Transgenic and gene disruption experiments in mice have revealed that apolipoprotein (apo) A-V is a potent regulator of plasma triglyceride (TG) levels. To investigate the molecular basis of apoA-V function, the ability of isolated recombinant apoA-V to modulate lipoprotein lipase (LPL) activity was examined in vitro. With three distinct lipid substrate particles, including very lowdensity lipoprotein (VLDL), a TG/phospholipid emulsion, or dimyristoylphosphatidylcholine liposomes, apoA-V had little effect on LPL activity. In the absence or presence apolipoprotein C-II, apoA-V marginally inhibited LPL activity. On the other hand, apoA-V-dimyristoylphosphatidylcholine disc particles bound to heparin-Sepharose and were specifically eluted upon application of a linear gradient of NaCl. The interaction of apoA-V with sulfated glycosaminoglycans was further studied by surface plasmon resonance spectroscopy. ApoA-V showed strong binding to heparin-coated chips, (1) generated transgenic mice that overexpress human apoA-V as well as murine apoA-V gene-disrupted mice. Profound effects were observed in both knock-out and transgenic mice. ApoA-V transgenic mice displayed a 3-fold lower plasma triglyceride (TG) level compared with control littermates. Interestingly, the observed changes in TG levels are directly opposite those reported for apoC-III knock-out and transgenic mice (2, 3). Whereas apoA-V knock-out mice displayed a 4-fold increase in plasma TG, apoC-III knock-out animals showed a 30% decrease.To investigate the relationship between apoA-V and plasma TG levels, Pennacchio et al.(1) examined the correlation between DNA sequence polymorphisms in the apoA-V gene and plasma lipid levels in humans. These authors identified four single nucleotide polymorphisms across and surrounding the human APOAV locus. Analysis of APOAV SNPs in a sample set of 501 random unrelated normolipidemic individuals who had been previously phenotyped for various lipid parameters before and after consumption of high and low fat diets, revealed significant associations between plasma TG levels, VLDL mass, and three of the four SNPs. These SNPs were associated with higher TG levels independent of diet. In further studies, Talmud et al. (4) investigated the effect of variation within the APOC3/A4/A5 gene cluster as a determinant of plasma TG levels, obtaining evidence that variation in the APOAV locus is associated with differences in TGs in healthy men, independent of changes in the APOC3 locus.Vu-Dac et al. (5) used human hepatocytes and HepG2 cells to test whether fibrates (TG-lowering drugs) modulate APOAV gene expression, thereby influencing plasma TG levels. These investigators found a peroxisome proliferatoractivated receptor (PPAR)␣ response element in the APOAV promoter. PPAR␣ agonists strongly up-regulated apoA-V mRNA indicating that the APOAV gene is a positive and direct target of PPAR␣ activators. In another report Prieur et al. (6) reported that the APOAV promoter possesses farnesoid X-activated receptor elements. This is particul...