Aj. Mendez et al., SYNTHETIC AMPHIPATHIC HELICAL PEPTIDES THAT MIMIC APOLIPOPROTEIN-A-I IN CLEARING CELLULAR CHOLESTEROL, The Journal of clinical investigation, 94(4), 1994, pp. 1698-1705
Clearance of excess cholesterol from cells by HDL is facilitated by th
e interaction of HDL apolipoproteins with cell-surface binding sites o
r receptors, a process that may be important in preventing atheroscler
osis. In this study, synthetic peptides containing 18-mer amphipathic
helices of the class found in HDL apolipoproteins (class A) were teste
d for their abilities to remove cholesterol and phospholipid from cult
ured sterol-laden fibroblasts and macrophages and to interact with cel
l-surface HDL binding sites. Lipid-fret peptides containing two identi
cal tandem repeats of class A amphipathic helices promoted cholesterol
and phospholipid efflux from cells and depleted cellular cholesterol
accessible for esterification by acyl CoA/cholesterol acyltransferase,
similar to what was observed for purified apolipoprotein A-I. Peptide
-mediated removal of plasma membrane cholesterol and depletion of acyl
CoA/cholesterol acyltransferase-accessible cholesterol appeared to oc
cur by separate mechanisms, as the latter process was less dependent o
n extracellular phospholipid. The dimeric amphipathic helical peptides
also competed for high-affinity HDL binding sites on cholesterol-load
ed fibroblasts and displayed saturable high-affinity binding to the ce
ll surface. In contrast, peptides with a single helix had little or no
ability to remove cellular cholesterol and phospholipid, or to intera
ct with HDL binding sites, suggesting that cooperativity between two o
r more helical repeats is required for these activities. Thus, synthet
ic peptides comprising dimers of a structural moth common to exchangea
ble apolipoproteins can mimic apolipoprotein A-I in both binding to pu
tative cell-surface receptors and clearing cholesterol from cells.