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高甘油三酯血症中极低密度脂蛋白和低密度脂蛋白与低密度脂蛋白受体结合的结构特性:载脂蛋白E的作用

Structural peculiarities of the binding of very low density lipoproteins and low density lipoproteins to the LDL receptor in hypertriglyceridemia: role of apolipoprotein E.

作者信息

Dergunov A D, Smirnova E A, Merched A, Visvikis S, Siest G, Yakushkin V V, Tsibulsky V

机构信息

National Research Center for Preventive Medicine, 10 Petroverigsky street, 101953, Moscow, Russia.

出版信息

Biochim Biophys Acta. 2000 Feb 24;1484(1):29-40. doi: 10.1016/s1388-1981(99)00197-3.

Abstract

Very low (VLDL) and low density lipoproteins (LDL) were isolated from plasma of patients with the E3/3 phenotype which were divided into three groups based on their plasma triglyceride content: low (TG<200 mg/dl, TG(l)), intermediate (200<300 mg/dl, TG(i)300 mg/dl, TG(h)). The protein density (PD) on the VLDL and LDL surface was calculated from lipoprotein composition and protein location was studied by tryptophan fluorescence quenching by I(-) anions at 25 degrees C and 40 degrees C. A comparison of the TG(h) with the TG(l) group revealed a significant (<0.05) increase of the PD parameter as much as 21% for VLDL, but not for LDL where this parameter did not change for any group; generally, PD(LDL) values were 3.2-3.8-fold lower than PD(VLDL). In accordance with this difference, the tryptophan accessibility f in VLDL vs. LDL was lower at both temperatures. There were temperature-induced changes of the f parameter in opposite directions for these lipoproteins. The difference in f value gradually decreased for VLDL in the direction TG(l)TG(i)TG(h) while for LDL there was a U-shaped dependence for these groups. The Stern-Volmer quenching constant K(S-V) which is sensitive to both temperature and viscosity, did not change for VLDL, but K(S-V)(LDL) was 2-3-fold higher for the TG(i) group compared to the other two. The efficiencies of VLDL and LDL binding to the LDL receptor (LDLr) in vitro were compared by solid-phase assay free of steric hindrance observed in cell binding. The maximal number of binding sites did not change for either type of particles and between groups. The association constant K(a) and apolipoprotein (apo) E/apoB mole ratio values all increased significantly for VLDL, but not for LDL, in comparison of the TG(i+h) with the TG(l) group. Based on VLDL and LDL concentrations in serum and on the affinity constant values obtained in an in vitro assay, VLDL concentrations corresponding to 50% inhibition of LDL binding (IC(50)) were calculated in an assumption of the competition of both ligands for LDLr in vivo; the mean values of IC(50) decreased 2-fold when plasma TG exceeded 200 mg/dl. The functional dependences of K(a)(VLDL), IC(50) and apoE content in VLDL (both fractional and absolute) and in serum on TG content in the whole concentration range studied were fitted to a saturation model. For all five parameters, the mean half-maximum values TG(1/2) were in the range 52-103 mg/dl. The efficiency of protein-protein interactions is suggested to differ in normolipidemic vs. HTG-VLDL and apoE content and/or protein density on VLDL surface may be the primary determinant(s) of the increased binding of HTG-VLDL to the LDL receptor. ApoCs may compete with apoE for the binding to the VLDL lipid surface as plasma triglyceride content increases. The possible competition of VLDL with LDL for the catabolism site(s) in vivo, when plasma TG increases, could explain the atherogenic action of TG-rich lipoproteins. Moreover, the 'dual action' hypothesis on anti-atherogenic action of apoE-containing high density lipoproteins (HDL) in vivo is suggested: besides the well-known effect of HDL as cholesteryl ester catabolic outway, the formation of a transient complex of apoE-containing discs appearing at the site of VLDL TG hydrolysis by lipoprotein lipase with VLDL particles proposed in our preceding paper promotes the efficient uptake of TG-rich particles; in hypertriglyceridemia due to the diminished HDL content this uptake seems to be impaired which results in the increased accumulation of the remnants of TG-rich particles. This explains the observed increase in cholesterol and triglyceride content in VLDL and LDL, respectively, due to the CETP-mediated exchange of cholesteryl ester and triglyceride molecules between these particles.

摘要

从具有E3/3表型的患者血浆中分离出极低密度脂蛋白(VLDL)和低密度脂蛋白(LDL),这些患者根据血浆甘油三酯含量分为三组:低甘油三酯组(TG<200mg/dl,TG(l))、中等甘油三酯组(200<300mg/dl,TG(i))和高甘油三酯组(TG≥300mg/dl,TG(h))。根据脂蛋白组成计算VLDL和LDL表面的蛋白质密度(PD),并通过在25℃和40℃下用I⁻阴离子进行色氨酸荧光猝灭研究蛋白质位置。将TG(h)组与TG(l)组进行比较,发现VLDL的PD参数显著增加(<0.05),高达21%,而LDL的该参数在任何组中均未变化;一般来说,PD(LDL)值比PD(VLDL)低3.2 - 3.8倍。与此差异一致,在两个温度下,VLDL中色氨酸的可及性f相对于LDL更低。这些脂蛋白的f参数随温度的变化方向相反。对于VLDL,f值在TG(l)→TG(i)→TG(h)方向上逐渐减小,而对于LDL,这些组呈现U形依赖性。对温度和粘度都敏感的斯特恩 - 沃尔默猝灭常数K(S - V),VLDL没有变化,但TG(i)组的K(S - V)(LDL)比其他两组高2 - 3倍。通过无细胞结合中观察到的空间位阻的固相测定法比较了VLDL和LDL在体外与低密度脂蛋白受体(LDLr)结合的效率。两种类型颗粒以及各分组之间的最大结合位点数均未改变。与TG(l)组相比,TG(i + h)组中VLDL的结合常数K(a)和载脂蛋白(apo)E/apoB摩尔比值均显著增加,而LDL则无变化。根据血清中VLDL和LDL的浓度以及体外测定获得的亲和常数,假设两种配体在体内竞争LDLr,计算出对应于50%抑制LDL结合(IC(50))的VLDL浓度;当血浆TG超过200mg/dl时,IC(50)的平均值降低了2倍。在整个研究浓度范围内,将K(a)(VLDL)、IC(50)以及VLDL(分数和绝对含量)和血清中apoE含量对TG含量的功能依赖性拟合到饱和模型。对于所有五个参数,平均半最大值TG(1/2)在52 - 103mg/dl范围内。提示正常血脂与高甘油三酯血症患者的VLDL中蛋白质 -蛋白质相互作用效率不同,VLDL表面的apoE含量和/或蛋白质密度可能是高甘油三酯血症患者的VLDL与低密度脂蛋白受体结合增加的主要决定因素。随着血浆甘油三酯含量增加,ApoCs可能与apoE竞争结合到VLDL脂质表面。当血浆TG升高时,VLDL与LDL在体内可能竞争分解代谢位点,这可以解释富含TG的脂蛋白的致动脉粥样硬化作用。此外,提出了含apoE的高密度脂蛋白(HDL)在体内抗动脉粥样硬化作用的“双重作用”假说:除了HDL作为胆固醇酯分解代谢途径的众所周知的作用外,我们之前的论文中提出的脂蛋白脂肪酶水解VLDL TG位点处出现的含apoE的圆盘与VLDL颗粒形成的瞬时复合物促进了富含TG颗粒的有效摄取;在高甘油三酯血症中,由于HDL含量减少,这种摄取似乎受损,导致富含TG颗粒的残余物积累增加。这解释了分别观察到的VLDL和LDL中胆固醇和甘油三酯含量的增加,这是由于胆固醇酯转移蛋白(CETP)介导的这些颗粒之间胆固醇酯和甘油三酯分子的交换所致。

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