PMID- 32708891 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 9 IP - 7 DP - 2020 Jul 17 TI - Changes in High-Density Lipoproteins Related to Outcomes in Patients with Acute Stroke. LID - 10.3390/jcm9072269 [doi] LID - 2269 AB - Modifications in high-density lipoprotein (HDL) particle sizes and HDL-binding proteins have been reported in stroke patients. We evaluated whether the lipoprotein profile, HDL composition and functionality were altered in stroke patients according to their clinical outcome using the modified Rankin Score at 3 months. Plasma samples were obtained from stroke patients treated with intravenous thrombolysis. Levels of cardiovascular and inflammatory markers in plasma were measured using the Human CVD Panel 1 (Milliplex((R)) MAP). Lipoprotein subfractions from plasma were quantified by non-denaturing acrylamide gel electrophoresis, using the Lipoprint((R))-System (Quantimetrix((R))), and HDLs were isolated by ultracentrifugation. Relative amounts of paraoxonase-1 (PON1) and alpha-1 anti-trypsin (AAT) in the isolated HDLs were determined by Western blot. HDL anti-inflammatory function was evaluated in human blood-brain barrier endothelial cells stimulated with 100 ng/mL TNFalpha, and HDL antioxidant function was evaluated via their capacity to limit copper-induced low-density lipoprotein oxidation. Stroke patients with unfavorable outcomes had a lower proportion of small-sized HDLs and increased plasma levels of E-selectin (SELE) and the intercellular adhesion molecule 1 (ICAM1). HDLs from patients with unfavorable outcomes had lower levels of PON1 and displayed a blunted capacity to reduce the expression of SELE, interleukin 8 (IL8) and the monocyte chemoattractant protein-1 (MCP1) mRNA induced by TNFalpha in endothelial cells. These HDLs also had a reduced antioxidant capacity relative to HDLs from healthy donors. In conclusion, an increased ratio of large/small HDLs with impaired anti-inflammatory and antioxidant capacities was associated with unfavorable outcomes in stroke patients. Alteration of HDL functionality was mainly associated with a low amount of PON1 and high amount of AAT. FAU - Varela, Lourdes M AU - Varela LM AUID- ORCID: 0000-0002-8875-6042 AD - Inserm U1148, Paris University, 75018 Paris, France. AD - Instituto de Biomedicina de Sevilla (IBiS)/Hospital Universitario Virgen del Rocio/CSIC/Departamento de Fisiologia Medica y Biofisica-Universidad de Sevilla, 41013 Sevilla, Spain. FAU - Meseguer, Elena AU - Meseguer E AUID- ORCID: 0000-0002-7184-2614 AD - Department of Neurology and Stroke Center, Paris University, 75018 Paris, France. FAU - Lapergue, Bertrand AU - Lapergue B AD - Department of Neurology, Stroke Center, Foch Hospital, 92150 Suresnes, France. FAU - Couret, David AU - Couret D AD - CHU de La Reunion, 97410 Saint-Pierre, France. FAU - Amarenco, Pierre AU - Amarenco P AD - Department of Neurology and Stroke Center, Paris University, 75018 Paris, France. FAU - Meilhac, Olivier AU - Meilhac O AD - CHU de La Reunion, 97410 Saint-Pierre, France. AD - Universite de La Reunion, Inserm U1188 DeTROI, F-97490 Sainte-Clotilde, France. LA - eng GR - ANR-JCJC-1105/Agence Nationale de la Recherche/ GR - VI PPIT-US/Universidad de Sevilla/ GR - RE0001897/European Regional Development Fund/ PT - Journal Article DEP - 20200717 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC7408777 OTO - NOTNLM OT - HDL OT - PON1 OT - blood-brain barrier (BBB) dysfunction OT - functional outcome OT - low-density lipoproteins (LDL) oxidation OT - stroke COIS- The authors have no conflict of interest. EDAT- 2020/07/28 06:00 MHDA- 2020/07/28 06:01 PMCR- 2020/07/17 CRDT- 2020/07/26 06:00 PHST- 2020/06/18 00:00 [received] PHST- 2020/07/11 00:00 [revised] PHST- 2020/07/16 00:00 [accepted] PHST- 2020/07/26 06:00 [entrez] PHST- 2020/07/28 06:00 [pubmed] PHST- 2020/07/28 06:01 [medline] PHST- 2020/07/17 00:00 [pmc-release] AID - jcm9072269 [pii] AID - jcm-09-02269 [pii] AID - 10.3390/jcm9072269 [doi] PST - epublish SO - J Clin Med. 2020 Jul 17;9(7):2269. doi: 10.3390/jcm9072269.