Cholesteryl ester transfer protein (CETP) is a plasma
glycoprotein
that assists the transfer of cholesteryl esters (CEs) from antiatherogenic
high-density lipoproteins (HDLs) to proatherogenic low-density lipoproteins
(LDLs), initiating cholesterol plaques in the arteries. Consequently,
inhibiting the activity of CETP is therefore being pursued as a novel
strategy to reduce the risk of cardiovascular diseases (CVDs). The
crystal structure of CETP has revealed the presence of two CEs running
in the hydrophobic tunnel and two plugged-in phospholipids (PLs) near
the concave surface. Other than previous animal models that rule out
the PL transfer by CETP and PLs in providing the structural stability,
the functional importance of bound phospholipids in CETP is not fully
explored. Here, we employ a series of molecular dynamics (MD) simulations,
steered molecular dynamics (SMD) simulations, and free energy calculations
to unravel the effect of PLs on the functionality of the protein.
Our results suggest that PLs play an important role in the transfer
of neutral lipids by transforming the unfavorable bent conformation
of CEs into a favorable linear conformation to facilitate the smooth
transfer. The results also suggest that the making and breaking interactions
of the hydrophobic tunnel residues with CEs with a combined effort
from PLs are responsible for the transfer of CEs. Further, the findings
demonstrate that the N-PL has a more pronounced effort on CE transfer
than C-PL but efforts from both PLs are essential in the transfer.
Thus, we propose that the functionally important PLs can be considered
with potential research interest in targeting cardiovascular diseases.