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LDL Cholesterol Uptake Assay Using Live Cell Imaging Analysis with Cell Health Monitoring
Published on: November 17, 2018
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.
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.
Background:
The etiopathogenesis of abdominal aortic aneurysm (AAA) is still unclarified, but vascular inflammation and matrix metalloproteases activation have a recognized role in AAA development and progression. Circulating lipoproteins are involved in tissue inflammation and repair, particularly through the regulation of intracellular cholesterol, whose excess is associated to cell damage and proinflammatory activation. We analyzed lipoprotein metabolism and function in AAA and in control vasculopathic patients, to highlight possible non-atherosclerosis-related, specific abnormalities.
Methods:
We measured fluorometrically serum esterified/total cholesterol ratio, as an index of lecithin-cholesterol acyltransferase (LCAT) activity, and cholesteryl ester transfer protein (CETP) activity in patients referred to vascular surgery either for AAA (n=30) or stenotic aortic/peripheral atherosclerosis (n=21) having similar burden of cardiovascular risk factors and disease. We measured high-density lipoprotein (HDL)-cholesterol efflux capacity (CEC), through the ATP-binding cassette G1 (ABCG1) and A1 (ABCA1) pathways and serum cell cholesterol loading capacity (CLC), by radioisotopic and fluorimetric methods, respectively.
Results:
We found higher LCAT (+23%; p < 0.0001) and CETP (+49%; p < 0.0001) activity in AAA sera. HDL ABCG1-CEC was lower (-16%; p < 0.001) and ABCA1-CEC was higher (+31.7%; p < 0.0001) in AAA. Stratification suggests that smoking may partly contribute to these modifications. CEC and CETP activity correlated with CLC only in AAA.
Conclusions:
We demonstrated that compared to patients with stenotic atherosclerosis, patients with AAA had altered HDL metabolism and functions involved in their anti-inflammatory and tissue repair activity, particularly through the ABCG1-related intracellular signaling. Clarifying the relevance of this mechanism for AAA evolution might help in developing new diagnostic parameters and therapeutic targets for the early management of this condition.
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