Concentrations of plasma high density lipoprotein (HDL) are inversely
correlated with atherosclerotic coronary artery disease. The two most
abundant protein constituents of HDL are apolipoproteins A-I and A-II
(apoA-I and apoA-II). ApoA-I is required for assembly of HDL and, when
overexpressed in transgenic mice, confers resistance to early atheros
clerosis. The present studies reveal that transgenic mice that overexp
ress mouse apoA-II had elevated HDL-cholesterol concentrations but, ne
vertheless, exhibited increased atherosclerotic lesion development as
compared to normal mice. The HDL in the transgenic mice was larger and
had an increased ratio of apoA-II to apoA-I. Thus, both the compositi
on and amount of HDL appear to be important determinants of atheroscle
rosis.