A novel ApoA-I truncation (ApoA-I-Mytilene) associated with decreased ApoA-I production

作者:Anthanont Pimjai; Polisecki Eliana; Asztalos Bela F; Diffenderfer Margaret R; Barrett P Hugh R; Millar John S; Billheimer Jeffrey; Cuchel Marina; Rader Daniel J; Schaefer Ernst J*
来源:Atherosclerosis, 2014, 235(2): 470-476.
DOI:10.1016/j.atherosclerosis.2014.05.935

摘要

Objective: We report a novel apolipoprotein (apo) A-I truncation (apoA-I-Mytilene) due to a heterozygous nonsense mutation (c.718C > T, p. Gln216*) in a 68-year-old male proband with premature coronary heart disease (CHD), corneal arcus, and very low plasma concentrations of HDL cholesterol (HDL-C) and apoA-I. Two family members also had the same mutation. Our objectives were to characterize the kindred and to examine the kinetics of apoA-I, as well as cellular cholesterol efflux capacity in the proband. Methods: We carried out the kinetic studies using a primed constant infusion of [5,5,5-D-3] L-leucine and isotopic enrichment was determined by gas chromatography mass spectrometry in the proband and seven controls with low HDL-C. To assess cellular cholesterol efflux capacity, we used a validated ex vivo system that involved incubation of J774 macrophages with apoB-depleted serum from the proband, five controls with normal HDL-C, and two controls with low HDL-C. Results: Stable isotope kinetic studies indicated that the proband had an apoA-I production rate (PR) that was 41% lower than the mean PR observed in low HDL-C controls (n = 7). The cellular cholesterol efflux capacity assessment showed normalized cholesterol efflux capacity in the proband was decreased by 36% compared to the mean normalized cholesterol efflux capacity of normal controls (n = 5). Conclusions: Our data indicate that this novel heterozygous apoA-I truncation is associated with markedly decreased levels of HDL-C, plasma apoA-I, and apoA-I in large alpha-1 HDL particles, as well as decreased total cellular cholesterol efflux and decreased apoA-I production.

  • 出版日期2014-8