Cited by 22Lipid metabolism and disordersLipoproteins and Cardiovascular HealthCholesterol and Lipid Metabolism

High receptor binding affinity of lipoproteins in atypical dysbetalipoproteinemia (type III hyperlipoproteinemia).

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Chappell, D A·1989·Journal of Clinical Investigation

Abstract

Familial dysbetalipoproteinemia (or type III hyperlipoproteinemia) is characterized by the presence of abnormal, cholesteryl ester-rich beta-very low density lipoproteins (beta-VLDL) in the plasma. Subjects with typical dysbetalipoproteinemia are homozygous for an amino acid substitution in apolipoprotein (apo-) E at residue 158 and have defective apo-E-mediated binding of both pre-beta-VLDL and beta-VLDL to apo-B,E(LDL) (or LDL) receptors (1988. Chappell, D.A., J. Clin. Invest. 82:628-639). To understand the effect of substitutions in apo-E at sites other than residue 158, nine dysbetalipoproteinemic (dys-beta) subjects who were either homozygous or heterozygous for substitutions in apo-E at atypical sites were studied. These substitutions occurred at residue 142 (n = 6), 145 (n = 2), or 146 (n = 1) and are known to cause less defective binding than does the 158 substitution. The chemical composition and electrophoretic mobility of pre-beta-VLDL and beta-VLDL from atypical and typical dys-beta subjects were indistinguishable. However, lipoproteins from atypical and typical dys-beta subjects differed in their affinity for the apo-B,E(LDL) receptor on cultured human fibroblasts. The pre-beta-VLDL and beta-VLDL from atypical dys-beta subjects had 640- or 17-fold higher affinity, respectively, than did corresponding lipoproteins from typical dys-beta subjects. The higher binding affinity of lipoproteins from atypical dys-beta subjects was associated with a higher ratio of apo-E to total apo-C. Since higher binding affinity should cause more rapid receptor-mediated clearance of beta-VLDL in atypical than in typical dys-beta subjects in vivo, the mechanism of beta-VLDL accumulation may differ in these two groups.

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  • LDL-receptor binding defects for these apoE variants do not correlate well with the severity of dyslipidemia, indicating that the variants may carry additional properties contributing to pathogenic potential.

    “However, the LDL-receptor binding defects for these apoE variants do not correlate well with the severity of dyslipidemia, indicating that these variants may carry additional properties that contribute to their pathogenic potential.”

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Research works printed but not linked: 3

  1. Mahley, R. W., and S. C. Rall, Jr. 1989. Type III hyperlipopro- teinemia (dysbetalipoproteinemia): the role of apolipoprotein E in normal and abnormal lipoprotein metabolism. In The Metabolic Basis of Inherited Disease. 6th Edition. C. R. Scriver, A. L. Beaudet, W. S. Sly, and D. Volle, editors. McGraw-Hill Book Co., New York. 1195-1213.
  2. Havel, R. J., and J. P. Kane. 1973. Primary dysbetalipoprotein- emia: predominance of a specific apoprotein species in triglyceride- rich lipoproteins. Proc. NatLi Acad. Sci. USA. 70:2015-2019.
  3. Bilheimer, D. W., Y. Watanabe, and T. Kita. 1982. Impaired receptor-mediated catabolism of low density lipoprotein in the WHHL rabbit, an animal model of familial hypercholesterolemia. Proc. Natl. Acad. Sci. USA. 79:3305-3309.

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Authors
Chappell, D. A.
Affiliations
University of California, San Francisco (US)
Corresponding author
Chappell, D A
Venue
Journal of Clinical Investigation
Published
1989-12-01
Volume
84
Issue
6
Pages
1906-1915
ISSN
0021-9738 (ISSN-L)
OpenAlex
W2076742691
Cited by
22
References
3
Citations by year
2022: 1 · 2021: 1 · 2014: 2
FWCI
1.55
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Investigation (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (02024)
  • University of California, San Francisco
  • National Heart, Lung, and Blood Institute (HL-02024, HL 07216, HL-14230)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
  • Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
  • Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
Keywords
type III hyperlipoproteinemia, familial dysbetalipoproteinemia, apolipoprotein E, beta-VLDL, LDL receptor, receptor binding affinity, receptor-mediated clearance, apolipoprotein C, fibroblasts
MeSH terms
Adolescent, Adult, Aged, Animals, Apolipoproteins B, Apolipoproteins E, Binding, Competitive, Cells, Cultured, Child, Cholesterol, Dietary, Dogs, Electrophoresis, Polyacrylamide Gel, Female, Fibroblasts, Humans, Hyperlipoproteinemia Type III, Lipoproteins, LDL, Lipoproteins, VLDL, Male, Middle Aged, Mutation, Rabbits, Receptors, Cell Surface, Receptors, LDL, Receptors, Lipoprotein

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