To investigate the role of the N terminus of apolipoprotein A-I (apoA-I) in the maturation of high density lipoproteins (HDL), two N-terminal mutants with deletions of residues 1-43 and 1-65 (referred to as ⌬1-43 and ⌬1-65 apoA-I) were studied. In vitro, these deletions had little effect on cellular cholesterol efflux from macrophages but LCAT activation was reduced by 50 and 70% for the ⌬1-43 and ⌬1-65 apoA-I mutants, respectively, relative to wild-type (Wt) apoA-I. To further define the role of the N terminus of apoA-I in HDL maturation, we constructed recombinant adenoviruses containing Wt apoA-I and two similar mutants with deletions of residues 7-43 and 7-65 (referred to as ⌬7-43 and ⌬7-65 apoA-I, respectively). Residues 1-6 were not removed in these mutants to allow proper cleavage of the pro-sequence in vivo. Following injection of these adenoviruses into apoA-I-deficient mice, plasma concentrations of both ⌬7-43 and ⌬7-65 apoA-I were reduced 4-fold relative to Wt apoA-I. The N-terminal deletion mutants, in particular ⌬7-65 apoA-I, were associated with greater proportions of pre-HDL and accumulated fewer HDL cholesteryl esters relative to Wt apoA-I. Wt and ⌬7-43 apoA-I formed predominantly ␣-migrating and spherical HDL, whereas ⌬7-65 apoA-I formed only pre-HDL of discoidal morphology. This demonstrates that deletion of the first class A amphipathic ␣-helix has a profound additive effect in vivo over the deletion of the globular domain alone (amino acids 1-43) indicating its important role in the production of mature ␣-migrating HDL. In summary, the combined in vitro and in vivo studies demonstrate a role for the N terminus of apoA-I in lecithin:cholesterol acyltransferase activation and the requirement of the first class A amphipathic ␣-helix for the maturation of HDL in vivo.
High density lipoproteins (HDL)1 transport cholesterol from peripheral tissues to the liver in a process known as reverse cholesterol transport (1). This pathway is accepted as a primary mechanism by which HDL exert their anti-atherogenic effects. Nascent HDL are secreted by hepatocytes, liberated from chylomicrons during triglyceride lipolysis, and are derived from HDL remodeling by hepatic lipase and cholesteryl ester transfer protein. The importance of phospholipid transfer protein (PLTP) in the lipidation of this nascent HDL pool has recently emerged, because PLTP-deficient mice exhibit defective phospholipid transfer from triglyceride-rich lipoproteins to HDL, reduced HDL levels, and increased HDL catabolism (2). Efflux of cholesterol and phospholipids from cells provide nascent HDL with lipid constituents. This step is important for steady-state concentrations of HDL, because efflux is a ratelimiting step in HDL maturation as heterozygous mutations in the ATP binding cassette transporter A1 (ABCA1) can cause familial HDL deficiency (3). The combined actions of PLTP and ABCA1 generate larger discoidal pre 2 and pre 3 -HDL from the nascent HDL pool, which are converted to spherical ␣-migrating HDL by the actions of lecithin:...