2013
DOI: 10.1074/jbc.m112.442699
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High Density Lipoprotein Protects against Polymicrobe-induced Sepsis in Mice*

Abstract: Background:The role of HDL in sepsis remains to be clarified. Results: ApoA-I-KO mice are susceptible but apoA-I-tg mice are resistant to CLP-induced sepsis. Lack of HDL leads to less LPS neutralization, less LPS clearance, impaired leukocyte recruitment, and reduced corticosterone generation in sepsis. Conclusion: HDL exerts multiple protective effects in polymicrobe-induced sepsis. Significance: Our study supports efforts to raise HDL levels as a therapeutic approach for sepsis.

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Cited by 117 publications
(96 citation statements)
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References 49 publications
(48 reference statements)
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“…After reaching the blood stream, virtually all LPS molecules are rapidly complexed with circulating proteins and lipoproteins. When complexed with HDL [44], LPS is cleared by SR-BI in hepatocytes [45] and in other cell types such as macrophages and monocytes, as recently described [46]. The clearance of LPS through SR-BI efficiently determines the magnitude of the inflammatory response, and it has already been shown that SAA is associated with impairment of SR-BI [20].…”
Section: Discussionmentioning
confidence: 99%
“…After reaching the blood stream, virtually all LPS molecules are rapidly complexed with circulating proteins and lipoproteins. When complexed with HDL [44], LPS is cleared by SR-BI in hepatocytes [45] and in other cell types such as macrophages and monocytes, as recently described [46]. The clearance of LPS through SR-BI efficiently determines the magnitude of the inflammatory response, and it has already been shown that SAA is associated with impairment of SR-BI [20].…”
Section: Discussionmentioning
confidence: 99%
“…HDL, as well as other plasma lipoproteins (LDL, TG-rich lipoproteins), can bind and neutralize Gram-negative bacterial LPS as well as Gram-positive bacterial lipoteichoic acid (LTA) Murch et al 2007). ApoA-I knockout mice, which lack HDL, exhibit decreased LPS neutralization in the serum compared with serum from control mice (Guo et al 2013); overexpression of apoA-I moderately improves survival compared to controls, suggesting that HDL elevation may protect against septic death. In endotoxemic rats, in which LPS has been infused after HDL administration, HDLs attenuate LPS-induced organ damage accompanied by lower TNF-α and nitric oxide production (Lee et al 2007).…”
Section: Interaction Of Hdl With Lps and Gram-negative Bacteriamentioning
confidence: 99%
“…We had similar observations (data not shown). HDL regulates the expression of adhesion molecules (69), and a deficiency of HDL has been shown to impair the recruitment of leukocytes to peritoneal cavity following CLP (65). To elucidate if hepatic SR-BI affects leukocyte recruitment in sepsis, we quantified peritoneal neutrophils and inflammatory monocytes with flow cytometry in Scarb1 I179N mice and C57BL/6J mice.…”
Section: /G Tissue In Scarb1mentioning
confidence: 99%