Impaired cholesterol efflux capacity and vasculoprotective function of high-density lipoprotein in heart transplant

Neha Singh1, Frank Jacobs1, Daniel J Rader2

  • 1Centre for Molecular and Vascular Biology, Department of Cardiovascular Sciences, Catholic University of Leuven, Leuven, Belgium.

Insights

High-density lipoprotein (HDL) function is impaired in heart transplant recipients, despite similar HDL cholesterol levels. This reduced HDL function is not linked to cardiac allograft vasculopathy (CAV).

Area of Science:

  • Cardiology
  • Immunology
  • Transplantation Science

Background:

  • High-density lipoprotein (HDL) metabolism is altered in heart transplant recipients.
  • HDL function may be impaired in these patients, impacting cardiovascular health post-transplant.

Purpose of the Study:

  • To investigate HDL function in heart transplant recipients.
  • To assess cholesterol efflux capacity and vasculoprotective function of HDL.
  • To determine the relationship between HDL function and cardiac allograft vasculopathy (CAV).

Main Methods:

  • Cross-sectional study of 52 heart transplant recipients 5-15 years post-transplantation.
  • Analysis of cholesterol efflux capacity using apolipoprotein B-depleted plasma.
  • Evaluation of HDL vasculoprotective function via endothelial progenitor cell migration assay.

Main Results:

  • Heart transplant recipients showed reduced normalized cholesterol efflux (24.1%) and vasculoprotective function (27.0%) compared to controls.
  • HDL function was similar in patients with and without CAV and not related to C-reactive protein (CRP) levels.
  • Higher CRP levels (≥6 mg/liter) were observed in patients with CAV.

Conclusions:

  • HDL function is impaired in heart transplant recipients.
  • Impaired HDL function is unrelated to CAV status in these patients.
  • CAV-positive patients have a higher proportion of elevated CRP levels.
Abstract

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