Antiatherogenic function of HDL particle subpopulations: focus on antioxidative activities

Anatol Kontush1, M John Chapman

  • 1National Institute for Health and Medical Research (INSERM), Dyslipidemia, Inflammation and Atherosclerosis Research Unit (UMR 939), Paris, France. kontush@chups.jussieu.fr

Insights

High-density lipoprotein (HDL) protects low-density lipoprotein (LDL) from oxidative damage, preventing atherosclerosis. Dyslipidaemia impairs HDL

Area of Science:

  • Cardiovascular Science
  • Lipid Metabolism
  • Oxidative Stress Biology

Background:

  • Oxidative stress promotes atherosclerosis by generating pro-atherogenic oxidized low-density lipoprotein (oxLDL).
  • High-density lipoprotein (HDL) particles, especially HDL3, protect LDL from oxidative damage in the arterial intima.
  • This protection inhibits the formation of inflammatory oxidized lipids like lipid hydroperoxides (LOOH) and oxidized phospholipids (oxPL).

Purpose of the Study:

  • To elucidate the mechanisms of HDL-mediated protection against LDL oxidation.
  • To investigate the role of HDL composition and function in atherogenic dyslipidaemias.
  • To explore therapeutic strategies targeting HDL for cardiovascular disease prevention.

Main Methods:

  • Investigated HDL's role in inactivating lipid hydroperoxides (LOOH) through phospholipid hydroperoxide (PLOOH) transfer and reduction by apolipoprotein A-I (apoA-I).
  • Examined the contribution of HDL-associated enzymes to the inactivation of oxidized phospholipids (oxPL).
  • Analyzed HDL proteome and lipidome in dyslipidaemic patients to identify functional deficiencies.

Main Results:

  • HDL inactivates LOOH via PLOOH transfer to HDL3 and reduction by apoA-I's methionine residues, forming phospholipid hydroxides (PLOH).
  • HDL-associated enzymes contribute to oxPL hydrolysis.
  • Antioxidative activity of HDL is impaired in dyslipidaemia due to altered HDL particle composition and increased surface rigidity.

Conclusions:

  • HDL plays a critical role in preventing LDL oxidation and subsequent atherosclerosis.
  • Defective HDL antioxidative function in dyslipidaemia contributes to cardiovascular risk.
  • Therapeutic strategies normalizing HDL metabolism, composition, and function show promise for treating atherosclerosis.

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