Cited by 100Cholesterol and Lipid MetabolismLipid metabolism and disordersLipoproteins and Cardiovascular Health

Hepatic apo E expression is required for remnant lipoprotein clearance in the absence of the low density lipoprotein receptor

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Linton, M F, Hasty, A H, Babaev, V R, Fazio, S·1998·Journal of Clinical Investigation

Abstract

According to the secretion-capture model of remnant lipoprotein clearance, apo E secreted by hepatocytes into the space of Disse serves to enrich the remnants with a ligand for receptor-mediated lipoprotein endocytosis. Current evidence supports a two-receptor model of lipoprotein removal, in which apo E-containing remnants bind either the low density lipoprotein receptor (LDLR) or the LDLR-related protein (LRP). Recently, we demonstrated that reconstitution of apo E(-/-) mice with apo E(+/+) marrow results in normalization of plasma lipoprotein levels, indicating that hepatic expression of apo E is not required for remnant clearance and calling into question the relevance of the secretion-capture mechanism. To dissect the relative contributions of LDLR and LRP to the cellular catabolism of remnant lipoproteins by the hepatocyte, bone marrow transplantation (BMT) was used to reconstitute macrophage expression of apo E in mice that were null for expression of both apo E and the LDLR. Reconstitution of macrophage apo E in apo E(-/-)/LDLR(-/-) mice had no effect on serum lipid and lipoprotein concentrations, although it produced plasma apo E levels up to 16-fold higher than in C57BL/6 controls. Immunocytochemistry of hepatic sections revealed abundant staining for apo E in the space of Disse, but no evidence of receptor-mediated endocytosis of remnant lipoproteins. Transient expression of human LDLR in the livers of apo E(+/+)--> apo E(-/-)/LDLR(-/-) mice by adenoviral gene transfer resulted in normalization of serum lipid levels and in the clearance of apo E-containing lipoproteins from the space of Disse. We conclude that whereas the LDLR efficiently clears remnant lipoproteins irrespective of the site of origin of apo E, endocytosis by the chylomicron remnant receptor (LRP) is absolutely dependent on hepatic expression of apo E. These data demonstrate in vivo the physiologic relevance of the apo E secretion-capture mechanism in the liver.

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  • It was previously shown that expression of apoE in DKO model does not reduce serum lipid levels, and that macrophage-expressed apoE can protect against atherosclerosis, even in the absence of cholesterol changes.

    “It was previously shown that expression of apoE in this model does not reduce serum lipid levels, and that macrophage-expressed apoE can protect against atherosclerosis, even in the absence of cholesterol changes ( 15,37 ).”

    From Macrophage-derived apoESendai suppresses atherosclerosis while causing lipoprotein glomerulopathy in hyperlipidemic mice (2014) · cites this paper as [37]

    The Results (page unavailable) report that restoring macrophage apoE in mice lacking both apoE and LDLR did not significantly change serum cholesterol or triglycerides. The paper does not report whether that intervention protected those mice against atherosclerosis despite unchanged cholesterol; its References list related atherosclerosis studies but do not establish that part of the claim. (LLM, conf=0.88)

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  • Through bone marrow transplantation, the authors produced two types of chimeric mice expressing apoE exclusively from macrophages: apoE-/- mice, whose dyslipidemia is corrected by apoE expression; and apoE-/-/LDLR-/- DKO mice, whose dyslipidemia is not affected by apoE expression.

    “Through bone marrow transplantation, we produced two types of chimeric mice expressing apoE exclusively from macrophages: 1 ) apoE Ϫ / Ϫ mice, whose dyslipidemia is corrected by apoE expression; and 2 ) apoE Ϫ / Ϫ /LDLR Ϫ / Ϫ double KO (DKO) mice, whose dyslipidemia is not affected by apoE expression ( 15,37 ).”

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Research works printed but not linked: 8

  1. Kita, T., J.L. Goldstein, M.S. Brown, Y. Watanabe, C.A. Hornick, and R.J. Havel. 1982. Hepatic uptake of chylomicron remnants in WHHL rabbits: a mechanism genetically distinct from the low density lipoprotein receptor. Proc. Natl. Acad. Sci. USA. 79:3623-3627.
  2. Kowal, R.C., J. Herz, J.L. Goldstein, V. Esser, and M.S. Brown. 1989. Low density lipoprotein receptor-related protein mediates uptake of choles- teryl esters derived from apoprotein E-enriched lipoproteins. Proc. Natl. Acad. Sci. USA. 86:5810-5814.
  3. Basu, S.K., M.S. Brown, Y.K. Ho, R.J. Havel, and J.L. Goldstein. 1981. Mouse macrophages synthesize and secrete a protein resembling apolipopro- tein E. Proc. Natl. Acad. Sci. USA. 78:7545-7549.
  4. Ishibashi, S., J. Herz, N. Maeda, J.L. Goldstein, and M.S. Brown. 1994. The two-receptor model of lipoprotein clearance: tests of the hypothesis in "knock-out" mice lacking the low density lipoprotein receptor, apolipoprotein E, or both proteins. Proc. Natl. Acad. Sci. USA. 91:4431-4435.
  5. Herz, J., and R.D. Gerard. 1993. Adenovirus-mediated transfer of low density lipoprotein receptor gene acutely accelerates cholesterol clearance in normal mice. Proc. Natl. Acad. Sci. USA. 90:2812-2816.
  6. Fazio, S., V.R. Babaev, A.B. Murray, A.H. Hasty, K.J. Carter, L.A. Gleaves, J.B. Atkinson, and M.F. Linton. 1997. Increased atherosclerosis in C57BL/6 mice reconstituted with apolipoprotein E null macrophages. Proc. Natl. Acad. Sci. USA. 94:4647-4652.
  7. Herz, J., S.-Q. Qiu, A. Oesterle, H.V. DeSilva, S. Shafi, and R.J. Havel. 1995. Initial hepatic removal of chylomicron remnants is unaffected but en- docytosis is delayed in mice lacking the low density lipoprotein receptor. Proc. Natl. Acad. Sci. USA. 92:4611-4615.
  8. Willnow, T.E., S.A. Armstrong, R.E. Hammer, and J. Herz. 1995. Func- tional expression of low density lipoprotein receptor-related protein is con- trolled by receptor-associated protein in vivo. Proc. Natl. Acad. Sci. USA. 92: 4537-4541.

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Authors
Linton, M. F., Hasty, A. H., Babaev, V. R., & Fazio, S.
Affiliations
  • Vanderbilt University Medical Center (US)
  • Vanderbilt University (US)
Corresponding author
Fazio, S
Venue
Journal of Clinical Investigation
Published
1998-04-15
Volume
101
Issue
8
Pages
1726-1736
ISSN
0021-9738 (ISSN-L)
OpenAlex
W2061317455
Cited by
100
References
4
Citations by year
2025: 2 · 2024: 1 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 1 · 2015: 4 · 2014: 2 · 2013: 4 · 2012: 3
FWCI
13.29
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Investigation (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • American Heart Association
  • National Institutes of Health
  • National Heart, Lung, and Blood Institute (R01HL057986, HL57986, HL-02925, K08HL002925)
Topics
  • Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
  • Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
Keywords
apolipoprotein E, LDL receptor, space of Disse, receptor-mediated endocytosis, bone marrow transplantation, serum lipids, adenoviral gene transfer
MeSH terms
Animals, Apolipoproteins E, Endocytosis, Humans, Immunohistochemistry, Lipids, Lipoproteins, Liver, Macrophages, Mice, Inbred C57BL, Mice, Transgenic, Receptors, Immunologic, Receptors, LDL, RNA, Messenger, Gene Expression, Bone Marrow Transplantation, Mice, Knockout, Low Density Lipoprotein Receptor-Related Protein-1, Mice

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