| Autor: |
Freeman LA; Translational Vascular Medicine Branch National Institutes of Health, Bethesda, MD. Electronic address: litaf@mail.nih.gov., Shamburek RD; Cardiovascular Branch National Heart, Lung, and Blood Institute National Institutes of Health, Bethesda, MD., Sampson ML; the NIH Clinical Center National Institutes of Health, Bethesda, MD., Neufeld EB; Translational Vascular Medicine Branch National Institutes of Health, Bethesda, MD., Sato M; Translational Vascular Medicine Branch National Institutes of Health, Bethesda, MD., Karathanasis SK; Cardiovascular and Metabolic Disease Section, MedImmune, Gaithersburg, MD., Remaley AT; Translational Vascular Medicine Branch National Institutes of Health, Bethesda, MD; the NIH Clinical Center National Institutes of Health, Bethesda, MD. |
| Abstrakt: |
Familial LCAT deficiency (FLD) patients accumulate lipoprotein-X (LP-X), an abnormal nephrotoxic lipoprotein enriched in free cholesterol (FC). The low neutral lipid content of LP-X limits the ability to detect it after separation by lipoprotein electrophoresis and staining with Sudan Black or other neutral lipid stains. A sensitive and accurate method for quantitating LP-X would be useful to examine the relationship between plasma LP-X and renal disease progression in FLD patients and could also serve as a biomarker for monitoring recombinant human LCAT (rhLCAT) therapy. Plasma lipoproteins were separated by agarose gel electrophoresis and cathodal migrating bands corresponding to LP-X were quantified after staining with filipin, which fluoresces with FC, but not with neutral lipids. rhLCAT was incubated with FLD plasma and lipoproteins and LP-X changes were analyzed by agarose gel electrophoresis. Filipin detects synthetic LP-X quantitatively (linearity 20-200 mg/dl FC; coefficient of variation <20%) and sensitively (lower limit of quantitation <1 mg/ml FC), enabling LP-X detection in FLD, cholestatic, and even fish-eye disease patients. rhLCAT incubation with FLD plasma ex vivo reduced LP-X dose dependently, generated HDL, and decreased lipoprotein FC content. Filipin staining after agarose gel electrophoresis sensitively detects LP-X in human plasma and accurately quantifies LP-X reduction after rhLCAT incubation ex vivo. |
