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Updated: Apr 19, 2026

Cholesterol Efflux Assay
Published on: March 6, 2012
Matrix metalloproteinase 8 degrades apolipoprotein A-I and reduces its cholesterol efflux capacity
Aino Salminen1, Pirjo Åström2, Jari Metso2
1*Institute of Dentistry, University of Helsinki, Helsinki, Finland; Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital, Helsinki, Finland; Department of Diagnostics and Oral Medicine, Institute of Dentistry, and Medical Research Center Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland; National Institute for Health and Welfare, Public Health Genomics Unit, Biomedicum, Helsinki, Finland; Meilahti Clinical Proteomics Core Unit, Department of Biochemistry and Developmental Biology, Institute of Biomedicine, Biomedicum Helsinki, University of Helsinki, Finland; and Division of Periodontology, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden aino.m.salminen@helsinki.fi.
Abstract:
Various cell types in atherosclerotic lesions express matrix metalloproteinase (MMP)-8. We investigated whether MMP-8 affects the structure and antiatherogenic function of apolipoprotein (apo) A-I, the main protein component of HDL particles. Furthermore, we studied serum lipid profiles and cholesterol efflux capacity in MMP-8-deficient mouse model. Incubation of apoA-I (28 kDa) with activated MMP-8 yielded 22 kDa and 25 kDa apoA-I fragments. Mass spectrometric analyses revealed that apoA-I was cleaved at its carboxyl-terminal part. Treatment of apoA-I and HDL with MMP-8 resulted in significant reduction (up to 84%, P < 0.001) in their ability to facilitate cholesterol efflux from cholesterol-loaded THP-1 macrophages. The cleavage of apoA-I by MMP-8 and the reduction in its cholesterol efflux capacity was inhibited by doxycycline. MMP-8-deficient mice had significantly lower serum triglyceride (TG) levels (P = 0.003) and larger HDL particles compared with wild-type (WT) mice. However, no differences were observed in the apoA-I levels or serum cholesterol efflux capacities between the mouse groups. Proteolytic modification of apoA-I by MMP-8 may impair the first steps of reverse cholesterol transport, leading to increased accumulation of cholesterol in the vessel walls. Eventually, inhibition of MMPs by doxycycline may reduce the risk for atherosclerotic vascular diseases.
Insights
Matrix metalloproteinase-8 (MMP-8) degrades apolipoprotein A-I (apoA-I), impairing cholesterol efflux. MMP-8 deficiency in mice improves HDL particle size and lowers triglycerides, suggesting MMP inhibition may prevent atherosclerosis.
Area of Science:
- Biochemistry
- Cardiovascular Biology
- Enzymology
Background:
- Atherosclerotic lesions contain matrix metalloproteinase-8 (MMP-8).
- Apolipoprotein A-I (apoA-I) is crucial for high-density lipoprotein (HDL) structure and antiatherogenic function.
- The role of MMP-8 in modifying apoA-I and its impact on reverse cholesterol transport is unclear.
Purpose of the Study:
- To investigate MMP-8's effect on apoA-I structure and function.
- To assess MMP-8's impact on cholesterol efflux capacity.
- To analyze serum lipid profiles and HDL characteristics in MMP-8-deficient mice.
Main Methods:
- Incubation of purified apoA-I and HDL with activated MMP-8.
- Mass spectrometry to identify apoA-I cleavage sites.
- In vitro cholesterol efflux assays using THP-1 macrophages.
- Analysis of serum lipids, apoA-I levels, and cholesterol efflux in MMP-8-deficient and wild-type mice.
Main Results:
- MMP-8 cleaved apoA-I into 22 kDa and 25 kDa fragments, primarily at the carboxyl-terminal region.
- MMP-8 treatment significantly reduced apoA-I and HDL's cholesterol efflux capacity by up to 84%.
- Doxycycline inhibited MMP-8-mediated apoA-I cleavage and reduced cholesterol efflux capacity.
- MMP-8-deficient mice exhibited lower serum triglycerides and larger HDL particles compared to wild-type mice.
Conclusions:
- Proteolytic modification of apoA-I by MMP-8 impairs reverse cholesterol transport.
- This impairment may contribute to cholesterol accumulation in atherosclerotic plaques.
- Inhibition of MMPs, potentially with doxycycline, could offer a therapeutic strategy against atherosclerotic vascular diseases.
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