HDL metabolism and functions impacting on cell cholesterol homeostasis are specifically altered in patients with

Maria Pia Adorni1, Marcella Palumbo2, Cinzia Marchi2

  • 1Department of Medicine and Surgery, Unit of Neuroscience, University of Parma, Via Volturno 39/F, Parma, Italy.

Frontiers in Immunology
|September 29, 2022
PubMed

Insights

Abdominal aortic aneurysm (AAA) patients show altered high-density lipoprotein (HDL) metabolism, impacting anti-inflammatory and repair functions. These findings suggest new diagnostic and therapeutic targets for AAA management.

Area of Science:

  • Vascular Biology
  • Lipid Metabolism
  • Atherosclerosis Research

Background:

  • Abdominal aortic aneurysm (AAA) pathogenesis involves vascular inflammation and matrix metalloproteinase activation.
  • Lipoproteins influence tissue inflammation and repair by regulating intracellular cholesterol.
  • Excess intracellular cholesterol can lead to cell damage and pro-inflammatory responses.

Purpose of the Study:

  • To investigate lipoprotein metabolism and function in AAA patients.
  • To identify potential non-atherosclerosis-specific abnormalities in AAA.
  • To compare lipoprotein profiles in AAA versus control vasculopathic patients.

Main Methods:

  • Measured serum lecithin-cholesterol acyltransferase (LCAT) and cholesteryl ester transfer protein (CETP) activity.
  • Assessed high-density lipoprotein (HDL)-cholesterol efflux capacity (CEC) via ATP-binding cassette G1 (ABCG1) and A1 (ABCA1) pathways.
  • Determined serum cell cholesterol loading capacity (CLC) using radioisotopic and fluorimetric methods.

Main Results:

  • AAA patients exhibited significantly higher LCAT and CETP activity compared to controls.
  • HDL ABCG1-mediated cholesterol efflux capacity was reduced, while ABCA1-mediated efflux was increased in AAA.
  • Cholesterol efflux capacity and CETP activity correlated with cholesterol loading capacity exclusively in AAA patients.

Conclusions:

  • AAA patients display altered HDL metabolism and function, affecting anti-inflammatory and tissue repair capabilities.
  • The ABCG1-related intracellular signaling pathway appears particularly relevant in AAA.
  • Further research could lead to novel diagnostic markers and therapeutic strategies for early AAA management.
Abstract

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