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Updated: May 28, 2026

Isolation and Analysis of Plasma Lipoproteins by Ultracentrifugation
Published on: January 28, 2021
Lipoprotein lipase deficiency in chronic kidney disease is accompanied by down-regulation of endothelial GPIHBP1
Nosratola D Vaziri1, Jun Yuan, Zhenmin Ni
1Division of Nephrology and Hypertension, University of California, Irvine, Irvine, CA, USA. ndvaziri@uci.edu
Insights
Chronic kidney disease (CKD) reduces both lipoprotein lipase (LPL) and GPIHBP1 expression, leading to hypertriglyceridemia. This study reveals a dual deficiency contributing to impaired lipid metabolism and associated health issues in CKD.
Area of Science:
- Biochemistry
- Renal Physiology
- Lipid Metabolism
Background:
- Chronic renal failure (CRF) is linked to hypertriglyceridemia due to impaired very low density lipoprotein (VLDL) and chylomicron clearance, often caused by lipoprotein lipase (LPL) dysfunction.
- Glycosylphosphatidylinositol-anchored binding protein 1 (GPIHBP1) is crucial for anchoring LPL to the endothelium and managing LPL activity.
- Deficiency in GPIHBP1 leads to severe hypertriglyceridemia and reduced LPL activity, highlighting its regulatory role.
Purpose of the Study:
- To investigate the impact of chronic kidney disease (CKD) on the expression of GPIHBP1.
- To understand the relationship between CKD, LPL deficiency, and GPIHBP1 expression.
Main Methods:
- Expression levels of GPIHBP1 and LPL were assessed using reverse transcriptase-polymerase chain reaction, Western blot, and immunohistochemical analyses.
- These analyses were performed on adipose tissue, skeletal muscle, and myocardium of rats subjected to 5/6 nephrectomy (CRF) or sham-operation (control).
Main Results:
- CRF rats exhibited severe hypertriglyceridemia compared to controls.
- A significant reduction in LPL mRNA and protein was observed in the skeletal muscle, myocardium, and adipose tissue of CRF rats.
- Parallel reductions in GPIHBP1 mRNA abundance and immunostaining were found in the same tissues of CRF rats.
Conclusions:
- Lipoprotein lipase (LPL) deficiency in chronic kidney disease (CKD) is exacerbated by a concurrent deficiency in GPIHBP1.
- These combined deficiencies impair the clearance of triglyceride-rich lipoproteins.
- The resulting hypertriglyceridemia, diminished lipid availability, and other complications like cachexia and atherosclerosis are linked to these molecular defects.
Background:
Chronic renal failure (CRF) is associated with hypertriglyceridemia and impaired clearance of very low density lipoprotein (VLDL) and chylomicrons which are largely due to lipoprotein lipase (LPL) deficiency/dysfunction. After its release from myocytes and adipocytes, LPL binds to the endothelium in the adjacent capillaries where it catalyzes hydrolysis of triglycerides in VLDL and chylomicrons. The novel endothelium-derived molecule, glycosylphosphatidylinositol-anchored binding protein 1 (GPIHBP1), plays a critical role in LPL metabolism and function by anchoring LPL to the endothelium and binding chylomicrons. GPIHBP1-deficient mice and humans exhibit severe hypertriglyceridemia and diminished heparin-releasable LPL, pointing to the critical role of GPIHBP1 in regulation of LPL activity. Given its central role in regulation of LPL activity and triglyceride metabolism, we explored the effect of chronic kidney disease (CKD) on GPIHBP1 expression.
Methods:
Expression of GPIHBP1 and LPL were determined by reverse transcriptase-polymerase chain reaction, Western blot and immunohistochemical analyses in the adipose tissue, skeletal muscle and myocardium of rats 12 weeks after 5/6 nephrectomy (CRF) or sham-operation (control).
Results:
Compared to the controls, the CRF group exhibited severe hypertriglyceridemia, significant reduction of the skeletal muscle, myocardium and adipose tissue LPL mRNA and protein abundance. This was accompanied by parallel reductions of GPIHBP1 mRNA abundance and immunostaining in the tested tissues.
Conclusions:
LPL deficiency in CKD is associated with and compounded by GPIHBP1 deficiency. Together these abnormalities contribute to impaired clearance of triglyceride-rich lipoproteins, diminished availability of lipid fuel for energy storage in adipocytes and energy production in myocytes and consequent hypertriglyceridemia, cachexia, muscle weakness and atherosclerosis.
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