Skip to main content
Log in

Levels of apolipoprotein A-II in cerebrospinal fluid in patients with neuroborreliosis are associated with lipophagocytosis

  • Published:
Folia Microbiologica Aims and scope Submit manuscript

Abstract

Levels of most of the examined proteins in cerebrospinal fluid (CSF) of 107 patients with neuroborreliosis were associated with cytological findings, the status of hematoencephalic barrier as evaluated byQ alb (cerebrospinal fluid to serum quotient) and the intrathecal synthesis of immunoglobulins. Cytological findings consisted of normal cytology, or both oligocytosis and pleocytosis of monocytes or lymphocytes. The lipophagic elements were present in 20 % of samples. Concentrations of apolipoproteins A-I and A-II in the CSF were correlated with the concentration of albumin without regard to the CSF cytology. The levels of apolipoprotein B were increased only in samples with lymphocytic pleocytosis andQ alb > 7.4. The presence of lipophages in the CSF was significantly associated with the CSF concentration of apolipoprotein A-II.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

Apo:

apolipoproteins

BBB:

blood-brain barrier

CNS:

central nervous system

CSF:

cerebrospinal fluid

Ig:

immunoglobulins

Ly-O:

lymphocytic oligocytosis

Ly-P:

lymphocytic pleocytosis

Mo-O:

monocytic oligocytosis

Mo-P:

monocytic pleocytosis

Q alb :

CSF albumin-to-serum albumin quotient

References

  • Adam P., Nekola P., Havrdova E.: Evaluation of CSF apolipoprotein A-I concentrations — a comparison with CSF cytological findings.Clin.Biochem.Metab.5, 8–12 (1997).

    Google Scholar 

  • Adam P., Tichy J., Nekola P.: Biological role of apolipoprotein (Apo) A-II in cerebrospinal fluid (CSF).Europ.J.Neurol.5, 219–222 (1998).

    Article  Google Scholar 

  • Adam P, Táborský L., Sobek O., Hildebrand T., Kelbich P., Průcha M., Hyánek J.: Cerebrospinal fluid.Adv.Clin.Chem.36, 1–62 (2001).

    Article  PubMed  CAS  Google Scholar 

  • Araki H., Satoh K., Terajima M., Nakagawa T., Higuchi M., Kosaka Y., Zhu C., Sasaki H.: Tau protein in cerebrospinal fluid — a potential marker of Alzheimer’s disease.Nippon Ronen Igakkai Zasshi33, 669–675 (1996).

    Google Scholar 

  • Bassett C.N., Montine K.S., Neely M.D., Swift L.L., Montine T.J.: Cerebrospinal fluid lipoproteins in Alzheimer’s disease.Microsci.Res.Techn.50, 282–286 (2000).

    Article  CAS  Google Scholar 

  • Blennow K., Hesse C., Fredman P.: Cerebrospinal fluid apolipoprotein E is reduced in Alzheimer’s disease.Neuroreport5, 2534–2536 (1994).

    Article  PubMed  CAS  Google Scholar 

  • Carlsson J., Armstrong V.W., Reiber H., Felgenhauer K., Seidel D.: Clinical relevance of the quantification of apolipoprotein E in cerebrospinal fluid.Clin.Chim.Acta196, 167–176 (1991).

    Article  PubMed  CAS  Google Scholar 

  • Castellani L.W., Lusis A.J.: ApoA-IIversus ApoA-I: two for one is not always a good deal.Arterioscler.Thromb.Vasc.Biol.21, 1870–1872 (1903).

    Google Scholar 

  • Chiba H., Mitamura T., Fujisawa S., Ogata A., Aimoto Y., Tashiro K., Kobayashi K.: Apolipoproteins in rat CSF: a comparison with plasma lipoprotein metabolism and effect of aging.Neurosci.Lett.133, 207–210 (1991).

    Article  PubMed  CAS  Google Scholar 

  • Dawson P.A., Schechter N., Williams D.L.: Induction of rat E and chicken A-I apolipoproteins and mRNAs during optic nerve degeneration.J.Biol.Chem.261, 5681–5684 (1986).

    PubMed  CAS  Google Scholar 

  • De Breedveld B., Kuiper J., Van Breimer D.D.: High-density lipoprotein and cerebral endothelial cellsin vitro: interactions and transport.Biochem.Pharmacol.50, 271–273 (1995).

    PubMed  Google Scholar 

  • Elshourbagy N.A., Bougski M.S., Liao W.S., Jefferson L.S., Gordon J.I., Taylor J.M.: Expression of rat apolipoprotein A-IV and A-I genes: mRNA induction during development and in response to glucocorticoids and insulin.Proc.Nat.Acad.Sci.USA82, 8242–8246 (1985).

    Article  PubMed  CAS  Google Scholar 

  • Escola G., Marzal C., Julve G., Ishida B.Y., Ordonez L., Chan L., Gonzalez S., Blanco V.: Human apolipoprotein A-II is a proatherogenic molecule when it is expressed in transgenic mice at a level similar to that in humans: evidence of a potentially relevant species-specific interaction with diet.J.Lipid Res.39, 457–462 (1998).

    Google Scholar 

  • Felgenhauer K.: Laboratory diagnosis of neurological diseases, pp. 1308–1326 in L. Thomas (Ed.):Clinical Laboratory Diagnostics, Vol. 54. TH Books-Verlag Gesselschaft, Frankfurt/Main (Germany) 1998.

    Google Scholar 

  • Gaillard O., Gervais A., Meillet D., Plassart E., Fontaine B., Lyon-Caen O., Delattre J., Schuller E.: Apolipoprotein E and multiple sclerosis: a biochemical and genetic investigation.J.Neurol.Sci.158, 180–186 (1998).

    Article  PubMed  CAS  Google Scholar 

  • Hahne S., Nordstedt C., Ahlin A., Nyback H.: Levels of cerebrospinal fluid apolipoprotein E in patients with Alzheimer’s disease and healthy controls.Neurosci.Lett.224, 99–102 (1997).

    Article  PubMed  CAS  Google Scholar 

  • Hančil J.: Lyme borreliosis, pp. 207–215 in M. Duniewicz, P. Adam,et al. (Eds):Neuroinfective Diseases. Maxdorf Jessenius, Prague 1999.

    Google Scholar 

  • Harel A., Fainaru M., Shafer Z., Hernandez M., Cohen A., Schwartz M.: Optic nerve regeneration in adult fish and apolipoprotein A-I.J.Neurochem.52, 1218–1228 (1989).

    Article  PubMed  CAS  Google Scholar 

  • Higuchi K., Naiki H., Kitagawa K., Kitado H., Kogishi K., Matsushita T., Takeda T.: Apolipoprotein A-II gene and development of amyloidosis and senescence in a congenic strain of mice carrying amyloidogenic ApoA-II.Lab.Invest.72, 75–82 (1995).

    PubMed  CAS  Google Scholar 

  • Kaiser R.: Variable CSF findings in early and late Lyme neuroborreliosis: a follow-up study in 47 patients.J.Neurol.242, 26–36 (1994).

    Article  PubMed  CAS  Google Scholar 

  • Kane J.P., Havel R.J.: Disorders of the biogenesis and secretion of lipoproteins containing the B apolipoproteins, in C.R. Seriveret al. (Eds):The Metabolic and Molecular Bases of Inherited Disease, 7th ed. Mc Graw-Hill, New York 1995.

    Google Scholar 

  • Koch S., Donarski N., Goetze K., Kreckel M., Stuerenburg H.J., Buhmann C., Beisiegel U.: Characterization of four lipoprotein classes in human cerebrospinal fluid.J.Lipid Res.42, 1143–1151 (1992).

    Google Scholar 

  • La Du M.J., Reardon C., Van Eldik L., Fagan A.M., Bu G., Holtzman D., Getz G.S.: Lipoproteins in the central nervous system.Ann.N.Y.Acad.Sci.903, 167–175 (2000).

    Article  Google Scholar 

  • Lefranc D., Vermersch P., Dallongeville J., Daems-Monpeurt C., Petit H., Delacourte A.: Relevance of the quantification of apolipoprotein E in the CSF in Alzheimer’s disease.Neurosci.Lett.212, 91–94 (1996).

    Article  PubMed  CAS  Google Scholar 

  • Linton M.F., Gish R., Hubl S.T., Butler E., Esquivel C., Bry W.I., Boyles J.K., Wardell M.R., Young S.G.: Phenotypes of apolipoprotein B and apolipoprotein E after liver transplantation.J.Clin.Invest.88, 270–281 (1991).

    Article  PubMed  CAS  Google Scholar 

  • Meluzínová E., Adam P., Bojar M.: Findings in cerebrospinal fluid in the patients with neuroborreliosis.Clin.Biochem.Metab.5, 12–14 (1997).

    Google Scholar 

  • Milne R., Theolis R., Maurice R., Pease R.J., Weech P.K., Rassart E., Fruchart J.C., Scott J., Marcel Y.L.: The use of monoclonal antibodies to localize the low density lipoprotein receptor-binding domain of apolipoprotein B.J.Biol. Chem.264, 19754–19760 (1989).

    PubMed  CAS  Google Scholar 

  • Möckel B., Zinke H., Flach R., Weiss B., Weiler G., Gassen H.G.: Expression of apolipoprotein A-I in porcine brain endotheliumin vitro.J.Neurochem.62, 788–798 (1994).

    Article  PubMed  Google Scholar 

  • Osman I., Gaillard O., Meillet D., Bordas-Fonfrede M., Gervais A., Schuller E., Delattre J., Legrand A.: A sensitive time-resolved immunofluorometric assay for the measurement of apolipoprotein B in cerebrospinal fluid. Application to multiple sclerosis and other neurological diseases.Eur.J.Clin.Chem.Clin.Biochem.33, 53–58 (1995).

    PubMed  CAS  Google Scholar 

  • Pachner A.R., Schaefer H., Amemiya K., Cadavid D., Zhang W.F., Reddy K., Neill T.: Pathogenesis of neuroborreliosis-lessons from a monkey model.Wien Klin.Wochenschr.110, 870–873 (1998).

    PubMed  CAS  Google Scholar 

  • Pitas R.E., Boyles J.K., Lee S.H., Hui D., Weisgraber K.H.: Lipoproteins and their receptors in the central nervous system. Characterization of the lipoproteins in cerebrospinal fluid and identification of apolipoprotein B,E(LDL) receptors in the brain.J.Biol.Chem.262, 14352–14360 (1987).

    PubMed  CAS  Google Scholar 

  • Rashid K.A., Hevi S., Chen Y., Le C., Chuck S.L.: A proteomic approach identifies proteins in hepatocytes that bind nascent apolipoprotein B.J.Biol.Chem.277, 22010–22017 (2002).

    Article  PubMed  CAS  Google Scholar 

  • Razavi E., Fleury F., Gherardi R., Bernaudin J.F.: Cytologic features of cerebrospinal fluid in Lyme disease.Acta Cytol.31, 439–440 (1987).

    Google Scholar 

  • Rebeck G.W., Alonzo N.C., Berezovska O., Harr S.D., Knowles R.B., Growdon J.H., Hyman B.T., Mendez A.J.: Structure and functions of human cerebrospinal fluid lipoproteins from individuals of different APOE genotypes.Exp.Neurol.149, 175–182 (1998).

    Article  PubMed  CAS  Google Scholar 

  • Reiber H.: Flow rate of cerebrospinal fluid (CSF) — a concept common to normal blood CSF barrier function and to dysfunction in neurological diseases.J.Neurol.Sci.122, 189–203 (1998).

    Article  Google Scholar 

  • Reiber H., Peter J.B.: Cerebrospinal fluid analysis: disease-related data patterns and evaluation programs.J.Neurol.Sci.184, 101–122 (2001).

    Article  PubMed  CAS  Google Scholar 

  • Roheim P.S., Carey M., Forte T., Vega G.L.: Apolipoproteins in human CSF.Proc.Nat.Acad.Sci.USA76, 4646–4649 (1979).

    Article  PubMed  CAS  Google Scholar 

  • Saito K., Seishima M., Heyes M.P., Song H., Fujigaki S., Maeda S., Vickers J.H., Noma A.: Marked increases in concentrations of apolipoprotein in the cerebrospinal fluid of poliovirus-infected macaques: relations between apolipoprotein concentrations and severity of brain injury.Biochem.J.321, 145–149 (1997).

    PubMed  CAS  Google Scholar 

  • Salen G., Berginer V., Shore V., Horak I., Horak E., Tint G.S., Shefer S.: Increased concentrations of cholestanol and apolipoprotein B in the cerebrospinal fluid of patients with cerebrotendinous xanthomatosis. Effect of chenodeoxycholic acid.N.Engl.J.Med.316, 1233–1238 (1987).

    PubMed  CAS  Google Scholar 

  • Song H., Seishima M., Saito K., Maeda S., Takemura M., Noma A., Kondo A., Manabe M., Urakami K., Nakashima K.: Apo A-I and Apo E concentrations in CSF of patients with acute meningitis.Ann.Clin.Biochem.35, 408–414 (1998).

    PubMed  Google Scholar 

  • Tumani H., Nolker G., Reiber H.: Relevance of CSF variables for early diagnosis of neuroborreliosis.Neurology45, 1663–1670 (1995).

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Táborský, L., Adam, P., Sobek, O. et al. Levels of apolipoprotein A-II in cerebrospinal fluid in patients with neuroborreliosis are associated with lipophagocytosis. Folia Microbiol 48, 849–855 (2003). https://doi.org/10.1007/BF02931523

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02931523

Keywords

Navigation