Formation of dysfunctional high-density lipoprotein by myeloperoxidase

Stephen J Nicholls1, Lemin Zheng, Stanley L Hazen

  • 1Center for Cardiovascular Diagnostics and Prevention, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.

Insights

Myeloperoxidase (MPO) causes dysfunctional high-density lipoprotein (HDL) in cardiovascular disease by altering apolipoprotein A-I. This impairs cholesterol removal, linking inflammation and oxidative stress to atherosclerosis.

Area of Science:

  • Cardiovascular Biology
  • Oxidative Stress Research
  • Lipid Metabolism

Background:

  • Dysfunctional high-density lipoprotein (HDL) particles are present in cardiovascular disease, exhibiting proinflammatory effects instead of atheroprotection.
  • The mechanisms generating dysfunctional HDL remain largely unknown.

Purpose of the Study:

  • To investigate the role of myeloperoxidase (MPO) in the generation of dysfunctional HDL within human atherosclerotic plaque.
  • To elucidate the molecular interactions between MPO and HDL components.

Main Methods:

  • Biophysical studies to analyze MPO binding to HDL.
  • Investigation of MPO's interaction with apolipoprotein (apo) A-I.
  • Assessment of HDL's cellular cholesterol efflux capacity following MPO interaction.

Main Results:

  • Myeloperoxidase (MPO) binds to HDL within human atherosclerotic lesions.
  • MPO specifically interacts with apolipoprotein A-I (apoA-I) on HDL.
  • MPO-catalyzed apoA-I oxidation impairs HDL's ability to promote cholesterol efflux via the ATP-binding cassette-1 system.

Conclusions:

  • MPO-generated oxidants contribute to HDL dysfunction in atherosclerosis.
  • MPO-mediated alteration of apoA-I leads to loss of HDL's atheroprotective properties.
  • This highlights a novel mechanism linking inflammation and oxidative stress to cardiovascular disease pathogenesis.

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