Well-Defined Regions of Apolipoprotein B-100 Undergo Conformational Change During Its Intravascular Metabolism Xingyu Wang, Richard Pease, Jesse Bertinato, Ross W. Milne Downloaded from http://atvb.ahajournals.org/ by guest on June 16, 2017 Abstract—Apolipoprotein B (apoB)-100 – containing lipoproteins are secreted from the liver as large triglyceride-rich very low density lipoproteins (VLDLs) into the circulation, where they are transformed, through the action of lipases and plasma lipid transfer proteins, into smaller, less buoyant, cholesteryl ester–rich low density lipoproteins (LDLs). As a consequence of this intravascular metabolism, apoB-containing lipoproteins are heterogeneous in size, in hydrated density, in surface charge, and in lipid and apolipoprotein composition. To identify specific regions of apoB that may undergo conformational changes during the intravascular transformation of VLDLs into LDLs, we have used a panel of 29 well-characterized anti-apoB monoclonal antibodies to determine whether individual apoB epitopes are differentially expressed in VLDL, intermediate density lipoprotein (IDL), and LDL subfractions isolated from 6 normolipidemic subjects. When analyzed in a solid-phase radioimmunoassay, the expression of most epitopes was remarkably similar in VLDLs, IDLs, and LDLs. Two epitopes that are close to the apoB LDL receptor– binding site show an increased expression in large (1.019 to 1.028 g/mL), medium (1.028 to 1.041 g/mL), and small (1.041 to 1.063 g/mL) LDLs compared with VLDLs and IDLs, and 2 epitopes situated between apoB residues 4342 and 4536 are significantly more immunoreactive in small and medium-sized LDLs compared with VLDLs, IDLs, and large LDLs. Therefore, as VLDL is converted to LDL, conformational changes identified by monoclonal antibodies occur at precise points in the metabolic cascade and are limited to well-defined regions of apoB structure. These conformational changes may correspond to alterations in apoB functional activities. (Arterioscler Thromb Vasc Biol. 2000;20:1301-1308.) Key Words: apolipoprotein B 䡲 intravascular metabolism 䡲 lipoproteins A poB-100, a 550-kDa glycoprotein composed of 4536 amino acid residues, is a predominant protein component of VLDLs, IDLs, and LDLs1,2 and is a ligand for the LDL receptor (LDLr). It is synthesized in the liver and secreted in the form of large triglyceride-rich VLDLs. Within the circulation, VLDLs are transformed into smaller, denser, cholesteryl ester–rich LDLs through the combined action of plasma lipid transfer proteins, lipoprotein lipase, and hepatic lipase, a process that is accompanied by the loss of all apolipoproteins with the exception of apoB-100. As a consequence of this intravascular remodeling, apoB-containing lipoproteins (LpBs) are constituted of subpopulations of particles that differ in terms of particle diameter, hydrated density, surface charge, and apolipoprotein and lipid composition. This heterogeneity in the physical and chemical properties of LpB leads to apoB conformational heterogeneity that is manifested in the differential accessibility of protease-sensitive sites3,4 and expression of apoB epitopes.5–7 This has functional consequences, particularly in terms of the ability of apoB to mediate binding to the LDLr.7,8 The LDL fraction itself is composed of discrete subfractions of particles that differ in their physical and chemical properties, and LDLs are heterogeneous in terms of apoB conformation,9 –12 epitope expression,9 –11,13,14 accessibility of protease-sensitive sites,15 and affinity for the LDLr.9 –11,16,17 Whether it is lipid composition, particle diameter, or another variable that is the major modulator of apoB conformation in LDL remains controversial. LDL heterogeneity is thought to have important clinical implications because a predominance of small dense LDL particles has been reported to be a risk factor for atherosclerosis.18 Immunoelectron microscopic analyses suggest that apoB-100 adopts an extended structure on the surface of the LDL and wraps around the particle.19,20 Unlike most of the other smaller exchangeable apolipoproteins that are thought to be constituted primarily of tandem amphipathic Received September 28, 1999; revision accepted January 18, 2000. From the Lipoprotein and Atherosclerosis Research Group and the Departments of Pathology and Biochemistry, Microbiology, and Immunology, University of Ottawa Heart Institute (X.W., J.B., R.W.M.), Ottawa, Ontario, Canada; the Sino-German Laboratory, Cardiovascular Institute (X.W.), Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, China; and the Department of Biochemistry and Molecular Biology, University College London (R.P.), London, UK. Correspondence to Ross Milne, PhD, Room H450, University of Ottawa Heart Institute, Ottawa, Ontario, Canada K1Y 4W7. E-mail [email protected] © 2000 American Heart Association, Inc. Arterioscler Thromb Vasc Biol. is available at http://www.atvbaha.org 1301 1302 Arterioscler Thromb Vasc Biol. May 2000 Downloaded from http://atvb.ahajournals.org/ by guest on June 16, 2017 ␣-helices, apoB-100 is predicted to contain amphipathic ␣-helices and amphipathic -sheets.1,2 On the basis of a number of experimental criteria, including the susceptibility of apoB to limited proteolytic digestion21 and the distribution of lipophilic regions within apoB primary structure,22 it has been proposed that apoB-100 is organized into distinct structural domains. A pentapartite model of apoB domain organization has also been proposed on the basis of the predicted apoB-100 secondary structure.23,24 A model of the tertiary structure of the amino-terminal region of apoB has recently been developed by homology modeling with the use of the atomic coordinates of lamprey lipovitellin.25–27 ApoB-100, lipovitellin, and microsomal triglyceride transfer protein show homology over a sequence of ⬇670 amino acids at the amino termini of their respective primary structures. In the present study, we describe an immunochemical analysis of apoB in LpBs fractionated as a function of their hydrated density. The present study is unique in that we have used a panel of 29 well-characterized anti-apoB monoclonal antibodies (mAbs) whose corresponding epitopes are distributed throughout the apoB primary structure. We demonstrate that at precise steps during its intravascular metabolism, apoB undergoes important conformational changes that are limited to well-defined regions of its structure. Methods Preparation and Characterization of Lipoproteins Fresh plasma from normolipidemic subjects was prepared from blood obtained from the Canadian Red Cross. The plasma was supplemented with 0.5 mmol/L EDTA, 0.02% NaN3, 0.5 mmol/L phenylmethylsulfonyl fluoride, and 0.5 g/mL leupeptin. After the removal of chylomicrons, VLDLs (density ⬍1.006), IDLs (density 1.006 to 1.019), and LDLs (density 1.019 to 1.063) were isolated by sequential ultracentrifugation.28 LDL subfractions were isolated by discontinuous density gradient ultracentrifugation of LDLs as described by Teng et al.13 Three fractions (1.019 to 1.028 g/mL [large LDL], 1.028 to 1.040 g/mL [medium LDL], and 1.040 to 1.050 g/mL [small LDL]) were recovered; they were characterized in terms of particle diameter by electrophoresis on a 4% to 15% polyacrylamide gradient under nondenaturing conditions.29 Total and free cholesterol and phospholipid and triglyceride content were determined enzymatically by using kits from Boehringer-Mannheim according to the manufacturer’s recommendations. For LDL, protein concentration was determined by the modified Lowry method (Markwell et al30) with BSA used as the standard. To determine apoB protein content of VLDL and IDL, apoB was precipitated with 50% isopropanol, and the protein content of the precipitate was measured after solubilization with 2% sodium deoxycholate.31 Production of New Anti-Human LDL mAbs New mAbs used in the present study were generated from mice that had been subjected to a subtractive immunization protocol32 that will be described in detail elsewhere. After cyclophosphamide-mediated suppression of the immune response to normal human LDLs, female BALB/c mice were immunized with LDLs isolated from a subject with familial defective apoB with use of N-acetylmuramyl-L-alanyl-D-isoglutamine (Calbiochem) as an adjuvant. Protocols for cell fusion, screening for hybridomas by solid-phase immunoassay, and subcloning have been described in detail.33 None of the mAbs used in the present study discriminates between normal LDL and familial defective apoB LDL. Mapping the Epitopes for Monoclonal Antibodies The epitopes of the mAbs were mapped within apoB primary structure by their reactivity with (1) T4 (residues 1 to 1297), T3 (residues 1298 to 3249), and T2 (residues 3250 to 4536) fragments of apoB generated by thrombin digestion of LDL,34,35 (2) apoB fragments produced as -galactosidase fusion proteins in Escherichia coli,34 and (3) carboxy-terminally truncated apoB and apoA-I/apoB fusion proteins produced by appropriately transfected McA-7777 cell lines.36,37 In the latter case, mAbs were tested for reactivity with denatured apoB by Western blotting after SDS-PAGE and with native LpBs by use of a sandwich radioimmunoassay.33 LDLr Binding Assay To assay the reactivity of LDL subclasses with the LDLr, samples were tested for their ability to compete with 125I-LDL for binding to the LDLr on the surface of cultured human fibroblasts.38 Methods to determine the abilities of anti-apoB mAbs to block the binding of LDL to the LDLr and to bind to LDL in LDL-LDLr complexes have been described previously.39 Competitive Radioimmunoassay The competitive apoB radioimmunoassay has been described previously.40 Results Production and Mapping the Epitopes of mAbs for ApoB Although many new anti-human apoB hybridomas were obtained from a total of 8 fusions, we characterized only the mAbs that showed specificity different from those of our previous panel. Antibodies 376, 746, and 3E11 reacted with T4; antibodies 374, 1C4, 3A5, 2G4, 3G9, 278, and 390 reacted with T3; and antibodies 588, 4H11, 3E8, 234, and 6O5 reacted with T2. A summary of the reactivities of all the antibodies with the apoB–-galactosidase fusion proteins is presented in Table 1. Autoradiograms for 2 of the mAbs that are of particular importance in the present study are presented in Figure I, which is published online only (http://atvb.ahajournals.org). The reactivities of certain mAbs with lipoproteins containing carboxy-terminally truncated human apoB variants that were expressed in McA-7777 cells were determined and used to map the corresponding epitopes more precisely. Antibody 374 reacts with apoB-34 (residues 1 to 1542) but not with apoB-29 (residues 1 to 1306), mAb 1C4 recognizes apoB-42 (residues 1 to 1880) but not apoB-37 (residues 1 to 1695), and 3A5 reacts with apoB-46 (residues 1 to 2100) but not with apoB-42 (results not shown). A map of the epitopes of the new mAbs, along with those of the previously described anti-human apoB mAbs that are used in the present study, is presented in Figure 1. The epitopes of several of the mAbs are located within the region of apoB that includes the LDLr-binding site. The epitopes for mAbs 278, 3G9, and 390 have been assigned to the region of residues 2658 to 3268, and all 3 mAbs mutually compete with 4G3 (residues 2980 to 3084) but not with 3F5 (residues 2835 to 2922) for binding to immobilized LDL (not shown). The 278 epitope differed from the 4G3, 390, and 3G9 epitopes by being resistant to reductive methylation (not shown). mAb 588 was mapped to a region between apoB residues 3687 and 4081. Partial (25%) mutual competition between 5E11 (residues 3441 to 3506)34 and 588 for binding to immobilized LDL was Wang et al TABLE 1. ApoB-100 Conformational Changes 1303 Immunoreactivity of mAbs With ApoB–-Galactosidase Fusion Proteins Expressed in E coli T4 Fusion Proteins 97– 474 97– 689 582– 851 851– 1084 995– 1328 851– 1082 995– 1328 Epitope Position 376 ⫺ ⫹ ⫺ ⫺ ⫺ ⫺ ⫺ 474–582 746 ⫺ ⫹⫹ ⫺ ⫺ ⫺ ⫺ ⫺ 474–582 3E11 ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫹⫹⫹ 1082–1328 1D1* ⫺ ⫹⫹ ⫺ ⫺ ⫺ ⫺ ⫺ 474–539 T3 Fusion Proteins 1281– 1328 1281– 1480 1281– 1880 1480– 1880 1480– 2240 1693– 2148 2148– 2375 2240– 2658 2658– 3268 2488– 3215 3132– 3494 Epitope Position 374 ⫺ ⫺ ⫹⫹ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ 1306–1542† 1C4 ⫺ ⫺ ⫹ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ 1696–1880† 3A5 ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ 1880–2100† 2G4 ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫹⫹ ⫺ ⫺ ⫺ ⫺ 2148–2375 3G9 ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫹⫹⫹ ⫺ ⫺ 2658–3268 Downloaded from http://atvb.ahajournals.org/ by guest on June 16, 2017 278 ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫹⫹⫹ ⫺ 2658–3268 390 ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫹ ⫺ 2658–3268 4G3* ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫹⫹ ⫹ 2980–3084 T2 Fusion Proteins 3132– 3494 3214– 3635 3214– 3727 3286– 3452 3351– 3506 3506– 3687 3506– 4081 4081– 4342 4081– 4536 Epitope Position 588 ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫹⫹ ⫺ ⫺ 3687–4081 4H11 ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫹⫹⫹ 4342–4536 3E8 ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫹ 4342–4536 234 ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫹⫹⫹ 4342–4536 605 ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫹⫹⫹ 4342–4536 Bsol7* ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫺ ⫹⫹⫹ 4521–4536 *mAbs 1D1, 4G3, and Bsol7, whose epitopes have been mapped previously,34 were used as controls for epitopes in T4, T3, and T2, respectively. †See text for additional information used in the mapping of these epitopes. ⫹⫹⫹, ⫹⫹, ⫹, ⫺ indicate strong, moderate, weak, or no reactivity, respectively, of mAb with apoB--galactosidase fusion protein. observed, whereas mAb MB47 (residues 3429 to 3453 and residues 3507 to 3523)41 did not compete with 588 (results not shown). All mAbs were tested for their ability to block binding of 125I-LDL to the LDLr on cultured human fibroblasts. As would be predicted, mAbs specific for epitopes that are outside the previously defined LDLrbinding region of apoB39 did not block the binding of LDL to the LDLr (Figure 2A). Antibodies 278, 3G9, 390, and 588 did neutralize LDL binding to the LDLr, although in the case of mAb 390 and 588, neutralization was only Figure 1. Map of apoB epitopes recognized by mAbs that have been used in the present study. A, The primary sequence of apoB is represented as a thick solid line. Numbers under the apoB primary sequence are the amino acid residues that define regions containing epitopes, and those above the line are the epitopes of the mAbs. The epitopes of mAbs identified in italics have not been reported previously. The epitopes of previously characterized mAbs34 are shown in normal font. B, Pentapartite model of apoB structure.23,24 1304 Arterioscler Thromb Vasc Biol. May 2000 Downloaded from http://atvb.ahajournals.org/ by guest on June 16, 2017 Figure 2. Antibody-mediated inhibition of binding of LDL to the LDLr and the binding of anti-apoB mAbs to receptor-bound LDL. A, Newly generated mAbs were tested for their ability to inhibit the binding of 125I-LDL to the LDLr on cultured human fibroblasts. Several mAbs that were previously shown39 to block (4G3, 5E11, and 3A10) or not block (1D1) binding of LDL to the LDLr were included in the assays. Results are presented as the 125 I-LDL bound in the presence of mAb as a percentage of LDL bound in the absence of mAb. B, 125I-mAbs were also tested for their ability to bind to LDL that was bound to the LDLr of cultured human fibroblasts. Details for the calculation of the stoichiometry of binding have been described previously.39 All results are normalized to 2D8, whose epitope has been shown to be fully exposed in LDL-LDLr complexes. Several other control mAbs whose epitopes were previously shown to be either exposed (1D1) or inaccessible (4G3 and 5E11) in LDL-LDLr complexes were also included in the assays.39 partial. The accessibility of all epitopes in LDL-LDLr complexes was also tested. The 278 and 3G9 epitopes are inaccessible on LDL-LDLr complexes, whereas the epitopes for mAbs 390 and 588 are partially accessible (Figure 2B). Immunoreactivity of LpB To analyze how apoB conformation changes during the intravascular metabolism of LpB, we have examined the expression of apoB epitopes in VLDL, IDL, LDL, and LDL subfractions isolated from the plasma of 6 normolipidemic TABLE 2. individuals. The mean compositional analysis of the isolated lipoprotein fractions and LDL subfractions is presented in Table 2. The LDL subfractions were further analyzed by nondenaturing PAGE. The expected inverse relation between LDL buoyant density and LDL particle diameter was observed (not shown). We refer to the 1.019 to 1.028 g/mL, 1.028 to 1.040 g/mL, and 1.040 to 1.063 g/mL density subfractions as large, medium, and small LDLs, respectively. The large, medium, and small LDL subfractions contained 6⫾3%, 68⫾12%, and 26⫾8% of the total LDL apoB protein, respectively. Compared with large and medium LDLs, the small LDLs are depleted in cholesteryl ester and relatively enriched in triglycerides. Although there is slightly more apoE associated with large LDL by SDS-PAGE, no significant differences were seen between the 3 subfractions in their ability to bind to the LDLr on cultured human fibroblasts (results not shown). Furthermore, binding was not influenced by the inclusion of a mAb that blocks apoE-mediated lipoprotein binding to the LDLr. Immunoreactivities of VLDL, IDL, LDL, and LDL subfractions in each subject were examined by solid-phase competitive radioimmunoassay with the use of 29 mAbs specific for epitopes that range from the amino terminus to the carboxy terminus of apoB-100 (Figure 1). Representative competition curves for 2 of the mAbs, 1D1 and 4H11, are presented in Figures II and III, respectively, which are published online only (http://atvb.ahajournals.org). The immunoreactivities for all the mAbs are shown in Figure 3. Because the individual mAbs differ considerably in their respective binding affinities for LpB, for presentation purposes, we have normalized the ED50 value to that of LDL of each subject, to which we have given a value of 1. Most of the epitopes that we have analyzed were not differentially expressed in the different lipoprotein fractions. In contrast, 2 epitopes, 4H11 and 6O5, situated between residues 4342 and 4536, were ⬇3 times more reactive in LDLs than in VLDLs or in IDLs. Similarly, 2 mAbs, 278 and 4G3, which mutually compete for binding to immobilized LDLs and whose epitope(s) is situated in the region of apoB residue 3000, show higher reactivity with LDLs than with VLDLs or IDLs. The large, medium, and small LDL subfractions were similarly analyzed for differential expression of apoB epitopes, and the immunoreactivities are presented in Figure 4. Again, to facilitate presentation of the results, the ED50 values for the subfractions from each subject were calculated relative to the ED50 value for the medium LDL, which was assigned a value of 1. Only the epitopes 4H11 and 6O5 were differentially expressed, with the large LDL being less immunoreactive than the medium and small LDL. Mass Percentage Composition of VLDL, IDL, LDL, and LDL Subfractions TG FC CE PL Protein VLDL 52.0⫾12.1 8.9⫾1.1 10.9⫾1.5 20.1⫾3.4 8.0⫾0.8 2.8 IDL 23.3⫾1.5 9.4⫾1.5 24.6⫾1.6 21.9⫾0.9 20.9⫾1.5 11.6 LDL 7.8⫾0.7 10.6⫾2.2 38.0⫾4.5 21.3⫾1.1 22.3⫾??? 22.3 Large LDL 4.3⫾1.9 9.8⫾2.7 42.9⫾17.3 23.4⫾3.3 19.6⫾3.4 ND Medium LDL 6.2⫾0.6 11.0⫾2.0 39.9⫾8.0 20.7⫾1.1 22.2⫾2.1 ND Small LDL 9.2⫾0.8 9.2⫾3.1 39.1⫾3.1 16.9⫾8.7 25.6⫾1.4 ND Values are mean⫾SEM. TG indicates triglycerides; FC, free cholesterol; CE, cholesteryl ester; and PL, phospholipid. ApoB Wang et al ApoB-100 Conformational Changes 1305 Figure 3. Reactivities of 29 anti-apoB mAbs with VLDL, IDL, and LDL. A, Immunoreactivity of VLDL, IDL, and LDL from 6 normolipidemic subjects determined in a solid-phase immunoassay with a panel of 29 anti-apoB mAbs. Results are expressed as relative ED50, the concentration of competitor required to reduce binding to 50% of that occurring in the absence of competitor. The ED50 value obtained with LDL was normalized to unity. A paired t test was used to determine the significance of differences observed in the immunoreactivity between lipoprotein classes. For mAbs 605, 4H11, 4G3, and 278, there are significant differences in immunoreactivity between VLDL or IDL and LDL (for mAb 605, P⬍0.001 for VLDL vs LDL, P⬍0.0005 for VLDL vs LDL, and P⫽NS for VLDL vs IDL; for mAb 4H11, P⬍0.01 for VLDL vs LDL, P⬍0.005 for IDL vs LDL, and P⫽NS for VLDL vs IDL; for mAb 4G3, P⬍0.01 for VLDL vs LDL, P⬍0.01 for VLDL vs LDL, and P⫽NS for VLDL vs IDL; and for mAb 278, P⬍0.05 for VLDL vs LDL, P⬍0.05 for IDL vs LDL, and P⫽NS for VLDL vs IDL). B, Distribution of epitopes within domains defined by the pentapartite model of apoB structure.23,24 Downloaded from http://atvb.ahajournals.org/ by guest on June 16, 2017 Discussion Our results show that at least 2 specific regions of apoB-100 undergo a major conformational change as LpBs are metabolized in the plasma of normolipidemic individuals. In the case of the carboxy terminus of apoB, as defined by the 6O5 and 4H11 epitopes, this change in conformation does not appear to be gradual but occurs abruptly as large buoyant LDLs (density 1.019 to 1.028 g/mL) are converted to particles of density 1.028 to 1.040 g/mL. This conclusion is based on the observation that the 2 epitopes, situated between residues 4342 and 4536, show an ⬇3-fold higher expression in total LDL compared with VLDL and IDL (Figure 3) and in medium and small LDL subfractions compared with larger more buoyant LDL (Figure 4). Chen et al15 have also recently proposed that apoB undergoes a conformational change at this stage in the intravascular metabolism of LpB. They have shown that there are major differences in the accessibility of protease-sensitive sites in apoB-100 between LpB ⬍1.033 and LpB ⬎1.033. These include Staphylococcus aureus V8 protease-sensitive sites at residues 1288 and 3199 and cathepsin D–sensitive sites at residues 2702 and 2666/ 2669. The concomitant change in the 6O5 and 4H11 epitope expression and in the accessibility of different protease-sensitive sites may reflect a global, rather than a local, conformational change of apoB as large buoyant LDL are converted to smaller denser particles. If this were the case, it is nevertheless surprising that such an alteration in the overall apoB conformation was not detected by any of the other 27 mAbs used in the present study. It has been recently proposed that (on theoretical grounds alone) apoB must adopt different conformations in different LDL subspecies but that it may be the tertiary structure of apoB that is predominantly modulated as a function of LDL size, with the secondary structure left largely unchanged.12 In fact, circular dichroic measurements revealed no significant differences in ␣-helical content among the LDL subclasses that were analyzed in the present study (X. Wang, T. Neville, D. Sparks, R. Milne, unpublished data, 1999). Changes in tertiary structure could potentially include domain shifts that may not be manifested as changes in the immunoreactivity of epitopes located within domains but may be detected by markers specific for interdomain linker regions that could include proteasesensitive sites. It should be noted that none of the mAbs in the present panel is specific for epitopes that coincide with the protease-sensitive sites reported by Chen et al.15 The region of the carboxy terminus of apoB-100 that includes the 6O5 and 4H11 epitopes has been shown to have a high affinity for lipid22 and a predicted amphipathic ␣-helical structure (Figure 1).23,24 In addition to the mAbs that are specific for epitopes near the carboxy terminus of apoB, mAbs 278 and 4G3 also showed differential reactivity with VLDL, IDL, and LDL. Figure 4. Reactivities of 29 anti-apoB mAbs with LDL density subfractions. A, Immunoreactivity of large, medium, and small LDLs from 6 normolipidemic subjects. The ED50 value obtained with medium LDL was normalized to unity. The mAbs 605 and 4H11 showed increased reactivity with small and medium LDLs compared with large LDLs (P⬍0.001). No significant differences were found between LDL subclasses for any of the other mAbs. B, Distribution of epitopes within domains defined by the pentapartite model of apoB structure.23,24 1306 Arterioscler Thromb Vasc Biol. May 2000 Downloaded from http://atvb.ahajournals.org/ by guest on June 16, 2017 The major change in the expression of the 278 and 4G3 epitopes would appear to occur as IDLs are converted to LDLs. From the predicted apoB secondary structure, the 278 and 4G3 epitopes are located in regions that adopt a predominantly amphipathic  structure (Figure 1).23,24 These amphipathic  domains of apoB have been proposed to bind irreversibly to lipid.23 It has been demonstrated that when expressed in rat hepatoma cells as apoB/apoA-I fusion proteins, the amphipathic  sequences are sufficient for recruitment of triglyceride into VLDL-like particles.36 Furthermore, because neutral lipid is necessary for the expression of epitopes located in these regions,42 it would appear that the amphipathic  domains are intimately associated with the neutral lipid core of LpB. Two epitopes that have been mapped to a region (residues 1328 to 1878) that is also predicted to have an amphipathic  secondary structure tended to be more reactive in LDLs than in VLDLs, although this did not reach statistical significance. Because the amphipathic  domains appear to be tightly associated with the neutral lipid core of the lipoprotein, the change in immunoreactivity of epitopes in these domains could reflect the alterations in the core that occur during the intravascular metabolism of VLDL. Apart from the change in immunoreactivity of the 6O5, 4H11, 4G3, and 278 epitopes, the majority of apoB epitopes are remarkably independent of their lipoprotein environment. Several of the mAbs reported in the present study have been previously used to examine changes in epitope expression in LpB subfractions of moderately hypertriglyceridemic patients. In the previous study, expression of the 5E11 epitope was found to increase progressively in LpB subfractions from VLDL1 (subfractions 100 to 400) through LDL because of an increase in the apparent affinity of the mAb.7 Changes in 5E11 immunoreactivity were not observed in the present study, nor was there differential expression of the overlapping/adjacent epitopes, MB47 and 588. The apparently contradictory results for the 5E11 epitope may reflect differences between LpBs isolated from normal and hypertriglyceridemic individuals. It should also be noted that several of the mAbs (2D8, 3F5, and 4G3) have been previously demonstrated to have reduced reactivity with the very small dense LDLs that characterize subjects with hyperbetalipoproteinemia.13 It is unclear whether the changes in epitope expression reported in the present study are manifestations of the same changes in apoB conformation that are responsible for the progressive increase in the ability of apoB to mediate lipoprotein binding to the LDLr that occurs as VLDL is converted to LDL.7,8 On the basis of previous observations39 and the results presented in Figure 2, it would appear that the 4G3 and 278 epitopes are close to the apoB LDLr-binding site in native LDLs. Thus, conversion of VLDLs to LDLs could lead to an increased accessibility or an altered conformation of the region of apoB that includes the LDLr-binding site and the 4G3 and 278 epitopes. Unlike 4G3 and 278, other epitopes (390, 3G9, 5E11, and MB47) that are also close to the LDLr-binding site are expressed similarly in VLDLs, IDLs, and the LDL subfractions. The 2 epitopes that show the greatest and most reproducible changes in expression between the LpB density fractions, 4H11 and 605, are located near the carboxy terminus of apoB. Both epitopes are accessible in LDL-LDLr complexes, and neither mAb 4H11 nor mAb 6O5 blocks the binding of LDL to the LDLr. Furthermore, the change in expression of the 4H11 and 6O5 epitopes occurs as large LDLs are converted to medium LDLs, whereas we observed no differences between large and medium LDLs in terms of apoB-mediated binding to the LDLr. Nevertheless, the region of apoB primary structure that includes the 4H11 and 6O5 epitopes is thought to be close to the apoB LDLr-binding site in native apoB and has been proposed to be a negative regulator of apoB-mediated binding to the LDLr.20,43,44 Recently, Borén et al44 have shown that VLDLs from apoE-deficient mice that carry a human apoB-80 transgene can bind to the LDLr with relatively high affinity, whereas VLDLs from apoE-deficient human apoB100 transgenic mice bind poorly. A model has been proposed in which lateral movement of the extreme carboxy terminus of apoB on the surface of the LpB that occurs during conversion of VLDLs to LDLs would expose the apoB LDLr-binding site.20,44 The increase in the immunoreactivity of mAbs 6O5 and 4H11 as large LDLs are converted to medium LDLs may also result from the same putative apoB conformational change. We have previously proposed that the portion of apoB primary structure that is closely associated with the cell surface during binding of apoB to the LDLr is limited to a region bounded by apoB residues 3000 to 4000.39 This is based on the observation that the epitope of mAb 3F5 (residues 2835 to 2922) is totally accessible in LDL-LDLr complexes, whereas that of mAb 4G3 (residues 2980 to 3084) is not. Similarly, whereas the epitope for MB43 (residues 4027 to 4081) is only partially accessible, that of mAb Bsol16 (residues 4154 to 4189) is fully accessible. Seventeen other epitopes situated elsewhere within the apoB primary structure were also fully accessible. Therefore, an interesting observation to emerge from our characterization of the new panel of mAbs is that mAb 588, specific for an epitope situated between apoB residues 3687 to 4081, could partially block the binding of LDL to the LDLr and that its epitope is partially accessible in LDL-LDLr complexes. We further demonstrate partial mutual competition between mAb 588 and mAb 5E11 (residues 3441 to 3506) for binding to immobilized LDL, whereas 588 and MB43 do not complete. Thus, mAb 588 further defines the region of apoB primary structure that is in close contact with the cell surface in LDL-LDLr complexes. It has recently been shown that basic amino acids between apoB residues 3359 to 3369 are necessary for the apoB-LDLr interaction.44 In summary, our immunochemical analysis of LpB density subfractions has shown that in spite of major differences in the physical and chemical properties of the lipoproteins, the apoB conformational changes that can be detected by altered epitope expression are localized to limited well-defined regions within apoB structure. Assuming that the density fractions that were analyzed represent discrete intermediates in the intravascular metabolism of LpB, it would appear that there is a progressive increase in the expression of the 2 epitopes that are close to the apoB LDLr-binding site as VLDLs are converted to LDLs. In addition, a change in apoB conformation occurs as large buoyant LDL are converted to smaller less buoyant particles; this conformational change is detectable by the altered expression of epitopes near the carboxy Wang et al terminus of apoB. Because this is coincident with altered accessibility of protease-sensitive sites elsewhere in the apoB structure,15 it could represent a major change in the configuration of the apoB polypeptide on the LDL surface. Acknowledgments This study was supported by the Medical Research Council of Canada (PG-11471). Dr Pease is the recipient of an Intermediate Research Fellowship from the British Heart Foundation. 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Borén J, Lee I., Zhu W, Arnold K, Taylor S, Innerarity TL. The molecular basis for familial defective apolipoprotein B-100 and the binding of apolipoprotein-B-100 to the low density lipoprotein B receptor. J Clin Invest. 1998;101:1084 –1093. Downloaded from http://atvb.ahajournals.org/ by guest on June 16, 2017 Downloaded from http://atvb.ahajournals.org/ by guest on June 16, 2017 Well-Defined Regions of Apolipoprotein B-100 Undergo Conformational Change During Its Intravascular Metabolism Xingyu Wang, Richard Pease, Jesse Bertinato and Ross W. Milne Arterioscler Thromb Vasc Biol. 2000;20:1301-1308 doi: 10.1161/01.ATV.20.5.1301 Arteriosclerosis, Thrombosis, and Vascular Biology is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 2000 American Heart Association, Inc. All rights reserved. Print ISSN: 1079-5642. 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