Hepatic apo E expression is required for remnant lipoprotein clearance in the absence of the low density lipoprotein receptor
Open accessAbstract
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)
Experimental — accuracy not yet measuredThrough 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 ).”
From Macrophage-derived apoESendai suppresses atherosclerosis while causing lipoprotein glomerulopathy in hyperlipidemic mice (2014) · cites this paper as [37]
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Cites
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Macrophage LRP-1 Controls Plaque Cellularity by Regulating Efferocytosis and Akt Activation
Yancey, P. G., Blakemore, J., Ding, L., Fan, D., Overton, C. D., Zhang, Y., Linton, M. F., & Fazio, S. (2010) · Arteriosclerosis, Thrombosis, and Vascular Biology · doi:10.1161/atvbaha.109.202051 · Cited by 168 · see citing works
Self-citationDeletion of Macrophage LDL Receptor–Related Protein Increases Atherogenesis in the Mouse
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Self-citation
- 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)
- PMC
- PMC508755
- 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
- bronze
- doi.org
- 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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