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Department of Pathology and Laboratory Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio 45267-0529
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ABSTRACT |
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Overexpression of apolipoprotein (apo) AIV in transgenic mice confers significant protection against atherosclerosis in apoE knockout animals even in the presence of a more severe atherogenic lipid profile. Because lipoprotein oxidation has been recognized to be pivotal in development of atherosclerosis, the antioxidative activity of apoAIV was investigated. Fasting intestinal lymph was used to mimic conditions in the interstitial fluid, the potential site for lipoprotein oxidation in vivo. ApoAIV (10 µg/ml) significantly inhibited copper-mediated oxidation of lymph. This inhibitory effect was further evaluated using purified low-density lipoprotein. Addition of apoAIV (2.5 µg/ml) increased the time of 50% conjugated diene formation by 2.4-fold, whereas apoE or BSA did not show such a protection even at 20 µg/ml. Addition of apoAIV during the propagation phase also resulted in a dose-dependent inhibition. ApoAIV also protected macrophage-induced oxidation of fasting lymph. These results provide the first evidence that apoAIV is a potent endogenous antioxidant.
antioxidative activity; lipoprotein oxidation; lymph; interstitial fluid; atherosclerosis
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INTRODUCTION |
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APOLIPOPROTEIN AIV (apoAIV) is a 46-kDa plasma protein that circulates freely in solution or associates with chylomicrons and high-density lipoprotein (HDL). Although apoAIV is a major circulating apolipoprotein, its physiological function is not totally clear. Two recent studies have shown that overexpression of either human or mouse apoAIV in transgenic mice confers significant protection against diet-induced atherosclerosis in cholesterol-fed animals and apoE-deficient mice (2, 4). These results suggest that apoAIV may play a protective role against atherosclerosis. However, the mechanism of apoAIV protection against atherosclerosis remains speculative.
Based on previous in vitro observations, several functions have been ascribed to this apolipoprotein. For example, apoAIV has been shown to 1) promote cholesterol efflux from extrahepatic tissues (20), 2) serve as a ligand for HDL binding to hepatocytes (5), 3) activate lecithin:cholesterol acyltransferase (6), and 4) modulate the activation of lipoprotein lipase by apoCII (8). However, these functions can also be fulfilled by other apolipoproteins, particularly apoAI. Although experiments with apoAI transgenic mice also showed a protective effect against atherosclerosis in cholesterol-fed and apoE-deficient mice (18), the lipoprotein profiles of apoAI- versus apoAIV-transgenic mice are quite different. It appears that transgenic expression of human apoAI suppresses atherosclerosis in apoE-deficient mice by increasing HDL (18). In contrast, the protective effect of apoAIV in apoE-deficient mice was observed despite a more severe atherogenic lipid profile, i.e., increased total plasma cholesterol with no significant change for HDL cholesterol (4). Thus the protective effect of apoAIV may be different from that of apoAI. One unique function of apoAIV that is not shared by other apolipoproteins is its role as a satiety factor (7). However, overexpression of human apoAIV in transgenic mice did not affect their feeding behavior (2, 4), suggesting that apoAIV protection against atherosclerosis in this animal model is also independent of its effect on food intake. Taken together, these results suggest that apoAIV may have yet another physiological function that confers protection against atherosclerosis. This protective mechanism is probably independent of lipoprotein metabolism and food intake.
A hallmark of atherosclerosis is the presence of oxidized lipids in lipoproteins and in the lesions (1, 21). Oxidized lipoproteins may also enhance lesion formation by increasing lipid deposition in macrophages and inducing proatherogenic cellular responses in the vessel wall (1). How endogenous factors influence the oxidative modifications of lipoproteins remains largely unknown. In view of observations demonstrating the involvement of lipoprotein oxidation in atherosclerosis of apoE-deficient mice (17), this study was undertaken to assess the potential role of apoAIV in protection against lipid oxidation.
A potential site for lipoprotein oxidation is the subendothelial space, and fasting intestinal lymph was used as the substrate for copper-induced oxidation to mimic conditions in the interstitial fluid. The protective effects of apoAIV against copper-induced oxidation of purified low-density lipoprotein (LDL) as well as macrophage-mediated oxidation of fasting intestinal lymph were also studied.
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MATERIALS AND METHODS |
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Purification of Apolipoproteins
Apolipoproteins were isolated from rat plasma lipoproteins by preparative PAGE as previously described (11) except that the final purified apolipoproteins were dialyzed against four changes of a dialysis buffer containing 20 mM Tris · HCl (pH 7.4) and 0.14 M NaCl at 4°C.Collection of Intestinal Lymph
Sprague-Dawley rats (275-300 g) were fasted overnight. Intestinal lymph duct and duodenal cannulations were performed as described previously (22). After the surgery, rats were infused intraduodenally with a glucose-saline solution containing 0.28 M glucose, 145 mM NaCl, and 4 mM KCl, and intestinal lymph was collected over ice.Purification of LDL
Human LDL (density = 1.019-1.063 g/ml) was isolated from the plasma of normal blood donors by density gradient ultracentrifugation as previously described (10) and stored in saline-EDTA. Just before use, EDTA was eliminated by dialysis against PBS, and the concentration of LDL is expressed in milligrams of protein as determined by Lowry assay.Assay of Lipid Oxidation
Assay of thiobarbituric acid-reactive substances.
A thiobarbituric acid-reactive substances (TBARS) assay for purified
LDL was performed using a method modified from that of Hulea et al.
(12). Briefly, 0.4 ml of solution containing 20 µg LDL, 0.02 M Tris
(pH 7.4), 0.14 M NaCl, 10 µM
CuSO4, and different amounts of
apolipoproteins was incubated for 3 h at 37°C. After incubation,
0.1 ml of 25% TCA and 0.5 ml 1% thiobarbituric acid (in 50% acetic
acid) were added and heated at 95°C for 45 min. The solution was
centrifuged at 13,000 rpm (Hermle Microcentrifuge, model Z180M) for 10 min, and the supernatant was read at 532 nm. For the incubation with
fasting lymph, we found that 100 µM copper caused the formation of
the maximal amount of TBARS under our experimental condition.
Consequently, 100 µM copper was used in all subsequent lymph
incubation experiments. We also studied the influence of the amount of
lymph in the incubation medium and the amount of TBARS formed and found
a linear relationship between the two at
20 µl of lymph. Therefore,
we used 20 µl of fasting lymph in all subsequent incubation
experiments. The final composition of the reaction mixture (0.4 ml) for
the TBARS assay of the fasting lymph contained 20 µl of fasting
lymph, 100 µM CuSO4, 0.02 M Tris (pH 7.4), 0.14 M NaCl, and different amounts of apolipoprotein.
Macrophage-mediated oxidation of lymph. For assay of the macrophage- mediated oxidation of fasting lymph, peritoneal macrophages were collected from C57BL/6 mice by intraperitoneal injection of 5 ml of DMEM with 10% fetal bovine serum. Cells (2 × 106) were added to each well of a 24-well plate. After 2 h of incubation at 37°C in 95% air-5% CO2, the nonadherent cells were removed by three washes with DMEM. F-10 medium (0.5 ml) was added to each well, followed by 5 µl fasting lymph and 10 µg apoAIV (50 µl of a saline solution containing 200 µg/ml apoAIV). After 12 h of incubation, an aliquot of supernatant was taken from each well and assayed for TBARS.
Assay of Formation of Conjugated Dienes During Copper-Mediated Oxidation of LDL
Conjugated diene formation during copper-mediated oxidation of LDL was measured by monitoring the formation of conjugated dienes (14). Briefly, LDL (50 µg/ml), with or without additional apolipoproteins or BSA, was oxidized using 10 µM CuSO4 at 30°C in a quartz cuvette, and absorbency readings at 234 nm were taken every 5 min.Statistics
Data are expressed as means ± SE. Statistical analysis was performed using the Student's t-test. Differences were considered significant at P < 0.05.| |
RESULTS |
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Inhibition of Copper-Mediated Oxidation of Fasting Lymph by ApoAIV
Addition of apoAIV inhibited the oxidation of lymph lipids in a dose-dependent manner, with significant inhibition observed at concentrations
10 µg/ml (Fig. 1). One
possible mechanism for this effect is apoAIV chelating with copper
ions, thus leaving little free copper to initiate the lipid
peroxidation process. To test this possibility, we dialyzed apoAIV
extensively against a 100 µM copper solution to saturate all the
binding sites of the protein. The treated apoAIV (dialyzed against
copper solution) did not show a significant decrease in its ability to
prevent the oxidation of lymph lipoproteins compared with the
nontreated apoAIV (data not shown). Thus it is highly unlikely that the
inhibitory effect of apoAIV against copper-induced lipid peroxidation
is due to the formation of apoAIV-copper complex. The protection against lipid oxidation by apoAIV is physiologically relevant because
the maximal protection against lipid oxidation was achieved at an
apoAIV concentration that is at least 2-fold lower than its
concentration in lymph and 10- to 20-fold lower than its concentration in plasma (100-200 µg/ml).
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Inhibition of Copper-Mediated Oxidation of LDL by ApoAIV
The antioxidative effect of apoAIV was not limited to fasting lymph lipoproteins but was also effective toward LDL. Results showed that apoAIV was also effective in inhibiting copper-induced LDL oxidation (Fig. 1). The inhibition was dose dependent, with a significant inhibition observed at 5 µg/ml apoAIV (Fig. 1). This inhibition was also verified by monitoring the formation of conjugated dienes. As shown in Fig. 2, the addition of 2.5 µg/ml apoAIV increased the time of 50% conjugated diene formation (T1/2) by 2.4-fold. Conjugated diene formation was not observed in the presence of 20 µg/ml of apoAIV (Fig. 2). In contrast, rat apoE, even at concentrations of 20 µg/ml, increased T1/2 by only 1.3-fold (Fig. 2). This result is consistent with the observation by Miyata and Smith (15), who observed that the addition of 20 µg of apoE4, E3, and E2 in the reaction mixture resulted in only a 1.47-, 1.55-, and 1.75-fold increase, respectively, of T1/2 in conjugated diene formation.
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The antioxidative effects of apoAIV were further explored by determining whether apoAIV could also inhibit LDL oxidation during the propagation phase of the oxidative process. As shown in Fig. 3, addition of apoAIV during the propagation phase resulted in a dose-dependent inhibition of LDL oxidation. A linear inverse relationship (R2 = 0.9955) was observed between the change in the rate of conjugated diene formation and the amount of apoAIV added during the reaction (Fig. 3, inset). These results suggested a direct effect of apoAIV in interfering with the oxidation.
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Inhibition of Macrophage-Mediated Oxidation of Fasting Lymph by ApoAIV
To examine the antioxidative capacity of apoAIV in an in vivo system, macrophage-mediated oxidation of lymph lipoproteins was used. As shown in Fig. 4, apoAIV (20 µg/ml) showed an 85% inhibition in macrophage-mediated oxidation of fasting lymph. These results imply that apoAIV may serve as an antioxidant in vivo, where the oxidation of lipoproteins by macrophages in the subendothelial space has been suggested to play a key role in the development of atherosclerosis.
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DISCUSSION |
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These data demonstrate that apoAIV is a potent antioxidant of lymph
lipoproteins. Although many antioxidants exist in nature, apoAIV
is unique in the following important aspects.
1) Unlike exogenous antioxidants
such as
-tocopherol, ascorbate, and
-carotene, apoAIV
is synthesized in the body and thus serves as a naturally occurring
potent anti-oxidant. 2) ApoAIV is
mainly produced by the intestine, and its production is directly
correlated with fat intake. ApoAIV synthesis increases with high fat
consumption (13, 16). In contrast, other apolipoproteins produced by
the gastrointestinal tract such as apoAI and apoB are not affected by
lipid feeding. In fact, the apoAIV levels remain elevated even after
the postprandial hypertriglyceremia period (16). This prolonged
increase in apoAIV production may represent a natural response in the
body to guard against lipid oxidation and the generation of deleterious
lipid peroxidation products during both the absorption and postprandial
periods. 3) Unlike most other antioxidants, apoAIV is amphipathic and is distributed in
lipoprotein-bound and lipoprotein-free forms in circulation (3). These
characteristics allow apoAIV to exert its antioxidative activity in
both lipid and aqueous phases. 4)
The level of lymphatic apoAIV protein has been shown to be
significantly higher in cholesterol-fed dogs versus control animals
(19). The increase of apoAIV was detected in very low-density
lipoproteins, LDL, HDL, and in lipoprotein-free fractions of the lymph,
in contrast to decreases of apoAI in each fraction (19). The apoAIV
concentration of lymph of the cholesterol-fed dogs was more than twice
the plasma apoAIV level. The higher apoAIV level in the interstitial
fluid than in plasma would allow apoAIV to be more effective in
guarding against oxidative modification of lipoproteins in places where
they are mostly likely to occur. In view of observations that apoAIV is
a more potent antioxidant than apoE, a well established antiatherogenic
protein (15), the results suggest that therapeutic treatment aimed at
increasing apoAIV levels may be a fruitful strategy for the reduction
of coronary heart disease.
We can conclude from this study that apoAIV is a potent antioxidant produced by the small intestine to guard against lipoprotein oxidation in the body. This study provides a plausible explanation for the observation that apoAIV transgenic animals, when mated with apoE knockout animals, confer protection against atherosclerosis. Similarly, the protection against lipoprotein oxidation may also explain the protection in apoAIV transgenic mice against atherosclerosis following the feeding of an atherogenic diet.
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ACKNOWLEDGEMENTS |
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The authors thank J. L. Goldstein (University of Texas Southwestern Medical School, Dallas, TX) for review of this manuscript.
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FOOTNOTES |
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This research was supported by National Institute of Diabetes and Digestive and Kidney Diseases Grants DK-32288 (P. Tso) and DK-46405 (D. Y. Hui).
Address for reprint requests: P. Tso, Dept. of Pathology and Laboratory Medicine, Univ. of Cincinnati College of Medicine, 231 Bethesda Ave. (ML 0529), Cincinnati, OH 45267-0529.
Received 24 November 1997; accepted in final form 18 February 1998.
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