake.
The concept that internalized remnants may experience an intracellular
fate different from that of LDL, although not of intuitive physiologic
significance, is in line with previous studies of intracellular routing
of internalized lipoproteins. Tabas et al. (10) demonstrated
that the uptake of small remnants from macrophages in vitro
was followed by a perinuclear distribution of the particles similar to
that described for LDL. However, large remnant particles for the most
part had a superficial distribution under the plasma membrane as well
as a prolonged residence time within the cell (10). Although the
authors reported that the size of the remnant particles was the main
promoter of differential routing (11), it is possible that apoE content
also plays a role in directing the particle to an alternate pathway,
which may lead to particle resecretion. This possibility has been
suggested in recent in vitro studies, where incubation of
either fibroblasts or HepG2 cells with 125I-labeled VLDL
followed by heparinase treatment resulted in the appearance of
125I-labeled apoE in the media during the chase period (12,
13). Additional evidence for a unique role of internalized apoE is provided by a study in which cultured macrophages were incubated with
model triglyceride-rich particles with or without apoE. Particles with
apoE resulted in higher triglyceride degradation and higher cholesteryl
ester synthesis than particles without apoE, indicating that apoE has
effects on modulating intracellular lipid metabolism after lipoprotein
internalization (34). The authors speculated that some apoE may be
spared from lysosomal degradation to affect postlysosomal trafficking
of lipid molecules to subcellular compartments such as the peroxisomes.
Two important issues that remain to be discussed are how and why apoE
might recycle in vivo. A mechanistic insight is provided by
transferrin (35). Transferrin, a major serum glycoprotein that
transports iron into cells, binds to its receptor and is internalized
in coated vesicles. Once in the endosome, the reduction in pH provokes
the dissociation of iron from transferrin, but apotransferrin remains
associated with its receptor and recycles back to the cell surface,
thus escaping lysosomal degradation (36). From the invagination of
coated pits to the formation of endosomes, the pathway of
receptor-mediated endocytosis is common to all ligands studied.
However, the fate of the receptor-ligand complex is determined in the
endosome depending on whether the ligand can remain associated with the
receptor at acidic pH. Ligands such as asialoglycoprotein and LDL
dissociate from their receptors and are then routed to the lysosomal
compartment (37). It is possible that, like transferrin, apoE has the
ability to remain associated with its receptor(s) at the acidic pH of
the endosome and to recycle back to the cell surface. Although it is
not known whether apoE-containing lipoproteins remain associated to
their receptors at low pH, if binding affinity for a recycling receptor plays any role in ligand retroendocytosis, the fact that apoE binds to
its membrane receptor with a 23-fold higher affinity than apoB (38) may
explain the differential routing of lipoproteins entering the cell
through one or the other receptor.
It is evident from previous studies in our laboratory and other
laboratories that only 10% of normal apoE levels is required to
maintain cholesterol homeostasis under physiologic conditions when both
the LDLR and the LRP are functioning normally (15, 39-41). In this
situation, extrahepatic apoE will induce the clearance of lipoproteins
without the need for the extra amount of ligand provided by the hepatic
apoE secretion capture pathway (42-44). However, in situations where
the LDLR does not function properly, additional apoE may be required in
the sinusoidal space of Disse to facilitate the clearance of the
accumulating remnant lipoproteins (32). ApoE retroendocytosis may
represent a mechanism to ensure increased availability of apoE in the
hepatic sinusoid. Additionally, recycling of apoE or apoE-rich
lipoproteins may serve as a chaperone for proper targeting and
repositioning of recycling LRP or other receptors to the cell surface
(45). Because apoE is not structurally entangled within the lipoprotein
particles, a system designed to reuse this functionally active molecule
would be more efficient than simply targeting this ligand to the
lysosomal compartment for proteolytic degradation.
 |
FOOTNOTES |
*
This work was supported in part by American Heart
Association Grant-in-aid 95011450 and by National Institutes of Health
Grants HL57986 and HL57984.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.

Supported in part by a National Institutes of Health vascular
biology training grant.
¶
Established Investigator of the American Heart Association.
To whom reprint requests should be addressed: Divisions of
Endocrinology and Diabetes, Vanderbilt University Medical Center, 715 MRB II, Nashville, TN 37232-6303. E-mail:
sergio.fazio{at}mcmail.vanderbilt.edu.
 |
ABBREVIATIONS |
The abbreviations used are:
LDL, low density
lipoprotein;
apo, apolipoprotein;
VLDL, very LDL;
LRP, LDL
receptor-related protein;
LDLR, LDL receptor.
 |
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