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Cholesteryl Ester Transfer Protein and Lipid Metabolism and Cardiovascular Diseases

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Lipid Transfer in Lipoprotein Metabolism and Cardiovascular Disease

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 1276))

Abstract

In this chapter, we present the major advances in CETP research since the detection, isolation, and characterization of its activity in the plasma of humans and several species. Since CETP is a major modulator of HDL plasma levels, the clinical importance of CETP activity was recognized very early. We describe the participation of CETP in reverse cholesterol transport, conflicting results in animal and human genetic studies, possible new functions of CETP, and the results of the main clinical trials on CETP inhibition. Despite major setbacks in clinical trials, the hypothesis that CETP inhibitors are anti-atherogenic in humans is still being tested.

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References

  1. Chajek T, Fielding CJ (1978) Isolation and characterization of a human serum cholesteryl ester transfer protein. Proc Natl Acad Sci U S A 75:3445–3449

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Pattnaik NM, Montes A, Hughes LB, Zilversmit DB (1978) Cholesteryl ester exchange protein in human plasma isolation and characterization. Biochim Biophys Acta 530:428–438

    Article  CAS  PubMed  Google Scholar 

  3. Ha YC, Barter PJ (1982) Differences in plasma cholesteryl ester transfer activity in sixteen vertebrate species. Comp Biochem Physiol B 71:265–269

    Article  CAS  PubMed  Google Scholar 

  4. Tsutsumi K, Hagi A, Inoue Y (2001) The relationship between plasma high density lipoprotein cholesterol levels and cholesteryl ester transfer protein activity in six species of healthy experimental animals. Biol Pharm Bull 24:579–581

    Article  CAS  PubMed  Google Scholar 

  5. Hesler CB, Swenson TL, Tall AR (1987) Purification and characterization of a human plasma cholesteryl ester transfer protein. J Biol Chem 262:2275–2282

    Article  CAS  PubMed  Google Scholar 

  6. Drayna D et al (1987) Cloning and sequencing of human cholesteryl ester transfer protein cDNA. Nature 327:632–634

    Article  CAS  PubMed  Google Scholar 

  7. Agellon LB et al (1990) Organization of the human cholesteryl ester transfer protein gene. Biochemistry 29:1372–1376

    Article  CAS  PubMed  Google Scholar 

  8. Oliveira HCF, de Faria EC (2011) Cholesteryl ester transfer protein: the controversial relation to atherosclerosis and emerging new biological roles. IUBMB Life 63:248–257

    Article  CAS  PubMed  Google Scholar 

  9. Qiu X et al (2007) Crystal structure of cholesteryl ester transfer protein reveals a long tunnel and four bound lipid molecules. Nat Struct Mol Biol 14:106–113

    Article  PubMed  CAS  Google Scholar 

  10. Charles MA, Kane JP (2012) New molecular insights into CETP structure and function: a review. J Lipid Res 53:1451–1458

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Inazu A et al (1992) Alternative splicing of the mRNA encoding the human cholesteryl ester transfer protein. Biochemistry 31:2352–2358

    Article  CAS  PubMed  Google Scholar 

  12. Quinet E, Yang TP, Marinos C, Tall A (1993) Inhibition of the cellular secretion of cholesteryl ester transfer protein by a variant protein formed by alternative splicing of mRNA. J Biol Chem 268:16891–16894

    Article  CAS  PubMed  Google Scholar 

  13. Lira ME, Loomis AK, Paciga SA, Lloyd DB, Thompson JF (2008) Expression of CETP and of splice variants induces the same level of ER stress despite secretion efficiency differences. J Lipid Res 49:1955–1962

    Article  CAS  PubMed  Google Scholar 

  14. Alva V, Lupas AN (2016) The TULIP superfamily of eukaryotic lipid-binding proteins as a mediator of lipid sensing and transport. Biochim Biophys Acta 1861:913–923

    Article  CAS  PubMed  Google Scholar 

  15. Wong LH, Levine TP (2017) Tubular lipid binding proteins (TULIPs) growing everywhere. Biochim Biophys Acta Mol Cell Res 1864:1439–1449

    Article  CAS  PubMed  Google Scholar 

  16. Miller GJ, Miller NE (1975) Plasma-high-density-lipoprotein concentration and development of ischaemic heart-disease. Lancet Lond Engl 1:16–19

    Article  CAS  Google Scholar 

  17. Gordon T, Castelli WP, Hjortland MC, Kannel WB, Dawber TR (1977) High density lipoprotein as a protective factor against coronary heart disease. The Framingham Study. Am J Med 62:707–714

    Article  CAS  PubMed  Google Scholar 

  18. Glomset JA (1968) The plasma lecithins: cholesterol acyltransferase reaction. J Lipid Res 9:155–167

    Article  CAS  PubMed  Google Scholar 

  19. Agellon LB et al (1991) Reduced high density lipoprotein cholesterol in human cholesteryl ester transfer protein transgenic mice. J Biol Chem 266:10796–10801

    Article  CAS  PubMed  Google Scholar 

  20. Jiang XC, Agellon LB, Walsh A, Breslow JL, Tall A (1992) Dietary cholesterol increases transcription of the human cholesteryl ester transfer protein gene in transgenic mice. Dependence on natural flanking sequences. J Clin Invest 90:1290–1295

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Marotti KR et al (1993) Severe atherosclerosis in transgenic mice expressing simian cholesteryl ester transfer protein. Nature 364:73–75

    Article  CAS  PubMed  Google Scholar 

  22. Fagerberg L et al (2014) Analysis of the human tissue-specific expression by genome-wide integration of transcriptomics and antibody-based proteomics. Mol Cell Proteomics MCP 13:397–406

    Article  CAS  PubMed  Google Scholar 

  23. Quinet E, Tall A, Ramakrishnan R, Rudel L (1991) Plasma lipid transfer protein as a determinant of the atherogenicity of monkey plasma lipoproteins. J Clin Invest 87:1559–1566

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Wang Y et al (2015) Plasma cholesteryl ester transfer protein is predominantly derived from Kupffer cells. Hepatol Baltim Md 62:1710–1722

    Article  CAS  Google Scholar 

  25. Oliveira HC et al (1996) Human cholesteryl ester transfer protein gene proximal promoter contains dietary cholesterol positive responsive elements and mediates expression in small intestine and periphery while predominant liver and spleen expression is controlled by 5′-distal sequences. Cis-acting sequences mapped in transgenic mice. J Biol Chem 271:31831–31838

    Article  CAS  PubMed  Google Scholar 

  26. Luo Y, Tall AR (2000) Sterol upregulation of human CETP expression in vitro and in transgenic mice by an LXR element. J Clin Invest 105:513–520

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Berti JA et al (2001) Thyroid hormone increases plasma cholesteryl ester transfer protein activity and plasma high-density lipoprotein removal rate in transgenic mice. Metabolism 50:530–536

    Article  CAS  PubMed  Google Scholar 

  28. Raposo HF, Patrício PR, Simões MC, Oliveira HCF (2014) Fibrates and fish oil, but not corn oil, up-regulate the expression of the cholesteryl ester transfer protein (CETP) gene. J Nutr Biochem 25:669–674

    Article  CAS  PubMed  Google Scholar 

  29. Masucci-Magoulas L et al (1995) Decreased cholesteryl ester transfer protein (CETP) mRNA and protein and increased high density lipoprotein following lipopolysaccharide administration in human CETP transgenic mice. J Clin Invest 95:1587–1594

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Berti JA et al (2003) Cholesteryl ester transfer protein expression is down-regulated in hyperinsulinemic transgenic mice. J Lipid Res 44:1870–1876

    Article  CAS  PubMed  Google Scholar 

  31. Plump AS et al (1999) Increased atherosclerosis in ApoE and LDL receptor gene knock-out mice as a result of human cholesteryl ester transfer protein transgene expression. Arterioscler Thromb Vasc Biol 19:1105–1110

    Article  CAS  PubMed  Google Scholar 

  32. Westerterp M et al (2006) Cholesteryl ester transfer protein decreases high-density lipoprotein and severely aggravates atherosclerosis in APOE*3-Leiden mice. Arterioscler Thromb Vasc Biol 26:2552–2559

    Article  CAS  PubMed  Google Scholar 

  33. Van Eck M et al (2007) Important role for bone marrow-derived cholesteryl ester transfer protein in lipoprotein cholesterol redistribution and atherosclerotic lesion development in LDL receptor knockout mice. Circ Res 100:678–685

    Article  PubMed  CAS  Google Scholar 

  34. Hayek T et al (1995) Decreased early atherosclerotic lesions in hypertriglyceridemic mice expressing cholesteryl ester transfer protein transgene. J Clin Invest 96:2071–2074

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Föger B et al (1999) Cholesteryl ester transfer protein corrects dysfunctional high density lipoproteins and reduces aortic atherosclerosis in lecithin cholesterol acyltransferase transgenic mice. J Biol Chem 274:36912–36920

    Article  PubMed  Google Scholar 

  36. Berti JA, de Faria EC, Oliveira HCF (2005) Atherosclerosis in aged mice over-expressing the reverse cholesterol transport genes. Braz J Med Biol Res Rev Bras Pesqui Medicas E Biol 38:391–398

    Article  CAS  Google Scholar 

  37. Cazita PM et al (2003) Cholesteryl ester transfer protein expression attenuates atherosclerosis in ovariectomized mice. J Lipid Res 44:33–40

    Article  CAS  PubMed  Google Scholar 

  38. Casquero AC et al (2006) Atherosclerosis is enhanced by testosterone deficiency and attenuated by CETP expression in transgenic mice. J Lipid Res 47:1526–1534

    Article  CAS  PubMed  Google Scholar 

  39. Kako Y, Massé M, Huang L-S, Tall AR, Goldberg IJ (2002) Lipoprotein lipase deficiency and CETP in streptozotocin-treated apoB-expressing mice. J Lipid Res 43:872–877

    Article  CAS  PubMed  Google Scholar 

  40. MacLean PS et al (2003) Cholesteryl ester transfer protein expression prevents diet-induced atherosclerotic lesions in male db/db mice. Arterioscler Thromb Vasc Biol 23:1412–1415

    Article  CAS  PubMed  Google Scholar 

  41. Harder C, Lau P, Meng A, Whitman SC, McPherson R (2007) Cholesteryl ester transfer protein (CETP) expression protects against diet induced atherosclerosis in SR-BI deficient mice. Arterioscler Thromb Vasc Biol 27:858–864

    Article  CAS  PubMed  Google Scholar 

  42. El Bouhassani M et al (2011) Cholesteryl ester transfer protein expression partially attenuates the adverse effects of SR-BI receptor deficiency on cholesterol metabolism and atherosclerosis. J Biol Chem 286:17227–17238

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  43. Koizumi J et al (1985) Deficiency of serum cholesteryl-ester transfer activity in patients with familial hyperalphalipoproteinaemia. Atherosclerosis 58:175–186

    Article  CAS  PubMed  Google Scholar 

  44. Yamashita S et al (2000) Molecular mechanisms, lipoprotein abnormalities and atherogenicity of hyperalphalipoproteinemia. Atherosclerosis 152:271–285

    Article  CAS  PubMed  Google Scholar 

  45. Zhong S et al (1996) Increased coronary heart disease in Japanese-American men with mutation in the cholesteryl ester transfer protein gene despite increased HDL levels. J Clin Invest 97:2917–2923

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Nagano M et al (2004) Molecular mechanisms of cholesteryl ester transfer protein deficiency in Japanese. J Atheroscler Thromb 11:110–121

    Article  CAS  PubMed  Google Scholar 

  47. Ordovas JM et al (2000) Association of cholesteryl ester transfer protein-TaqIB polymorphism with variations in lipoprotein subclasses and coronary heart disease risk: the Framingham study. Arterioscler Thromb Vasc Biol 20:1323–1329

    Article  CAS  PubMed  Google Scholar 

  48. Quintão ECR (2010) Letter by Quintao regarding article, ‘Association of circulating cholesteryl ester transfer protein activity with incidence of cardiovascular disease in the community’. Circulation 122:e420; author reply e421

    Google Scholar 

  49. Cao M, Zhou Z-W, Fang B-J, Zhao C-G, Zhou D (2014) Meta-analysis of cholesteryl ester transfer protein TaqIB polymorphism and risk of myocardial infarction. Medicine (Baltimore) 93:e160

    Article  CAS  Google Scholar 

  50. Thompson A et al (2008) Association of cholesteryl ester transfer protein genotypes with CETP mass and activity, lipid levels, and coronary risk. JAMA 299:2777–2788

    Article  CAS  PubMed  Google Scholar 

  51. Wang Q et al (2014) Seven functional polymorphisms in the CETP gene and myocardial infarction risk: a meta-analysis and meta-regression. PloS One 9:e88118

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  52. de Haan W et al (2008) Torcetrapib does not reduce atherosclerosis beyond atorvastatin and induces more proinflammatory lesions than atorvastatin. Circulation 117:2515–2522

    Article  PubMed  CAS  Google Scholar 

  53. Cazita PM, Barbeiro DF, Moretti AIS, Quintão ECR, Soriano FG (2008) Human cholesteryl ester transfer protein expression enhances the mouse survival rate in an experimental systemic inflammation model: a novel role for CETP. Shock Augusta Ga 30:590–595

    Article  CAS  Google Scholar 

  54. Venancio TM et al (2016) CETP lowers TLR4 expression which attenuates the inflammatory response induced by LPS and polymicrobial sepsis. Mediators Inflamm 2016:1784014

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  55. Barter PJ et al (2007) Effects of torcetrapib in patients at high risk for coronary events. N Engl J Med 357:2109–2122

    Article  CAS  PubMed  Google Scholar 

  56. Grion CMC et al (2010) Lipoproteins and CETP levels as risk factors for severe sepsis in hospitalized patients. Eur J Clin Invest 40:330–338

    Article  CAS  PubMed  Google Scholar 

  57. Trinder M et al (2019) Cholesteryl ester transfer protein influences high-density lipoprotein levels and survival in sepsis. Am J Respir Crit Care Med 199:854–862

    Article  CAS  PubMed  Google Scholar 

  58. Blauw LL, Wang Y, Willems van Dijk K, Rensen PCN (2020) A novel role for CETP as immunological gatekeeper: raising HDL to cure sepsis? Trends Endocrinol Metab. https://doi.org/10.1016/j.tem.2020.01.003

  59. Zhang Z et al (2001) Expression of cholesteryl ester transfer protein in human atherosclerotic lesions and its implication in reverse cholesterol transport. Atherosclerosis 159:67–75

    Article  CAS  PubMed  Google Scholar 

  60. Izem L, Morton RE (2001) Cholesteryl ester transfer protein biosynthesis and cellular cholesterol homeostasis are tightly interconnected. J Biol Chem 276:26534–26541

    Article  CAS  PubMed  Google Scholar 

  61. Izem L, Morton RE (2007) Possible role for intracellular cholesteryl ester transfer protein in adipocyte lipid metabolism and storage. J Biol Chem 282:21856–21865

    Article  CAS  PubMed  Google Scholar 

  62. Greene DJ, Izem L, Morton RE (2015) Defective triglyceride biosynthesis in CETP-deficient SW872 cells. J Lipid Res 56:1669–1678

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  63. Izem L, Greene DJ, Bialkowska K, Morton RE (2015) Overexpression of full-length cholesteryl ester transfer protein in SW872 cells reduces lipid accumulation. J Lipid Res 56:515–525

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Zhou H et al (2006) Adipose tissue-specific CETP expression in mice: impact on plasma lipoprotein metabolism. J Lipid Res 47:2011–2019

    Article  CAS  PubMed  Google Scholar 

  65. Izem L, Liu Y, Morton RE (2020) Exon 9-deleted CETP inhibits full length-CETP synthesis and promotes cellular triglyceride storage. J Lipid Res. https://doi.org/10.1194/jlr.RA120000583

  66. Sugano M et al (1998) Effect of antisense oligonucleotides against cholesteryl ester transfer protein on the development of atherosclerosis in cholesterol-fed rabbits. J Biol Chem 273:5033–5036

    Article  CAS  PubMed  Google Scholar 

  67. Rittershaus CW et al (2000) Vaccine-induced antibodies inhibit CETP activity in vivo and reduce aortic lesions in a rabbit model of atherosclerosis. Arterioscler Thromb Vasc Biol 20:2106–2112

    Article  CAS  PubMed  Google Scholar 

  68. Nissen SE et al (2007) Effect of torcetrapib on the progression of coronary atherosclerosis. N Engl J Med 356:1304–1316

    Article  CAS  PubMed  Google Scholar 

  69. Schwartz GG et al (2012) Effects of dalcetrapib in patients with a recent acute coronary syndrome. N Engl J Med 367:2089–2099

    Article  CAS  PubMed  Google Scholar 

  70. Lincoff AM et al (2017) Evacetrapib and cardiovascular outcomes in high-risk vascular disease. N Engl J Med 376:1933–1942

    Article  PubMed  Google Scholar 

  71. HPS3/TIMI55–REVEAL Collaborative Group et al (2017) Effects of anacetrapib in patients with atherosclerotic vascular disease. N Engl J Med 377:1217–1227

    Article  Google Scholar 

  72. Krishna R et al (2017) Chronic administration of anacetrapib is associated with accumulation in adipose and slow elimination. Clin Pharmacol Ther 102:832–840

    Article  CAS  PubMed  Google Scholar 

  73. Masson W et al (2018) Therapy with cholesteryl ester transfer protein (CETP) inhibitors and diabetes risk. Diabetes Metab 44:508–513

    Article  CAS  PubMed  Google Scholar 

  74. Holmes MV, Ala-Korpela M (2019) What is ‘LDL cholesterol’? Nat Rev Cardiol 16:197–198

    Article  PubMed  Google Scholar 

  75. Kettunen J et al (2019) Lipoprotein signatures of cholesteryl ester transfer protein and HMG-CoA reductase inhibition. PLoS Biol 17:e3000572

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  76. Millar JS et al (2016) Anacetrapib lowers LDL by increasing ApoB clearance in mildly hypercholesterolemic subjects. J Clin Invest 126:1603–1604

    Article  PubMed  PubMed Central  Google Scholar 

  77. Ford J et al (2014) Tolerability, pharmacokinetics and pharmacodynamics of TA-8995, a selective cholesteryl ester transfer protein (CETP) inhibitor, in healthy subjects. Br J Clin Pharmacol 78:498–508

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  78. Hovingh GK et al (2015) Cholesterol ester transfer protein inhibition by TA-8995 in patients with mild dyslipidaemia (TULIP): a randomised, double-blind, placebo-controlled phase 2 trial. Lancet Lond Engl 386:452–460

    Article  CAS  Google Scholar 

  79. van Capelleveen JC et al (2016) Effects of the cholesteryl ester transfer protein inhibitor, TA-8995, on cholesterol efflux capacity and high-density lipoprotein particle subclasses. J Clin Lipidol 10:1137.e3–1144.e3

    Google Scholar 

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Acknowledgments

We thank our co-authors on the original studies reviewed here, as well as other groups for their original contributions to the field. HCFO and HFR research was supported by Fundação de Amparo a Pesquisa do Estado de São Paulo (Fapesp grants #2017/17728-8, # 2015/17555-0 and # 2013/07607-8) and Conselho Nacional de Desenvolvimento CientÚfico e Tecnológico (CNPq grants #300937/2018-0)

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Correspondence to Helena C. F. Oliveira .

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Oliveira, H.C.F., Raposo, H.F. (2020). Cholesteryl Ester Transfer Protein and Lipid Metabolism and Cardiovascular Diseases. In: Jiang, XC. (eds) Lipid Transfer in Lipoprotein Metabolism and Cardiovascular Disease. Advances in Experimental Medicine and Biology, vol 1276. Springer, Singapore. https://doi.org/10.1007/978-981-15-6082-8_2

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