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Blood, Vol. 95 No. 1 (January 1), 2000:
pp. 198-204
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
From the Laboratory of Cellular Physiology and Immunology, The
Rockefeller University, New York, NY; and Merck Research Laboratory,
Department of Lipid Biochemistry, Rahway, NJ.
We have previously described a novel lipoprotein particle consisting
of phospholipids, apolipoprotein A-I (apoAI), lipopolysaccharide binding protein (LBP) and Factor H-related proteins (FHRP), and we
termed these particles FALP (FHRP-associated lipoprotein particles). Highly purified preparations of FALP contain variable amounts of an
unidentified polypeptide triplet of Mr ~85 000 (tp85). Here we
report that tp85 represents fragment D of fibrinogen, as confirmed by
N-terminal amino acid sequencing and Western blot analysis with an
antifibrinogen antibody. The physical association of fibrinogen with
other components of FALP in plasma was further confirmed by sandwich
ELISA by using monoclonal antibodies against apoAI, FHRP or LBP
to capture the particles and polyclonal antifibrinogen as the detecting
antibody. Furthermore, affinity chromatography with
anti-FHRP-1-specific IgG showed that fibrinogen is co-immunodepleted with FALP and approximately 17% of total plasma fibrinogen are bound
to FALP. LBP is a lipid transfer protein that moves lipopolysaccharide (LPS) to a binding site on CD14 or high-density lipoprotein (HDL). To
determine whether fibrinogen affects the lipid transfer activity of LBP
on FALP, this activity was measured in FALP prepared with and without
fibrinogen. Neither activity of LBP was affected by fibrinogen. The
abundance of FALP suggests, instead, an effect of FALP on the function
or clearance of fibrinogen or fragment D. (Blood. 2000;95:198-204)
A large body of data suggests functional links between
lipoproteins, fibrinogen, and the cardiovascular
disease.1-3 Hyperlipoproteinemia (or hypolipoproteinemia)
is associated with elevated (or decreased) levels of plasma level of
fibrinogen,4-9 and increased plasma levels of both lipid
and fibrinogen are risk factors for coronary heart disease. Moreover,
treatment of hyperlipidemic patients with fibrates lowers not only
lipoprotein levels but also fibrinogen levels10,11 Despite
these correlations, a clear mechanistic link between lipoproteins and
fibrinogen has yet to be established.
We have recently described a novel lipoprotein particle in normal human
plasma (NHP).12 This lipoprotein consists of phospholipids, apolipoprotein A-I (apoAI), lipopolysaccharide binding protein (LBP),
and factor H-related proteins (FHRPs). Because FHRP-1 appears to be the
numerically dominant component of the particle and because all FHRP-1
in plasma is found in these lipoprotein particles, we named them FALP
(FHRP-associated lipoprotein particles). FALP have characteristics of
high-density lipoproteins: Mr of ~200 000, density of 1.219 to 1.264 and the presence of apoAI.12 Electron microscopy revealed a
discoid shape with a diameter of ~11 nm.12 Thus, FALP
represents a small subset of high-density lipoprotein (HDL) (~2% of
apoAI containing HDL) with very high density.
FHRP-1, a major component of FALP, is an abundant plasma protein (40 µg/mL) and belongs to a family of protein called FHRPs. FHRPs were
discovered as proteins with sequence homology and antigenic cross-reactivity with complement FH.13 So far, 4 (FHRP-1,
2, 3, and 4) have been described and 3 (FHRP-1, 2, and 4) of them are
found associated with lipoproteins.12,14 No function has been described for FHRPs. FHRP-1 consists of 5 tandem repeats of a
60-amino acid motif known as the short consensus repeat. Other proteins
with short consensus repeats have been reported to be associated with
lipoproteins.15,16
We originally isolated FALP while following the activity of LBP, one of
the constituents of FALP. LBP is a lipid transfer protein that
efficiently moves LPS monomers from LPS aggregates to a binding site on
CD14.17,18 CD14 is found on the surface of monocytes and
polymorphonuclear leukocytes (PMN) as a
glycosylphophatidylinositol-linked protein, as well as in plasma as a
soluble form. Both forms of CD14 bind LPS and play a crucial role in
mediating cellular responses to LPS.19,20 The transfer
activity of LBP (and FALP) dramatically increases the ability of cells
to respond to low doses of LPS.11,21,22 LBP is also able to
transfer LPS to HDL and neutralize its activity to stimulate
inflammatory cells.23 While FALP can modify the efficiency
of LPS transfer to HDL by LBP (Park and Wright, in preparation),
LBP is able to transfer lipids in the absence of the other
FALP components.17,18,23,24 Moreover, although LBP resides
on FALP, FALP alone does not have the ability to neutralize LPS and is
not thought to be the acceptor for LPS neutralization (Park and Wright,
unpublished observation). Thus, the precise functions of FALP remain to
be defined.
Our earlier studies revealed the presence of unknown polypeptides of
~85 kd in FALP. Here we report that these bands are
fragments D of fibrinogen and that fibrinogen is a constituent of FALP. The association of fibrinogen with FALP in normal plasma was confirmed by sandwich ELISA (enzyme-linked immunosorbent assay) and affinity immunodepletion using anti-FHRP-1-specific IgG. The physiologic role
of fibrinogen on FALP is discussed.
Reagents
Monoclonal antibodies.
3D11 (anti-FH and FHRP), which recognizes C-terminus of FH and
FHRP-1,27 was a generous gift from Dr Vesa Koistinen
(Helsinki, Finland). Monoclonal anti-LBP, c10, used as a capturing
antibody for LBP ELISA or Sandwich ELISA, was a generous gift of Dr
Alex Taylor.28 Anti-apoAI was purchased from Calbiochem,
antifibrinogen (catalog #311 and #313), and anti-TFPI (tissue factor
pathway inhibitor) were purchased from American Diagnostica Inc
(Greenwich, CT).
Polyclonal antibodies.
Anti-LBP and anti-FHRP were raised by immunizing rabbits with
recombinant LBP and recombinant FHRP-1, respectively. Specificity of
these antibodies was confirmed by Western blot using human plasma.
Anti-FHRP-1 also recognizes FH as expected, because they share strong
homology in the C-terminus.13 Anti-FHRP-1-specific IgG was
prepared as described below. Goat anti-FH and goat antifibrinogen antibodies were purchased from Incstar (Stillwater, MN) and rabbit antifibrinogen (catalog #313R) was purchased from American Diagnostica Inc (Greenwich, CT).
Secondary antibodies.
Horseradish peroxidase-conjugated rabbit antigoat IgG and goat
antirabbit IgG were purchased from Pierce (Rockford, IL). Alkaline phosphatase-conjugated goat antirabbit IgG was purchased from Bio-Rad
(Hercules, CA). Fibrinogen used as a standard for ELISA was purchased
from American Diagnostica Inc. ReLPS (S. minnesota, Re595) was
purchased from List Biological Laboratories (Campbell, CA).
Reconstituted HDL (rHDL) was prepared as previously
described.23
Purification of FALP
Polyacrylamide gel electrophoresis Electrophoresis was performed either with the Phast System (Pharmacia) or the Novex (San Diego, CA) system, according to the manufacturer's recommendations. Western blot analysis was as previously described with minor modifications.12 Briefly, after SDS-PAGE, samples were transferred to nitrocellulose membranes using a Novex transfer system. After transfer, the membranes were blocked with 10% nonfat dry milk, 0.2% Tween 20, and 0.02% sodium azide in PBS for 1 hour in room temperature; washed with PBS containing 0.1% milk, 0.2% Tween 20 (Western buffer); and incubated with primary antibodies in Western buffer either 1 hour at room temperature or 4°C overnight. Bound primary antibodies were detected by the combination of horseradish-conjugated secondary antibodies and chemiluminescent substrates (SuperSignal Substrate System, Pierce), according to the manufacturer's recommendation.Amino acid sequencing After SDS-PAGE, polypeptides were transferred to polyvinylidene difluoride (PVDF) membranes, briefly stained with Coomassie Blue, and washed with water. Bands were excised, and proteins were sequenced by the Protein Sequencing Facility at The Rockefeller University.ELISA The ELISAs to measure the amounts of LBP and fibrinogen in samples were performed essentially as described previously.12,23 Antibodies c10 and polyclonal rabbit anti-LBP were used for capturing and detecting, respectively, in the LBP ELISA. Similarly, antibodies #313 and polyclonal rabbit antifibrinogen (#313R) were used in the fibrinogen ELISA. For the measurement of FHRP, mAb 3D11 and polyclonal rabbit anti-FHRP-1 (or anti-FHRP-1-specific IgG, see below) were used.. A sandwich ELISA to establish the physical association of 2 molecules was performed as described previously,12,23 with slight modifications. Plates were coated with the indicated monoclonal antibodies (5 µg/mL) and blocked with 10% nonfat dry milk in PBS. Samples (normal human plasma) were incubated in the wells for 4 hours to overnight at 4°C, plates were washed, polyclonal antibodies were added to the wells, and plates were further incubated for 4 hours at 4°C. The bound antibody was detected by an alkaline phosphatase-conjugated goat antirabbit IgG or rabbit antigoat IgG, incubated for 2 hours at 4°C. AttophosTM (JBL Scientific, San Luis Obispo, CA), a fluorescence substrate for the alkaline phosphatase, was added after the plates were washed with distilled water. Fluorescence was measured immediately thereafter in a fluorescence plate reader (CytofluorTM, Millipore, Bedford, MA).Preparation of recombinant FHRP-1 cDNA encoding human FHRP-1 was cloned into an insect cell expression vector with metallothionein promotor, (pRmHa-3, a generous gift from Dr Rolf Thieringer). pRmHa-3 containing the FHRP-1 sequence was transfected with PUChsneo (a co-expression plasmid with hsp70 promoter driving neo expression) into Schneider 2 insect cells. Transfected Schneider 2 cells were grown in serum-free insect cell media (EX-CELL 400, JRH Biosciences, Lenexa, KS) containing G-418 and copper sulfate 1 mmol/L as an inducer for the metallothionein promoter. Purification of expressed recombinant FHRP-1 in culture supernatant was performed using multiple steps of chromatography as follows: Conditioned medium was directly loaded onto a Q sepharose FF (Pharmacia) column, which was pre-equilibrated with 20 mmol/L Bis-Tris-Propane, pH = 6.8 (BTP buffer). Expressed protein appeared in the flow-through fraction, while more than 90% of the protein was adsorbed to the column in this step. The flow-through fraction was directly loaded onto S sepharose FF (Pharmacia) column, also pre-equlibrated with BTP buffer. The column was then washed with BTP buffer containing 250 mmol/L NaCl and eluted with BTP buffer containing 450 mmolL NaCl. This fraction was diluted 5 times with BTP buffer, loaded again onto a uno S (Bio-Rad) column and eluted with a NaCl gradient, 150 to 500 mmol/L in BTP buffer. Recombinant FHRP-1 was recovered in the ~380 mmol/L NaCl fractions. Samples were immediately dialyzed into 5 mmol/L sodium phosphate, pH 6.8 and loaded onto a hydroxyapatite column (CHT-2, Bio-Rad). Separation was performed by gradient from 5 to 500 mmol/L of sodium phosphate. The presence of recombinant FHRP-1 was monitored by Western blot with goat antihuman FH (Incstar), and the purity of the recombinant FHRP-1 was more than 99% by silver stain and Coomassie blue stain of PAGE gel.Anti-FHRP antibody affinity chromatography Rabbit antibody raised against FHRP-1 contains IgG that cross-react with FH. FHRP-1-specific antibodies (anti-FHRPsp) were prepared by removing these cross-reacting antibodies from polyclonal rabbit anti-FHRP-1 IgG (see above) by affinity chromatography using human FH Sepharose beads (NHS-activated HiTrap column, Pharmacia). We were able to remove 99% of the cross-reactivity in 1 step. Then, purified FHRP-1-specific rabbit IgG were coupled to NHS-activated Sepharose beads in parallel with preimmune IgG. Coupling efficiency was determined as 4.75 mg and 4.74 mg per 1 mL column for FHRP-1-specific IgG and preimmune IgG, respectively. For the co-immunodepletion of FHRP-1 and fibrinogen, 5 mL of normal human plasma from freshly drawn heparinized blood was prepared and loaded onto the 1 mL column (anti-FHRPsp and preimmune IgG) equilibrated with PBS 10 U/mL of heparin. The first 1 mL of flow-through was collected and the measurement of FHRP and fibrinogen from the fractions was performed by ELISA as described previously. The columns were regenerated by washing with 0.5 mol/L ammonium acetate and pH = 3.0 and 0.1 mol/L triethylamine, pH = 11.5 sequentially 2 times.LBP catalyzed transfer of fluorescently labeled LPS (BODIPY-LPS) LBP catalyzes the transfer of LPS monomers from LPS aggregates to a binding site on CD14 or rHDL.17,23 This activity may be measured in real time using fluorescently labeled LPS (BODIPY-LPS): Fluorescence is quenched in LPS aggregates, and the quenching is relieved on transfer to CD14 or rHDL.18,24 BODIPY-LPS was prepared as described previously,18 and the rate of movement of LPS monomers from aggregates into soluble CD14 (sCD14) or rHDL was measured as described previously18, 24,25 with minor modifications. Briefly, FALP and sCD14 or rHDL were quickly mixed with BODIPY-LPS in buffer (PBS with 1.5 mg/mL bovine serum albumin) in 96-well plates and the increase in fluorescence was measured in real time using a fluorescence plate reader (Cytofluor II, Perspective Biosystems) with the emission and the excitation wavelength of 485 ± 30 and 530 ± 30, respectively. The concentration of LBP in serum- or plasma-derived FALP was measured by LBP ELISA immediately before each experiment to normalize the concentrations of LBP.PMN adhesion assay PMN adhesion was measured as described previously.29 Briefly, fluorescently labeled PMN were incubated on fibrinogen-coated Terasaki plates for 10 minutes at 37°C in the presence of 10 ng/mL of LPS (Re595) and the FALP preparations. After washing, PMN adherent to the fibrinogen-coated surface were measured by fluorescence plate reader (CytofluorTM, Millipore, Bedford, MA).
Identification of fibrinogen fragments in FALP by amino acid sequencing FALP was purified from plasma by sequential chromatographic steps on HiPAC-Aldehyde, Q Sepharose FF, and Mono Q columns. Preparations yielded the characteristic bands in SDS-PAGE (Figure 1): FHRP-1, LBP and apoAI, all confirmed by Western blot analysis (data not shown). An additional triplet band at 85 kd (previously designated as tp8512) was also prominent. Parallel gels showed that the addition of reducing agent shifted the position of tp85 to the 40-kd region of the gel (Figure 1). N-terminal amino acid sequencing of the 4 bands present under reducing conditions revealed identity with fragments of fibrinogen. Three bands (1, 3, and 4) are from the chain and 1 (band 2) is from the chain of
fibrinogen. Bands 1 and 3 share identical N-termini. All the N-terminal
sequences fell at predicted sites of plasmin digestion of fragment D
(Figure 1).30
Fibrinogen is associated with FALP in plasma
Serum contains the same amount of FALP as plasma but much less
fibrinogen
Fibrinogen in FALP does not affect the ability of LBP to
transfer LPS
Here we show evidence that fibrinogen, an abundant plasma protein
with a well-established function, is part of a novel HDL particle
containing LBP and FHRP-1. In fact, we are not the first to report that
fibrinogen may be associated with HDL. Kunitake et al32
showed that fibrinogen copurified with HDL when a mild affinity
chromatography procedure using an anti-apoAI antibody was used. Mild
affinity chromatographic conditions were used to isolate HDL in both
cases. Affinity purification is thought to be preferable to
ultracentrifugation for the isolation of minor components of HDL
because they tend to be dissociated from HDL during
ultracentrifugation.33
We thank Dr Rolf Thieringer at Merck Research Laboratory for kindly
providing recombinant sCD14, the cDNA encoding human FHRP-1, and
BODIPY-LPS. Protein sequence analysis was provided by The Rockefeller
University Protein Sequencing Facility.
Submitted May 20, 1999; accepted September 7, 1999.
Supported by National Institutes of Health Grants AI-01333-01 to C. Thomas Park.
Reprints: Samuel D. Wright, Merck Research Laboratory,
Department of Lipid Biochemistry, PO Box 2000, R80W-250, Rahway, NJ
07065.
The publication costs of this
article were defrayed in part by
page charge payment. Therefore,
and solely to indicate this fact,
this article is hereby marked
"advertisement"
in accordance with 18 U.S.C.
section 1734.
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