F. Rinninger et al., SELECTIVE UPTAKE OF HIGH-DENSITY LIPOPROTEIN-ASSOCIATED CHOLESTERYL ESTERS BY HUMAN HEPATOCYTES IN PRIMARY CULTURE, Hepatology, 19(5), 1994, pp. 1100-1114
High-density lipoprotein cholesteryl esters are taken up by many cells
without simultaneous uptake of high-density lipoprotein apolipoprotei
ns. This selective uptake was investigated in human hepatocytes in pri
mary culture. Human high-density lipoprotein-3 (density, 1.125 to 1.21
gm/ml) was radiolabeled in both its apolipoprotein and in its cholest
eryl ester moiety; uptake of these high-density lipoprotein(3) tracers
by hepatocytes was investigated. Apparent high-density lipoprotein(3)
particle uptake as measured with the cholesteryl ester tracer was in
excess of that from the apolipoprotein tracer, indicating selective up
take of high-density lipoprotein(3) cholesteryl esters by hepatocytes.
This selective uptake is a regulated pathway in hepatocytes, as demon
strated by an inverse relationship between cell cholesterol and the ra
te of selective uptake. Studies on the mechanism of selective uptake h
ave used inhibitors such as monensin, chloroquine, heparin, and a mono
clonal antibody directed against low-density lipoprotein receptors. Th
ese experiments provide no evidence for a role of cell-secreted apolip
oprotein E, endocytosis or retroendocytosis in selective uptake. The i
ntracellular fate of high-density lipoprotein(3)-associated cholestery
l esters was investigated with [H-3]cholesteryl oleate-labeled high-de
nsity lipoprotein(3). Hepatocytes hydrolyzed [H-3]cholesteryl oleate i
nternalized from labeled high-density lipoprotein(3); this catabolism
was not inhibited by the presence of chloroquine. In parallel hepatocy
tes were incubated with [H-3]cholesteryl oleate-labeled low-density li
poprotein. Cells hydrolyzed [H-3]cholesteryl oleate taken up with low-
density lipoprotein; however, this hydrolysis was inhibited by chloroq
uine, indicating lysosomal low-density lipoprotein cholesteryl ester c
atabolism. These experiments show that high-density lipoprotein(3) cho
lesteryl esters selectively taken up by hepatocytes are hydrolyzed ind
ependently from the classical lysosomal catabolic pathway. The questio
n was addressed if selective uptake mediates a net mass uptake of chol
esterol rather than an isotope exchange phenomenon. Incubation of hepa
tocytes with high-density lipoprotein-3 suppressed endogenous sterol s
ynthesis from sodium [C-14]acetate. Hepatocytes were incubated in the
presence of high-density lipoprotein(3); medium cholesteryl esters dec
reased as a result of incubation with hepatocytes. These results show
a net mass delivery of high-density lipoprotein cholesteryl esters to
hepatocytes. In conclusion, the pathway for selective uptake of high-d
ensity lipoprotein cholesteryl esters could be demonstrated in human h
epatocytes in primary culture. A role for selective uptake in high-den
sity lipoprotein-mediated cholesterol delivery to the liver in human b
eings in vivo is proposed.