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J. Biol. Chem., Vol. 279, Issue 39, 40987-40993, September 24, 2004
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**


¶¶
From the
Program in Neurosciences,
Department of Neurology, ||Department of Medicine, **Department of Molecular Biology and Pharmacology, 
Center for the Study of Nervous System Injury, 
Alzheimer's Disease Research Center, Washington University, St. Louis, Missouri 63110 and the ¶Department of Chemistry, Carnegie Mellon University, Pittsburgh, Pennsylvania 15213
Received for publication, July 14, 2004
| ABSTRACT |
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| INTRODUCTION |
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ABCA1 transports cellular cholesterol and phospholipids from cells onto high density lipoproteins (HDL) in plasma (4, 5). In humans, loss-of-function mutations in ABCA1 cause Tangier's disease (69), which is characterized by accumulation of cholesterol in lymphatic tissues and increased catabolism of abnormally lipidated HDL, resulting in very low levels of plasma HDL and HDL-associated apolipoproteins A-I (apoA-I) and A-II (apoA-II) (10, 11). ABCA1 knock-out mice (Abca1-/-) have been produced, and the mice have a similar phenotype as patients with Tangier's disease (12).
However, neither Tangier's disease patients nor Abca1-/- mice have been examined to determine whether ABCA1 plays a role in lipidation or metabolism of lipoproteins in the central nervous system (CNS). The most abundant apolipoprotein in the CNS is apolipoprotein E (apoE), which is produced within the CNS, primarily by astrocytes and to some extent microglia (1317). ApoE is present in brain tissue and in the cerebrospinal fluid (CSF), where it is present in HDL-like particles (1820). By analyzing brain tissue, CSF, plasma, and primary astrocyte cultures from Abca1+/+, +/-, and -/- mice, we determined that deletion of ABCA1 markedly affects metabolism of apoE and cholesterol in the CNS and in nascent lipoprotein particles secreted by cultured astrocytes. These findings have implications for neurological diseases involving apoE, such as Alzheimer's disease.
| EXPERIMENTAL PROCEDURES |
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ApoE ELISAA sandwich ELISA for mouse apoE was developed with a sensitivity of
1 ng/ml. 96-well plates were coated overnight with 0.5 µg/well of a mouse monoclonal antibody (WU E-4) raised against apoE (22), washed with PBS, blocked with 1% milk in PBS, and then washed again. Brain samples were sonicated in 0.05% Tween in PBS with 1x Complete protease inhibitor mixture (1x protease inhibitors) (Roche Applied Science), debris was pelleted by a 10,000 x g x 15 min spin, and the supernatant was diluted in 0.1% bovine serum albumin, 0.025% Tween in PBS. Conditioned medium, plasma, and CSF were diluted directly into 0.1% bovine serum albumin, 0.025% Tween in PBS. Standards were based on pooled plasma from C57/Bl6 mice containing 68 µg/ml apoE as reported previously (23). Following sample incubation, the plate was washed, and 3 µg/well of biotinylated goat anti-apoE was added. The antibody was from Calbiochem (catalog number 178479) and was biotinylated using a biotin-maleimide reagent (Vector Laboratories, Burlingame, CA). After incubation of the secondary antibody, the plate was washed, and poly-horseradish peroxidase streptavidin (Pierce) was added at 1:6000 and incubated. The plate was then washed, developed with tetramethylbenzidine (Sigma), and read at 650 nm with a Biotek 600 plate reader (Bio-Tek Instruments, Winooski, VT).
Real-time RT-PCR for Mouse ApoEFollowing the perfusion of the animals, samples of cortex were placed in an RNAlater (Ambion, Austin, TX) and stored at 4 °C. RNA was extracted using the RNeasy lipid tissue kit (Qiagen, Valencia, CA) with on-column DNase digestion. RNA was quantified with a Bio-Rad SmartSpec 3000 (Bio-Rad). The forward primer used for mouse apoE was 5'-CCGTGCTGTTGGTCACATTGCTGACAGGAT-3', and the reverse primer was 5'-GTTCTTGTGTGACTTGGGAGCTCTGCAGCT-3'. The 18 S primer/probe reagent used for normalization of RNA levels was from ABI (Foster City, CA). Brilliant SYBR Green QRT-PCR master mix kit, 1-step (Stratagene, La Jolla, CA) was used for the reverse transcription (RT)-PCR reaction. Master mix and RT/RNase block mix were added to 1 µM forward and reverse primers and 1.5 µg/ml RNA. For both apoE and 18 S RT and PCR, the samples were cycled in an ABI Prism 7000 sequence detection system at the following temperatures: 1) 50 °C for 30 min; 2) 95 °C for 10 min; 3) 96 °C for 30 s.; 4) 54 °C for 1 min; 5) 72 °C for 30 min; 6) repeat steps 35 40 times. Standard curves of critical threshold versus log concentration were plotted with RNA from wild type mouse cortex, and relative transcript levels were calculated using the ABI software that accompanied the Prism 7000.
ApoJ Western BlotSamples of cortex were sonicated in 1x radioimmune precipitation buffer with 1x protease inhibitors. Radioimmune precipitation buffer-insoluble material was removed by spinning at 10,000 x g x 15 min. 25 µg of total protein/well was run on a 10% bis-Tris gel (Invitrogen) and transferred onto a nitrocellulose membrane. The blot was probed with a rabbit anti-apoJ antibody developed in our laboratory (24), washed, and then probed with anti-rabbit IgG linked to horseradish peroxidase (Amersham Biosciences). Bands were visualized with enhanced chemiluminescence (Pierce) and imaged with a Kodak Image Station (Eastman Kodak Co.).
Cholesterol and Phospholipid AnalysesBrain samples were prepared for cholesterol analysis by sonication in PBS. The homogenized whole brain suspension was then subjected to enzymatic analysis for total cholesterol using the Amplex Red cholesterol kit (Molecular Probes, Eugene, OR). Results using the homogenized brain suspension were identical to those using chloroform-extracted lipids from brain (data not shown). CSF and astrocyte conditioned medium were diluted in the reaction buffer and assayed. Free cholesterol was measured using the same kit but omitting the cholesterol esterase enzyme. Esterified cholesterol was calculated as total cholesterol minus free cholesterol. Quantification of phospholipids species was performed with electrospray ionization mass spectrometry as described previously (25).
Histological AnalysisTissue sections were cut in the coronal plane at 50 µm on a freezing sliding microtome and mounted on Superfrost Plus slides (Fisher). For oil red O staining of neutral fat, slides were dipped consecutively into 70% ethanol for 1 s and then immersed for 5 min in 1% oil red O (Sigma), 35% ethanol and then 50% acetone. Slides were then washed in water, counterstained for 2 min in Harris' hematoxylin (Sigma), and washed in water. The slides were dipped in ammonia water (0.05% ammonium hydroxide) until blue, washed again, and mounted. Staining with cresyl violet to nuclei and Luxol fast blue to identify myelin were performed as described previously (26, 27).
Non-denaturing Gradient Gel ElectrophoresisSamples of CSF and astrocyte conditioned medium (ACM) were mixed 1:1 with native sample buffer and electrophoresed on a 420% Tris glycine gel (Invitrogen). Proteins with known hydrated diameters were used as size standards (Amersham Biosciences, catalog number 17044501), and proteins were transferred to a nitrocellulose membrane. For apoE immunoblotting, the membrane was probed with a goat anti-mouse apoE antibody at 1:100 (M-20 from Santa Cruz Biotechnology, Santa Cruz, CA), washed, and probed with horse anti-goat IgG linked to horseradish peroxidase at 1:1000 (Vector Laboratories). For apoA-I immunoblotting, the membrane was probed with a rabbit anti-mouse apoA-I antibody at 1:500 (Biodesign, Saco, ME), washed, and probed with goat anti-rabbit IgG linked to horseradish peroxidase at 1:1000 (Bio-Rad). Bands were visualized with enhanced chemiluminescence (Sigma) and imaged with a Kodak Image Station (Kodak).
Primary Astrocyte CulturesPrimary cultures of forebrain astrocytes (>95% pure) were prepared from individual neonatal (13-day-old) mice as described previously (28). Astrocytes were grown in Dulbecco's modified Eagle's medium:F-12 containing 10% fetal bovine serum, 10% heat-inactivated horse serum, 1 mM sodium pyruvate, 100 units/ml penicillin, 100 µg/ml streptomycin, 250 ng/ml Fungizone, and 10 ng/ml epidermal growth factor (Sigma).
To obtain ACM, confluent astrocyte cultures were washed twice with sterile PBS. Serum-free medium was added (Dulbecco's modified Eagle's medium:F-12, 1% N2 supplement (Invitrogen), 1 mM sodium pyruvate, 100 units/ml penicillin, 100 µg/ml streptomycin, 250 ng/ml Fungizone), and cells were incubated for 3 days. Media were then collected and spun at 2,000 x g x 10 min to remove cellular debris. 0.1% sodium azide and 1x protease inhibitors were added, and the ACM was stored at 4 °C until analysis. Following harvesting of ACM, astrocytes were scraped from the flasks, washed with PBS, pelleted, and sonicated in PBS.
Fractionation of ACMACM was concentrated 40-fold with a 10-kDa molecular mass cut-off spin concentrator (Millipore, Billerica, MA). 1 ml of concentrated ACM was subjected to gel filtration chromatography using a BioLogic system (Bio-Rad) with tandem Superose-6 HR 10/30 columns (Amersham Biosciences) in 0.15 NaCl, 0.001 EDTA, 0.02% sodium azide as described previously (29).
Atomic Force Microscopy (AFM)Fraction 37 from Abca1+/+ ACM and fraction 51 from Abca1-/- were stored at 4 °C until AFM analysis. Samples were analyzed by in situ AFM as described previously (30).
| RESULTS |
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The second most abundant apoprotein produced in the CNS is apolipoprotein J (clusterin), and it is present in HDL-like particles in the CSF (19). To determine whether ABCA1 plays a role in the metabolism of apoJ in a similar manner to apoE, we measured apoJ levels in plasma, CSF, and cortex and found no significant differences among the different Abca1 genotypes (Fig. 1E and data not shown). ApoA-I is a major component of plasma HDL that is synthesized primarily in the periphery and enters the CNS in small quantities in relation to its very high plasma concentration (14). Its levels were greatly decreased in both CSF and cortex of Abca1-/- mice (see Fig. 3B and also data not shown). Since apoA-I levels in the plasma of Abca1-/- mice are near zero (14) and CNS apoA-I is derived mostly from plasma, this was an expected result.
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Lipoprotein Particles from CSF and Astrocyte Conditioned Media of Abca1-/- MiceIn addition to evaluating the effects of ABCA1 deficiency on the levels of lipids and apoE in the CNS in vivo, we studied apoE- and apoA-I-containing lipoproteins in CSF and nascent apoE-containing lipoproteins produced by astrocytes to examine how ABCA1 deficiency affected their properties. We determined the size distribution of apoE- and apoA-I-containing lipoproteins in mouse CSF by non-denaturing gradient gel electrophoresis. As we have described previously (21), apoE in CSF of wild type mice was in HDL-like particles 1017 nm in diameter with the most abundant sizes being between 13 and 16 nm (Fig. 3A). ApoE particles from Abca1+/- CSF were similar in size to wild type. However, in addition to apoE levels in CSF from Abca1-/- being markedly reduced, apoE was present within particles that had a size distribution that was different from wild type mice. In addition to having a population of particles between 13 and 16 nm in diameter, CSF from Abca1-/- mice also had a population of smaller apoE-containing particles that were 78 nm in diameter, suggesting that they were poorly lipidated. ApoA-I was also greatly reduced in CSF from Abca1-/- mice, and the small amount that was there was present in particles of
7.3 nm as compared with particles of 811 nm in CSF from Abca1+/+ mice (Fig. 3B).
Because Abca1-/- mice have both very low CSF apoE levels and altered particle size distribution, this led us to investigate whether there was a primary alteration of nascently produced apoE-containing HDL from astrocytes, the cells that produce the majority of apoE in the CNS. We compared total cholesterol and apoE in ACM derived from primary astrocyte cultures from Abca1+/+, +/-, and -/- mice and found that total levels of apoE in ACM did not vary by Abca1 genotype (Fig. 3E). However, the levels of total cholesterol were significantly lower in Abca1-/- ACM (Fig. 3D). This suggests that apoE is secreted at normal levels by Abca1-/- astrocytes, but the apoE is not normally lipidated in the absence of ABCA1.
To examine the extent of lipidation of apoE-containing particles, ACM was subjected to size analysis by non-denaturing gradient gel electrophoresis followed by Western blotting for apoE. This demonstrated apoE-containing lipoprotein populations of
12, 11, and 8 nm in ACM from Abca1+/+ mice but much smaller lipoproteins in ACM from Abca1-/- mice of
7.3 and <7 nm (Fig. 3C). These data suggested that apoE-containing particles from Abca1-/- ACM were likely very lipid-poor.
To analyze the lipid composition of astrocyte-secreted lipoproteins, ACM was fractionated by size exclusion chromatography. ApoE ELISAs and cholesterol assays of the different fractions demonstrated that lipoproteins from Abca1-/- ACM contain less apoE, are smaller, and have markedly less cholesterol than Abca1+/+ ACM (Fig. 4, A and B). Lipoprotein-associated apoE was reduced in Abca1-/- ACM by 80% as compared with Abca1+/+ ACM. As expected,
75% of the apoE in the Abca1+/+ ACM was in fractions 3141, corresponding to the HDL size range. However,
75% of the lipoprotein-associated apoE in the Abca1-/- ACM was in fractions 4555, which corresponds to much smaller particles. These smaller lipoprotein particles derived from Abca1-/- astrocytes were very cholesterol-poor as compared with Abca1+/+ particles (0.69 µg of total cholesterol/µg of apoE for Abca1-/- versus 2.3 µg of total cholesterol/µg of apoE for Abca1+/+).
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| DISCUSSION |
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Although the alterations in CNS apoE levels were profound, differences in total CNS lipids were more subtle and present only in CSF. Brain tissue from Abca1+/+, +/-, and -/- mice had no differences in free cholesterol, esterified cholesterol, and phospholipids and showed no evidence of lipid deposition by histological staining. These results suggest that ABCA1 does not play a major role in regulating global cellular lipid levels in brain tissue in vivo and that this regulation is performed by additional molecules. However, CSF from Abca1-/- mice had significantly reduced cholesterol, showing that ABCA1 is important in regulating extracellular lipid levels in the CNS.
Conditioned media collected from primary cultures of astrocytes derived from Abca1+/+, +/-, and -/- mice showed that although total levels of apoE secreted by astrocytes are not affected by Abca1 genotype, secretion of cholesterol into the media is markedly reduced in Abca1-/- cultures, which is consistent with ABCA1 having a role in transporting astrocyte-derived cellular cholesterol onto lipoproteins. This function may occur in the astrocyte secretory pathway or extracellularly. Analysis of nascent lipoprotein particles isolated from conditioned media of primary astrocyte cultures demonstrated that Abca1-/- astrocytes secrete apoE-containing particles of markedly smaller size with reduced cholesterol and apoE, demonstrating that ABCA1 is required by the main cellular producer of apoE in the CNS to normally lipidate apoE. Of the apoE produced by CNS cells such as astrocytes that reach the CSF of Abca1-/- mice, a fraction of the particles present were also abnormally small, although some were of normal size. Thus, there appears to be a mechanism that does not require ABCA1 to lipidate some apoE that reaches the CSF. However, the fact that CSF apoE levels in Abca1-/- were 2% of normal suggests that the non-ABCA1 mediated pathway is inefficient and that most apoE particles produced in the absence of ABCA1-mediated lipidation are rapidly metabolized in the CNS.
ApoE and apoJ are the two major apoproteins produced by astrocytes, and each is secreted into unique apoE- or apoJ-only containing particles (33). ApoE secreted by astrocytes is present in particles that contain approximately an equal mass of apoE, cholesterol, and phospholipids (21). Furthermore, virtually all cholesterol and phospholipids secreted by astrocytes are associated with apoE (33). In contrast, apoJ secreted by astrocytes has very little associated cholesterol or phospholipids (21) and we found that it was present at normal levels in the brains of Abca1-/- mice. Thus, apoJ particles are stable in the absence of ABCA1, possibly because they are normally lipid-poor and do not require extensive lipidation for stability.
These data demonstrate that complete loss of ABCA1 profoundly affects apoE levels in the CNS. Additionally, since Abca1+/- mice had intermediate apoE levels, more subtle alterations in ABCA1 gene dosage and/or functionality may affect apoE metabolism. The Apoe genotype is a major risk factor for both Alzheimer's disease (AD) and cerebral amyloid angiopathy (CAA) (3436). The Apoe genotype may also influence neurologic prognosis after intracerebral hemorrhage (37), traumatic brain injury (38), and multiple sclerosis (39). The effects of apoE on AD and CAA are likely to be mediated in large part by the role of apoE role as an amyloid-
(A
) chaperone that influences A
clearance and fibrillogenesis (40). In amyloid precursor protein transgenic mice that develop many of the pathological changes seen in AD and CAA, the level of apoE, regardless of species or genotype, markedly influences the time of onset, conformation, and amount of the A
peptide that accumulates in the brain with age (4145). For example, when amyloid precursor protein transgenic mice were crossed to Apoe-/- mice, animals lacking apoE had almost no fibrillar A
deposition, neuritic plaques, or CAA, and Apoe+/- mice had less than 50% as much A
-related pathology as Apoe+/+ mice (4144). These results show that alterations in CNS apoE levels by as little as 50% have massive effects on AD-like pathology in the CNS. Since ABCA1 regulates both the level of apoE as well as its state of lipidation, modulation of ABCA1 levels or function is likely to directly influence apoE/A
interactions along with A
deposition and its negative consequences in the brain. In addition to the effects of ABCA1 on apoE, recent studies also suggest that ABCA1 can influence cellular A
production (4648). These effects are likely independent of apoE since alterations in ABCA1 expression levels affect A
in some cell types that do not express apoE. Several studies also suggest a direct link between Abca1 polymorphisms and risk for AD (32, 49, 50).
In summary, we have shown that ABCA1 is required for normal CNS apoE levels in vivo as well as production of normally lipidated apoE-containing lipoproteins by astrocytes. Since apoE levels in the CNS profoundly influence AD and CAA pathology in vivo, modulation of ABCA1 function and levels may be a novel therapeutic target for AD, CAA, and other diseases of the CNS.
| FOOTNOTES |
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¶¶ To whom correspondence should be addressed: Washington University School of Medicine, Dept. of Neurology, 660 S. Euclid Ave., Box 8111, St. Louis, MO 63110. Tel.: 314-362-9872; Fax: 314-362-1771; E-mail: holtzman{at}neuro.wustl.edu.
1 The abbreviations used are: ABC, ATP-binding cassette; A
, amyloid-
peptide; ACM, astrocyte conditioned medium; AFM, atomic force microscopy; AD, Alzheimer's disease; CAA, cerebral amyloid angiopathy; CNS, central nervous system; CSF, cerebrospinal fluid; HDL, high density lipoprotein; RT, reverse transcription; ELISA, enzyme-linked immunosorbent assay; PBS, phosphate-buffered saline; apoE, apolipoprotein E; bis-Tris, 2-[bis(2-hydroxyethyl)amino]-2-(hydroxy-methyl)propane-1,3-diol. ![]()
2 Hirsch-Reinshagen, V., Zhou, S., Burgess, B. L., Bernier, L., McIsaac, S. A., Chan, J. Y., Tansley, G. H., Cohn, J. S., Hayden, M. R., and Wellington, C. L. (2004) J. Biol. Chem. 10.1074/jbc.M407962200. ![]()
| ACKNOWLEDGMENTS |
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