HDL remodeling during the acute phase response

Anisa Jahangiri, Maria C. De Beer, Victoria Noffsinger, Lisa R. Tannock, Chandrashekar Ramaiah, Nancy R. Webb, Deneys R. Van Der Westhuyzen, Frederick C. De Beer

Research output: Contribution to journalArticlepeer-review

120 Scopus citations


Objective - The purpose of this study was to examine the interactive action of serum amyloid A (SAA), group IIA secretory phospholipase A2 (sPLA2-IIA), and cholesteryl ester transfer protein (CETP) on HDL remodeling and cholesterol efflux during the acute phase (AP) response elicited in humans after cardiac surgery. Methods and Results - Plasma was collected from patients before (pre-AP), 24 hours after (AP-1 d), and 5 days after cardiac surgery (AP-5 d). SAA levels were increased 16-fold in AP-1 d samples. The activity of sPLA2-IIA was increased from 77.7±38.3 U/mL (pre-AP) to 281.4±57.1 U/mL (AP-1 d; P<0.001). CETP mass and activity reduction was commensurate to the reduction of HDL cholesterol levels. The combined action of SAA, sPLA2-IIA, and CETP in vitro markedly remodeled HDL with the generation of lipid-poor apoA-I from both pre-AP and AP-1 d HDL. The net result of this remodeling was a relative preservation of ABCA1- and ABCG1-dependent cholesterol efflux during the acute phase response. Conclusions - Our results show that the many and complex changes in plasma proteins during the acute phase response markedly remodel HDL with functional implications, particularly the relative retention of cholesterol efflux capacity.

Original languageEnglish
Pages (from-to)261-267
Number of pages7
JournalArteriosclerosis, Thrombosis, and Vascular Biology
Issue number2
StatePublished - Feb 2009


  • CETP
  • HDL
  • Inflammation
  • SAA
  • apoA-I

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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