Table 2.
Compilation of naturally occurring and bioengineered mutations in human apoA-Ia.
Mutation | Effect on HDL structure and function | Mutation | Effect on HDL structure and function |
---|---|---|---|
P3R, von Eckardstein et al., 1989 | Interferes with the formation of a β-turn in Nt | R149A, Koukos et al., 2007b | Reduces LCAT activity |
P3H, von Eckardstein et al., 1989 | (apoA-IMunster3C) interferes with the formation of a β-turn in Nt | R149V, Sviridov et al., 2000 | Does not affect α-helical structure, reduces LCAT activity |
P4R, von Eckardstein et al., 1989 | (apoA-IMunster3B) has no known effect on RCT | R151C, Daum et al., 1999a | (apoA-IParis) inhibits LCAT activation, reduces HDL levels |
R10L, Ladias et al., 1990 | (apoA-IBaltimore) has no known effect on HDL phenotype | R153P, Esperoìn et al., 2008 | (apoA-IMontevideo) lowers HDL levels and is associated with CAD |
D13Y, Takada et al., 1991 | (apoA-IYame) has no known effect on HDL phenotype | V156E, Huang et al., 1998 | (apoA-IOita) decreases the levels of HDL in plasma and inhibits LCAT activation |
Q17P+FScX26, Pisciotta et al., 2008 | Frame shift (FS) and stop codon (X) lowers HDL plasma levels | A158E, Mahley et al., 1984 | (apoA-IMunster2B) is associated with low levels of HDL in plasma |
G26R, Nichols et al., 1988 | Initiates deposition of mutant proteins or proteolytic cleaved fragments | L159R, Miettinen et al., 1997 | (apoA-IFin) is associated with low levels of HDL in plasma |
A37T, Matsunaga et al., 1991 | Does not create apoA-I deficiency | L159P, Miller et al., 1998 | (apoA-IZavalla) is associated with low levels of HDL in plasma and premature CAD |
W50R, Booth et al., 1995 | Causes hereditary amyloidosis | R160L, Daum et al., 1999b | (apoA-IOslo) is associated with low levels of HDL in plasma and LCAT inhibition |
S52C, Zhu et al., 2005 | Has no known effect on HDL phenotype | H162Q, Moriyama et al., 1996a; Hoang et al., 2003 | (apoA-IKurume) does not produce accelerated atherosclerosis, reduces LCAT activity |
L60R, Soutar et al., 1992 | Causes autosomal dominant amyloidosis | H162–A207c; ΔK208–Q243, Moriyama et al., 1996b | Leads to low apoA-I and HDL levels and bilateral xanthomas of the Achilles tendon, elbow, knee joint, and corneal opacities |
ΔL60–F71b; ins V,T, Booth et al., 1996 | Causes hereditary hepatic and systemic amyloidosis | P165R, von Eckardstein et al., 1989 | is associated with lower apoA-I and HDL levels |
ΔE70–W72, Persey et al., 1998 | Causes hereditary nephropathic systemic amyloidosis | ΔP165–A175, Martin-Campos et al., 2002 | (ApoA-IMallorca) impairs LCAT activation and induces dominant familial hypoalphalipoproteinemia |
N74C, Zhu et al., 2005 | Slightly lowers cholesterol efflux | Y166F, Wu et al., 2007 | Impairs LCAT activity |
D89E, von Eckardstein et al., 1990 | Mutation in less conserved domain of apoA-I, has no known effect on RCT | E169Q, von Eckardstein et al., 1990 | Effect on HDL phenotype is unknown |
L90P, Asl et al., 1999a | Causes hereditary amyloid cardiopathy | R173P, Asl et al., 1999b | Is associated with cardiac and cutaneous amyloidosis |
A95D, Araki et al., 1994 | (apoA-IHita) does not affect HDL phenotype | R173C, Weisgraber et al., 1980 | (apoA-IMilano) is associated with reduced plasma levels of HDL and elevated TG levels |
Y100H, Moriyama et al., 1996a | Does not accelerate atherosclerosis | R177H, Assmann et al., 1993 | Effect on HDL phenotype is unknown |
D103N, Menzel et al., 1982 | (apoA-IMunster3A) effect on HDL phenotype is not known | L178H, Petrlova et al., 2012 | Leads to altered conformation, decreased stability, reduced lipid binding capacity, forms fibrils |
ΔK107, Amarzguioui et al., 1998 | (apoA-IMunster2A) leads to extensive intimal amyloid deposits | L178P, Hovingh et al., 2004 | Lowers HDL levels, leads to endothelial dysfunction, increased arterial wall thickness, CAD |
ΔK107, Rall et al., 1984 | (apoA-IMarburg) inhibits LCAT activation | ΔE191–P220, Nagao et al., 2014 | Is associated with defective lipid binding and lower HDL levels |
K107C, Zhu et al., 2005 | Increases cholesterol efflux | K195C, Zhu et al., 2005 | Reduces lipid binding capability and impaires cholesterol efflux |
K107M, von Eckardstein et al., 1990 | Effect on HDL phenotype not known | E198K, Assmann et al., 1993 | (apoA-IMunster4) effect on HDL phenotype is unknown |
W108R, Araki et al., 1994 | (apoA-ITsushima) does not affect HDL phenotype | L203–F229c; ΔL230–Q243, Funke et al., 1991 | Causes HDL deficiency, partial LCAT inhibition, and corneal opacity |
E110K, Takada et al., 1990; Hoang et al., 2003 | (apoA-IFukuoka) does not affect HDL phenotype, reduces LCAT activity | D213G, Mahley et al., 1984 | (apoA-IMunster3D) effect on HDL phenotype is not know |
G129C, Zhu et al., 2005 | Increases structural stability, reduces lipid binding capability, slightly lowers cholesterol efflux | L218A, Fotakis et al., 2013b | Is associated with decrease in plasma cholesterol and apoA-I levels |
E136K, Mahley et al., 1984 | (apoA-INorway) effect on HDL phenotype is not known | L219A, Fotakis et al., 2013b | Is associated with decrease in plasma cholesterol and apoA-I levels |
E136X, Dastani et al., 2006 | Produces circulating HDL deficiency | V221A, Fotakis et al., 2013b | Is associated with decrease in plasma cholesterol and apoA-I levels |
E139G, Assmann et al., 1993 | Effect on HDL phenotype is not known | L222A, Fotakis et al., 2013b | Is associated with decrease in plasma cholesterol and apoA-I levels |
ΔR140–D150, Sviridov et al., 2000 | Affects α-helical structure, reduces LCAT activation | E223A, Fotakis et al., 2013b | Is associated with alterations in HDL phenotype |
R140–D150![]() Q63–D73, Sviridov et al., 2000 |
Does not affect α-helical structure, reduces LCAT activation | ΔE223–Q243, Fotakis et al., 2013b | Leads to critical loss of lipid binding and low HDL levels |
L141R, Miccoli et al., 1997 | (apoA-IPisa) influences efflux of cholesterol into plasma and interferes with the formation of HDL | F225A, Fotakis et al., 2013a | Is associated with decrease in plasma cholesterol, HDL, and apoA-I levels |
P143R, Assmann et al., 1993 | (apoA-IGiessen) effect on HDL phenotype is not known | K226A, Fotakis et al., 2013b | Is associated with alterations in HDL phenotype |
P143A, Sviridov et al., 2000 | Affects α-helical structure, reduces LCAT activation | V227A, Fotakis et al., 2013a | Decreases plasma cholesterol, HDL and apoA-I levels |
L144R, Recalde et al., 2001 | apoA-IZaragoza decreases the levels of HDL in plasma, HDL has more TG and less CE | F229A, Fotakis et al., 2013a | Decreases plasma cholesterol, HDL and apoA-I levels |
L144P, Recalde et al., 1998 | Decreases the levels of HDL in plasma, has no effect on CVD | L230A, Fotakis et al., 2013a | Decreases plasma cholesterol, HDL and apoA-I levels |
ΔE146–R160, Deeb et al., 1991 | Leads to plasma apoA-I and HDL cholesterol below 15% of normal levels | ΔE235, Han et al., 1999 | (apoA-INichinan) is associated with decreased protein stability and low plasma HDL levels |
E147V, von Eckardstein et al., 1990 | Effect on HDL phenotype is not known |
ApoA-I mutations associated with hereditary amyloidosis (underline font), mutations associated with low HDL plasma levels and LCAT deficiency (italic font) and mutations with unknown effect (normal font).
Deletion.
Frame shift.