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Updated: Jul 10, 2026

Cell-free Biochemical Fluorometric Enzymatic Assay for High-throughput Measurement of Lipid Peroxidation in High Density Lipoprotein
Published on: October 12, 2017
Myeloperoxidase and inflammatory proteins: pathways for generating dysfunctional high-density lipoprotein in humans
Tomás Vaisar1, Baohai Shao, Pattie S Green
1Department of Medicine, HSB-BB512, Box 356426, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, USA.
Insights
High-density lipoprotein (HDL) becomes dysfunctional in cardiovascular disease (CVD) due to oxidation and altered protein cargo. This dysfunction may contribute to atherosclerosis and impact HDL
Area of Science:
- Cardiovascular biology
- Lipid metabolism
- Inflammation research
Background:
- High-density lipoprotein (HDL) plays a key role in reverse cholesterol transport and possesses anti-atherogenic and anti-inflammatory properties.
- Dysfunctional HDL, particularly in individuals with cardiovascular disease (CVD), may lose its protective functions.
- Myeloperoxidase (MPO) has been implicated in targeting HDL for oxidation, potentially leading to its dysfunction.
Purpose of the Study:
- To investigate the mechanisms by which HDL function is altered in subjects with established CVD.
- To identify specific protein modifications and cargo changes in HDL from CVD patients.
- To explore the role of oxidative stress and inflammation in HDL dysfunction.
Main Methods:
- Shotgun proteomic analysis of HDL.
- Mass spectrometry and biochemical analyses of HDL composition.
- Studies on HDL from subjects with established cardiovascular disease (CVD).
Main Results:
- HDL from CVD subjects showed oxidative modifications and altered protein composition.
- Myeloperoxidase (MPO) was identified as a key enzyme targeting HDL for oxidation, impairing cholesterol efflux.
- HDL(3) from CVD patients was selectively enriched in apolipoprotein E and other inflammatory proteins.
Conclusions:
- Oxidative modifications and changes in protein cargo render HDL dysfunctional in CVD.
- These alterations in HDL may serve as both biomarkers and mediators of cardiovascular disease.
- Targeting HDL dysfunction presents a potential therapeutic strategy for CVD.
Abstract:
High-density lipoprotein (HDL) inhibits atherosclerosis by removing cholesterol from artery wall macrophages. Additionally, HDL is anti-inflammatory in animal studies, suggesting that this property might also be important for its cardioprotective effects. Recent studies in subjects with established cardiovascular disease (CVD) demonstrate that myeloperoxidase targets HDL for oxidation and blocks the lipoprotein's ability to remove excess cholesterol from cells, raising the possibility that the enzyme provides a specific mechanism for generating dysfunctional HDL in humans. Shotgun proteomic analysis of HDL identified multiple complement regulatory proteins, protease inhibitors, and acute-phase response proteins, supporting a central role for HDL in inflammation. Mass spectrometry and biochemical analyses demonstrated that HDL(3) from CVD subjects was selectively enriched in apolipoprotein E, suggesting that it carries a unique cargo of proteins in humans with clinically significant CVD. Thus, oxidative modifications to HDL and changes in its protein composition might be useful biomarkers-and perhaps mediators-of CVD.
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