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Shotgun proteomics implicates protease inhibition and complement activation in the antiinflammatory properties of HDL
Open accessAbstract
HDL lowers the risk for atherosclerotic cardiovascular disease by promoting cholesterol efflux from macrophage foam cells. However, other antiatherosclerotic properties of HDL are poorly understood. To test the hypothesis that the lipoprotein carries proteins that might have novel cardioprotective activities, we used shotgun proteomics to investigate the composition of HDL isolated from healthy subjects and subjects with coronary artery disease (CAD). Unexpectedly, our analytical strategy identified multiple complement-regulatory proteins and a diverse array of distinct serpins with serine-type endopeptidase inhibitor activity. Many acute-phase response proteins were also detected, supporting the proposal that HDL is of central importance in inflammation. Mass spectrometry and biochemical analyses demonstrated that HDL3 from subjects with CAD was selectively enriched in apoE, raising the possibility that HDL carries a unique cargo of proteins in humans with clinically significant cardiovascular disease. Collectively, our observations suggest that HDL plays previously unsuspected roles in regulating the complement system and protecting tissue from proteolysis and that the protein cargo of HDL contributes to its antiinflammatory and antiatherogenic properties.
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“Unlike HDL from healthy subjects, HDL from patients with CHD, kidney disease or diabetes mellitus have no protective vascular effects or may even cause paradoxical harmful effects [55, 56, 61, 70, 71, 75, 76].”
From HDL cholesterol: reappraisal of its clinical relevance (2017) · cites this paper as [56]
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BackgroundInfluentialDysfunctional High-Density Lipoprotein: An Innovative Target for Proteomics and Lipidomics
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O'Neill, F., Riwanto, M., Charakida, M., Colin, S., Manz, J., McLoughlin, E., Khan, T. A., Klein, N. J., Kay, C. W. M., Patel, K., et al. (2015) · International Journal of Cardiology · doi:10.1016/j.ijcard.2015.03.058 · Cited by 47
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High-density lipoprotein and inflammation in cardiovascular disease
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“We do not expect these benefits to persist in severe CKD or end stage renal disease (ESRD) on hemodialysis (HD) as this population suffers abnormal clearance of apoA-1, a major component of HDL, and nonfunctional HDL of different proteome that is rather proinflammatory (an effect linked to SAA1 in uremic HDL) [28-31].”
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“Aspects of HDL that are not captured by HDL-C include its immensely complex proteome, with recent estimates of 64 associated proteins.(12) Broadly, HDL is composed of 2 subspecies, HDL-2 and HDL-3, that can be separated by ultracentrifugation and electrophoresis.”
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Plasminogen promotes cholesterol efflux by the ABCA1 pathway
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Self-citationUraemic dyslipidaemia revisited: role of high-density lipoprotein
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Natarajan, P., Collier, T., Jin, Z., Lyass, A., Li, Y., Ibrahim, N. E., Mukai, R., McCarthy, C. P., Massaro, J. M., D’Agostino, R. B., et al. (2019) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2019.01.073 · Cited by 45
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“HDL proteomics have revealed changes in apolipoproteins, inflammatory proteins, and coagulation proteins in individuals with known CHD compared to controls (8-12).”
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“3 kDa polypeptide, taking up approximately 70% of the HDL protein mass (Vaisar et al., 2007).”
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“identified 42 HDL-associated proteins that differed substantially in amount between HDL from CAD patients and controls [11].”
Restoration of Renal Function Does Not Correct Impairment of Uremic HDL Properties
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“Several potentially protective proteins (acute phase–response proteins, protease inhibitors, etc) or lipids (sphingosine-1-phosphate) could be transported by HDL isolated from plasma of healthy volunteers that render these particles immediately efficient under acute conditions.(38,46) rHDLs may need to take up some pr…”
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Ouyang, F. W., Chiang, H., Hsu, W., Tsai, M.-H., Huang, C.-Y., Remaley, A. T., Akyol, Ö., & Chen, C. (2025) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2025.1713387 · Cited by 40
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“All 8 proteins present in both sample sets have been previously identified in HDL [26].”
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“An indication that ApoF activity might be regulated came from the observation that ApoF activity, as measured by inhibition of CETP, is primarily associated with plasma LDL [10], but most ApoF protein is present in the HDL fraction [37].”
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“In addition, lipoproteins isolated by magnetic beads then dialyzed against PBS in a high molecular weight cutoff membrane (MWCO, 100 kDa) to remove other plasma factors, as well as HDL purified by ultracentrifugation [34] were used to confirm THP-1 functional assays.”
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“Remnant-C is included in nonHDL-C but has merit in being measured separately: these remnants, mostly TG-rich remnant lipoproteins (in the non-fasting state CM-remnants and IDL) contribute also to risk of CHD.46 Several studies confirm that non-HDL-C is superior to LDL-C in predicting CHD.151,169 In a prospective study…”
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“Recent analysis of the HDL proteome revealed that multiple complement components and complement regulatory proteins reside in HDL (36), raising the possibility of other protective roles of HDL on cells exposed to”
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“In a cross-sectional study of 191 subjects enrolled in the DCCT (Diabetes Control and Complications Trial)/EDIC study (Epidemiology of Diabetes Interventions and Complications), we used isotope dilution tandem mass spectrometry to quantify 46 proteins in HDL. Stringent statistical analysis demonstrated that 8 proteins…”
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Metadata
- Authors
- Vaisar, T., Pennathur, S., Green, P. S., Gharib, S. A., Hoofnagle, A. N., Cheung, M. C., Byun, J., Vuletic, S., Kassim, S., Singh, P., Chea, H., Knopp, R. H., Brunzell, J., Geary, R., Chait, A., Zhao, X.-Q., Elkon, K., Marcovina, S., Ridker, P., Oram, J. F., & Heinecke, J. W.
- Affiliations
- University of Washington (US)
- Wake Forest University (US)
- Harvard University (US)
- Corresponding author
- Heinecke, Jay W.
- ORCID
- Venue
- Journal of Clinical Investigation
- Published
- 2007-03-01
- Volume
- 117
- Issue
- 3
- Pages
- 746-756
- ISSN
- 0021-9738 (ISSN-L)
- PMC
- PMC1804352
- OpenAlex
- W2083315579
- Cited by
- 942
- References
- 70
- Citations by year
- 2026: 16 · 2025: 20 · 2024: 19 · 2023: 25 · 2022: 36 · 2021: 28 · 2020: 35 · 2019: 36 · 2018: 45 · 2017: 31 · 2016: 51 · 2015: 69 · 2014: 58 · 2013: 81 · 2012: 79
- FWCI
- 79.98
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Investigation (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Washington (P30ES07033)
- National Institutes of Health (P30ES07033, DK017047)
- National Heart, Lung, and Blood Institute (HL086798, P01HL030086, HL-078527, K08HL074223, HL-57557, HL074223, R01HL086798, R01HL057557, R01HL078527)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK017047, DK 02456, P01DK002456, P30DK017047)
- National Institute of Environmental Health Sciences (P30 ES-07033, P30ES007033)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Cholesterol and Lipid Metabolism
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipoproteins and Cardiovascular Health
- Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
- Keywords
- HDL cholesterol, HDL proteome, complement regulation, serpins, protease inhibition, anti-inflammatory activity, coronary artery disease, HDL3, apolipoprotein E, acute phase proteins, atherosclerosis, cardiovascular disease
- MeSH terms
- Amino Acid Sequence, Chromatography, Liquid, Complement Activation, Coronary Artery Disease, Humans, Inflammation, Lipoproteins, HDL, Microscopy, Electron, Scanning, Molecular Sequence Data, Peptide Hydrolases, Mass Spectrometry, Proteomics, Lipid Metabolism
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