Lipoprotein subfractions highly associated with renal damage in familial lecithin:cholesterol acyltransferase deficiency

Autor: Yasuyuki Aoyagi, Kouju Kamata, Adriaan G. Holleboom, Masayuki Kuroda, Sakiyo Asada, Shizuya Yamashita, Shun Ishibashi, Erik S.G. Stroes, Hideaki Bujo, Yasushi Saito
Přispěvatelé: Vascular Medicine, Amsterdam Cardiovascular Sciences
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Adult
Male
medicine.medical_specialty
food.ingredient
Adolescent
Lipoproteins
Sterol O-acyltransferase
Kidney
Lecithin
Phosphatidylcholine-Sterol O-Acyltransferase
chemistry.chemical_compound
food
Lecithin Cholesterol Acyltransferase Deficiency
Internal medicine
medicine
Humans
Enzyme Replacement Therapy
Genetic Predisposition to Disease
Renal Insufficiency
Child
Chromatography
High Pressure Liquid

Aged
Lecithin cholesterol acyltransferase deficiency
Triglyceride
Chemistry
Lecithin Acyltransferase Deficiency
fungi
Middle Aged
medicine.disease
Recombinant Proteins
Proteinuria
Endocrinology
Phenotype
Renal pathology
Biochemistry
Case-Control Studies
Mutation
Cholesteryl ester
Chromatography
Gel

Female
lipids (amino acids
peptides
and proteins)

Cardiology and Cardiovascular Medicine
Biomarkers
Lipoprotein
Zdroj: Arteriosclerosis, thrombosis, and vascular biology, 34(8), 1756-1762. Lippincott Williams and Wilkins
ISSN: 1079-5642
DOI: 10.1161/atvbaha.114.303420
Popis: Objective— In familial lecithin:cholesterol acyltransferase (LCAT) deficiency (FLD), deposition of abnormal lipoproteins in the renal stroma ultimately leads to renal failure. However, fish-eye disease (FED) does not lead to renal damage although the causative mutations for both FLD and FED lie within the same LCAT gene. This study was performed to identify the lipoproteins important for the development of renal failure in genetically diagnosed FLD in comparison with FED, using high-performance liquid chromatography with a gel filtration column. Approach and Results— Lipoprotein profiles of 9 patients with LCAT deficiency were examined. Four lipoprotein fractions specific to both FLD and FED were identified: (1) large lipoproteins (>80 nm), (2) lipoproteins corresponding to large low-density lipoprotein (LDL), (3) lipoproteins corresponding to small LDL to large high-density lipoprotein, and (4) to small high-density lipoprotein. Contents of cholesteryl ester and triglyceride of the large LDL in FLD (below detection limit and 45.8±3.8%) and FED (20.7±6.4% and 28.0±6.5%) were significantly different, respectively. On in vitro incubation with recombinant LCAT, content of cholesteryl ester in the large LDL in FLD, but not in FED, was significantly increased (to 4.2±1.4%), whereas dysfunctional high-density lipoprotein was diminished in both FLD and FED. Conclusions— Our novel analytic approach using high-performance liquid chromatography with a gel filtration column identified large LDL and high-density lipoprotein with a composition specific to FLD, but not to FED. The abnormal lipoproteins were sensitive to treatment with recombinant LCAT and thus may play a causal role in the renal pathology of FLD.
Databáze: OpenAIRE