PMID- 16634114 OWN - NLM STAT- MEDLINE DCOM- 20070226 LR - 20181201 IS - 1520-7552 (Print) IS - 1520-7552 (Linking) VI - 23 IP - 1 DP - 2007 Jan TI - Electronegative low-density lipoprotein subfraction from type 2 diabetic subjects is proatherogenic and unrelated to glycemic control. PG - 26-34 AB - BACKGROUND: The physicochemical and biological characteristics of electronegative low-density lipoprotein (LDL) (LDL(-)) from type 2 diabetic patients (DM2), before and after insulin therapy, were studied. METHODS: Total LDL was subfractionated in LDL(+) (native LDL) and LDL(-) by anion-exchange chromatography. RESULTS: The proportion of LDL(-) was increased in plasma from DM2 patients compared to control subjects (13.8 +/- 4.6% versus 6.1 +/- 2.5, P < 0.05) and was not modified after glycemic optimization (14.0 +/- 5.9%). LDL(-) from DM2 patients presented similar differential characteristics versus LDL(+) than LDL(-) from controls; that is, decreased apoB and oxidizability, and increased triglyceride, nonesterified fatty acids (NEFA), apoE, apoC-III, platelet-activating factor (PAF) acetylhydrolase activity and aggregability. No difference in particle size, antioxidants, malondialdehyde (MDA), fructosamine or glycated low-density lipoprotein (gLDL) was observed between LDL subfractions. Concerning differences between LDL subfractions isolated from DM2 and from control subjects, the former showed increased MDA, fructosamine and gLDL proportion and decreased LDL size and antioxidant content. The only effect of glycemic optimization was a decrease in fructosamine and gLDL in LDL(+) from DM2 subjects. LDL(-) from DM2 patients presented low binding affinity to the low-density lipoprotein receptor (LDLr) in cultured fibroblasts compared to LDL(+) and two- to threefold increased ability to release interleukin-8 (IL-8) and monocyte chemotactic protein 1 (MCP-1) in endothelial cells. CONCLUSION: These results suggest that, although nonenzymatic glycosylation and oxidation are increased in type 2 diabetes, these features would not be directly involved in the generation of LDL(-). Moreover, LDL(-) properties suggest that the high proportion observed in plasma could promote accelerated atherosclerosis in DM2 patients through increased residence time in plasma and induction of inflammatory responses in artery wall cells. FAU - Benitez, Sonia AU - Benitez S AD - Research Institute, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. FAU - Perez, Antonio AU - Perez A FAU - Sanchez-Quesada, Jose Luis AU - Sanchez-Quesada JL FAU - Wagner, Ana Maria AU - Wagner AM FAU - Rigla, Mercedes AU - Rigla M FAU - Arcelus, Rosa AU - Arcelus R FAU - Jorba, Oscar AU - Jorba O FAU - Ordonez-Llanos, Jordi AU - Ordonez-Llanos J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Diabetes Metab Res Rev JT - Diabetes/metabolism research and reviews JID - 100883450 RN - 0 (Blood Glucose) RN - 0 (Chemokine CCL2) RN - 0 (Interleukin-8) RN - 0 (Lipids) RN - 0 (Lipoproteins, LDL) RN - 0 (Receptors, LDL) RN - EC 3.1.1.47 (1-Alkyl-2-acetylglycerophosphocholine Esterase) SB - IM MH - 1-Alkyl-2-acetylglycerophosphocholine Esterase/metabolism MH - Aged MH - Blood Glucose/metabolism MH - Cells, Cultured MH - Chemical Phenomena MH - Chemistry, Physical MH - Chemokine CCL2/metabolism MH - Chromatography, Ion Exchange MH - Diabetes Mellitus, Type 2/*blood/therapy MH - Electrophoresis, Polyacrylamide Gel MH - Endothelial Cells/drug effects/metabolism MH - Female MH - Humans MH - Interleukin-8/metabolism MH - Lipids/blood MH - Lipoproteins, LDL/*chemistry MH - Male MH - Middle Aged MH - Receptors, LDL/metabolism EDAT- 2006/04/25 09:00 MHDA- 2007/02/27 09:00 CRDT- 2006/04/25 09:00 PHST- 2006/04/25 09:00 [pubmed] PHST- 2007/02/27 09:00 [medline] PHST- 2006/04/25 09:00 [entrez] AID - 10.1002/dmrr.643 [doi] PST - ppublish SO - Diabetes Metab Res Rev. 2007 Jan;23(1):26-34. doi: 10.1002/dmrr.643.