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Updated: Jan 27, 2026

High-throughput Nitrobenzoxadiazole-labeled Cholesterol Efflux Assay
Published on: January 7, 2019
Usefulness of apolipoprotein B-depleted serum in cholesterol efflux capacity assays using immobilized liposome-bound
Yuna Horiuchi1, Ryunosuke Ohkawa2, Shao-Jui Lai3
1Analytical Laboratory Chemistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.
Insights
Cholesterol efflux capacity (CEC) measured using apolipoprotein B-depleted serum (BDS) reflects both high-density lipoprotein (HDL) function and its concentration. This method is a reliable alternative for assessing HDL
Area of Science:
- Cardiovascular Science
- Lipid Metabolism
- Biochemistry
Background:
- High-density lipoprotein (HDL) plays a key role in preventing atherosclerosis via cholesterol efflux capacity (CEC).
- Apolipoprotein B-depleted serum (BDS) is increasingly used as a substitute for isolated HDL in CEC assays.
- The reliability of BDS as a cholesterol acceptor (CA) is debated.
Purpose of the Study:
- To evaluate the suitability of BDS as a cholesterol acceptor for measuring CEC.
- To assess whether BDS-derived CEC (BDS-CEC) is influenced by serum contaminants or HDL concentration.
Main Methods:
- Calculated whole-cholesterol efflux capacity (whole-CEC) by integrating CEC with HDL-cholesterol (HDL-C) levels.
- Assessed BDS-CEC deviations against serum protein, LDL, and triglyceride levels to identify systematic errors.
- Tested reconstituted serum samples with varying HDL-C and serum protein levels to evaluate protein effects.
Main Results:
- A significant correlation (r = 0.633) was found between BDS-CEC and HDL-isolated CEC.
- Deviations in BDS-CEC were not correlated with serum protein, LDL, or triglyceride levels, ruling out systematic errors.
- BDS-CEC remained stable across different combinations of serum proteins and HDL-C levels.
Conclusions:
- BDS-CEC is a valid measure that reflects both HDL function and its concentration in serum.
- BDS is a suitable cholesterol acceptor for CEC measurements, offering a potentially more practical alternative to isolated HDL.
Abstract:
Cholesterol efflux capacity (CEC) in atherosclerotic lesions is the main anti-atherosclerotic function of high-density lipoprotein (HDL). In recent studies, apolipoprotein (apo) B-depleted serum (BDS) obtained with the polyethylene glycol (PEG) precipitation method is used as a cholesterol acceptor (CA) substitution for HDL isolated by ultracentrifugation. However, the suitability of BDS as a CA is controversial. In the present study, CEC obtained from BDS (BDS-CEC) was evaluated based on a parameter, defined as whole-CEC, which was calculated by multiplying CEC obtained using fixed amounts of HDL by cholesterol concentration to HDL-cholesterol (HDL-C) levels in the serum. Significant correlation (r = 0.633) was observed between both CECs. To eliminate systematic errors from possible contamination with serum proteins and low-density lipoprotein (LDL) or very-LDL (VLDL) in BDS-CEC, the deviation of each CEC-BDS from the regression equation was compared with serum protein, LDL, and triglyceride (TG) levels. No correlation was observed between the deviation and the levels of each of these serum components, indicating that the deviations do not derive from systematic error. Further, to evaluate the effects of serum protein on the results, we measured BDS-CEC of reconstituted serum samples prepared using combinations of five levels of serum proteins with five levels of HDL-C. No significant change in BDS-CEC was observed in any combination. These results indicate that BDS-CEC reflects not only the function of HDL but also its concentration in serum.
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