Cholesterol efflux from macrophages is the first and one of the most critical mechanisms underlying macrophage RCT. 2) LCAT catalyzes the conversion of FC to CE, which forms a central core within spherical HDL. Stroes en prof. dr. S. Middeldorp op 16 september 2011 R01 HL056865/HL/NHLBI NIH HHS/United States, R01 HL129767/HL/NHLBI NIH HHS/United States, NCI CPTC Antibody Characterization Program. Lipid-poor preβ-HDL particles, produced in the liver or the intestine, initiate the efflux of cholesterol and phospholipids from cell membranes via interaction with the adenosine triphosphate-binding cassette transporter A1 (ABCA1). Liver X receptor (LXR) is known as a strong nuclear factor inducing CETP gene expression. Reverse Cholesterol Transport a potential therapeutic target for atherosclerosis PROEFSCHRIFT ter verkrijging van de graad Doctor aan de Universiteit Leiden, op gezag van de Rector Magnificus Prof. mr. P.F. There is another possible pathway, in which whole particles of HDL may be taken up and catabolized. They can also be separated according to protein content using immunological assays (23); these specialized methods are beyond the reach of most clinical laboratories. Reverse cholesterol transport is a multi-step process resulting in the net movement of cholesterol from peripheral tissues back to the liver via the plasma compartment. The Framingham Heart Study in the 1960s was the first study to report inverse associations between cardiovascular risk and plasma HDL-C (high-density lipoprotein cholesterol). ABCA1-expressing cells extrude FC and PL via the interaction of apo AI with ABCA1 giving nHDL (1). HDL biogenesis starts with the formation of the nascent discoidal HDL through apoA-I and ABCA1, a specific transporter molecule that facilitates the transfer of phospholipids and cholesterol to apoA-I. HDL particles are heterogeneous. Reverse cholesterol transport (RCT) is a pivotal pathway involved in the return of excess cholesterol from peripheral tissues to the liver for excretion in the bile and eventually the feces. Altered composition and functional profile of high-density lipoprotein in leprosy patients. The liver and intestine both significantly contribute to apoA-I synthesis and secretion, with hepatic and intestinal ABCA1 accounting for 90% and 50%, respectively, of circulating plasma apoA-I levels [15,16]. Although bone marrow transplantation studies revealed that macrophage does not represent a predominant source of circulating HDL-C [20], inactivation of ABCA1 in macrophages results in a marked increase in atherosclerotic lesion development [21]. Reverse cholesterol transport is a term that comprises all the different steps in cholesterol metabolism between cholesterol efflux from macrophage foam cells and the final excretion of cholesterol into the feces either as neutral sterols or after metabolic conversion into bile acids (see Figure 1) [5, 10, 11]. SR-B1-/- mice, which have impaired trans-hepatic FC transport, are characterized by high plasma levels of a dysfunctional FC-rich HDL that increases plasma FC bioavailability in a way that produces whole-body hypercholesterolemia and multiple pathologies. By continuing you agree to the use of cookies. Arterioscler Thromb Vasc Biol. The initial step in HDL metabolism involves the formation of small lipid-poor nascent HDL particles in the liver and small intestine. Video navigatie menu. Donate here: http://www.aklectures.com/donate.php Facebook link: https://www.facebook.com/aklectures Website link: http://www.aklectures.com See this image and copyright information in PMC. Reverse cholesterol transport (RCT) is the process by which cholesterol is removed from peripheral tissues, through its incorporation into HDL lipoproteins and subsequent transport to the liver for biliary excretion. Mature HDL can deliver cholesterol to the liver either directly via the scavenger receptor type B1 (SR-B1) or indirectly by exchange of cholesteryl esters to apoB-containing particles for triglycerides (TG). One approach has been to study efflux of cellular cholesterol ex vivo . This receptor mediates selective uptake of HDL lipid. The modified HDLs are then secreted back into the circulation where they can acquire further cholesterol before returning to the liver. pre-β-HDL is a nascent, discoid particle that is ApoA-rich and lipid poor. The other pathway is the HDL receptor(s)-mediated pathway. Mechanisms to increase reverse cholesterol transport (RCT) and biliary sterol disposal are currently sought to prevent atherosclerosis. Data from the PEPI study [JAMA (1995), 273, 199-208] of 349 women treated with conjugated equine estrogen (CEE) or CEE + medroxyprogesterone acetate (MPA). J. Chiang, in Pathobiology of Human Disease, 2014. In addition, HDL functions as a chaperone for the transfer of cholesterol ester to the liver. Attie AD, Kastelein JP, Hayden MR: Pivotal role of ABCA1 in reverse cholesterol transport influencing HDL levels and susceptibility to atherosclerosis. Cholesterol from non-hepatic peripheral tissues is transferred to HDL by the ABCA1 ( ATP-binding cassette transporter ). A Research has provided important insights into the molecular mechanisms of RCT, which facilitate the development of novel therapies based on pharmacologic enhancement of RCT. Pharmacological attempts to reduce atherosclerotic cardiovascular disease by increasing plasma high-density lipoprotein cholesterol have been disappointing so that recent research has shifted from HDL quantity to HDL quality, that is, functional vs dysfunctional HDL. Through this cycle, HDL mediates the delivery of cholesterol to the liver where it is metabolized and excreted into bile (Singh et al., 2007). Facilitation of reverse cholesterol transport is important for estrogen's potential preventive role. Jeffrey L. Anderson, in Encyclopedia of Endocrine Diseases, 2004. This transporter protein regulates the concentration of plasma HDL and the levels of intracellular cholesterol. One is the LDL receptor-mediated pathway, illustrated by human CETP deficiency. Familial Hypercholesterolemia: The Most Frequent Cholesterol Metabolism Disorder Caused Disease. HDL complexes with SR-B1 and is endocytosed. Cholesterol ester is hydrolyzed by cholesterol ester esterase and secreted as biliary cholesterol or utilized to produce steroid hormones. ABCA1 is equally highly expressed in macrophages as well as in atherosclerotic lesions, where it colocalizes with cholesterol-loaded macrophages [19]. ABCA1-expressing cells extrude FC and PL via the interaction of…, NLM In the context of atheroprotection, RCT occurs by 2 mechanisms: one is the well-known trans-hepatic pathway comprising macrophage free cholesterol (FC) efflux, which produces early forms of FC-rich nascent HDL (nHDL). 2019 Sep;60(9):1562-1572. doi: 10.1194/jlr.M094607. 2009 Apr;12(2):117-26. doi: 10.1089/rej.2009.0840. The response of HDL-C to SSR may be augmented in women with specific ER-α polymorphisms (i.e., IVS1-401 C/C). Effect of SSR on lipoprotein fractions for secondary prevention. From: Advances in Clinical Chemistry, 2019. Cholesterol Efflux and Reverse Cholesterol Transport 185.  |  The SR-B1 receptor is distributed predominately on hepatocytes, but SR-B1 is also expressed on macrophages (where it may influence cholesterol efflux). HDL has varying degrees of dysfunction reflected in impaired reverse cholesterol transport (RCT). Maryse Guerin, in The HDL Handbook (Third Edition), 2017. CETP could promote reverse cholesterol transport as long as the LDL receptor and other receptors are upregulated as shown in transgenic mice. 2019 Jan-Mar;15(1):47-54. doi: 10.14797/mdcj-15-1-47. Cholesterol is incorporated from cell surface membranes to the spherical HDLs. In research laboratories, HDL particles can be subfractionated according to size and density by ultracentrifugation and gradient electrophoresis (22). HDL particles acquire ApoE and ApoCII from VLDL CM via CETP.  |  In addition to plasma lipid transfer/exchange activity, CETP may have an intracellular function of interorganelle cytosolic lipid transfer activity. van de Peppel IP, Bertolini A, van Dijk TH, Groen AK, Jonker JW, Verkade HJ. J Lipid … Copyright © 2020 Elsevier B.V. or its licensors or contributors. This chapter discusses therapeutic strategies for augmenting macrophage RCT via improved macrophage cholesterol efflux and cholesterol efflux acceptor functionality of circulating HDL. In this paradigm, cholesterol is transferred from arterial macrophages to extracellular HDL through the action of transporters such as ATP-binding cassette transporter A1 and ATP-binding cassette transporter G1. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. URL: https://www.sciencedirect.com/science/article/pii/B9780128125137000069, URL: https://www.sciencedirect.com/science/article/pii/B9780123821713100099, URL: https://www.sciencedirect.com/science/article/pii/B978032303961150091X, URL: https://www.sciencedirect.com/science/article/pii/B9780123838346001002, URL: https://www.sciencedirect.com/science/article/pii/B012475570400247X, URL: https://www.sciencedirect.com/science/article/pii/B9780123849472004220, URL: https://www.sciencedirect.com/science/article/pii/B9780128125137000021, URL: https://www.sciencedirect.com/science/article/pii/B9780128125137000057, URL: https://www.sciencedirect.com/science/article/pii/B0124755704005874, URL: https://www.sciencedirect.com/science/article/pii/B9780123864567042027, Role of ATP-Binding Cassette Transporters A1 and G1 in Reverse Cholesterol Transport and Atherosclerosis, Kazuhiro Nakaya, ... Katsunori Ikewaki, in, Clee et al., 2000; Singh-Manoux et al., 2008, Emery and Rimoin's Principles and Practice of Medical Genetics, Cardiovascular Disease: Impact of Sex Steroid Replacement, CETP Deficiency and Concerns in CETP Inhibitor Development, Reverse Cholesterol Transport in HDL Metabolism, Liver Physiology: Metabolism and Detoxification. The effects on lipoprotein profiles of estrogen, various estrogen/progestin combinations, and selective estrogen receptor modulators (SERMs) are qualitatively generally similar but differ quantitatively. Reverse cholesterol transport is a mechanism by which the body removes excess cholesterol from peripheral tissues and delivers them to the liver, where it will be redistributed to other tissues or removed from the body by the gallbladder. The scavenger receptor class B1 (SR-B1) modulates the selective uptake of HDL cholesterol ester by hepatocytes. Steiner C, Holleboom AG, Karuna R, Motazacker MM, Kuivenhoven JA, Frikke-Schmidt R, Tybjaerg-Hansen A, Rohrer L, Rentsch KM, Eckardstein Av. Wouter Jukema. Exacerbated postprandial hypertriglyceridemia (PP–HTG) and metabolic context both modulate the overall efficacy of the reverse cholesterol transport (RCT) pathway, but the specific contribution of exaggerated PP–HTG on RCT efficacy remains indeterminate. Metrics of Reverse Cholesterol Transport in Mice and Men. In addition, intestinal ABCA1 equally contributes to HDL biogenesis contributing approximately 30% to the plasma HDL pool [16]. The main lipoprotein involved in this process is the HDL-c. First, the intestine and liver synthesize the protein Apo A-1 (70% of the protein content of HDL-c), which enters the bloodstream and goes to peripheral tissues (e.g., heart). Ken-ichi Hirano, ... Yuji Matsuzawa, in Encyclopedia of Endocrine Diseases, 2004. The design of future therapeutic strategies to improve RCT will have to be formulated in the context of these dual RCT mechanisms and the role of FC bioavailability. doi: 10.1371/journal.pntd.0008138. Atorvastatin and Fenofibrate Increase the Content of Unsaturated Acyl Chains in HDL and Modify In Vivo Kinetics of HDL-Cholesteryl Esters in New Zealand White Rabbits. Hij stelde onder andere vast dat de dunne darm mogelijk bijdraagt aan het proces reverse cholesterol transport: door de uitscheiding van cholesterol uit het bloed afkomstig van de levercellen. Efficient reabsorption of transintestinally excreted cholesterol is a strong determinant for cholesterol disposal in mice. ApoCII is the major ApoC in HDL, and is an activator of LPL. Epub 2018 May 10. CE in nascent HDL migrates to the center core of the disk shaped nascent HDL and the shape of pre-β-HDL is changed to spherical shaped, mature HDL. Lemes RMR, Silva CAME, Marques MÂM, Atella GC, Nery JADC, Nogueira MRS, Rosa PS, Soares CT, De P, Chatterjee D, Pessolani MCV, de Macedo CS. Revised RCT Model. ApoCIII is an inhibitor of LPL. RCT from macrophages in atherosclerotic plaques (macrophage RCT) is a critical mechanism of antiatherogenicity of high-density lipoproteins (HDL). RCT is the process by which excess cholesterol from non-hepatic tissues (especially cholesterol-laden, resident macrophages) is transferred to the liver for metabolism and excretion into the bile. nHDL-apo AI and some nHDL-FC and PL rapidly transfer to HDL, t. Rosales C, Gillard BK, Xu B, Gotto AM Jr, Pownall HJ. This is the process whereby, as the HDL particles move through the circulation, they extract free cholesterol from less-dense particles throughout the circulatory tree, thereby reducing the overall level of total cholesterol. ApoD anchors LCAT to pre-β-HDL and activates LCAT, which transfers a fatty acid from the C2-position of lecithin to the 3-hydroxy group of cholesterol to form CE. Estrogen acts to increase apolipoprotein (apo)-A1 and HDL particles, reduce hepatic lipase activity, decrease HDL uptake by hepatic SR-B1 scavenger receptors, and facilitate LDL clearance by hepatic LDL receptors. ATP‐binding cassette A1 (ABCA1) on macrophages promotes phospholipid and CE onto pre‐β‐HDL particles, whereas ATP‐binding cassette G1 … Epub 2017 Oct 26. Keywords: 2018 Jul;38(7):1454-1467. doi: 10.1161/ATVBAHA.118.311056. Wat is reverse cholesterol transport? HHS HDL plays a critical role in reverse cholesterol transport, from peripheral tissues to the liver (Figure 6, Animated). The initial step in reverse cholesterol transport (RCT) is the CE from the cell to acceptor particles through specific transporters. Plasma concentrations of the HDL3 subclass are more abundant than HDL2 (3:1). Epub 2019 Jul 19. Although the impact and significance of this pathway are not completely understood in humans, scavenger receptor class B type I (SR-BI) is the physiologically relevant HDL receptor established in mice. 2017 Dec;37(12):2260-2270. doi: 10.1161/ATVBAHA.117.310290. Traditional Model of RCT in the Context of Atheroprotection (Adapted from Glomset and…, Revised RCT Model. Cholesterol from non-hepatic peripheral tissues is transferred to HDL by the ABCA1 (ATP-binding cassette transporter). In addition, these lipoproteins also participate in triacylglycerol transport by facilitating the activation of lipoprotein lipase, in the transfer of triacylglycerols between lipoprotein classes, and in the removal of CM remnants and VLDLs enriched in triacylglycerols. COVID-19 is an emerging, rapidly evolving situation. Lipoprotein distribution and serum concentrations of 7α-hydroxy-4-cholesten-3-one and bile acids: effects of monogenic disturbances in high-density lipoprotein metabolism. In macrophages, fibroblasts, and intestinal cells, GW501516 increases expression of the reverse cholesterol transporter ATP-binding cassette A1 and induces apolipoprotein A1-specific cholesterol efflux. Hepatic Overexpression of Endothelial Lipase Lowers High-Density Lipoprotein but Maintains Reverse Cholesterol Transport in Mice: Role of Scavenger Receptor Class B Type I/ATP-Binding Cassette Transporter A1-Dependent Pathways. Reverse cholesterol transport (RCT) is the term used for this extraction of unneeded cholesterol. cholesterol and its fractions, such as reverse cholesterol transport, receptors and transcription factors involved, such as PPARs and their r ole related to exercise, deserve further discussion. Using apo A-I as a cofactor, LCAT esterifies cholesterol for packaging into HDL, which after remodeling by cholesterol ester transfer protein (CETP) and by endothelial lipase (LIPG) enters hepatocytes via scavenger receptor class B type I (SR-B1) (19). In the latter pathway, cholesteryl esters can be exchanged for triglycerides in apoB-rich particles (LDL and VLDL) by cholesteryl ester transfer protein (CETP). Elevation of nonfasting triglyceride (TG) levels above 1.8 g/L (2 mmol/L) is associated with increased risk of cardiovascular diseases. In the last step of RCT, there are believed to be at least two distinct pathways available to take up cholesterol from plasma. Figure 2. Reverse cholesterol transport is a multi-step process resulting in the net movement of cholesterol from peripheral tissues back to the liver first via entering the lymphatic system, then the bloodstream. The particle acquires apo A proteins, which provides the lipoprotein with the capacity to utilize LCAT and adenosine triphosphate-binding cassette protein A1 (ABCA-1). The lypolysis of TG in TG-rich HDL by hepatic lipase and endothelial lipase leads to a smaller HDL which re-enters the RCT cycle. Traditional Model of RCT in the Context of Atheroprotection (Adapted from Glomset and Ross). HDL2 is TG-rich, less dense than HDL3, and is protective against atherosclerosis, whereas HDL3 is cholesterol rich and is less protective than HDL2. Reverse cholesterol transport (RCT) is a process by which cholesterol in nonhepatic tissues is transported back to the liver via plasma components, such as HDL, along with ATP binding cassette transporters, such as ABCA1 and ABCG1 [60]. Menu en zoeken; Contact; My University; Student Portal R. Zamora, F.J. Hidalgo, in Encyclopedia of Food and Health, 2016. Reverse cholesterol transport is a multi-step process resulting in the net movement of cholesterol from peripheral tissues back to the liver first via entering the lymphatic system, then the bloodstream. Etoposide, a DNA topoisomerase II inhibitor as used in cancer chemotherapy, is an inducer of CETP via LXRα [3]. 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Gillard BK, Gotto AM Jr, Rosales C, Pownall HJ lipid-deplete HDL... Matsuzawa! A potent and subtype-selective PPARδ agonist, GW501516 ATP-binding cassette transporter G1 ABCG1... ; 20 ( 10 ):2521. doi: 10.1161/ATVBAHA.118.311056 in women with CAD the (! Interaction of…, NLM | NIH | HHS | USA.gov 2019 Jan-Mar ; 15 ( 1 ):47-54.:! Secreted as biliary cholesterol or utilized to produce steroid hormones major ApoC in HDL are ApoAI,,... To the liver or intestine for excretion be beneficial for atherosclerosis prevention the high-CETP adipocyte phenotype be. Van reverse cholesterol transport is important for estrogen 's potential preventive role from the ERA [! Drug design to develop a potent and subtype-selective PPARδ agonist, GW501516 ) doi... Within peripheral cells, ACAT and CEH ( Figure 6, Animated ) lipid activity... Also been reported Medical Genetics, 2013 ( 18 ) 522-529 ] of 309 women specific. ) maintain the balance between free cholesterol and CE ( 18 ) composition and profile... 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Topoisomerase II inhibitor as used in cancer chemotherapy, is an ATP-binding cassette transporter (... | HHS | USA.gov Context of Atheroprotection ( Adapted from Glomset and Ross ) which re-enters the RCT.. ( 10 ):2521. doi: 10.1194/jlr.M094607 and susceptibility to atherosclerosis of features is considered `` cholesterol... Expression [ 4 ] with increased risk of cardiovascular Diseases TG-rich HDL2, which delivers to! Nih | HHS | USA.gov can acquire further cholesterol before returning to the intestine biogenesis ; receptors.

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