High density lipoprotein classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

HDL is the most heterogeneous and the most complicated among the lipoproteins. HDL does not only represent one structure but rather refer to a dynamic collection of HDL subgroups which are sequentially produced. The different HDL subgroups differ in their physiochemical characteristics, lipid components, apolipoprotein types, electrophoretic mobility, density and function.[1][2]

Classification

Density

HDL has been separated by ultracentrifugation into two main classes of HDL.[3] Note that HDL 2 is larger and less dense whereas HDL 3 is smaller and less dense.

  • HDL 2 (large, density: 1.063-1.125 g/ml, size:8.8 to 13 nm)
  • HDL3 (small, density: 1.125-1.21 g/ml, size:7.3 to 8.2 nm)[4]

Size

HDL has been separated on the basis of size by non denaturing polyacrylamide gradient gel electrophoresis.[3] From larger to smaller:

  • HDL2b
  • HDL2a
  • HDL3a
  • HDL3b
  • HDL3c[4]

Another classification is:

  • Very large HDL particles (VL-HDL)
  • Large HDL particles (L-HDL)
  • Medium HDL particles (M-HDL)
  • Small HDL particles (S-HDL)
  • Very-small HDL particles (VS-HDL)
  • Pre-β-1 HDL (role in macrophage cholesterol efflux)[1]

Apolipoprotein Content

  • Lipoprotein A-I (HDL contains ApoA-I)
  • Lipoprotein A-I/A-II (HDL contains ApoA-I and ApoA-II)
  • Lipoprotein A-IV
  • Lipoprotein E[3][4]

Surface Charge

HDL has been separated according to charge by agarose gel electrophoresis.[3]

  • Pre-beta (positive)
  • Pre-alpha
  • Alpha (negative)

Note that pre-beta<pre-alpha<alpha.

References

  1. 1.0 1.1 Rosenson RS, Brewer HB, Chapman MJ, Fazio S, Hussain MM, Kontush A; et al. (2011). "HDL measures, particle heterogeneity, proposed nomenclature, and relation to atherosclerotic cardiovascular events". Clin Chem. 57 (3): 392–410. doi:10.1373/clinchem.2010.155333. PMID 21266551.
  2. Rosenson RS, Brewer HB, Ansell B, Barter P, Chapman MJ, Heinecke JW; et al. (2013). "Translation of High-Density Lipoprotein Function Into Clinical Practice: Current Prospects and Future Challenges". Circulation. 128 (11): 1256–1267. doi:10.1161/CIRCULATIONAHA.113.000962. PMID 24019446.
  3. 3.0 3.1 3.2 3.3 Krimbou L, Tremblay M, Davignon J, Cohn JS (1997). "Characterization of human plasma apolipoprotein E-containing lipoproteins in the high density lipoprotein size range: focus on pre-beta1-LpE, pre-beta2-LpE, and alpha-LpE". J Lipid Res. 38 (1): 35–48. PMID 9034198.
  4. 4.0 4.1 4.2 Rye KA, Barter PJ (2012). "Predictive value of different HDL particles for the protection against or risk of coronary heart disease". Biochim Biophys Acta. 1821 (3): 473–80. doi:10.1016/j.bbalip.2011.10.012. PMID 22051746.


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