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Updated: May 30, 2026

Fluorescence-Based Measurements of Phosphatidylserine/Phosphatidylinositol 4-Phosphate Exchange Between Membranes
Published on: March 14, 2021
Plasma PLTP (phospholipid-transfer protein): an emerging role in 'reverse lipopolysaccharide transport' and innate
Thomas Gautier1, Laurent Lagrost
1Inserm Research Center UMR866-Lipids, Nutrition, Cancer, University of Burgundy-Medical School, 7 boulevard Jeanne d'Arc, BP87900, 21079 Dijon Cedex, France.
Insights
Phospholipid-transfer protein (PLTP) accelerates the clearance of bacterial lipopolysaccharide (LPS) from circulation. PLTP deficiency in mice increases LPS toxicity and mortality, highlighting its role in innate immunity.
Area of Science:
- Biochemistry
- Immunology
- Molecular Biology
Background:
- Plasma phospholipid-transfer protein (PLTP) is involved in high-density lipoprotein (HDL) metabolism and reverse cholesterol transport.
- PLTP belongs to the lipid transfer/lipopolysaccharide (LPS)-binding protein (LBP) family.
- PLTP exhibits additional biological functions beyond lipid transport.
Purpose of the Study:
- To investigate the role of PLTP in the metabolism and clearance of bacterial lipopolysaccharide (LPS).
- To understand PLTP's contribution to innate immunity and inflammation.
- To examine the impact of PLTP deficiency on LPS toxicity and host survival.
Main Methods:
- Utilized PLTP-deficient mice and wild-type mice for comparative analysis.
- Studied the association kinetics of LPS with lipoproteins in vivo.
- Assessed LPS toxicity and mortality rates in response to bacterial challenge.
Main Results:
- PLTP facilitates the association of LPS with lipoproteins, a process crucial for LPS clearance.
- In PLTP-deficient mice, delayed LPS-lipoprotein association led to prolonged LPS residence time and increased aggregate toxicity.
- PLTP deficiency significantly increased mortality in mice challenged with LPS compared to wild-type controls.
Conclusions:
- PLTP plays a critical role in the innate immune response by accelerating the 'reverse LPS transport' pathway.
- PLTP modulates LPS metabolism, influencing its toxicity and the host's susceptibility to Gram-negative bacterial infections.
- Targeting PLTP activity could offer novel therapeutic strategies for managing sepsis and other inflammatory conditions.
Abstract:
Plasma PLTP (phospholipid-transfer protein) is a member of the lipid transfer/LBP [LPS (lipopolysaccharide)-binding protein] family, which constitutes a superfamily of genes together with the short and long PLUNC (palate, lung and nasal epithelium clone) proteins. Although PLTP was studied initially for its involvement in the metabolism of HDL (high-density lipoproteins) and reverse cholesterol transport (i.e. the metabolic pathway through which cholesterol excess can be transported from peripheral tissues back to the liver for excretion in the bile), it displays a number of additional biological properties. In particular, PLTP can modulate the lipoprotein association and metabolism of LPS that are major components of Gram-negative bacteria. The delayed association of LPS with lipoproteins in PLTP-deficient mice results in a prolonged residence time, in a higher toxicity of LPS aggregates and in a significant increase in LPS-induced mortality as compared with wild-type mice. It suggests that PLTP may play a pivotal role in inflammation and innate immunity through its ability to accelerate the 'reverse LPS transport' pathway.
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