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Originally published In Press as doi:10.1074/jbc.M112103200 on March 6, 2002

J. Biol. Chem., Vol. 277, Issue 24, 21576-21584, June 14, 2002
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The Effects of Mutations in Helices 4 and 6 of ApoA-I on Scavenger Receptor Class B Type I (SR-BI)-mediated Cholesterol Efflux Suggest That Formation of a Productive Complex between Reconstituted High Density Lipoprotein and SR-BI Is Required for Efficient Lipid Transport*

Tong LiuDagger , Monty Krieger§, Horng-Yuan KanDagger , and Vassilis I. ZannisDagger

From the Dagger  Section of Molecular Genetics, Whitaker Cardiovascular Institute, Department of Medicine and Biochemistry, Boston University School of Medicine, Boston, Massachusetts 02118 and the § Biological Department, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139

Received for publication, December 18, 2001, and in revised form, February 26, 2002

    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

We have studied the effects of mutations in apoA-I on reconstituted high density lipoprotein (HDL) particle (rHDL(apoA-I)) binding to and cholesterol efflux from wild-type (WT) and mutant forms of the HDL receptor SR-BI expressed by ldlA-7 cells. Mutations in helix 4 or helix 6 of the apoA-I reduced efflux by 79 and 51%, respectively, without substantially altering receptor binding (apparent Kd values of 1.1-4.4 µg of protein/ml). SR-BI with an M158R mutation bound poorly to rHDL with WT and helix 4 mutant apoA-I; the helix 6 mutant restored tight binding to SR-BI(M158R) (Kd values of 48, 60, and 7 µg of protein/ml, respectively). SR-BI(M158R)-mediated cholesterol efflux rates, normalized for binding, were high for all three rHDLs (71-111% of control). In contrast, absolute (12-19%) and binding-corrected (24-47%) efflux rates for all three rHDLs mediated by SR-BI with Q402R/Q418R mutations were very low. We propose that formation of a productive complex between apoA-I in rHDL and SR-BI, in which the lipoprotein and the receptor must either be precisely aligned or have the capacity to undergo appropriate conformational changes, is required for efficient SR-BI-mediated cholesterol efflux. Some mutations in apoA-I and/or SR-BI can result in high affinity, but non-productive, binding that does not permit efficient cholesterol efflux.

    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Apolipoprotein A-I (apoA-I)1 is the major protein constituent of high density lipoprotein (HDL) and plays crucial roles in the synthesis, structure, and functions of HDL (1). ApoA-I undergoes gradual extracellular lipidation by the action of ABCA-1 (2-5), leading to the formation of pre-beta 1, discoidal pre-beta 2, and spherical alpha -HDL particles (6-9). In either its lipid-free, pre-beta -HDL-associated, alpha -HDL-associated, or reconstituted HDL (PC/cholesterol/apoA-I disks, rHDL) forms, apoA-I promotes efflux of cholesterol from cells, thus providing substrate for the lecithin-cholesterol acyltransferase reaction (10). In HDL, apoA-I is the principal physiological activator of lecithin-cholesterol acyltransferase (11-13). ApoA-I also promotes high affinity binding of HDL and rHDL particles to cells (14-17), and analysis of apoA-I-deficient mice highlighted the importance of apoA-I for the delivery of HDL cholesterol to steroidogenic tissues via selective lipid uptake (18).

A number of the functions of apoA-I appear to be mediated by a cell surface HDL receptor called scavenger receptor class B type I (SR-BI) (14, 15, 19, reviewed in Ref. 20). SR-BI binds HDL and rHDL, at least in part via apoA-I (14, 15). In addition, it can bind other lipoproteins (21, 22) and exhibits complex binding properties consistent with multiple classes of binding sites or modes of binding different ligands (19, 23, 24). On binding lipoproteins, SR-BI mediates both selective cholesteryl ester uptake from the lipoprotein to the cells (19, 23-25) and bi-directional unesterified cholesterol movement (23, 26, 27). In addition to cholesteryl esters (19), SR-BI can mediate cellular uptake from HDL of free cholesterol (27, 28), triglycerides (28, 29), phospholipids (30), and vitamin E (31-35). SR-BI-mediated cholesterol, cholesteryl ester, and triglyceride movement between lipoproteins and cells and the affinity of ligand binding to SR-BI can be influenced by variations in the size and apolipoprotein and lipid compositions of the HDL particles (14, 15, 29, 30, 36-40). For example, when the apparent Kd values (microgram of protein/ml) of discoidal apoA-I-reconstituted HDLs are compared with those of native plasma HDL, the rHDL is seen to bind 5-10-fold more tightly than the spherical HDL (14, 15).

The physiologic importance of the interaction of SR-BI with HDL (apoA-I) has been established by a variety of in vivo studies, primarily using rodents (reviewed in Refs. 20 and 41). SR-BI controls the structure and composition of plasma HDL, the cholesterol contents of HDL, the adrenal gland, ovary, and bile (42, 43), and helps protect against atherosclerosis in murine models (43-46 and reviewed in Ref. 47). It is clear that the ability of SR-BI to mediate selective lipid uptake from HDL plays a role in HDL metabolism in rodents. Although the physiologic significance of SR-BI-mediated efflux of cholesterol out of cells remains to be determined, analysis of this efflux has provided important insights into the properties of SR-BI and the mechanisms underlying its ligand binding and lipid transport activities.

It appears that SR-BI-mediated transport of lipids between cells and lipoproteins involves two sequential steps as follows: 1) lipoprotein binding and 2) binding-dependent, yet distinct, SR-BI-mediated lipid transfer (23). Although it has been proposed that SR-BI-mediated efflux of cholesterol from cells to HDL might occur as a consequence of SR-BI-mediated changes in the structure of the cell membrane and be independent of HDL binding to the receptor (48), compelling evidence that HDL binding to SR-BI is required for SR-BI-dependent efflux has appeared (23).

The two-step nature of SR-BI activity raised the question of whether distinct features of the structures of apoA-I or SR-BI were responsible for each of these steps and if only certain "productive" modes of apoA-I/HDL binding to SR-BI were compatible with efficient lipid transfer. Would it be possible using in vitro mutagenesis to identify residues in apoA-I or SR-BI that, when altered, would block one step (e.g. lipid transfer) but not the other (e.g. ligand binding)? In the current study, we have examined the receptor binding properties and the cholesterol efflux capacity of discoidal PC/cholesterol/apoA-I rHDL particles prepared with either unaltered (wild-type, WT) or mutant apoA-I. ApoA-I with double point mutations in charged residues either in helix 4 (D102A/D103A) or helix 6 (R160V/H162A) were used. These residues were mutated because they have been proposed to participate in interhelical interactions of antiparallel apoA-I molecules in discoidal rHDL particles (49, 50) and are close to the kinks (51) (or beta -turns according to Atkinson's model (52)) of apoA-I that precede helix 4 and helix 6 of apoA-I, respectively. We expected that disruption of these interhelical charge interactions or elimination of the charge of the surface amino acid exposed to the aqueous phase might alter the nature of the interactions between apoA-I and SR-BI. In addition to studying the effects of these mutations in apoA-I on the interactions of rHDL with wild-type SR-BI, we examined rHDL binding and cholesterol efflux from transfected cells expressing mutated forms of SR-BI that have defects in binding and mediating lipid transfer either to both HDL and LDL (ldlA[M158R]) or to spherical plasma HDL particles but not to plasma LDL (ldlA[Q402R/Q418R]) (23, 24). The results support a model in which efficient SR-BI-mediated lipid transfer depends on productive binding of apoA-I to the receptor. Nonproductive binding interactions are possible, but these do not support efficient lipid transfer. Our findings also provide additional support for the proposal that efficient cholesterol efflux mediated by SR-BI is dependent on HDL binding to the receptor.

    EXPERIMENTAL PROCEDURES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Materials

Vent polymerase, T4 ligase, and restriction enzymes were purchased from New England Biolabs (Beverly, MA). Other materials for the PCR were obtained from PerkinElmer Life Sciences. Oligonucleotides for PCR, DH10Bac competent cells, Sf900-II SFM, Ham's F-12 medium, fetal bovine serum, trypsin/EDTA, penicillin/streptomycin, glutamine, and G418 sulfate and rTEV protease were purchased from Invitrogen. Bactotryptone and bacto-yeast extract were obtained from VWR Scientific (Pittsburgh, PA). Other reagents (and sources) are as follows: sodium [125I]iodide, [1,2-3H]cholesterol (1 mCi/ml, specific activity of 40-60 Ci/mmol) (PerkinElmer Life Sciences); fatty acid-free bovine serum albumin, cholesterol, sodium cholate, and 1-palmitoyl-2-oleoyl-L-phosphatidylcholine (POPC); aprotinin, benzamidine, leupeptin, and phenylmethylsulfonyl fluoride, o-phenylenediamine dihydrochloride, Triton X-100 from Sigma; dialysis tubing (Spectrum Medical Industries, Inc., Los Angeles, CA); immunoblot polyvinylidene difluoride membrane, Bio-Rad Dc Protein Assay Kit (Bio-Rad); monoclonal anti-human apoA-I antibody 5F-6 (Ottawa Heart Institute, Ontario, Canada); anti-mouse IgG conjugated to horseradish peroxidase and 3',3'-diaminobenzidine or enhanced chemiluminescence reagent (Amersham Biosciences); peroxidase-conjugated sheep anti-human apoA-I antibody (Biodesign International Inc., Saco, ME). Nickel-nitrilotriacetic acid resin was purchased from Qiagen Inc. (Hilden, Germany). All other reagents were purchased from Sigma, Bio-Rad, or other standard commercial sources as described previously (14).

Methods

Generation of Expression Plasmids Containing WT and Point Mutations in apoA-I; Expression of apoA-I in the Baculovirus System and Protein Purification-- To generate baculoviruses expressing wild-type and mutant apoA-I forms, a BamHI-SalI fragment containing human apoA-I cDNA was cloned into the polylinker region of pFASTBAC donor plasmid that contains the ampicillin and gentamycin resistance genes (Invitrogen). This recombinant plasmid also contains a histidine tag and the Tobacco Etched viral (TEV) protease cleavage site. The apoA-I-containing plasmid was used to transform DH10Bac Escherichia coli cells (Invitrogen). These cells had been transformed previously with the baculovirus genome containing the lacZ and kanamycin resistance genes, along with a helper plasmid containing the tetracycline resistance gene and the transposase genes. Transposition of the apoA-I gene into the lacZ gene disrupts the expression of lacZ and provides a recombinant plasmid named bacmid.

The generation of the donor plasmid expressing WT apoA-I was described previously (14). For the generation of AI(D102A/D103A) and AI(R160V/H162A), the human apoA-I cDNA was mutagenized by PCR, using a set of specific mutagenesis primers, containing the mutation of interest, and a set of flanking universal primers containing the restriction sites BamHI and SalI, using the pBluescript-AI cDNA plasmid as template. For the mutagenesis of AI(D102A/D103A), 5' (AIMIV1-5) and 3' (AIMIV1-3) primers were used. For the mutagenesis of AI(R160V/H162A), 5' (AIMIV4-5) and 3' (AIMIV4-3) primers were used. The set of universal primers are 5' (AIWC-5) and 3' (AIWC-3) (see Table I) (53). The generation of the donor plasmid expressing apoA-I(Delta (1-59)) was described previously (14). For the generation of apoA-I(Delta (185-243)), the region between amino acids +1 and +184 was amplified using the 5' (AIC-5) and 3' (AIM3-3) primers, respectively (see Table I). The DNA fragment containing the mutation of interest was digested with BamHI and SalI and cloned into the corresponding sites of pFASTBAC donor plasmid. Cells containing recombinant bacmids were selected by kanamycin, tetracycline, and gentamycin resistant as white colonies due to the disruption of lacZ sequence in the recombinant bacmid. Recombinant bacmid DNA was isolated from minipreps and used to transfect a monolayer of Sf-9 insect cells (54-56). Recombinant viruses were isolated, amplified, titrated, and used to infect larger Sf-9 cell cultures grown in suspension at 27 °C. Sf-9 cells were pelleted and resuspended in a lysis buffer. The supernatant was used for the purification of apoA-I fusion proteins using a nickel-nitrilotriacetic acid resin affinity chromatography (57, 58). The pure apoA-I without the His tag, when needed, was obtained by cleavage with TEV protease and purified by a second nickel-nitrilotriacetic acid resin affinity column.

                              
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Table I
Oligonucleotides used in PCR amplification and mutagenesis

Preparation of Discoidal Reconstituted HDL Particles (rHDLs) of Apolipoprotein, POPC, and Cholesterol-- Complexes composing apolipoprotein, phosphatidylcholine (POPC), and cholesterol were prepared using the sodium cholate dialysis method (59) with minor modifications. The complexes were prepared at a apoA-I:POPC:cholesterol molar ratio of 1:100:10, as reported previously (15). Briefly, POPC and cholesterol were mixed and dissolved in glass-distilled chloroform:methanol (2:1). The solvent was evaporated under nitrogen. After drying, the lipids were suspended in buffer A (10 mM Tris-HCl, 0.15 M NaCl, and 1% sodium EDTA (w/w), pH 8.0) by vortexing and held on ice for 1 h. Then sodium cholate (the final cholate/POPC molar ratio was 1) was added, and the mixture was incubated for 1 h on ice. The appropriate amount of apolipoprotein was then added, followed by an hour-long incubation on ice. The sodium cholate was then removed by extensive dialysis against buffer A at 4 °C using tubing with a molecular mass cut-off of 12-14 kDa. Complexes were stored under nitrogen at 4 °C. Apolipoprotein-lipid complex formation was verified by analysis with native polyacrylamide gradient (8-25%) gel electrophoresis (PhastGel system, Amersham Biosciences). The lipid-free apoA-I that was not incorporated in the lipid protein complexes was removed from the preparation either by dialysis using a dialysis membrane with a molecular mass cut-off of 50 kDa or by gel filtration using an Amersham Biosciences Superose 6HR column, 10/30 (total bed volume 24 ml). The column was loaded with 200 ml of sample in buffer A and was eluted with buffer A at a rate of 0.4 ml/min, with a 0.5-ml fraction size. rHDL particles were usually recovered in fractions 9-14, as determined by native gradient gel electrophoresis (8-25%) using the PhastGel (Amersham Biosciences).

Cell Cultures for Receptor Binding Assays and [3H]Cholesterol Efflux-- The ldlA-7 cell line is an LDL receptor-deficient Chinese hamster ovary cell mutant that expresses very little SR-BI protein or HDL binding/selective uptake activity (21, 60). The ldlA-7 cells were maintained in monolayer culture in Ham's F-12 medium containing 5% fetal bovine serum, 100 units/ml penicillin, 100 mg/ml streptomycin, and 2 mM glutamine (medium A). The generation of cell lines expressing the WT and mutant forms of SR-BI designated as ldlA[mSR-BI], ldlA[Q402R/Q418R], and ldlA[M158R], respectively, were described previously (19, 23, 24). These cells were maintained as stock cultures in medium A supplemented with 500 µg/ml G418 (medium B). All incubations with cells were performed at 37 °C in a humidified 5% CO2, 95% air incubator.

Immunoreceptor Assay by ELISA-- To detect the association of rHDL particles containing apoA-I with different cells, the immunoreceptor assay as reported by us previously (14) was modified to use ELISA, instead of Western blotting. On day 0, cells were plated in 6-well dishes at 3 × 105 cells/well in medium A (ldlA-7) or medium B (ldlA[mSR-BI], ldlA[M158R], or ldlA[Q402R/Q418R]). On day 2, the monolayers were washed twice with Ham's F-12 medium containing 100 units/ml penicillin, 100 mg/ml streptomycin, and 2 mM glutamine (medium C) and then re-fed with 0.7-1 ml of medium C with the indicated amounts of apoA-I containing rHDL particles or spherical HDL. After a 2-h incubation at 37 °C, the cells were washed twice at 4 °C with buffer B (50 mM Tris-HCl, 0.15 M NaCl, pH 7.4) containing 2 mg/ml fatty acid-free bovine serum albumin, followed by one rapid wash with buffer B alone. The cells were then solubilized in lysis buffer (PBS, 1% Triton X-100, 50 mg/ml phenylmethylsulfonyl fluoride, 1 mg/ml pepstatin A, 20 mg/ml aprotinin, and 10 mg/ml leupeptin) and incubated, with shaking, at 4 °C for 30 min. The cell lysates were collected by scraping the wells and were clarified by centrifugation at 14,000 rpm in a Beckman Microfuge for 20 min at 4 °C. The protein concentrations of the cell lysates were determined by BCA Protein Assay (61). An aliquot of 20~30 µg of cell lysate was used to determine the receptor association using ELISA.

For receptor association experiments, the Maxisorb 96-well plates were coated with anti-human apoA-I monoclonal antibody (1 µg/ml) (Ottawa Heart Institute, Ontario, Canada) diluted 1:800 in PBS at 100 µl/well and stored at 4 °C overnight. The coating solution was aspirated, and the well was washed three times with washing buffer (0.05% Tween 20 in PBS) at 200 µl/well. Blocking buffer (10% nonfat dry milk in washing buffer) was then added at 200 µl/well. The plates were incubated at room temperature for 1.5 h and washed three times with washing buffer. Cell lysates were diluted in PBS to a total volume of 100 µl and were added in each well and then incubated at room temperature for 1 h. To obtain a standard curve, rHDL particles containing a different amount of apoA-I, mixed with 20-30 µg of the lysate of blank cells (ldlA-7, ldlA[mSR-BI], ldlA[Q402R/Q418R], or ldlA[M158R]) that were not treated with rHDL particles or any lipoprotein, were adjusted to a total volume of 100 µl and were added to different wells. After the plates were washed with washing buffer three times, the secondary antibody (sheep anti-human apoA-I, peroxidase-conjugated) diluted 1:500 in blocking buffer was added at 100 µl/well. The plates were incubated at room temperature for 1 h and washed with washing buffer three times. An aliquot of 200 µl of o-phenylenediamine dihydrochloride substrate (0.4 mg/ml; urea hydrogen peroxide, 0.4 mg/ml; phosphate-citrate buffer 0.05 M) was added to each well. After a 30-min incubation at room temperature, the reaction was terminated by adding 50 µl of 2 N H2SO4 per well. The absorbance was measured at 490 nm using a microtiter plate reader. A polynomial second order regression was used as the best fit for the standard curve. The specific binding was obtained by subtracting the binding of the ldlA-7 cells from the binding of the SR-BI expressing cells from each experimental point, and it was expressed as nanograms of cell-associated HDL or rHDL particles per mg of total cell protein. The cell-associated ligands were analyzed as a function of concentration by nonlinear regression by the program Prism using a one-site binding isotherm.

[3H]Cholesterol Efflux from ldlA-7 Cells and Stably Transfected ldlA-7 Cells Expressing Wild-type and Mutant Forms of mSR-BI-- On day 0, cells were plated in 6-well plates as described above at a density of 2 × 105 cell/well. On day 1, the medium in each well was replaced with 2 ml of labeling medium (medium C containing 10% heat-inactivated NCLPDS and 1 µCi/ml [1,2-3H]cholesterol). On day 3, cells were washed once with medium C and then incubated in 2 ml of equilibration medium (medium C containing 1% fatty acid-free bovine serum albumin). On day 4, cells were washed once with medium C and then incubated at 37 °C for 45 min with 1 ml of medium C. After a single washing with medium C, 1 ml of efflux medium (medium C containing 10 mM HEPES, pH 7.0, and the appropriate amounts of lipoproteins) was added to each well. Cells were then incubated at 37 °C. At the indicated times, 65 µl of efflux medium was removed from the wells and clarified by centrifugation for 1 min in a microcentrifuge. The radioactivity in 50 µl of the supernatant was then measured by liquid scintillation counting. At the end of the incubation, the remaining efflux medium was discarded, and the cells were lysed in 800 µl of lysis buffer (PBS and 1% Triton X-100) for 30 min at room temperature. The radioactivity in 100 µl of each cell lysate was determined by liquid scintillation counting, and the percent of efflux was calculated. Total cellular [3H]cholesterol was calculated as the sum of the radioactivity in the efflux medium plus the radioactivity in the cell lysate. The percent of [3H]cholesterol efflux represents cholesterol released into the medium at different times divided by the total cholesterol and multiplied by 100. To calculate the net SR-BI-mediated efflux, the cholesterol efflux of the untransfected ldlA-7 cells was subtracted from the cholesterol efflux of the SR-BI expressing cells.

    RESULTS
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Effects of ApoA-I Mutations on Binding and Cholesterol Efflux Mediated by Wild-type SR-BI-- To examine the effects of introducing double point mutations into apoA-I on the ability of the apoA-I to interact with SR-BI, we prepared PC/cholesterol/apoA-I discoidal rHDL particles with either native (wild-type, rHDL(WT)) apoA-I, or apo-AI with mutations in helix 4 (D102A/D103A, rHDL(helix 4 M)) or helix 6 (R160V/H162A, rHDL(helix 6 M)). All three rHDLs had similar particle sizes consisting primarily of particles with apparent diameters of 96 Å (not shown). Various concentrations of these rHDL preparations were incubated at 37 °C with control ldlA-7 cells that express almost no SR-BI (19, 21, 23) or ldlA-7 cells that express high levels of wild-type murine (m) SR-BI as a consequence of stable transfection with a mSR-BI expression vector (ldlA[mSR-BI]) (19, 23). The mSR-BI-dependent binding of rHDL to the cells as a function of rHDL concentration (Fig. 1A) was determined using an ELISA immunoreceptor binding assay (see "Experimental Procedures"), and the efflux of [3H]cholesterol from cells pre-labeled with this sterol was measured as a function of time at a fixed concentration of rHDL (Fig. 1, B-D). Fig. 1A shows that the high affinity and extent of SR-BI-dependent binding (differences between the binding to ldlA[mSR-BI] and control ldlA-7 cells) for all three rHDL preparations (rHDL(WT), rHDL(helix 4 M), and rHDL(helix 6 M)) were similar (apparent Kd values of 4.4 ± 1.1, 3.9 ± 0.8, and 1.1 ± 0.5 µg protein/ml, respectively). The similarities of the binding of these rHDLs to SR-BI were confirmed independently in experiments in which binding of 125I-HDL to cells was competed by varying concentrations of the rHDLs (data not shown).


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Fig. 1.   rHDL binding to and rHDL-dependent [3H]cholesterol efflux from control cells (ldlA-7) and cells expressing wild-type SR-BI (ldlA[mSR-BI]) A-F. A, concentration dependence of the binding of rHDL particles prepared with WT apoA-I, the helix 4 double mutant (D102A/D103A), or the helix 6 double mutant (R160V/H162A) to ldlA[mSR-BI] cells. On day 2 after plating, association of the indicated lipoproteins with ldlA[mSR-BI] or ldlA-7 cells was determined using the immunoreceptor assay as described under "Experimental Procedures." The specific binding shown in A was determined by subtracting the values of binding to the ldlA-7 cells from the corresponding values of binding to the ldlA[mSR-BI] cells. Values shown are representative of three independent experiments. The apparent Kd values for association with ldlA[mSR-BI] cells were determined by nonlinear regression analysis. B-D, ldlA[mSR-BI] and ldlA-7 cells were plated at 200,000 cells/well in 6-well dishes, labeled with [3H]cholesterol for 48 h in medium C containing 10% NCLPDS, washed, incubated in equilibration medium for 24 h, washed, and incubated for 45 min at 37 °C with 1 ml of medium C. The medium was then aspirated and replaced with 1 ml of efflux medium containing 28 µg of protein/ml (1 µM) of rHDL prepared with the indicated apoA-Is. After incubation at 37 °C for the indicated times, [3H]cholesterol released to the media from ldlA-7 cells (B) or ldlA[mSR-BI] cells (C) was measured as described under "Experimental Procedures." D shows the differences in cholesterol efflux between ldlA[mSR-BI] and ldlA-7 cells (SR-BI-mediated efflux). E shows the relative values (%) of SR-BI-dependent net cholesterol efflux from the ldlA[mSR-BI] cells to the different rHDL acceptors. The 100% efflux value was defined as the efflux observed using ldlA[mSR-BI] cells and rHDL particles containing WT apoA-I after a 4-h incubation at 37 °C as shown in D. The value used was the average of three experiments and corresponded to a net efflux of 23% of 3H-labeled cellular cholesterol. F shows the relative values (%) of cholesterol efflux from ldlA[mSR-BI] cells expressing the WT receptor normalized by the relative amount of SR-BI-dependent rHDL binding to the ldlA[mSR-BI] cells for the different rHDL acceptors. The 100% receptor binding value was defined as the amount of rHDL(WT) binding to ldlA[mSR-BI] cells observed at an rHDL concentration of 28 µg of protein/ml (1 µM). The acceptor rHDL particles containing WT or mutant apoA-I forms are indicated as follows: rHDL(WT), black bar; rHDL(helix 4 M), striped bar; rHDL(helix 6 M), shaded bar. Values in A-F represent the averages of 3-5 independent experiments performed in duplicate.

Fig. 1B shows that efflux rates of [3H]cholesterol from control ldlA-7 cells to all of the rHDLs (28 µg of protein/ml, 1 µM) were similar. In contrast, efflux rates from ldlA[mSR-BI] cells to rHDL, which represents the total cholesterol efflux, were all greater than the rates for the control ldlA-7 cells and depended on the form of apoA-I in the particles (Fig. 1C). Fig. 1D shows the differences between the rates measured in the transfected (ldlA[mSR-BI]) and untransfected control (ldlA-7) cells, which represent SR-BI-dependent efflux. The relative efflux rates were rHDL(WT) > rHDL(helix 6 M) > rHDL(helix 4 M) (Fig. 1D). To simplify the analysis of the efflux and binding activities of the different rHDLs at a given rHDL concentration, we tabulated the extents of SR-BI-dependent efflux after 4 h of incubation at 37 °C and the level of SR-BI-dependent binding, setting both efflux and binding values for rHDL(WT) to 100%. Fig. 1E shows the relative [3H]cholesterol efflux values for all three rHDLs, and Fig. 1F shows those values corrected for the extent of binding (relative % efflux/relative % binding) at rHDL concentrations of 28 µg of protein/ml (1 µM). (Similar values were obtained using the efflux results determined after 2 h of incubation.) These data clearly show that the mutations in helices 4 and 6 substantially reduced the capacity of the rHDLs to mediate SR-BI-dependent cholesterol efflux without substantially altering their abilities to bind to SR-BI. Cholesterol efflux from the WT SR-BI was also reduced by ~40-50% when rHDL particles containing N- (apoA-I(Delta (1-59))) or C-terminal (apoA-I(Delta (185-243))) truncated apoA-I forms were used as a cholesterol acceptor (data not shown), despite the relatively high affinity of binding of these particles to SR-BI (14). These results are consistent with the possibility that rHDL(WT) bound productively to SR-BI and thus promoted lipid transfer, whereas the binding of rHDLs containing the two mutants was less productive with respect to lipid transfer.

Effects of ApoA-I Mutations on Binding and Cholesterol Efflux Mediated by the M158R SR-BI Mutant-- To explore further the effects of the mutations in helices 4 and 6, we repeated the experiments shown in Fig. 1 using cells (ldlA[M158R]) expressing SR-BI with a Met right-arrow Arg point mutation at position 158 (23). This mutant receptor is expressed on the surface of cells and can bind and mediate lipid transfer to and from chemically modified (acetylated) LDL in a fashion similar to wild-type SR-BI (23). However it exhibits almost no ability to bind to and thus mediate lipid transfer with spherical plasma HDL and unmodified LDL (23). Fig. 2A shows that the affinity of rHDL(WT) binding to SR-BI(M158R) (apparent Kd = 48 ± 12 µg of protein/ml) was 10-fold lower than that for wild-type SR-BI (apparent Kd of 4.4 ± 1.1 µg of protein/ml, see Fig. 1A). Thus, both rHDL(WT) and plasma HDL bind much less tightly to this mutant receptor than to the wild-type receptor; however, the rHDL(WT) binding to the mutant receptor was readily detected and quantitated, whereas that of the spherical plasma HDL was almost undetectable (23). The binding of rHDL(helix 4 M) to SR-BI(M158R) was also much weaker than its binding to the wild-type receptor (apparent Kd values of 60 ± 13 versus 3.9 ± 0.8 µg of protein/ml). Unexpectedly, rHDL(helix 6 M) bound almost as tightly to the mutant receptor as it bound to the wild-type SR-BI (apparent Kd values of 7 ± 3 and 1.1 ± 0.5 µg of protein/ml, respectively). This raises the possibility that the altered structure of the helix 6 mutant might compensate for the altered structure of the binding site in this mutant receptor.


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Fig. 2.   rHDL binding to and rHDL-dependent [3H]cholesterol efflux from cells expressing a mutant SR-BI (ldlA[M158R]) A-D. A, concentration dependence of the binding of rHDL particles prepared with WT apoA-I, the helix 4 double mutant (D102A/D103A), or the helix 6 double mutant (R160V/H162A) to ldlA[M158R] cells. On day 2 after plating, association of the indicated lipoproteins with ldlA[M158R] cells was determined using the immunoreceptor assay as described under "Experimental Procedures." The specific binding shown in A was determined by subtracting the values of binding to the ldlA-7 cells from the corresponding values of binding to the ldlA[M158R] cells. The apparent Kd values for association with ldlA[M158R] cells were determined by nonlinear regression analysis. B shows the differences in cholesterol efflux between ldlA[M158R] and ldlA-7 cells (SR-BI[M158R]-mediated efflux) determined as described in Fig. 1 and under "Experimental Procedures." C shows the relative values (%) of SR-BI-dependent net cholesterol efflux from the ldlA[M158R] cells to the different rHDL acceptors. The 100% efflux value was defined as the efflux observed using ldlA[mSR-BI] cells and rHDL particles containing WT apoA-I after a 4-h incubation at 37 °C as shown in Fig. 1D. The value used was the average of three experiments and corresponded to a net efflux of 23% of 3H-labeled cellular cholesterol. D shows the relative values (%) of cholesterol efflux normalized by the relative amount of SR-BI-dependent rHDL binding to the ldlA[M158R] cells for the different rHDL acceptors. The 100% receptor binding value was defined as the amount of rHDL(WT) binding to ldlA[mSR-BI] cells observed at an rHDL concentration of 28 µg of protein/ml (1 µM). The efflux from ldlA[mSR-BI] cells to rHDL(WT) is indicated in C and D by black bars. The efflux from ldlA(M158R) cells to rHDL(WT), rHDL(helix 4 M), and rHDL(helix 6 M) are indicated by white, striped, and shaded bars, respectively. Values in A-D represent the averages of 3-5 independent experiments performed in duplicate.

Fig. 2B shows the SR-BI-dependent efflux of [3H]cholesterol from ldlA[M158R] cells mediated by the rHDLs (28 µg of protein/ml, 1 µM) as a function of time. The relative efflux rates compared with those for rHDL(WT) and the wild-type receptor (100%) are shown without and with correction for the extent of binding in Fig. 2, C and D, respectively. It is clear that the absolute rates of efflux mediated by rHDL(WT) and rHDL(helix 4 M) were substantially lower when the M158R mutant replaced the wild-type SR-BI. However, much of the reduced rate of efflux was a consequence of relatively reduced amounts of binding to the mutant receptor, rather than intrinsic loss of lipid transfer activity. When corrected for the extent of binding (Fig. 2D), the efficiency of efflux for rHDL(helix 4 M) (107%) was not significantly different from that for the rHDL(WT) with wild-type receptor (100%). These data indicate that the M158R receptor mutant had relaxed structural requirements for productive binding relative to the wild-type receptor, for rHDL(helix 4 M) the ratios of % efflux to % binding were 107 versus 23, respectively (Figs. 2D and 1F). Similar efflux results were obtained when the rHDL concentration was increased to 50 µg of protein/ml (data not shown).

The ability of rHDL(WT) to mediate efflux from the M158R mutant receptor was somewhat lower (71%) than that from the wild-type receptor (100%) (Fig. 2D). This suggests that the small reduction in productive binding of rHDL(WT) due to the mutation in the receptor was compensated for by the helix 4 mutation. Given the apparently reduced stringency of productive binding of the M158R mutant receptor and the high affinity of rHDL(helix 6 M) binding to this mutant (Fig. 2A), it was not surprising to observe a high absolute (98%) and binding-corrected relative (111%) efflux of cholesterol from ldlA[M158R] cells to rHDL(helix 6 M) (Fig. 2, C and D). Both the binding and efflux observed for the rHDL(helix 6 M)/ldlA[M158R] pair of mutant ligand and mutant receptor were similar to those activities in the corresponding pair of wild-type control molecules (compare Fig. 1, A and D, with Fig. 2, A and B).

Effects of ApoA-I Mutations on Binding and Cholesterol Efflux Mediated by the Q402R/Q418R SR-BI Double Mutant-- To determine whether the properties exhibited by the M158R mutant receptor, relaxed structural requirements for productive binding and restoration of high affinity rHDL binding by the helix 6 mutant (Fig. 2), were common to another SR-BI mutant with reduced plasma HDL binding, we examined cholesterol efflux and ligand binding by ldlA[Q402R/Q418R] cells. The Q402R/Q418R mutations in SR-BI dramatically reduce the binding of plasma HDL and the consequent lipid transfer, without substantially altering the binding of plasma LDL and its corresponding lipid transfer (23, 24). Analysis of the saturation binding curves (not shown) showed that all three rHDL preparations (WT, helix 4, and helix 6) bound less tightly to the Q402R/Q418R mutant receptor (apparent Kd values of 10 ± 3, 9 ± 3.5, and 27 ± 10 µg of protein/ml, respectively) than to the wild-type receptor (apparent Kd values of 4.4 ± 1.1, 3.9 ± 0.8, and 1.1 ± 0.5 µg of protein/ml, respectively). Nevertheless, all three preparations of rHDL appeared to bind well to this mutant receptor and certainly more tightly than spherical plasma HDL, whose binding was so low that we were unable to determine accurately the corresponding apparent Kd (23, 24).

Fig. 3 shows the SR-BI(Q402R/Q418R)-dependent efflux of [3H]cholesterol to the rHDLs (28 µg of protein/ml, 1 µM) as a function of time (Fig. 3A) and the relative efflux rates compared with those for rHDL(WT) and the wild-type receptor (100%), without or with correction for the extent of binding (Fig. 3, B and C, respectively). There was a striking reduction in both the absolute and binding-corrected efflux rates for all three rHDLs compared with the 100% controls. These data support the conclusions drawn from the analysis of binding and efflux mediated by the wild-type receptor; the structure of the ligand-receptor complex can substantially affect the efficiency of lipid transfer independently of effects on binding affinity. In contrast to the results with the M158R receptor mutant, there was little evidence for reduction in the stringency of productive binding by the Q402R/Q418R mutant.


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Fig. 3.   rHDL-dependent [3H]cholesterol efflux from cells expressing a mutant SR-BI (ldlA[Q402R/Q418R]) A-C. A shows the differences in cholesterol efflux between ldlA[Q402Q/Q418R] and ldlA-7 cells (SR-BI(Q402R/Q418R)-mediated efflux) determined as described in Fig. 1 and under "Experimental Procedures." B shows the relative values (%) of SR-BI-dependent net cholesterol efflux from the ldlA[Q402R/Q418R] cells to the different rHDL acceptors. The 100% efflux value was defined as the efflux observed using ldlA[mSR-BI] cells and rHDL particles containing WT apoA-I after a 4-h incubation at 37 °C as shown in Fig. 1D. The value used was the average of three experiments and corresponded to a net efflux of 23% of 3H-labeled cellular cholesterol. C shows the relative values (%) of cholesterol efflux normalized by the relative amount of SR-BI-dependent rHDL binding to the ldlA[Q402R/Q418R] cells for the different rHDL acceptors. The 100% of receptor binding value was defined as the amount of rHDL(WT) binding to ldlA(mSR-BI) cells observed at an rHDL concentration of 28 µg of protein/ml (1 µM). The efflux from ldlA(mSR-BI) cells to rHDL(WT) is indicated in B and C by black bars. The efflux from ldlA[Q402R/Q418R] cells to rHDL(WT), rHDL(helix 4 M), and rHDL(helix 6 M) are indicated white, striped, and shaded bars, respectively. Values in A-C represent the averages of 3-5 independent experiments performed in duplicate.

Comparison of Binding-dependent and Binding-independent Mechanisms of SR-BI-mediated Cholesterol Efflux-- The results in Figs. 1-3 provide additional insight into the question of whether or not HDL binding to SR-BI is required for SR-BI-mediated efflux of cellular cholesterol to HDL. Compelling evidence for a direct binding-dependent mechanism of efflux has been reported (23). Nevertheless the observation that SR-BI can apparently alter the distribution of cholesterol in the plasma membrane of cells in which it is expressed and other data led to the suggestion of the possibility of binding-independent, SR-BI-mediated efflux of cholesterol to HDL and other acceptors (48). If SR-BI-mediated efflux to HDL (or rHDL) were binding-independent, differences in the efficiencies of efflux to the three rHDL preparations used here would not depend on the nature of the cellular SR-BI (mutant or wild-type). Similarly, differences in the efficiencies of efflux mediated by wild-type or mutant (M158R or Q402R/Q418R) receptors would not depend on the nature of the rHDL acceptor in the extracellular medium. However, this was not the case. With wild-type SR-BI, rHDL(WT) was a "good" acceptor (100%) of cellular cholesterol, whereas rHDL(helix 6 M) was a "poor" acceptor (49%) (Fig. 1E). Yet with the M158R mutant form of SR-BI, rHDL(WT) was a poor acceptor (32%), whereas rHDL(helix 6 M) was a good acceptor (98%) (Fig. 2C). If rHDL(helix 6 M) was an intrinsically poor cholesterol acceptor compared with rHDL(WT), and if the M158R mutant receptor were intrinsically less efficient than the wild-type receptor at mediating efflux (based on the data with rHDL(WT)), perhaps because it was not able to alter appropriately the cellular distribution of cholesterol, then one would expect that efflux mediated by the M158R receptor to rHDL(helix 6 M) would have been especially poor (32 × 49% = 16%, compared with 100% for rHDL(WT) with wild-type SR-BI) (Fig. 4A). Similarly, it would be expected that the efflux mediated by the M158R receptor to rHDL(helix 4 M) should be 32 × 21% = 7% compared with 100% for rHDL(WT) with wild-type SR-BI (Fig. 4A). Thus, the observed relative efflux rates of 98% for rHDL(helix 6 M) and 44% for rHDL(helix 4 M) with the M158 mutant receptor were not compatible with a binding-independent model, in which the expected efflux rates would have been 16 and 7%, respectively (Fig. 4A). Fig. 4, B and C, shows a comparison of the observed relative efflux rates (not corrected for binding) with the expected efflux rates calculated with the assumption that efflux was binding-independent. The values in Fig. 4, B and C, are based on the data in Figs. 1-3 and additional data in which binding (14) and efflux (not shown) experiments using rHDLs prepared with N- or C-terminal deletion mutants of apo-AI. The N-terminal mutant lacks residues 1-59, and the C-terminal mutant lacks residues 185-243. The predominant sizes of the rHDL particles containing the N- and C-terminal truncated mutants of apoA-I were 96 and 78 Å, respectively (14). rHDL particles prepared with these truncated mutants bind tightly to SR-BI (14). In six of the eight comparisons between observed and expected relative efflux rates, the observed rates were substantially greater than the rates expected from the binding-independent model. Taken together, these data and previously published studies (23) provide very strong support for a binding-dependent mechanism of SR-BI-mediated cholesterol efflux to HDL or rHDL.


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Fig. 4.   Observed and calculated cholesterol efflux values from cells expressing mutant receptors by rHDL particles containing mutant forms of apoA-I A-C. A, schematic representation of predictions based on a binding independent mechanism of cholesterol efflux. The figure defines the receptor activity and the efflux capacity of the acceptor. The model assumes that (a) the efflux capacity of an acceptor is a property of the acceptor and is influenced by structural mutations in apoA-I; (b) the receptor activity in cholesterol efflux is a property of a receptor and is influenced by structural mutations in the SR-BI; and (c) there is no receptor-acceptor interaction and thus the receptor cannot alter the properties of the acceptor and vice versa. Based on these assumptions, the "expected cholesterol efflux" was defined as the product of the receptor activity times the efflux capacity of the acceptor. B and C, observed and expected values of relative cholesterol efflux promoted by rHDL particles containing different mutant apoA-I forms from cells expressing the mutant receptor SR-BI(M158R) (B) or SR-BI(Q402R/Q418R) (C). Observed values indicated experimentally determined values of cholesterol efflux (open bars). The expected cholesterol efflux was calculated and represented the product of the % efflux promoted by rHDL(WT) from cells expressing the mutant receptor (receptor activity) times the relative efflux promoted by rHDL particles containing a particular apoA-I mutant (i.e. rHDL(helix 4 M), etc.) from cells expressing the WT SR-BI (efflux capacity) (closed bars).


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

SR-BI-mediated transfer of lipid between cells and lipoproteins is a two-step process: 1) lipoprotein binding and 2) binding-dependent, yet distinct, SR-BI-mediated lipid transfer (23, 25, 62). The results from the current and previous (23) studies very strongly support the proposal that plasma HDL or rHDL must bind to SR-BI if this receptor is to mediate lipid transfer between the lipoprotein and the cells. To determine if high affinity lipoprotein binding to SR-BI were sufficient to ensure efficient lipid transfer, we prepared a series of discoidal, PC/cholesterol/apoA-I rHDL particles with wild-type or mutant apoA-Is and examined their binding to and mediation of [3H]cholesterol efflux from cells expressing wild-type or mutant forms of SR-BI. Two different sets of double mutations in apoA-I could dramatically reduce cholesterol efflux to the rHDLs without substantially changing their binding affinities (apparent Kd values) to wild-type SR-BI. Thus, tight binding is not sufficient to ensure efficient lipid transfer.

To account for these findings, we propose that efficient SR-BI-mediated cholesterol efflux to lipoproteins may require not only binding, but also the formation of a "productive complex." This is also probably the case for selective lipid uptake. Whereas other explanations for our data are possible, we suggest that for productive complexes to form and thus facilitate efficient lipid transport, both the lipoprotein and the receptor should be precisely aligned, have the capacity to undergo appropriate conformational changes, or both. The concept of precise orientation of the apoA-I-containing lipoprotein bound to the receptor resulting in productive binding for lipid transfer is analogous to that of correct substrate orientation in the active site of an enzyme. In the context of this model, the binding to wild-type SR-BI of rHDLs comprising mutant apoA-Is with either helix 4 (D102A/D103A, rHDL(helix 4 M)) or helix 6 (R160V/H162A, rHDL(helix 6 M)) mutations was not productive. This is manifested by poor lipid transfer despite tight binding. It has been reported that the presence of apoA-II in HDL particles or rHDL particles containing apoE results in tight binding to the wild-type SR-BI, but transfer of cholesteryl esters from these particles to cells was less efficient than that from apoA-I only HDL or rHDL particles reconstituted with apoA-I (28, 38, 39). The efficiency of lipid transfer from apolipoprotein-free lipid particles to cells via SR-BI has also been reported to be less efficient than from apoA-I containing rHDL particles (28). The results of these independent studies are consistent with the productive complex model for SR-BI-mediated lipid transfer. In this regard it is noteworthy that high affinity binding of HDL to a surface receptor called CD36, which in many ways resembles SR-BI (41), is not sufficient to ensure efficient cellular selective lipid uptake or unesterified cholesterol efflux. Thus, CD36, which shares many structural and functional similarities to SR-BI (41), was initially shown to bind HDL tightly (22, 25) but not mediate efficient selective lipid uptake (25). These findings were independently confirmed (62) and extended by the analysis of cholesterol efflux (48). Thus, HDL binding to CD36 does not appear to be associated with the formation of a productive complex.

Remarkably, efficient receptor-mediated cholesterol efflux to rHDL(helix 6 M) or rHDL(helix 4 M) was restored when the receptor was mutated (SR-BI(M158R)). The M158R mutation disrupts both spherical plasma HDL and LDL binding to SR-BI (23). One possible explanation is that the M158R mutation may have relaxed the stringency of the conformational requirements for productive complex formation between SR-BI and rHDL particles. The affinity of the rHDL binding clearly was not a determining factor for productive complex formation, the apparent Kd values of rHDL(helix 4 M) and rHDL(helix 6 M) binding to this mutant receptor were 60 ± 13 (weak binding) and 7 ± 3 µg protein/ml, respectively. These values should be compared to apparent Kd values for binding to native SR-BI of ~16 and 4 µg of protein/ml for spherical plasma HDL and rHDL with wild-type apoA-I (rHDL(WT)) (14, 15, 19). Not surprisingly, a different mutation in SR-BI(Q402R/Q418R), which results in the loss of plasma HDL (24) but not plasma LDL, binding, and lipid transfer, did not restore efficient lipid transfer to rHDLs with these mutant apoA-Is. Additional studies will be necessary to determine if only a limited number of mutations in SR-BI can have the effect of relaxing the conformational requirements for productive complex formation between SR-BI and its ligands.

The apoA-I helix 4 (D102A/D103A) and helix 6 (R160V/H162A) mutations used in this study were chosen after screening the ability of rHDLs prepared with several apoA-I mutants to promote SR-BI-mediated efflux of cellular cholesterol. Two models have been proposed to account for the structure of apoA-I on rHDL particles: the "belt" model and the "picket fence" model (49, 50, 63). In the belt model, two apolipoprotein A-I molecules are wrapped together in an anti-parallel belt around a small discoidal bilayer patch of phospholipid and cholesterol (160 phospholipid molecules/particle) (49, 50). Each apoA-I molecule is composed primarily of a set of 10 amphipathic alpha -helices whose hydrophobic surfaces face inward toward the fatty acid chains of the disc. In the belt model (49, 50), the side chains of Asp-103 in one apoA-I molecule and His-162 in its anti-parallel mate form a salt bridge, whereas the side chains of residues Asp-102 and Arg-160 extend out into the aqueous medium (49, 50). It is possible that the loss of the salt bridge as a result of the mutations introduced might alter the conformation of the rHDL and its ability to productively bind to wild-type SR-BI. It is also possible that the mutations of Asp-102 and Arg-160 either altered the conformation of the rHDLs or perhaps disrupted direct contacts between the rHDL and SR-BI. In the picket fence model, the 22-mer amphipathic alpha -helical repeats of apolipoprotein A-I form tandem antiparallel helices that are perpendicular to the plane of the disc (63). In this configuration, most of the charged amino acids of the amphipathic helices that are close to the edges of the disc are exposed to the aqueous phase and may likewise be available to interact with SR-BI.

Neither rHDL(WT) nor rHDL(helix 4 M) bind as tightly as rHDL(helix 6 M) to the M158R mutant receptor (apparent Kd values of 48 ± 12, 60 ± 13, and 7 ± 3 µg of protein/ml, respectively). Perhaps the R160V mutation in the helix 6 apoA-I mutant reduces repulsive charge interactions between the arginine side chain at position 160 and the arginine in the mutant receptor at position 158. Direct physical interactions between SR-BI and the amphipathic helices of apoA-I in rHDL particles were also suggested by cross-linking experiments (64). Further studies, including those using single rather than double point mutations in apoA-I, should help identify the key structural determinants underlying apoA-I/SR-BI interactions and productive complex formation. Furthermore, structural analysis may provide in the near future insight into the precise nature of the proposed productive complex that allows efflux of cellular cholesterol.

Regardless of the mechanisms underlying the results described here (productive binding or some other model), it should be possible to express in animals dominant negative apoA-I mutants that would permit the formation of HDL particles that could bind to SR-BI but not participate in efficient SR-BI-mediated lipid transfer. The presence of such defective particles in the circulation of animals might be useful in examining the physiologic role of SR-BI-mediated lipid transport.

    ACKNOWLEDGEMENTS

We thank Shangzhe Xu, Marsha Penman, and Gayle Forbes for technical assistance and Xiaoping Li, Xiangju Gu, and Markella Zanni for helpful discussions.

    FOOTNOTES

* This work was supported by National Institutes of Health Grants HL48739, HL66105, and HL52212.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. Tel.: 617-638-5085; Fax: 617-638-5141; E-mail: vzannis@bu.edu.

Published, JBC Papers in Press, March 6, 2002, DOI 10.1074/jbc.M112103200

1 The abbreviations used are: apoA-I, apolipoprotein A-I; SR-BI, scavenger receptor class B type I; mSR-BI, murine SR-BI; HDL, high density lipoprotein; LDL, low density lipoprotein; rHDL, discoidal reconstituted HDL; rHDL(WT), rHDL particles containing wild-type apoA-I; rHDL(helix 6 M), rHDL particles containing double mutations in helix 6 of apoA-I; rHDL(helix 4 M), rHDL particles containing double mutations in helix 4 of apoA-I; rHDL(Delta N terminus), rHDL particles containing apoA-I lacking the N-terminal residues 1-59; rHDL(Delta C terminus), rHDL particles containing apoA-I lacking the C-terminal residues 185-243; ldlA, low density lipoprotein receptor-deficient Chinese hamster ovary cell line; POPC, 1-palmitoyl-2-oleoyl-L-phosphatidylcholine; NCLPDS, newborn calf lipoprotein-deficient serum; PBS, phosphate-buffered saline; ELISA, enzyme-linked immunosorbent assay; TEV, Tobacco Etched Virus; PC, phosphatidylcholine.

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ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
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