Effect of plasma lipoproteins on natural killer cell activity in the elderly population

Natural killer (NK) cells possess spontaneous cytotoxicity against tumors and virus-infected cells to play a major role in immunosurveillance and defense against the development of cancer, as well as bacterial and viral infections. The role of plasma lipoproteins in atherogenesis is well recognized, but the physiological relevance of their immunoregulatory properties is still questioned. In particular, it is unknown whether hypercholesterolemia should be considered a risk factor for diminished immunity in old age.

To evaluate effects of plasma lipoprotein levels on immune function, we assessed the relation between plasma lipoprotein profiles and NK cell activity. NK cell activity was assayed by release of (51)Cr from K562 target cells, and concurrent plasma lipoprotein levels were measured in 47 samples of elderly males (mean age +/- SD, 66.6 +/- 1.7 years).

Univariate regression analyses revealed direct relations between NK cell activity and high-density lipoprotein cholesterol (r=.46, p<.001), apolipoprotein (Apo) A-1 (r=.48, p<.001), and Apo A-2 (r=.46, p<.005). In addition, multiple regression analyses showed a direct independent relation between NK cell activity and Apo A-1 (b=0.32+/-0.09 mg/dl, beta=0.48, and p <.001).

NK cell activity is related directly to plasma Apo A-1 levels in elderly subjects. The mechanisms of this interaction are unknown, but Apo A-1 contributes to the composition of the antiatherogenic fraction of high-density lipoprotein and could also defend against infectious and malignant disease through a potential for NK cell activity.