Characterization of LP-Z Lipoprotein Particles and Quantification in Subjects with Liver Disease Using a Newly Developed NMR-Based Assay

Background: Lipoprotein particles with abnormal compositions, such as lipoprotein X (LP-X) and lipoprotein Z (LP-Z), have been described in cases of obstructive jaundice and cholestasis. The study objectives were to: (1) develop an NMR-based assay for quantification of plasma/serum LP-Z particles, (...

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Main Authors: Shimpi Bedi, Erwin Garcia, Elias J. Jeyarajah, Irina Shalaurova, Maria Camila Perez-Matos, Z. Gordon Jiang, Robin P. F. Dullaart, Steven P. Matyus, William J. Kirk, James D. Otvos, W. Sean Davidson, Margery A. Connelly
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/9/9/2915
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author Shimpi Bedi
Erwin Garcia
Elias J. Jeyarajah
Irina Shalaurova
Maria Camila Perez-Matos
Z. Gordon Jiang
Robin P. F. Dullaart
Steven P. Matyus
William J. Kirk
James D. Otvos
W. Sean Davidson
Margery A. Connelly
author_facet Shimpi Bedi
Erwin Garcia
Elias J. Jeyarajah
Irina Shalaurova
Maria Camila Perez-Matos
Z. Gordon Jiang
Robin P. F. Dullaart
Steven P. Matyus
William J. Kirk
James D. Otvos
W. Sean Davidson
Margery A. Connelly
author_sort Shimpi Bedi
collection DOAJ
description Background: Lipoprotein particles with abnormal compositions, such as lipoprotein X (LP-X) and lipoprotein Z (LP-Z), have been described in cases of obstructive jaundice and cholestasis. The study objectives were to: (1) develop an NMR-based assay for quantification of plasma/serum LP-Z particles, (2) evaluate the assay performance, (3) isolate LP-Z particles and characterize them by lipidomic and proteomic analysis, and (4) quantify LP-Z in subjects with various liver diseases. Methods: Assay performance was assessed for linearity, sensitivity, and precision. Mass spectroscopy was used to characterize the protein and lipid content of isolated LP-Z particles. Results: The assay showed good linearity and precision (2.5–6.3%). Lipid analyses revealed that LP-Z particles exhibit lower cholesteryl esters and higher free cholesterol, bile acids, acylcarnitines, diacylglycerides, dihexosylceramides, lysophosphatidylcholines, phosphatidylcholines, triacylglycerides, and fatty acids than low-density lipoprotein (LDL) particles. A proteomic analysis revealed that LP-Z have one copy of apolipoprotein B per particle such as LDL, but less apolipoprotein (apo)A-I, apoC3, apoA-IV and apoC2 and more complement C3. LP-Z were not detected in healthy volunteers or subjects with primary biliary cholangitis, primary sclerosing cholangitis, autoimmune hepatitis, or type 2 diabetes. LP-Z were detected in some, but not all, subjects with hypertriglyceridemia, and were high in some subjects with alcoholic liver disease. Conclusions: LP-Z differ significantly in their lipid and protein content from LDL. Further studies are needed to fully understand the pathophysiological reason for the enhanced presence of LP-Z particles in patients with cholestasis and alcoholic liver disease.
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spelling doaj.art-ebf0ee129af948d5ab22c632c3e3340d2023-11-20T13:11:03ZengMDPI AGJournal of Clinical Medicine2077-03832020-09-0199291510.3390/jcm9092915Characterization of LP-Z Lipoprotein Particles and Quantification in Subjects with Liver Disease Using a Newly Developed NMR-Based AssayShimpi Bedi0Erwin Garcia1Elias J. Jeyarajah2Irina Shalaurova3Maria Camila Perez-Matos4Z. Gordon Jiang5Robin P. F. Dullaart6Steven P. Matyus7William J. Kirk8James D. Otvos9W. Sean Davidson10Margery A. Connelly11Center for Lipid and Arteriosclerosis Science, Department of Pathology and Laboratory Medicine, University of Cincinnati, Cincinnati, OH 45237-0507, USALaboratory Corporation of America Holdings (LabCorp), Burlington, NC 27560, USALaboratory Corporation of America Holdings (LabCorp), Burlington, NC 27560, USALaboratory Corporation of America Holdings (LabCorp), Burlington, NC 27560, USADivision of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USADivision of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USADepartment of Endocrinology, University of Groningen, University Medical Center Groningen, 9713 Groningen, The NetherlandsLaboratory Corporation of America Holdings (LabCorp), Burlington, NC 27560, USALaboratory Corporation of America Holdings (LabCorp), Burlington, NC 27560, USALaboratory Corporation of America Holdings (LabCorp), Burlington, NC 27560, USACenter for Lipid and Arteriosclerosis Science, Department of Pathology and Laboratory Medicine, University of Cincinnati, Cincinnati, OH 45237-0507, USALaboratory Corporation of America Holdings (LabCorp), Burlington, NC 27560, USABackground: Lipoprotein particles with abnormal compositions, such as lipoprotein X (LP-X) and lipoprotein Z (LP-Z), have been described in cases of obstructive jaundice and cholestasis. The study objectives were to: (1) develop an NMR-based assay for quantification of plasma/serum LP-Z particles, (2) evaluate the assay performance, (3) isolate LP-Z particles and characterize them by lipidomic and proteomic analysis, and (4) quantify LP-Z in subjects with various liver diseases. Methods: Assay performance was assessed for linearity, sensitivity, and precision. Mass spectroscopy was used to characterize the protein and lipid content of isolated LP-Z particles. Results: The assay showed good linearity and precision (2.5–6.3%). Lipid analyses revealed that LP-Z particles exhibit lower cholesteryl esters and higher free cholesterol, bile acids, acylcarnitines, diacylglycerides, dihexosylceramides, lysophosphatidylcholines, phosphatidylcholines, triacylglycerides, and fatty acids than low-density lipoprotein (LDL) particles. A proteomic analysis revealed that LP-Z have one copy of apolipoprotein B per particle such as LDL, but less apolipoprotein (apo)A-I, apoC3, apoA-IV and apoC2 and more complement C3. LP-Z were not detected in healthy volunteers or subjects with primary biliary cholangitis, primary sclerosing cholangitis, autoimmune hepatitis, or type 2 diabetes. LP-Z were detected in some, but not all, subjects with hypertriglyceridemia, and were high in some subjects with alcoholic liver disease. Conclusions: LP-Z differ significantly in their lipid and protein content from LDL. Further studies are needed to fully understand the pathophysiological reason for the enhanced presence of LP-Z particles in patients with cholestasis and alcoholic liver disease.https://www.mdpi.com/2077-0383/9/9/2915lipoproteinsnuclear magnetic resonance spectroscopycholestasisliver disease
spellingShingle Shimpi Bedi
Erwin Garcia
Elias J. Jeyarajah
Irina Shalaurova
Maria Camila Perez-Matos
Z. Gordon Jiang
Robin P. F. Dullaart
Steven P. Matyus
William J. Kirk
James D. Otvos
W. Sean Davidson
Margery A. Connelly
Characterization of LP-Z Lipoprotein Particles and Quantification in Subjects with Liver Disease Using a Newly Developed NMR-Based Assay
Journal of Clinical Medicine
lipoproteins
nuclear magnetic resonance spectroscopy
cholestasis
liver disease
title Characterization of LP-Z Lipoprotein Particles and Quantification in Subjects with Liver Disease Using a Newly Developed NMR-Based Assay
title_full Characterization of LP-Z Lipoprotein Particles and Quantification in Subjects with Liver Disease Using a Newly Developed NMR-Based Assay
title_fullStr Characterization of LP-Z Lipoprotein Particles and Quantification in Subjects with Liver Disease Using a Newly Developed NMR-Based Assay
title_full_unstemmed Characterization of LP-Z Lipoprotein Particles and Quantification in Subjects with Liver Disease Using a Newly Developed NMR-Based Assay
title_short Characterization of LP-Z Lipoprotein Particles and Quantification in Subjects with Liver Disease Using a Newly Developed NMR-Based Assay
title_sort characterization of lp z lipoprotein particles and quantification in subjects with liver disease using a newly developed nmr based assay
topic lipoproteins
nuclear magnetic resonance spectroscopy
cholestasis
liver disease
url https://www.mdpi.com/2077-0383/9/9/2915
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