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Originally published In Press as doi:10.1074/jbc.M100326200 on July 2, 2001

J. Biol. Chem., Vol. 276, Issue 35, 33241-33248, August 31, 2001
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Interaction of Lecithin:Cholesterol Acyltransferase (LCAT)·alpha 2-Macroglobulin Complex with Low Density Lipoprotein Receptor-related Protein (LRP)

EVIDENCE FOR AN alpha 2-MACROGLOBULIN/LRP RECEPTOR-MEDIATED SYSTEM PARTICIPATING IN LCAT CLEARANCE*

Larbi KrimbouDagger , Michel MarcilDagger , Jean Davignon§, and Jacques Genest Jr.Dagger

From the Dagger  Cardiovascular Genetics Laboratory, McGill University Health Center/Royal Victoria Hospital, Montréal, Québec H3A 1A1, Canada and the § Hyperlipidemia and Atherosclerosis Research Group, Clinical Research Institute of Montreal, Montréal, Québec H2W 1R7

Received for publication, January 12, 2001, and in revised form, June 7, 2001

    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

The reaction of lecithin:cholesterol acyltransferase (LCAT) with high density lipoproteins (HDL) is of critical importance in reverse cholesterol transport, but the structural and functional pathways involved in the regulation of LCAT have not been established. We present evidence for the direct binding of LCAT to alpha 2-macroglobulin (alpha 2M) in human plasma to form a complex 18.5 nm in diameter. Forty percent of plasma LCAT-HDL was associated with alpha 2M; moreover, most of the LCAT in cerebrospinal fluid and in the medium of cultured human hepatoma cell line was associated with alpha 2M. Purified recombinant human LCAT (rLCAT) labeled with 125I bound to native and methylamine-activated alpha 2M (alpha 2M-MA) in vitro in a time- and concentration-dependent manner, and this binding did not depend on the presence of lipid. rLCAT bound to alpha 2M-MA with greater affinity than to alpha 2M. Furthermore, rLCAT did not activate alpha 2M as phosphatidylcholine-specific phospholipase C does. Reconstituted HDL particles (LpA-I) inhibited the binding of rLCAT to alpha 2M more efficiently than native HDL3 did. LCAT associated with alpha 2M was enzymatically inactive under both endogenous and exogenous assay conditions. Purified rLCAT alone did not bind to low density lipoprotein receptor-related protein (LRP) as lipoprotein lipase (LPL) does; however, when rLCAT was combined with alpha 2M-MA to form a complex, binding, internalization, and degradation of rLCAT took place in LRP-expressing cells (LRP +/+) but not in cells deficient in LRP (LRP -/-). It is concluded that the binding of LCAT to alpha 2M inhibits its enzymatic activity. Furthermore, the finding supports the possibility that the LRP receptor can act in vivo to mediate clearance of the LCAT-alpha 2M complex and may significantly influence the bioavailability of LCAT.

    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Human lecithin:cholesterol acyltransferase (LCAT)1 is a 416-amino acid glycoprotein circulating in plasma associated with lipids and apolipoproteins in the high density lipoprotein (HDL) fraction (1). LCAT plays a key role in cholesterol homeostasis by mediating the production of most of the cholesteryl esters in human plasma. It has been suggested (2, 3) that LCAT plays an important role in reverse cholesterol transport (RCT) by creating a concentration gradient for the efflux of free cholesterol from peripheral cells to HDL particles and its conversion to cholesteryl esters. The cholesteryl esters are internalized within the lipoprotein core for ultimate transport to the liver for clearance or recycling. Thus, factors affecting the structure, activity, or concentration of LCAT are likely to affect the homeostasis of plasma cholesterol and the RCT process, one of several proposed mechanisms (4) by which HDL may protect against atherosclerosis.

Recent investigations (5) suggest that LCAT can act as an antioxidant and prevent the accumulation of oxidized lipid in plasma lipoproteins. In human plasma, LCAT is almost entirely associated with lipoproteins containing apoA-I, its principal physiological activator (6). Francone et al. (1) have shown the presence of LCAT, cholesteryl ester transfer protein, apoD, and a small amount of apoA-I in a complex termed pre-beta 3-LpA-I that is involved in the esterification and transfer of cell-derived cholesterol.

We have recently found (7) an association between apoE and alpha 2-macroglobulin (alpha 2M) in human plasma, when we observed that LCAT and apoE migrate to the same position in two-dimensional electrophoretic gels together with alpha 2M, in particles 18.5 nm in diameter. This raises the possibility that LCAT circulates in plasma in association with alpha 2M. Human alpha 2M, the largest known proteinase inhibitor (Mr = 720,000), is found at high concentrations (2-5 µM) in plasma and in extravascular spaces (8, 9). It plays a pivotal role in the clearance of proteinases from the circulation and in regulating their activity in fibrinolysis, coagulation, and complement activation (10, 11). alpha 2M is also a carrier of specific cytokines and various non-proteolytic proteins that include the transforming growth factor TGF-beta , the platelet-derived growth factor-BB (12), the beta -amyloid peptide (13), and recently, apolipoprotein E (7).

The binding affinities of alpha 2M for different non-proteolytic proteins depend on its conformation, but alpha 2M in plasma is present almost entirely in the native conformation. This form of alpha 2M is fully functional as a proteinase inhibitor but is not recognized by the cell surface receptor, which is an alpha 2M receptor/low density lipoprotein receptor-related protein (LRP) (8, 14). This receptor is responsible for the rapid plasma clearance of conformationally transformed alpha 2M following its reaction with proteinases or small primary amines that modify the alpha 2M thiol ester bonds. Gonias and co-workers have documented that the binding of TGF-beta isoforms to alpha 2M neutralizes the activity of TGF-beta toward various cells (12, 15, 16). Indeed, alpha 2M may be involved in controlling apoptosis (17), the immune system, and atherogenesis (18, 19) via its regulating effects on TGF-beta activity.

Structural and functional evidence for several binding domains in different alpha 2M forms led us to hypothesize that alpha 2M modulates LCAT activity and concentration in plasma and may be involved in LCAT clearance via an LRP-mediated endocytic process. The physical association of LCAT and alpha 2M has not been previously reported. The present study aims at providing evidence for the association of LCAT with alpha 2M and to examine how these interactions could be affected by native and activated forms of alpha 2M and by apolipoproteins known to bind LCAT. Cellular binding, internalization and degradation assays were used to evaluate the role of activated alpha 2M and LRP receptor in mediating the clearance of LCAT by cells.

    EXPERIMENTAL PROCEDURES
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ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Materials-- Anti-human alpha 2M monoclonal antibody, affinity-purified rabbit anti-goat IgG and affinity-purified goat anti-mouse IgG antibody were purchased from Biodesign International (Kennebunk, ME). Methylamine hydrochloride, phosphatidylcholine-specific phospholipase C and sphingomyelinase were purchased from Sigma. Partially purified, anti-human alpha 2M polyclonal antibody and anti-human IgG polyclonal antibody were purchased from ICN Pharmaceuticals Inc. (Aurora, OH). HepG2 cells (HB-8065) were purchased from American Type Culture Collection (ATCC). Anti-LCAT goat polyclonal antibody and purified human recombinant LCAT (rLCAT) were a gift from Dr. Henry Pownall, Baylor College of Medecine,s Houston, TX. C-terminal histidine-tagged human recombinant lecithin:cholesterol acyltransferase (hrLCATH6) was a gift from Dr John S. Parks, Wake Forest University School of Medecine, Winston-Salem, NC. Anti-LCAT monoclonal antibody 2H11 was generously provided by Dr. Ross Milne, University of Ottawa Heart Institute. Mouse embryonic fibroblasts (MEF1) that express LRP, and mouse embryonic fibroblasts genetically deficient in LRP (MEF2) were generously provided by Dr. Joachim Herz, Department of Molecular Genetics, University of Texas Southwestern Medical Center at Dallas.

Blood Sampling-- Blood samples were obtained after an overnight fast from male subjects with an apoE3/3 phenotype. Blood was drawn from an arm vein into evacuated tubes containing ethylenediamine-tetraacetate (EDTA, final concentration 1.5 mg/ml). Blood collection tubes were immediately placed in ice. Plasma was obtained by centrifugation (3,000 rpm, 15 min) and was kept in ice until electrophoretic separation, which was routinely carried out within 30 min of plasma isolation, or was frozen at -70 °C until analysis of lipids and apolipoproteins.

Gel Electrophoresis-- Plasma samples were separated by two-dimensional, non-denaturing gradient gel electrophoresis as described previously (20, 21). In some experiments, only the alpha 2M-containing pre-beta 2-migrating segment (~2 cm) of agarose gels was separated in the second dimension.

Immunoprecipitation Procedures-- LCAT associated with alpha 2M was isolated from human plasma by immunoprecipitation. Plasma (120-500 µl) was incubated overnight at 4 °C with 50-200 µl of anti-human alpha 2M antibody or with control anti-human IgG antibody. The immunoprecipitates were centrifuged at 10,000 rpm for 6 min and washed three times with buffer (20 mM HEPES, pH 7.5, 0.15 M NaCl, 0.1% Triton, and 10% glycerol). They were analyzed by 4-22.5% SDS-polyacrylamide gel electrophoresis, together with molecular weight standards (Amersham Pharmacia Biotech). The presence of LCAT and alpha 2M in immunoprecipitates was detected by immunoblotting. The efficiency of alpha 2M immunoprecipitation was assessed as >95%, based on the absence of alpha 2M in the supernatant.

In Vitro Binding Studies-- alpha 2M-MA and LPL were iodinated using IODO-GEN® iodination reagent (1,3,4,6-tetrachloro-3alpha -6alpha -diphenylglycouracil, Pierce) (22). rLCAT and hrLCATH6 were iodinated as described by Bolin and Jonas (23). Free iodine was removed by PD10 column chromatography. Iodinated proteins were dialyzed extensively at 4 °C against phosphate-buffered saline, pH 7.4. These 125I-rLCAT preparations retained ~85% of control acyltransferase activity with rHDL substrates. LCAT activity decreased slightly over time. No difference in the binding of 125I-rLCAT to alpha 2M was observed between 125I-rLCAT preparations that retained 85% or 30% of control acyltransferase activity with rHDL substrates.

Preparation of alpha 2M-MA, alpha 2M, and binding experiments were performed as previously described (7). The effect of various apolipoproteins and reconstituted HDL particles on the binding of rLCAT to alpha 2M was determined by adding these substances (as specified for each experiment) to reaction tubes prior to the addition of 125I-rLCAT. In certain experiments, samples were treated with phospholipases or trypsin before addition of 125I-rLCAT. Bound and unbound 125I-rLCAT was separated by non-denaturing gradient gel electrophoresis 2.5-18% at 60 V (16 h, 15 °C). No dissociation of 125I-rLCAT bound to alpha 2M was detected with this electrophoretic system as assessed by reseparating electroeluted 125I-labeled rLCAT·alpha 2M or 125I-labeled rLCAT·alpha 2M-MA complexes. In experiments using 125I-rLCAT, gels were dried and exposed at -70 °C to XAR-2 Kodak film for 4-72 h. Exposed films were used as a template to identify the position of appropriate bands for excision and counting.

Measurement of LCAT Activity and LCAT Mass-- LCAT activity was measured as relative cholesterol esterification achieved during a 5-h incubation of plasma at 37 °C as described previously (21). The LCAT activity of the LCAT·alpha 2M complex was assayed as described previously (24) but with minor modifications. The [3H]cholesterol-labeled r(LpA-I) substrate was prepared as previously described (25) and was diluted in buffer (10 mM Tris-HCl, pH 8, 150 mM NaCl, 1 mM NaN3, and 0.01% EDTA) to give final apoA-I concentrations ranging from 10-7 to 10-6 M. Each reaction mixture contained 50 µl of 30 mg/ml bovine serum albumin and 50 µl of 100 mM beta -mercaptoethanol in a final volume of 300 µl. Incubation was for 3 h at 37 °C. LCAT activity was determined as the amount of esterified cholesterol that was incorporated into apoA-I-containing proteoliposomes. LCAT mass was measured by the method of Qu et al. (26), with purified LCAT as standard.

Preparation and Purification of 125I-rLCAT·alpha 2M-MA Complex-- 125I-rLCAT was incubated with alpha 2M-MA at 2:1 molar ratio for 24 h at 37 °C. Radiolabeled rLCAT·alpha 2M-MA complex was then separated from free 125I-rLCAT by 500-kDa exclusion filters and isolated from preparative non-denaturing gradient gels by electroelution. The integrity of the complex was evaluated by electrophoresis under non-denaturing conditions on 3-15% gradient gels followed by autoradiography.

Cell Culture-- HepG2 cells were cultured under standard conditions. Briefly, HepG2 cells (ATCC HB 8065) were grown in Eagle's minimum essential medium with nonessential amino acids, sodium pyruvate, and 10% fetal bovine serum. After a 24-hour incubation, serum-free medium from HepG2 (3 ml) were collected in the presence of 1 mmol/L phenylmethylsulfonyl fluoride, concentrated by using Centricon filters (Amicon) to a final volume of 200 µl and separated by two-dimensional gel electrophoresis.

Cell Association and Degradation Assays-- Mouse embryonic fibroblasts (MEF1) that express LRP and mouse embryonic fibroblasts genetically deficient in LRP (MEF2) were used. Cells were incubated with 125I-alpha 2M-MA, 125I-rLCAT, 125I-LPL and 125I-rLCAT·alpha 2M-MA complex at the concentrations indicated in the figure legends. Cell-specific binding, association, and degradation were measured after 5-h incubations at 4 °C or 37 °C. Aliquots of culture medium were taken for degradation of radiolabeled ligand by measurement of non-iodide 125I (soluble in 10% trichloroacetic acid) as previously described (27).

Lipid and Lipoprotein Assays-- Cholesterol and triglyceride concentrations were determined enzymatically on an autoanalyzer (Cobas Mira, Roche Molecular Biochemicals). HDL-cholesterol concentration was determined by measuring cholesterol in the supernatant after heparin-manganese precipitation of apoB-containing lipoproteins in the d > 1.006 g/ml fraction of plasma prepared by ultracentrifugation where d is density. Plasma apoB and apoA-I concentrations were measured by nephelometry (Behring Nephelometer 100 Analyzer). ApoE phenotypes were determined by immunoblotting of plasma separated by minigel electrophoresis (28). Low density lipoprotein (LDL) (1.019 < d < 1.063) and HDL3 (1.125 < d < 1.21 g/ml) were isolated from normolipidemic plasma by sequential ultracentrifugation using a Beckman ultracentrifuge. The total HDL fraction was isolated from plasma by automated gel filtration chromatography (FPLC).

    RESULTS
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

We used two-dimensional gel electrophoresis to separate plasma apolipoprotein complexes in the HDL size range (Fig. 1A). LCAT protein co-migrated in approximately equal proportions with alpha -HDL and alpha 2M plasma protein. LCAT was consistently found to co-migrate with plasma alpha 2M protein, having a molecular diameter of 18.5 nm. (Fig. 1A, right panel), detected with 125I-labeled anti-alpha 2M monoclonal antibody. LCAT migrated in the same position as alpha 2M (Fig. 1A, left panel). LCAT associated with alpha 2M was also detected in human cerebrospinal fluid (CSF) and in the medium of cultured HepG2 (Fig. 1B). Most of the LCAT in CSF and secreted by HepG2 cells was associated with alpha 2M and had an apparent diameter of 18.5 nm, as was the case for LCAT·alpha 2M in the plasma. alpha -LCAT species present in CSF and the medium of cultured HepG2 were smaller than alpha -LCAT in human plasma. The control sample in this experiment (Fig. 1B, right panel) was purified plasma alpha 2M, which contained bound LCAT.


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Fig. 1.   Separation of human plasma, CSF, and medium of cultured human hepatoma cells (HepG2) by two-dimensional gradient gel electrophoresis showing LCAT co-migrating with plasma alpha 2M. Upper panels, plasma (100 µl) from a normolipidemic subject was separated according to charge in the first dimension (from left to right) by agarose gel electrophoresis and then according to size in the second dimension (top to bottom) by polyacrylamide gradient (3-20%) gel electrophoresis. LCAT was detected with anti-LCAT monoclonal antibody (2H11) and then with goat anti-mouse 125I-labeled IgG. alpha 2M was detected by immunoblotting with an 125I-labeled anti-alpha 2M antibody. Lower panels, LCAT co-migrating with CSF, medium of cultured HepG2, and purified native plasma alpha 2M are indicated by vertical arrows.

To provide evidence for a direct association of LCAT with alpha 2M, we used a purified anti-alpha 2M IgG fraction to immunoprecipitate alpha 2M from the plasma of three normolipidemic subjects. The amount of LCAT associated with alpha 2M immunoprecipitate was assessed by immunodetection of LCAT and alpha 2M (Fig. 2A, upper panel) after separation by SDS-polyacrylamide gel electrophoresis. In lane a the nonspecific IgG immunoprecipitation revealed one IgG band detected by the second antibody used in the LCAT detection. Lanes b, c, and d demonstrate, in addition, an LCAT band with molecular mass of ~66 kDA. The absence and presence of alpha 2M in respective samples are shown in the (Fig. 2A, lower panel). Removal of alpha 2M from plasma by affinity chromatography reduced most of the LCAT associated with alpha 2M but not alpha -migrating LCAT (data not shown). The amount of plasma LCAT associated with alpha 2M was estimated to be ~40% of total plasma LCAT in the HDL size range (see later, Fig. 6A).


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Fig. 2.   Association of plasma LCAT with alpha 2M isolated by immunoprecipitation (A) and association of LCAT with commercially available alpha 2M (B and C). A, plasma from three normolipidemic subjects (200 µl) was immunoprecipitated with anti-human-alpha 2M (lanes b, c and d) or with nonspecific anti-human-IgG antibodies (lane a, one subject only). Immunoprecipitates were separated by SDS-polyacrylamide gradient-gel electrophoresis. LCAT and alpha 2M were detected by immunoblotting with polyclonal goat anti-human LCAT antibodies and then with 125I-labeled rabbit anti-goat IgG antibody (A, upper panel). alpha 2M was detected by 125I-labeled anti-alpha 2M antibody (lower panel). B, immunodetection of LCAT in native and methylamine-treated commercial alpha 2M (100 µg) separated by nondenaturing gel electrophoresis (lanes a and b, respectively). C, commercial alpha 2M separated by SDS polyacylamide gradient gel electrophoresis under nonreducing conditions and in the presence of a reducing agent (beta -mercaptoethanol) (lanes a and b, respectively). Purified rLCAT (5 µg) (lane c) was used as control. 125I-labeled molecular mass standards are also shown in panels A, B, and C.

LCAT was also present in commercial preparations of alpha 2M, purified by metal chelate chromatography. Lane a of the left panel of Fig. 2B shows that a significant amount of LCAT was immunodetectable in commercial alpha 2M separated, in this case, by non-denaturing gradient gel electrophoresis; the complex had an apparent diameter of 18.5 nm. The specificity of anti-LCAT antibody was confirmed by SDS-polyacrylamide gel electrophoresis under reducing conditions followed by immunodetection of LCAT in commercial preparations of alpha 2M.

LCAT was present with molecular masses of 66 kDa, as shown in lanes a and b of Fig. 2C. In this experiment purified rLCAT was used as control, lane c. The difference in apparent molecular mass between plasma LCAT dissociated from native purified alpha 2M and rLCAT (Fig. 2C) was because of different degrees of glycosylation as previously reported (29).

Methylamine activation of commercial alpha 2M did not dissociate LCAT from alpha 2M, as shown by the similar amount of LCAT associated with alpha 2M under non-denaturing conditions (Fig. 2B, lanes a and b, respectively). Under non-reducing conditions, SDS gel electrophoresis caused a part of LCAT to dissociate from commercial alpha 2M, as shown in lane a of Fig. 2C. LCAT·alpha 2M complex was resistant to boiling in the presence of SDS. In addition, the in vitro formation of 125I-rLCAT·alpha 2M was not inhibited by iodoacetic acid, indicating that free sulfhydryl groups are not required for complex formation, providing evidence for the non-covalent association of LCAT with alpha 2M (data not shown).

The binding of LCAT to activated (alpha 2M-MA) and native alpha 2M was investigated in vitro by incubation of 125I-rLCAT at 37 °C with different concentrations of alpha 2M for various times. Bound and unbound 125I-rLCAT were separated by nondenaturing gel electrophoresis, and 125I-rLCAT was quantified by direct scintillation counting. LCAT binding was found to occur in a time- and concentration-dependent manner. Maximum binding was reached after 6 h for both alpha 2M and alpha 2M-MA and remained constant for the remaining 18 h of the experiment (data not shown). alpha 2M-MA had a 2-fold greater capacity to bind LCAT relative to alpha 2M (Fig. 3, upper and left panels). The affinity of LCAT binding to both forms of alpha 2M was assessed from a double-reciprocal plot of the concentration-dependent binding data (right panel). Dissociation constants (KD) calculated from the slope of the regression lines were 3.93 and 1.9 µM for the nonactivated and activated forms of alpha 2M, respectively, indicating that LCAT had a greater affinity to bind to alpha 2M-MA than to alpha 2M.


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Fig. 3.   Concentration-dependent association of 125I-labeled rLCAT with native and alpha 2M-MA. 125I-rLCAT (10 ng, 45,000 cpm) was incubated at 37 °C for 3 h with increasing amounts of alpha 2M or alpha 2M-MA (0, 20, 60, 80, 100, 150, and 200 µg) and was separated (lanes a-g, top panel) by nondenaturing gel electrophoresis. 125I-rLCAT associated with alpha 2M or alpha 2M-MA was quantified by scintillation counting of excised bands. (bottom left panel). The affinity of LCAT binding to both forms of alpha 2M was assessed from a double-reciprocal plot of the binding data (right panel). LCAT had a greater affinity to bind to alpha 2M-MA than to alpha 2M (KD = 1.92 and 3.93 µM, respectively). C represents the number of radioactive counts in unbound LCAT; AC represents the number of counts in LCAT bound to alpha 2M or alpha 2M-MA (see Ref. 12).

We have previously reported that phosphatidylcholine-specific phospholipase C (PC-PLC) activate native alpha 2M (7). To verify that LCAT does not bind to alpha 2M through its well characterized proteinase-trapping mechanism, we determined whether the conformation of native alpha 2M could be affected by LCAT treatment. Native alpha 2M isolated by metal chelate chromatography (having detectable quantities of bound LCAT (Fig. 2B, lane a)) was incubated for 12 h at 37 °C with sphingomyelinase (SM-ase), PC-PLC, or rLCAT. alpha 2M-MA and trypsin-alpha 2M (alpha 2M-T) were used as activated forms of alpha 2M in this experiment. PC-PLC (but not SM-ase or rLCAT) caused alpha 2M to become "activated" (as evidenced by the smaller size and increased mobility of alpha 2M separated by nondenaturing gradient gel electrophoresis) as shown (Fig. 4).


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Fig. 4.   Effect of phospholipase and LCAT treatment on the conformation of alpha 2M. Preparation of alpha 2M (100 µg) was incubated with 5 units of phospholipase (PC-PLC or SM-ase) or 15 µg rLCAT for 12 h at 37 °C. Samples were separated by nondenaturing gradient gel electrophoresis (5-20%), and the presence of alpha 2M was detected with Coomassie Blue staining. Trypsin-activated alpha 2M (alpha 2M-T) and alpha 2M-MA were used as activated forms of alpha 2M in this experiment.

To verify that the association of LCAT does not depend on the presence of lipid, we investigated whether the binding of 125I-rLCAT could be prevented by prior treatment of alpha 2M with phospholipases (sphingomyelinase and phosphatidylcholine-specific phospholipase C) or delipidating solvents. No decrease was observed in the binding of 125I-rLCAT to native alpha 2M (data not shown).

We next investigated whether HDL particles would affect the association of LCAT with native alpha 2M. Native alpha 2M (50 µg) was incubated with increasing amounts of reconstituted HDL, r(LpA-I), or native HDL3 (Fig. 5). 50 µg of r(LpA-I) or HDL3 inhibited the association of LCAT with native alpha 2M by 50 and 30% respectively. At all concentrations used in this experiment, r(LpA-I) particles were more efficient inhibitors than native HDL3.


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Fig. 5.   Reduction of in vitro binding of rLCAT to native plasma alpha 2M by reconstituted HDL r(LpA-I) and native HDL3. 125I-rLCAT (35 ng) was incubated with native alpha 2M (50 µg) for 1 h at 37 °C with increasing amounts of r(LpA-I) or native HDL3 (0, 50, 100, and 200 µg). 125I-rLCAT·alpha 2M complexes were separated on nondenaturing gel and were quantified by scintillation counting of excised bands. Each data point represents the average of duplicate determinations.

We measured the ability of LCAT·alpha 2M complex to esterify cholesterol in vitro by examining the effect of removing the LCAT·alpha 2M complex from plasma by immunoprecipitation of alpha 2M using a purified anti-alpha 2M IgG fraction and nonspecific anti-human IgG. The fractional esterification rate of cholesterol in plasma was the same in alpha 2M-depleted plasma samples as in IgG-depleted plasma samples (Fig. 6B). As ~40% of the plasma LCAT was associated with alpha 2M (Fig. 6A), this result shows that LCAT associated with alpha 2M in plasma is inactive in the esterification of cholesterol. To investigate this observation further, we assayed for LCAT activity using a proteoliposome substrate. The same amount of LCAT (1 µg) present in commercial alpha 2M preparation (native alpha 2M and alpha 2M-MA), purified plasma alpha 2M (isolated by ultracentrifugation (d > 1.25) and separated from others plasma proteins by FPLC, thus reducing the possibility of inactivating LCAT by the purification process) and the IgG-depleted HDL fraction (isolated by FPLC) was tested for LCAT activity. Under these conditions, there was no significant LCAT activity in either conformation of commercial and purified plasma alpha 2M in contrast to the activity associated to HDL fraction (Fig. 6C).


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Fig. 6.   Distribution of plasma LCAT within the HDL size range (A), cholesterol esterification between lipoproteins in vitro in the presence and absence of LCAT·alpha 2M complex (B), and measurement of LCAT activity in purified LCAT·alpha 2M complex (C). A, after two-dimensional electrophoresis and transfer of proteins to a nitrocellulose membrane as in Fig. 1, LCAT was detected by anti-LCAT monoclonal antibody. Individually labeled membrane areas were excised and identified using the autoradiograph as template and their radioactivity were determined in a gamma -radiation spectrometer. Values given are means ± S.D. of five different experiments. Radioactivity in the alpha -migrating HDL region is the sum of that in the multiple punctate reaction areas. B, alpha 2M-depleted plasma or IgG-depleted plasma (200 µl) were tested for their capacity to esterify cholesterol. Cholesterol esterification was expressed as the difference in esterified form before and after incubation of plasma. C, LCAT activity of purified native commercial alpha 2M(C), alpha 2M-MA(C), purified alpha 2M(P) from fresh plasma, and IgG-depleted plasma HDL fraction isolated by FPLC (1 µg LCAT protein) was measured. FER, fractional esterification rate.

To evaluate the ability of 125I-rLCAT·alpha 2M complex to interact with the LRP receptor, we combined 125I-rLCAT with unlabeled alpha 2M-MA, and the resulting complex was purified. The inset of Fig. 8, shows gel electrophoretic separation of free 125I-rLCAT (lane a) and 125I-rLCAT·alpha 2M-MA complex (lane b). Equivalent amounts of 125I-alpha 2M-MA, 125I-rLCAT·alpha 2M-MA, 125I-rLCAT, and 125I-LPL were incubated with LRP-expressing cells LRP (+/+) and control cells that did not express LRP (-/-) at 4 °C for 5 h, and the levels of specific binding were measured. As shown in Fig. 7B, incubation with cells expressing the LRP receptor resulted in the binding of 125I-rLCAT·alpha 2M-MA complex, but cells deficient in this receptor (MEF2, LRP -/-) were unable to bind significant amounts of 125I-rLCAT·alpha 2M-MA complex. In separate experiments (Fig. 7A) we have confirmed the absence of LRP from MEF2 (LRP -/-) cells by measuring the specific binding of 125I-alpha 2M-MA.


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Fig. 7.   Cells expressing LRP receptor bind 125I-rLCAT·alpha 2M-MA complex. MEF1 (LRP+/+) or MEF2 (LRP -/-) cells were incubated for 5 h at 4 °C with either 125I-alpha 2M-MA (2 µg/ml, 6000-7000 cpm/ng) as shown in A, purified 125I-rLCAT·alpha 2M-MA complex (4 µg/ml, 4500-5000 cpm/ng) as shown in B, purified 125I-rLCAT (1 µg/ml, 14000 cpm/ng) as shown in C, and purified 125I-LPL (0.5 µg/ml, 5000 cpm/ng) as shown in D. To determine the specific binding, the following unlabeled competitors concentration were used: alpha 2M-MA, 150 µg; rLCAT, 50 µg; and LPL, 20 µg. Plotted values are means ± S.D. of triplicate values. One experiment, representative of three, is shown.

To determine whether 125I-rLCAT alone might interact with LRP-receptor, we added equivalents amount of 125I-rLCAT to cultured MEF1 (LRP+/+) and control MEF2 (LRP-/-), and the level of specific binding was measured. As shown in Fig. 7C, minimal LCAT binding to LRP +/+ and LRP -/- cells is observed. The control protein in this experiments was purified LPL, which bind to LRP +/+ but not significantly to LRP -/- (Fig. 7D).

To evaluate the ability of 125I-rLCAT·alpha 2M-MA complex to interact with the LRP receptor, equivalent amounts of 125I-rLCAT·alpha 2M-MA were incubated with LRP (+/+) and control LRP (-/-) cells, and the level of cell association and degradation of this complex was measured. As shown in Fig. 8, incubation with cells expressing the LRP receptor resulted in the internalization and degradation of the complex, but cells deficient in this receptor (LRP -/-) were unable to internalize or degrade significant amounts of 125I-rLCAT· alpha 2M-MA complex.


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Fig. 8.   Cells expressing LRP receptor internalize and degrade 125I-rLCAT·alpha 2M-MA complex. MEF1 (LRP+/+) or MEF2 (LRP -/-) cells were incubated for 5 h at 37 °C with purified 125I-rLCAT·alpha 2M-MA complex (4 µg/ml, 4500-5000 cpm/ng). The inset shows an autoradiograph of purified 125I-rLCAT·alpha 2M complex (lane b) and free 125I-rLCAT (lane a). The amount of specific cell-associated radioactivity (bound plus internalized and degraded) is shown. Plotted values are means ± S.D. of triplicate values. One experiment, representative of three, is shown.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

We have shown that LCAT, co-migrates with alpha 2M in human plasma in an intermediate-sized complex (18.5 nm in diameter) between LDL and HDL lipoproteins (Fig. 1A). Plasma LCAT associated with alpha 2M could be specifically immunoprecipitated using antibodies directed against alpha 2M. Another experiment demonstrated that purified native alpha 2M (isolated by metal-chelate chromatography) consistently contained detectable amounts of LCAT (Fig. 2B). LCAT became bound to alpha 2M in a concentration-dependent manner (Fig. 3). Such binding does not depend on the presence of lipid molecules and, for LCAT, is apparently noncovalent (Fig. 2C, right panel, lane a). LCAT may be recognizing a protein motif, such as an amphipathic alpha -helix, that is common to apolipoproteins and alpha 2M and is independent of lipid content. The association of LCAT with apolipoprotein complexes may thus be due to direct protein-protein interaction, suggesting that LCAT binding and activation by apolipoprotein are independent events. It was documented that the association of LCAT to lipoprotein surfaces essentially was independent of their composition (31).

We have previously shown (7) that the binding of apoE to alpha 2M depends on the apoE phenotype. Charge or conformational differences in LCAT mutants might similarly affect their binding to alpha 2M species in plasma. Adimoolam et al. (32) have shown that two naturally occurring mutants of human LCAT, T123I and N228K, expressed in COS-1 cells, bind to a lipoprotein particle (rHDL) with about half the affinity of wild-type LCAT. Again, activated alpha 2M-MA binds two times as much LCAT as native alpha 2M (Fig. 3), and various cytokines and growth factors (e.g. TGF-beta 1, NGF-beta , PDGF, bFGF, and TNF-alpha ) also bind to alpha 2M-MA with greater affinity than to native alpha 2M (12).

LCAT shares several sequence regions with other lipases (33). Phosphatidylcholine-specific phospholipase C activates alpha 2M (7), but rLCAT does not (Fig. 4). This suggests that LCAT does not bind to alpha 2M through its well characterized proteinase-trapping mechanism (34).

The binding studies shown in Fig. 3 predict that LCAT bound with low affinity to native alpha 2M may dissociate from the complex in the presence of LpA-I particles. We postulate that native discoidal HDL particles affect the availability of active LCAT, which is crucial for their maturation, by modulating its dynamic distribution between alpha -migrating HDL and alpha 2M. When 125I-labeled rLCAT was incubated with alpha 2M in the presence of a 4-fold excess of r(LpA-I) over alpha 2M, the association of rLCAT with alpha 2M was almost completely inhibited. Actually, r(LpA-I) inhibited the binding of 125I-rLCAT with alpha 2M more efficiently than did native HDL3 (Fig. 5).

Studies by Adimoolam et al. have documented that normal LCAT dissociates from rHDL after one catalytic cycle (32). It is possible that the fraction of LCAT bound preferentially to alpha 2M reflects a catabolic compartment. We may say that an important proportion of HDL-sized LCAT (40%) is sequestered into in an inactive pool by alpha 2M, which does not react with cholesterol of lipoprotein origin (Fig. 6) and leads to the concept that plasma alpha 2M inhibits the enzymatic activity of LCAT. It is not possible to use a water-soluble substrate such as p-nitrophenylvalerate to provide evidence that the LCAT associated with alpha 2M is catalytically active; the latter being a substrate for serine proteases and esterases, it might also interact with chymotrypsine (30), which binds to native purified alpha 2M.

LCAT with low activity has been demonstrated in CSF (35). LCAT may be synthesized in the brain (36). Recently, Collet et al. (37) reported that cultured nerve cells secreted a functional LCAT protein. The present study shows that most of the LCAT in CSF was associated with alpha 2M (Fig. 1B). Although the functional significance of LCAT binding to alpha 2M in CSF remains to be determined, this complex may be involved in mediating the clearance of LCAT by the LRP receptor in the brain.

One can also speculate that native alpha 2M could be involved in the stabilization, the decreased plasma clearance, and the resistance of plasma LCAT to proteinase cleavage. Indeed, we have observed that significant amounts of rLCAT resisted trypsin digestion when bound to alpha 2M, whereas unbound rLCAT was readily degraded (data not shown).

The results presented in this study provide direct evidence that LRP is a receptor for the LCAT·alpha 2M-MA complex (Figs. 7 and 8), thus indicating that it could mediate LCAT·alpha 2M-MA binding, endocytosis, and degradation in any tissue that expresses LRP. This work provides evidence for the first time that the LRP receptor may play an important role in the catabolism of LCAT.

Further study of the interaction between LCAT and alpha 2M may provide new insights into plasma factors affecting HDL particles remodeling, the mechanism of reverse cholesterol transport, and the clearance of LCAT via an alpha 2M/LRP receptor that is dependent on the conformation of alpha 2M in vivo.

    ACKNOWLEDGEMENTS

We thank Denise Dubreuil, Head Nurse at the Clinical Research Institute of Montreal Lipid Clinic, Nancy Doyle and Lucie Boulet for their technical support for this project, and Joanne Griffith for editorial assistance. hLCATH6 was generously provided by Dr. John S. Parks. Anti-LCAT monoclonal antibody was generously provided by Dr. Ross Milne and goat antiserum to human LCAT and purified LCAT were generously provided by Dr. Henry Pownall. MEF was a gift from Dr. Joachim Herz. LPL was generously provided by Dr Ira Goldberg. CSF was generously provided by Dr Jude Poirier. The helpful advice of Drs. Jonathan Lamarre, Laurence Mabile, Steven L. Gonias, Arnold von Eckardstein, and the late Peter J. Dolphin is gratefully acknowledged.

    FOOTNOTES

* This work was supported by a grant from Pfizer within the framework of university/industry (Canadian Institutes of Health research program DOP40845 and CIHR grant MOP15042) and by La Succession J. A. De Sèves.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.

To whom correspondence should be addressed: McGill University Health Center/Royal Victoria Hospital, Cardiology Division M4.76, 687 Pine Ave. West, Montréal, Québec, Canada H3A 1A1. Tel.: 514-842-1231 ext. 4642; Fax: 514-843-2843; E-mail: jacques.genest@muhc.mcgill.ca.

Published, JBC Papers in Press, July 2, 2001, DOI 10.1074/jbc.M100326200

    ABBREVIATIONS

The abbreviations used are: LCAT, human lecithin:cholesterol acyltransferase; HDL, high density lipoprotein; LDL, low density lipoprotein; RCT, reverse cholesterol transport; alpha 2M, alpha 2-macroglobulin; LRP, lipoprotein receptor-related protein; LPL, lipoprotein lipase; rLCAT, recombinant LCAT; hr, human recombinant; MEF, mouse embryonic fibroblasts; MA, methylamine-activated; FPLC, fast protein liquid chromatography; CSF, cerebrospinal fluid; PC-PLC, phosphatidylcholine-specific phospholipase C.

    REFERENCES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

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