Cholesteryl ester transfer protein (CETP), HDL capacity of receiving cholesterol and status of inflammatory cytokines in patients with severe heart failure

Author(s)

Martinelli, Ana Elisa M. ^[1] ; Maranhao, Raul C. ^{[2, 1]} ; Carvalho, Priscila O. ^[1] ; Freitas, Fatima R. ^[1] ; Silva, Bruna M. O. ^[1] ; Curiati, Milena N. C. ^{[3, 4]} ; Kalil Filho, Roberto ^[1] ; Pereira-Barretto, Antonio Carlos ^[4]

Affiliation

^[1] Univ Sao Paulo, Hosp Clin HCFMUSP, Inst Coracao, Lab Metab & Lipides, Fac Med, Av Dr Eneas de Carvalho Aguiar 44, 1 Subsolo, BR-05403000 Sao Paulo, SP - Brazil

^[2] Univ Sao Paulo, Fac Ciencias Farmaceut, Sao Paulo - Brazil

^[3] Hosp Santa Marcelina, Sao Paulo - Brazil

^[4] Univ Sao Paulo, Hosp Clin HCFMUSP, Serv Prevencao & Reabil Cardiovasc, Inst Coracao, Fac Med, Sao Paulo - Brazil

• Document type: Journal article
• Source: LIPIDS IN HEALTH AND DISEASE; v. 17, OCT 20 2018.
• Web of Science Citations: 0

Abstract

BackgroundHeart failure (HF) courses with chronic inflammatory process and alterations in lipid metabolism may aggravate the disease. The aim was to test whether the severity of HF, using brain natriuretic peptide (BNP) as a marker, is associated with alterations in functional aspects of HDL, such as lipid transfer, cholesterol ester transfer protein (CETP) and lecithin-cholesterol acyltransferase (LCAT) concentration.MethodsTwenty-five HF patients in NYHA class I/II and 23 in class III/IV were enrolled. Plasma lipids, apolipoproteins, CETP, LCAT, oxidized-LDL (oxLDL) and paraoxonase-1 (PON-1) activity were determined. Lipid transfer from a donor artificial nanoparticle to HDL was measured by in vitro assay.ResultsTotal cholesterol (p=0.049), LDL-C (p=0.023), non-HDL-C (p=0.029) and CETP, that promotes lipid transfer among lipoproteins (p=0.013), were lower in III/IV than in I/II group. Triglycerides, HDL-C, apo A-I, apo B, oxLDL, LCAT, enzyme that catalyzes serum cholesterol esterification, PON-1 activity, and in vitro transfers of cholesterol, triglycerides and phospholipids to HDL, important steps in HDL metabolism, were equal. IL-8 was higher in III/IV (p=0.025), but TNF, IL-1, IL-6 and MCP-1 were equal. BNP was negatively correlated with CETP (r=-0.294; p=0.042) and positively correlated with IL-8 (r=0.299; p=0.039).ConclusionsOur results disclosed the relationship between CETP levels and HF severity, by comparing two HF groups and by correlation analysis. Lower CETP levels may be a marker of HF aggravation and possibly of worse prognosis. Practical applications of this initial finding, as the issue whether CETP could be protective against HF aggravation, should be explored in larger experimental and clinical studies. (AU)

• FAPESP's process: 13/04792-9 - The role of plasma lipids and inflammatory factors in the pathophysiology, clinical course and prognosis of heart failure of ischemic and non-ischemic
• Grantee: Antonio Carlos Pereira-Barretto
• Support Opportunities: Regular Research Grants