Key result
Treatment with an ANGPTL3/8-specific monoclonal antibody (IBA490) or recombinant APOA5 normalized plasma triglyceride levels from approximately 470 mg/dL to 20 mg/dL and restored intracapillary lipoprotein lipase levels in Apoa5-/- mice.
Why the study?
Why apolipoprotein AV (APOA5) deficiency causes hypertriglyceridemia has remained unclear.
Does ANGPTL3/8 inhibition or APOA5 administration reduce plasma triglycerides and increase intracapillary LPL in Apoa5-/- mice?
Does ANGPTL3/8 inhibition or APOA5 administration reduce plasma triglycerides and increase intracapillary LPL in Apoa5-/- mice?
Absolute Event Rate: 20% vs 470%
p-value: p=<0.001
APOA5 deficiency causes hypertriglyceridemia by allowing unsuppressed ANGPTL3/8 activity to detach LPL from capillaries, a mechanism that can be reversed by ANGPTL3/8 inhibition or APOA5 replacement.
APOA5 deficiency may reduce capillary LPL; hypothesis-generating for hypertriglyceridemia mechanisms, without clinical implications yet.
Why apolipoprotein AV (APOA5) deficiency causes hypertriglyceridemia has remained unclear, but we have suspected that the underlying cause is reduced amounts of lipoprotein lipase (LPL) in capillaries. By routine immunohistochemistry, we observed reduced LPL staining of heart and brown adipose tissue (BAT) capillaries in Apoa5-/- mice. Also, after an intravenous injection of LPL-, CD31-, and GPIHBP1-specific mAbs, the binding of LPL Abs to heart and BAT capillaries (relative to CD31 or GPIHBP1 Abs) was reduced in Apoa5-/- mice. LPL levels in the postheparin plasma were also lower in Apoa5-/- mice. We suspected that a recent biochemical observation - that APOA5 binds to the ANGPTL3/8 complex and suppresses its capacity to inhibit LPL catalytic activity - could be related to the low intracapillary LPL levels in Apoa5-/- mice. We showed that an ANGPTL3/8-specific mAb (IBA490) and APOA5 normalized plasma triglyceride (TG) levels and intracapillary LPL levels in Apoa5-/- mice. We also showed that ANGPTL3/8 detached LPL from heparan sulfate proteoglycans and GPIHBP1 on the surface of cells and that the LPL detachment was blocked by IBA490 and APOA5. Our studies explain the hypertriglyceridemia in Apoa5-/- mice and further illuminate the molecular mechanisms that regulate plasma TG metabolism.
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Yang et al. (2023) studied Hypertriglyceridemia (APOA5 deficiency). IBA490 (ANGPTL3/8-specific mAb) or recombinant APOA5 vs. Control mAb or PBS was evaluated on Plasma triglyceride levels (p=<0.001). Treatment with an ANGPTL3/8-specific monoclonal antibody (IBA490) or recombinant APOA5 normalized plasma triglyceride levels from approximately 470 mg/dL to 20 mg/dL and restored intracapillary lipoprotein lipase levels in Apoa5-/- mice.
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