Journal of Lipid Research (Jul 2004)

Abnormal in vivo metabolism of apoB-containing lipoproteins in human apoE deficiency

  • Katsunori Ikewaki,
  • William Cain,
  • Fairwell Thomas,
  • Robert Shamburek,
  • Loren A. Zech,
  • David Usher,
  • H. Bryan Brewer, Jr.,
  • Daniel J. Rader

Journal volume & issue
Vol. 45, no. 7
pp. 1302 – 1311

Abstract

Read online

The present study was undertaken to elucidate the metabolic basis for the increased remnants and lipoprotein(a) [Lp(a)] and decreased LDL apolipoprotein B (apoB) levels in human apoE deficiency. A primed constant infusion of 13C6-phenylalanine was administered to a homozygous apoE-deficient subject. apoB-100 and apoB-48 were isolated, and tracer enrichments were determined by gas chromatography-mass spectrometry, then kinetic parameters were calculated by multicompartmental modeling. In the apoE-deficient subject, fractional catabolic rates (FCRs) of apoB-100 in VLDL and intermediate density lipoprotein and apoB-48 in VLDL were 3×, 12×, and 12× slower than those of controls. On the other hand, the LDL apoB-100 FCR was increased by 2.6×. The production rate of VLDL apoB-100 was decreased by 45%. In the Lp(a) kinetic study, two types of Lp(a) were isolated from plasma with apoE deficiency: buoyant and normal Lp(a). 125I-buoyant Lp(a) was catabolized at a slower rate in the patient. However, 125I-buoyant Lp(a) was catabolized at twice as fast as 131I-normal Lp(a) in the control subjects.In summary, apoE deficiency results in: 1) a markedly impaired catabolism of VLDL/chylomicron and their remnants due to lack of direct removal and impaired lipolysis; 2) an increased rate of catabolism of LDL apoB-100, likely due to upregulation of LDL receptor activity; 3) reduced VLDL apoB production; and 4) a delayed catabolism of a portion of Lp(a).

Keywords