James Shepherd

Effects of Dietary Polyunsaturated and Saturated Fat on the Properties of High Density Lipoproteins and the Metabolism of Apolipoprotein A-I

In this study we have investigated, in four normal males the effects of dietary saturated and polyunsaturated fat on the chemical composition and thermotropic properties of human high density lipoproteins (HDL) and have measured the influence of the diets on the metabolism of that fraction of HDL apolipoprotein A-I (apoA-I) that undergoes exchange in vitro and accounts for approximately two-thirds of the lipoproteins apoA-I complement. When compared with the saturated fat diet, the polyunsaturated diet reduced plasma cholesterol (24%, P < 0.01) by affecting the cholesterol content in the very low density lipoprotein ( downward arrow25%, P < 0.02), low density lipoprotein ( downward arrow20%, P < 0.01), and high density lipoprotein fractions ( downward arrow33%, P < 0.01). Plasma triglyceride was also lowered (by 13%, P < 0.01). Furthermore, polyunsaturated fat ingestion caused a significant fall in the palmitate and stearate content of HDL triglyceride (41 and 37%, respectively), cholesteryl esters (29 and 35%), and phospholipids (17 and 9%) with a concomitant increase in the linoleate content of these moieties (157, 28, and 29%, respectively). The polyunsaturated diet also produced reciprocal changes in the percentage protein ( downward arrow9%, P < 0.02) and phospholipid ( downward arrow11.5%, P < 0.01) in HDl. These compositional changes were associated with an increase in the microscopic fluidity of the polyunsaturated HDL, although both diets had little effect on the fluidity parameters of HDL at body temperature. Rate zonal ultracentrifugation indicated that the HDL(2)/HDL(3) ratio fell by 28% (P < 0.05) on the polyunsaturated fat diet. In addition to the above, this diet reduced plasma apoA-I by 21% (P < 0.01). No change was seen in the fractional catabolic rate or the distribution of the apoprotein between intravascular and extravascular compartments on the two diets. However, when compared with the saturated diet, the synthetic rate of apoA-I was reduced by 26% during polyunsaturated fat feeding. The results show that polyunsaturated fat alters the chemical composition, thermotropic properties, and subfraction distribution of HDL without changing the fractional rate of catabolism of their major protein, apoA-I.These findings deserve careful consideration in determining the applicability and efficacy of polyunsaturated fat diet therapy in the prevention of atherosclerosis in man.

Smoking and plasma lipoproteins in man : effects on low density lipoprotein cholesterol levels and high density lipoprotein subfraction distribution

Abstract. In a survey of a healthy population (n = 197), LDL cholesterol, plasma triglycerides and VLDL triglycerides were found to be substantially increased and plasma HDL cholesterol decreased in smokers. The lipid‐associated atherogenic risk in smokers as assessed by the LDL/HDL ratio was significantly higher [2.89 (SD 1.18, n= 63)] than in non‐smokers [2.38 (SD 0.98, n= 86) P < 0.01]. The lower HDL level found in smokers was explained by a lower HDL‐2 subfraction as determined by analytical ultracentrifugation. HDL 2b, 2a and 3a, measured by gradient gel electrophoresis, were all lower in the smokers but this was only significant for HDL 2a. Smoking had no effect on Lp(a) levels. HDL cholesterol and HDL‐2 were strongly negatively correlated whereas LDL cholesterol and LDL/HDL ratio were strongly positively correlated with the plasma triglyceride concentration. There was a small but significant reduction in plasma CETP activity [non‐smokers 49%t/μl (SD 17, n= 90), smokers 43%t/μl (SD 17, n= 66) P < 0.05] but CETP activity was not correlated with any measure of HDL in this population. Smoking was found to be an important independent contributor to the variation in plasma triglyceride, HDL, HDL‐2 and LDL/HDL ratio. After correcting for sex, age, BMI, alcohol consumption, oral contraceptive use and plasma triglycerides smoking was still found to be significantly associated with HDL and the LDL/HDL ratio. Upon adjustment for covariant factors the mean differences between smokers and non‐smokers for HDL cholesterol, HDL‐2 and LDL/HDL were 0.15 mM, 16 mg dl‐1 and 0.39 respectively. There appeared to be important sex differences in the influence of smoking on plasma lipoproteins. In women the main impact of smoking was on triglyceride levels and they in turn affected LDL and HDL. In contrast, in men, smoking had little impact on triglycerides and affected HDL more directly. We conclude that smoking cigarettes has an important effect on plasma lipoprotein metabolism through multiple mechanisms.

The in vitro interaction of human apolipoprotein A-I and high density lipoproteins☆

Abstract Radioiodinated human apolipoprotein A-I, when incubated with plasma lipoproteins, associates exclusively with high density lipoproteins. It does not interact with very low density lipoproteins or low density lipoproteins. Binding is rapid, being complete within 10 min, and is not affected by variation of pH within the range 6.0–9.5 or of temperature over the range 0°–37°C. At equimolar concentrations of apolipoprotein A-I and high density lipoproteins, 0.58 mol of the apoprotein bind per mol of high density lipoproteins. Binding increases progressively with apolipoprotein A-I concentration up to an apolipoprotein A-I : high density lipoprotein molar ratio of 20 : 1, when each mol of lipoprotein binds 7.62 mol of apoprotein. Interaction of apolipoprotein A-I with high density lipoproteins displaces endogenous apolipoprotein A-I from the particle to a maximum of 2 mol of apolipoprotein A-I per mol of high density lipoproteins. This displacement occurs at an apoprotein : lipoprotein molar ratio of 10 : 1. The rest of the endogenous apolipoprotein A-I is not displaceable, even when the exogenous apoprotein : lipoprotein ratio is increased to 20 : 1. Incubation of apolipoprotein A-I and high density lipoproteins at molar ratios of 0.3 or less results in a mol for mol exchange of exogenous with endogenous apolipoprotein A-I on the lipoprotein. The half-life of 131I-labeled apolipoprotein A-I/high density lipoproteins in rats and rabbits is 15 h and 1.40 days respectively; the material decays exponentially from the bodies of these animals. More than 94% of the radioactivity in their plasma is associated with a component of hydrated density 1.063–1.21 kg/l. When injected into humans, the radioiodinated apoprotein incorporated into high density lipoproteins by in vitro incubation is cleared from the plasma 20% faster than endogenous apolipoprotein A-I in high density lipoproteins.

Effect of saturated and polyunsaturated fat diets on the composition and structure of human low density lipoproteins

Abstract We have studied the effect of diets of saturated and polyunsaturated fat on the composition, structure and thermal behavior of human plasma low density lipoproteins (LDL). We find that relative to a saturated fat diet one of polyunsaturated fat produces: 1. (1) An increase. in the unsaturated acyl content of all lipid classes of LDL. 2. (2) An increase in the triglyceride content of LDL. 3. (3) A decrease in the temperature of the thermotropic liquid crystal to isotropic liquid phase transition of LDL. 4. (4) No effect on the temperature of LDL denaturation. In spite of major changes in the fatty acid composition of the major lipid of LDL, cholesteryl esters, the thermal properties of LDL are dominated by their triglyceride content. Since a polyunsaturated fat diet raised LDL triglyceride levels, our calorimetric and spectroscopic results suggest that the thermal properties and the structure of LDL at 37°C are sensitive to the composition of dietary fat.

Metabolism of apolipoproteins A‐I and A‐ll and its influence on the high density lipoprotein subfraction distribution in males and females

Abstract. Rate zonal ultracentrifugation of plasma samples from ten healthy age‐matched volunteers (five males, five females) indicated that the high density lipoprotein subfraction ratio (HDL2:HDL3) in females was significantly higher than in males. The cause of this phenomenon was investigated by simultaneous examination of the metabolism of the major HDL apoproteins (apoA‐I and apoA‐II) in both groups. The results show that there is no significant sex‐related difference in the plasma pool size, fractional catabolic rate, or synthetic rate of either apoprotein. We conclude that the increased HDL2:HDL3 ratio in females versus males does not derive from measurable differences in the metabolic handling of either apoprotein.

Apolipoprotein B metabolism in normal, type IV, and type V hyperlipoproteinemic subjects

Abstract Apolipoprotein B (apoB) metabolism was investigated in four normal, three type IV, and three type V hyperlipoproteinemic subjects. Following injection of autologous radioiodinated very low density lipoprotein (VLDL) the rate of clearance of the apoprotein from this particle and its subsequent appearance in low density lipoprotein (LDL) was measured by frequent apoB specific activity determinations over an 11-day period. The resultant data were analyzed using the SAAM 27 computer program. In the normal subjects, more than 95% of the injected VLDL apoB was rapidly transferred to the LDL density range and accounted for all LDL apoB synthesis in that group. The plasma VLDL apoB concentration in the type IV group was, on average, five times the normal level. This resulted primarily from a doubling of the VLDL apoB synthetic rate associated with a defective or saturated catabolic mechanism. Only 60% of this material subsequently appeared in LDL, while the remainder was catabolized via an LDL-independent pathway. The turnover parameters of LDL apoB were normal in the type IV patients. Type V hyperlipoproteinemic subjects exhibited a 12- to 35-fold increase in plasma VLDL apoB concentration over normal. This again derived from increased VLDL apoB synthesis in the presence of defective removal of the apoprotein; the fractional catabolic rate of VLDL apoB in this group was 14% of the normal value. However, in contrast to the type IV patient data, more than 85% of the apoB in type V VLDL eventually appeared in LDL whose turnover rate was raised as a result of an increase in its catabolism; the fractional catabolic rate of LDL apoB in type V patients was four-fold above normal. The plasma LDL apoB pool size was substantially reduced in these subjects. This study shows that in hyperlipoproteinemic pheno-types IV and V there exist multiple anomalies of apoB metabolism affecting both VLDL and LDL.

Very low density and low density lipoprotein subfractions in type III and type IV hyperlipoproteinemia. Chemical and physical properties.

Subfractions of CLDL (VLDL), Sf 100-400; CLDL2, Sf 60--100; VLDL3, Sf 20--60) and LDL (LDL), Sf 12--20; LDL2, Sf 6--12; LDL3, Sf 3--6) were isolated from the plasma of three normal, three type III and four type IV hyperlipoproteinemic subjects. In the type IV group, all VLDL subspecies were of normal composition but were increased in concentration in the order VLDL1 greater than VLDL2 greater than VLDL3. In the same subjects, although LDL2 was lowered and LDL3 increased, the total plasma LDL concentration was normal. All VLDL subfractions were elevated in the type III group, but in this case VLDL3 predominated. These subfractions were enriched in cholesteryl esters and depleted in triglyceride. In the LDL density range there was a shift of mass towards the least dense fraction, LDL1, which was of normal composition. EPR studies of the VLDL and LDL subfractions in a type IV subject demonstrated a decrease in fluidity with increasing density. The major change occurred between VLDL3 and LDL1 and was attributed to a substantial alteration in the cholesteryl ester : triglyceride ratio in the particle. A similar argument was used to explain thction in normal or type IV subjects. Particle diameters, determined by laser light-scattering spectroscopy were in good agreement with the values obtained by electron microscopy. This study provides a baseline for the examination of the relationship between the physical and metabolic properties of VLDL and LDL subfractions in type III and IV hyperlipoproteinemia.

Effect of saturated and unsaturated fat diets on molecular species of phosphatidylcholine and sphingomyelin of human plasma lipoproteins

Four healthy 21-23-year-old males with normal lipoprotein patterns and plasma lipid concentrations were subjected voluntarily to two diets of 5 weeks duration each: I, highly saturated fat diet; II, highly polyunsaturated fat diet. The VLDL, LDL and HDL3 fractions were isolated by conventional ultracentrifugation from each subject on the high fat diets and the molecular species of the component phosphatidylcholines and sphingomyelins were identified and quantitated by GC-MS of the t-butyldimethylsilyl ethers of the corresponding diacylglycerols and ceramides. It was shown that the diet markedly and rather evenly affected the molecular species of the phosphatidylcholines of all lipoprotein classes. However, the changes in the corresponding major molecular species were reciprocal in nature and were consistent with a demonstrated relative resistance to alterations in surface fluidity. In contrast, the dietary fat had only a minor effect on the composition of the sphingomyelins, and did not alter the characteristic differential distribution of the molecular species among the low and high density lipoprotein classes. These results, which were free of the uncertainties introduced by analyses of derived fatty acid and which were obtained on samples isolated from the same subjects, clearly demonstrate that a complete equilibration of the molecular species of the phospholipids is not attained amont the plasma lipoprotein classes even in the fasting state. The possible physico-chemical and metabolic basis of these observations is briefly discussed.

Abnormal suppression of 3-hydroxy-3-methylglutaryl-CoA reductase activity in cultured human fibroblasts by hypertriglyceridemic very low density lipoprotein subclasses

Our previous studies showed that hypertriglyceridemic very low density lipoproteins (HTG VLDL) are functionally abnormal. HTG VLDL, but not normal VLDL, suppress HMG-CoA reductase in cultured normal human fibroblasts. To determine if the suppression by HTG VLDL resulted from a subpopulation of smaller suppressive particles, more homogeneous subclasses of VLDL-VLDL1 (Sf 100–400), VLDL2 (Sf 60–100), and VLDL3 (Sf 20–60) were obtained from the d<1.006 (g°ml−1) fraction of normal and hypertriglyceridemic plasma by flotation through a discontinuous salt gradient and tested for suppression in normal human fibroblasts. VLDL1 and VLDL2 from each of the 12 normolipemic subjects tested failed to suppress HMG-CoA reductase activity in normal fibroblasts. Eleven out of 12 preparations of normal VLDL3 suppressed HMG-CoA reductase, but only one-third as effectively as LDL. By contrast, the VLDL1, VLDL2 and VLDL3 from 15 out of 17 hypertriglyceridemic patients (hyperlipoproteinemia Types IIb, III, IV and V) were highly effective in suppression, with half-maximal suppression at 0.1–2.0 μg VLDL protein/ml. The VLDL abnormality is apparently associated with hypertriglyceridemia and not hypercholesterolemia, since VLDL from a homozygous familial hypercholesterolemia patient with a Type IIa pattern did not suppress whereas each of the VLDL subclasses from a Type IIb patient suppressed. Suppression by HTG VLDL in normal cells is apparently a consequence of interaction of the protein portion of the VLDL with the specific LDL cell surface receptor since HTG VLDL1 treated with 0.1 M 1,2-cyclohexanedione to block arginyl residues failed to suppress the enzyme. Moreover, hypertriglyceridemic Sf 60–400 VLDL failed to suppress HMG-CoA reductase activity in LDL receptor-negative fibroblasts. There were no consistent major compositional differences between comparable normal and hypertriglyceridemic VLDL subclasses which could account for differences in suppression. All VLDL subclasses from Type III subjects were enriched in cholesteryl esters and depleted in triglyceride, relative to the corresponding normal VLDL subclasses. However, Type IV and Type V VLDL subclasses were normal in this repect. We conclude from these studies that small particle diameter is not required for suppression, since HTG VLDL1 and VLDL2 which contained few, if any, small particles were effective in suppression.

Effect of saturated and unsaturated fat diets on lipid profiles of plasma lipoproteins

Abstract Four to five healthy normolipidemic men aged 21–23 years were maintained for 5 weeks on controlled diets containing 40% of calories from either unsaturated (unsaturated /saturated fatty acid ratio 4) or saturated (unsaturated/saturated fatty acid ratio 0.25) fat, with a 5-week period of ad libitum diet in between. The effect of the diets on the total lipid profiles of the very low (VLDL), low (LDL) and high (HDL 3 ) density lipoproteins was determined by high temperature gas—liquid chromatography of the intact fatty esters and free cholesterol. When compared with the saturated, the unsaturated fat died caused a significant decrease (25%) in the protein content in HDL 3 and to a lesser extent (maximum 10%) in LDL, which were compensated for by a proportional increase in all lipid classes, resulting in essentially similar lipid class proportions on both high fat diets. Furthermore, there were no significant alterations induced by the diet in the neutral lipid/polar lipid ratios, so that the radii of the particles calculated on the basis of the surface and core component content gave comparable values for corresponding lipoprotein classes on both diets. There was a minor relative increase in the proportion of triacylglycerols and a decrease in the proportion of cholesteryl esters in the LDL fractions from the unsaturated fat diet. The opposite effect was observed for VLDL, while the HDL 3 showed no change on these diets. The extreme dietary variations resulted in significant changes in the molecular weight or carbon number profiles of the cholesteryl esters, phosphatidylcholines and triacylglycerols. There was a decrease in the lower molecular weight species and an increase in the higher molecular weight species on the unsaturated fat diet and vica versa on the saturated fat diet for all lipoprotein classes. In comparison to the two controlled high fat diets, the ad libitum diet produced a significantly lower free cholesterol/total phospholipid ratio in VLDL and of sphingomyelin/phosphatidylcholine ratio in LDL, with the alterations in the composition of the molecular species of the lipid classes falling between the two extremes observed on the saturated and unsaturated fat diets. The present results suggest that the decreases in plasma cholesterol and triacylglycerols commonly observed on unsaturated fat diets are due to a decrease in number of plasma lipoprotein particles rather than to a change in the particle size or composition as suggested previously.