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Quantification of HDL particle concentration by calibrated ion mobility analysis.

Plasma concentrations of HDL cholesterol (HDL-C) [3] are widely used clinically to assess HDL's cardioprotective potential. There is a robust, inverse association of HDL-C with cardiovascular disease (CVD) risk in clinical, epidemiological, and genetic studies (1). However, recent work has cast doubt on the hypothesis that the concentration ofHDL-C captures its proposed cardioprotective functions (2-4). For example, genetic variations that alter concentrations of HDL-C do not always predict CVD risk (5). Strikingly, a cholesteryl ester transfer protein inhibitor and niacin, 2 interventions that increase HDL-C, failed to reduce CVD risk in statin-treated humans with established CVD (6,7). These observations indicate that HDL-C concentrations do not always predict CVD risk and that increasing HDL-C is not necessarily therapeutic.

It is important to note that many lines of evidence strongly suggest that HDL directly protects against vascular disease. For example, a polymorphism in apolipoprotein A-I (apoA-I), the major HDL protein, associates with low HDL cholesterol concentrations and premature coronary artery disease (8). Also, humans with familial deficiency of apoA-I, the major HDL protein, suffer severe early-onset CVD (9). Furthermore, people with Tangier disease [who lack ATP-binding cassette transporter 1 (ABCA1), a key first step in cholesterol export from cells] have very low HDL-C concentrations and accumulate cholesterol-laden macrophages in many different tissues (10, 11).

These discrepancies highlight a central question: Does HDL deficiency promote human atherosclerosis, or is it simply a marker for other risk factors such as insulin resistance (2, 3)? To make this determination, it is critical to identify HDL metrics that truly reflect CVD risk.

HDL is a collection of macromolecular particles that contain >80 different proteins (12, 13) and range in size from <7 nm to >14 nm (14). It is therefore plausible that the plasma concentration of HDL particles (HDL-P)--or of a subset of particles--might better reflect HDL-mediated cardioprotection than surrogate measures of HDL such as cholesterol or apoA-I (14-21).

Two methods have been described for quantifying HDL-P in human plasma, one on the basis of nuclear magnetic resonance (NMR) (15), and the other, ion mobility analysis (IMA) (16). To quantify lipoproteins by NMR, the amplitudes of spectral signals emitted by lipoprotein subclasses of different sizes are measured. The data are then reduced with a proprietary algorithm. To quantify HDL by IMA, solvated lipoproteins are introduced into the gas phase by electrospray ionization (ESI). Charged HDL particles are then separated on the basis of their differential mobility through a buffer gas. Although both approaches have helped establish HDL-P as a potentially relevant clinical metric, only limited evidence suggests that it is substantially independent of HDL-C (17, 18). Moreover, the 2 methods give very different mean HDL-P values (approximately 5 [micro]mol/L and approximately 30 [micro]mol/L), and neither yields a value consistent with the stoichiometry of apoA-I in HDL (22, 23). To determine whether HDL-P might be a valid clinical metric, it will be important to resolve these discrepancies.

Ion mobility can accurately measure the concentration of particles in the gas phase because it rests on well-established physical principles (16, 24). However, many factors affect the production of gas-phase ions during ESI (25-27). Because the generation and transmission of ions by ESI is variable, quantitative assays of aqueous particles on the basis of this approach must account for ionization efficiency.

We have developed an improved IMA method for quantifying HDL particles from human plasma. Calibrated IMA differs from traditional IMA in 3 critical aspects. First, it uses particles of known concentration to calibrate the assay to empirically account for ionization efficiency and other sources of signal loss. This permits the conversion of IMA signal intensity, a relative measurement, to a metric of absolute concentration. Second, IMA spectra are processed by an adaptive peak-fitting algorithm allowing reproducible deconvolution of 3 major HDL subspecies. Third, we have validated the new approach using known concentrations of monodisperse gold nanoparticles and reconstituted HDL particles. Our data provide evidence that calibrated IMA offers clinically useful information that is distinct from that provided by HDL-C.

Materials and Methods


We isolated total lipoproteins from plasma in a single ultracentrifugation step as follows: 50 [micro]L plasma, 50 [micro]L normal saline (with 0.5 mmol/L EDTA), and 130 [micro]L KBr ([rho] = 1.37 g/mL) were added to 7-by-20 mm ultracentrifugation tubes (final [rho] = 1.21 g/mL). Tubes were centrifuged in a 72-positionrotor (type 42.2 TI) at 42000 rpm (mean 214361g) for 12 h; 57 [micro]L was then taken from the top of each tube and placed in a 96-well constant-flow dialyzer (Spectrum Laboratories). Samples were dialyzed for 4h at 4[degrees]C against N[H.sub.4]OAc (5 mmol/L, adjusted to pH 7.4 with N[H.sub.4]OH) at a flow rate of approximately 5 mL/min. Immediately before analysis, samples were diluted 500-fold (relative to the original plasma volume) with N[H.sub.4]OAc (5 mmol/L, pH 9.2).


Principles of ESI and differential ion mobility (24, 28), as well as instrumentation and operation details, are given in the Supplemental Data, which accompanies the online version of this article at http://www. Briefly, analytes in aqueous solution are converted to gas-phase ions by ESI (see online Supplemental Fig. 1). The resulting highly charged ions are largely neutralized by [alpha] particles, yielding a small proportion of singly charged cations, which are introduced into the mobility analyzer. As the particles move through a strong electromagnetic field, they are separated according to their electrophoretic mobility and then enumerated by a particle counter.


IMA spectra were expressed in units of aerosol particle concentration per size bin ([number/[cm.sup.3]]/size bin) with an algorithm supplied by the instrument's manufacturer (Aerosol Instrument Manager, version, TSI) (29). We then analyzed size distribution spectra of human HDL using open-source curve-fitting software (Fityk version 1.2.0 for Macintosh) (30). With a custom script, spectra were fitted automatically with 3 Voigt probability distribution curves corresponding to the 3 HDL subspecies. The software iteratively adjusts the peak parameters to minimize the weighted sum of squared residuals, or [chi square]. All peak parameters were unfixed but limited in range, allowing for adaptive deconvolution of the highly variable HDL size distribution profiles observed in human plasma. Finally, we converted the HDL subspecies' peak areas into aqueous particle concentrations using glucose oxidase calibration curves.


We prepared solutions of purified proteins gravimetrically in [H.sub.2]O. Exact concentrations were determined by absorbance at 280 nm. Solutions were further diluted in N[H.sub.4]AOc (5 mmol/L, pH 9.2) before IMA. Typically, we used serial dilutions of glucose oxidase (10-1.25 [micro]g/mL) for calibration. We calculated particle concentrations of individual protein oligomers (see online Supplemental Data) to account for the fact that total particle concentration was different than that determined by [A.sub.280] due to the presence of multiple oligomers.


We prepared discoidal reconstituted HDL (rHDL) as previously described (31). The protein concentration of the rHDL particles (9.6 nm hydrated diameter) was determined by modified Lowry assay (Thermo #23240). Serial dilutions were prepared (5 mmol/L N[H.sub.4]OAc, pH 9.2) and quantified by calibrated IMA. To validate calibrated IMA, we performed duplicate analyses of 2 independent rHDL preparations.


Stock solutions of gold nanoparticles (10 nm; NanoXact from nanoComposix) were concentrated by centrifugation by use of the manufacturer's recommended protocol. Particle concentration of the final solution was determined by absorbance at 521 nm. Serial dilutions were then prepared (5 mmol/L N[H.sub.4]OAc, pH 9.2) and quantified by calibrated IMA. To validate calibrated IMA, we performed duplicate analyses of 2 independent gold nanoparticle preparations.


All participants provided signed informed consent, and all protocols were approved by the University of Washington Institutional Review Board (#32967B). Forty blood samples were randomly selected from those of 375 participants with severe carotid cerebrovascular disease enrolled in the CLEAR study (32). Forty samples were also selected from those of the study's >1000 controls. Participants were matched by sex and diabetes status. Detailed inclusion and exclusion criteria are provided in the online Supplemental Data.


Statistical tests were performed with R (version 2.15.1) or Prism (version 4.0; Graphpad). All i-tests were 2-tailed and uncorrected. Correlations were evaluated by the method of Pearson. Odds ratios and their confidence intervals were extracted from generalized linear models constructed in R. For all analyses, P values <0.05 were considered significant.



A key assumption of calibrated IMA is that different particles elicit similar responses when analyzed by the same instrument. To test this assumption, we first explored the linearity of the ion mobility signal response by analyzing serial dilutions of highly purified glucose oxidase [[M.sub.r]dimer, 160000; isoelectric point (pI), 4.2] (Fig. 1A). IMA spectral peak areas of glucose oxidase (monomers and dimers) were plotted against particle concentrations calculated from the total protein concentration determined by [A.sub.280] (Fig. 1B). Linear ([r.sup.2] >0.99) concentration-dependent responses were observed for the dimer, the monomer, and total particle concentration. Calibration curves routinely had [r.sup.2] values >0.99.

To determine how particle size and physiochemical properties (e.g., pI) affect instrument response, we interrogated 2 additional proteins in the same manner. IMA of serial dilutions of catalase ([M.sub.r]tetramer, 240000; pI, 5.6) and transferrin ([M.sub.r]monomer 80000; pI, 6.2-6.6) both yielded linear, concentration-dependent responses similar to those we obtained with glucose oxidase. Importantly, all 3 proteins produced calibration curves with essentially equivalent slopes and y-intercepts. Indeed, a single regression line, fit to the superimposed data (Fig. 1C), had an [r.sup.2] = 0.98 and passed near the origin.

These observations indicated that proteins of different molecular weights, oligomeric distributions, and isoelectric points all produced similar instrument responses. For routine analyses, we used glucose oxidase as the working calibrant due to its convenient particle diameter near the center of the HDL size distribution and its stability in aqueous solution.


We next used reconstituted discoidal HDL (9.6 nm diameter) to determine whether calibrated IMA can accurately quantify HDL-P. These particles were selected because they resemble native HDL and contain 2 apoA-I molecules per particle (31, 33), allowing us to establish the concentration of stock solutions on the basis of protein content. When particle concentrations determined by calibrated IMA were plotted against concentrations calculated from total protein (Fig. 1D), the data were linear ([r.sup.2] = 0.98) and had a slope close to 1 (0.99).

We similarly quantified gold nanoparticles (approximately 10-nm diameter), whose concentration we determined by absorbance at 521 nm. Once again, the 2 orthogonal methods yielded nearly identical results for particle concentration (Fig. 1E). In separate experiments, we determined the concentration of rHDL prepared in another laboratory and shipped for analysis. Particle concentrations determined in triplicate by IMA [26 (1) nmol/L] and by total protein (30.4 nmol/L) differed by <15%.


The work flow for determining HDL-P by calibrated IMA is shown in Fig. 2A. To summarize, we isolated total lipoproteins from plasma by a single ultracentrifugation ([rho] = 1.21 g/mL) step (34) and then dialyzed the preparation to remove salts (which interfere with IMA). After diluting the samples, we used differential mobility analysis to determine the size distribution and uncorrected particle concentration of the isolated HDL species. Because electrophoretic mobility depends chiefly on size, IMA data are expressed in terms of particle diameter, which corresponds to the calculated diameter of a singly charged, spherical particle with the same electrophoretic mobility (24-26). For each spectrum, 3 HDL subspecies (small, medium, and large) were deconvoluted by unsupervised, iterative curve-fitting (Fig. 2, B-D). Finally, HDL peak areas were directly converted to HDL-P by use of the calibration curve.

Using this approach, we determined HDL-P in 40 control participants (<15% carotid intimal thickening) and 40 participants with severe carotid cerebrovascular disease (CCVD; >80% carotid stenosis by MRI) enrolled in the CLEAR study (32). The clinical characteristics of the 2 groups are presented in online Supplemental Table 1. The mean (SD) total HDL-P obtained in all 80 participants by calibrated IMA was 13.4 (2.4) [micro]mol/L with a mean value for plasma apoA-I of 48.8 [micro]mol/L determined by a clinical laboratory.

Calibrated IMA consistently identified 3 major HDL subspecies in plasma from the 80 participants. They were small HDL (S-HDL, average diameter 7.9 mm), medium HDL (M-HDL, 8.6 mm), and large HDL (L-HDL, 10.4 mm) (14). By first calibrating the IMA instrument with proteins of known Mr (see online Supplemental Data), we could also determine the apparent molecular masses of the 3 subspecies: approximately 120 (small), 160 (medium), and 270 (large) kDa (Fig. 3). These results agree well with direct measurements of HDL's molecular mass by sedimentation ultracentrifugation (35). Additional HDL subspecies, corresponding to very small HDL (approximately 100 kDa) and very large HDL (approximately 500 kDa) (14), appeared too infrequently to be quantified reproducibly. In the current implementation of calibrated IMA, we let the bounds of the standard curve represent the upper and lower limits of quantification. No samples showed peak areas outside these values for any HDL subspecies.

When the same HDL preparation was repeatedly analyzed (n = 6), the total HDL-P CV was <6% and the proportion of subspecies was consistent (CVs <10%). When plasma samples (n = 12) were subjected to multiple independent isolations and analyses (n = 3), intraassay CV was <7% and interassay CV was < 12% (Table 1, online Supplemental Fig. 2). Details of these experiments and additional validation data, including sample stability, are provided in the online Supplemental Data.

The distribution of subspecies in the HDLs of the 80 participants differed strikingly. Whereas certain samples were composed almost entirely of S-HDL (Fig. 2B), others were mostly L-HDL (Fig. 2D), though the majority fell between these extremes (Fig. 2C). The mean composition was 42% small, 44% medium, and 14% large HDL. Whereas the relative abundance of HDL subspecies varied dramatically, the diameters of the subspecies particles were remarkably consistent for all participants (size CVs <3%). A correlation matrix of HDL-P and lipid values is tabulated in online Supplemental Table 2.


We next determined the relationship between HDL-P and HDL-C in all 80 participants (Fig. 4, A-D). The concentration of HDL-C was determined on plasma by a clinical laboratory. HDL-C predicted >60% of the variance in L-HDL-P (r = 0.78, P < 0.0001), whereas it predicted <30% of the variance in M-HDL-P (r = 0.53, P < 0.0001). The concentration of S-HDL did not correlate with HDL-C but trended inversely (r = -0.22). Total HDL-P correlation with HDL-C was moderate (r = 0.69, P < 0.0001). The relationships between HDL-P (total and subspecies) and plasma apoA-I were similar to the HDL-C correlations described above (see online Supplemental Table 2). There was little correlation of HDL-P with concentration of LDL cholesterol or other lipids (see online Supplemental Table 2).

HDL-C explained only approximately 50% of the variation in total HDL-P (Fig. 4D). Consistent with this observation, certain participants showed discordant values of HDL-P and HDL-C. The variable cholesterol content of individual HDL particles (22, 23) suggested that subspecies' distributions might explain the 2 metrics' conflicting values. We therefore compared the subset of participants (n = 5) with both high HDL-P (>mean) and low HDL-C (<mean) with those (n = 10) who had both low HDL-P (<mean) and high HDL-C (>mean) (Fig. 4, D and E). The latter had twice the concentration of L-HDL particles (2.2 vs 1.0 [micro]mol/L; P = 0.02). Conversely, the participants with high HDL-P/low HDL-C had nearly twice the concentration of S-HDL particles (7.5 vs 3.8 [micro]mol/L; P = 0.0003). Although the 2 groups had markedly different HDL-C (P = 0.0002), they had similar concentrations of M-HDL particles. Calibrated IMA spectra of representative participants from each group are shown in Fig. 4F.


To explore whether calibrated IMA might be a clinically useful alternative to HDL-C measurements, we compared HDL-P in control participants (n = 40) and participants with severe carotid cerebrovascular disease (CCVD; n = 40), a major risk factor for stroke. The participants' characteristics are summarized in online Supplemental Table 1.

Compared with the controls, the participants with carotid disease had significantly lower concentrations of HDL-C, apoA-I, M-HDL-P, and total HDL-P (P = 0.04, 0.03, 0.004, and 0.002, respectively) (Fig. 5). Unadjusted odds ratios (Fig. 5D) revealed that total HDL-P and M-HDL-P were the strongest predictors of CCVD, followed by HDL-C and apoA-I; no other traditional lipid risk factors quantified by a clinical laboratory were significant predictors in this population.

Importantly, differences in total HDL-P and M-HDL-P remained significant after adjustment for HDL-C (P = 0.02 and 0.04, respectively). After adjustment for LDL and triglycerides, HDL-C no longer differed significantly between groups (P = 0.06), whereas both M-HDL and total HDL-P remained strong predictors of CCVD (P = 0.003 and 0.009, respectively). Adding age and sex to this model did not affect the significance of HDL-P. Collectively, these observations indicate that HDL-P might provide clinical information about CVD risk that is independent of other traditional lipid risk factors.


The concentration and size of HDL particles in plasma, HDL-P, might represent a metric that more accurately assesses CVD risk than HDL-C. We therefore determined whether calibrated IMA--our modification of the standard technique--could quantify HDL-P. Because of variability in ionization efficiency during IMA, a key unresolved issue was whether this approach could provide an absolute, quantitative measure.

IMA of proteins of different sizes and physiochemical properties yielded linear calibration curves that were essentially superimposable, suggesting that protein standards could be used to quantify other particles of unknown concentration. Consistent with this proposal, the concentrations of reconstituted HDL particles and gold nanoparticles determined by calibrated IMA were in excellent agreement with concentrations determined by orthogonal methods. Taken together, these observations strongly suggest that calibrated IMA can quantify particles in aqueous solution that range widely in size and composition.

We next used calibrated IMA to investigate the size and concentration of HDL particles in human plasma. The 3 subspecies closely matched the sizes of HDL particles defined by ultracentrifugal Schlieren patterns and nondenaturing 2-dimensional gradient gel electrophoresis (14, 36, 37). Thus, S-HDL, M-HDL, and L-HDL likely correspond to [alpha]3/4-, [alpha]2-, and [alpha]1-HDL, respectively. In contrast, noncalibrated IMA detected only 2 subspecies: large HDL and small HDL (16). Our ability to quantify 3 subpopulations of HDL likely reflects differences in the methods used to isolate the HDL and the adaptive curve-fitting algorithm, which permits deconvolution of partially overlapping HDL subspecies.

A key issue was whether our approach recovered HDL quantitatively from plasma. Immunoblot analysis of material prepared by ultracentrifugation from 4 individuals indicated that we recovered approximately 80% of the apoA-I in the HDL fraction (see online Supplemental Data). It is noteworthy that 5-10% of plasma apoA-I is unassociated with lipoproteins (38). Assuming that 10% of apoA-I is indeed not associated with HDL, we estimate that our recovery of small, medium, and large HDLs--the particles quantified by calibrated IMA--approaches 90%.

A fundamental unresolved issue is the concentration of HDL particles in blood, which, along with subspecies distribution, is likely to impact HDL's functions. In 7 independent studies, the mean total HDL-P reported by noncalibrated IMA studies was 5.3 [micro]mol/L, and the average plasma apoA-I concentration was 51 [micro]mol/L (see online Supplemental Table 3). These values imply a mean stoichiometry of almost 10 apoA-I molecules per HDL particle. In contrast, HDL particle concentrations derived from NMR analyses were approximately 30 [micro]mol/L (see online Supplemental Table 3), indicating a stoichiometry of approximately 1.6 apoA-I molecules per HDL particle. The mean total HDL-P obtained by calibrated IMA was 13.4 [micro]mol/L, with a mean plasma apoA-I value of 48.8 [micro]mol/L, implying 3.6 apoA-I per HDL if all HDL particles contain apoA-I. This stoichiometry is in excellent agreement with abundant biochemical data suggesting a mean of 3-4 apoA-I/HDL and with our current understanding of HDL structure (22, 23). Importantly, this observation further supports the proposal that we recovered HDL in near-quantitative yield from plasma.

A striking feature of the clinical data was the marked variability in the abundance of HDL subspecies in different participants. Among individual participants, for example, the percentage of M-HDL ranged from <15% to >70%; S-HDL and L-HDL showed similar variation. This HDL heterogeneity highlights the need for a flexible data processing approach.

It is noteworthy that approximately 20% of the participants in our clinical population had high HDL-P concentrations (>mean) and low HDL-C values (<mean) or low HDL-P (<mean) and high HDL-C (>mean) HDL-C values. These differences in turn reflected major differences in the relative abundance of S-HDL and L-HDL particles. These results support the notion that HDL-P can vary independently from HDL-C and that differences in the proportions of subspecies could account for the discrepancy.

In a clinical population, low total HDL-P associated strongly and inversely with severe carotid cerebrovascular disease (>80% stenosis). Notably, M-HDL particles were selectively depleted, suggesting that the abundance of a specific HDL subpopulation was reduced in this clinical population. M-HDL only moderately correlated with HDL-C, strongly suggesting that quantifying specific subpopulations of HDL particles might offer information distinct from HDL-C. Importantly, differences in total HDL-P and M-HDL-P remained significant after adjustment for HDL-C, suggesting that HDL-P can offer clinically relevant information beyond HDL-C. The association of low HDL-P with carotid disease persisted after adjustment for other risk factors, including LDL-C, triglycerides, age, and sex. In future studies, it will be critical to extend these observations to larger numbers of participants, to validate calibrated IMA for quantification of other lipoproteins (both human and mouse; see online Supplemental Data), and to assess whether HDL-P can predict risk in prospective studies.

In conclusion, we describe a method for determining the size and concentration of HDL in human plasma. The method leverages empiric calibration and was validated by measuring particles of known concentration. Quantifying HDL-P yielded a value for the stoichiometry of apoA-I per HDL particle that fits well with our current understanding of HDL structure. HDL-P was also a strong and independent predictor of CCVD status in a clinical population.

Author Contributions: All authors confirmed they have contributed to the intellectual content of this paper and have met the following 3 requirements: (a) significant contributions to the conception and design, acquisition of data, or analysis and interpretation of data; (b) drafting or revising the article for intellectual content; and (c) final approval of the published article.

Authors' Disclosures or Potential Conflicts of Interest: Upon manuscript submission, all authors completed the author disclosure form. Disclosures and/or potential conflicts of interest:

Employment or Leadership: None declared.

Consultant or Advisory Role: None declared.

Stock Ownership: None declared.

Honoraria: None declared.

Research Funding: P.M. Hutchins, Cardiovascular Fellowship Training Grant (NIH T32HL007828); G.P. Jarvik, NIH awards RO1 HL67406 and T32HL007828, Life Sciences Discover Fund awards; J.W. Heinecke, NIH awards R01 HL112625, R01HL108897, and P30 DK017047.

Expert Testimony: None declared.

Patents: P.M. Hutchins, application no. 61908623 (filed 2013); J.W. Heinecke, Methods for Calibrated Ion Mobility Analysis and Related Methods of Predicting Risk for Disease.

Role of Sponsor: The funding organizations played no role in the design of study, choice of enrolled patients, review and interpretation of data, or preparation or approval of manuscript.

Acknowledgments: The authors thank the participants of the clinical study.


(1.) Gordon DJ, Rifkind BM. High-density lipoprotein: the clinical implications of recent studies. N Engl J Med 1989;321:1311-6.

(2.) Rader DJ, Tall AR. The not-so-simple HDL story: is it time to revise the HDL cholesterol hypothesis? Nat Med 2012;18:1344-6.

(3.) Vergeer M, Holleboom AG, Kastelein JJP, Kuivenhoven JA. The HDL hypothesis: does high-density lipoprotein protect from atherosclerosis? J Lipid Res 2010;51:2058-73.

(4.) Rye K-A, Barter PJ. Cardioprotective functions of HDL. J Lipid Res. 2014;55:168-79.

(5.) Voight BF, Peloso GM, Orho-Melander M, Frikke-Schmidt R, Barbalic M, Jensen MK, et al. Plasma HDL cholesterol and risk of myocardial infarction: a Mendelian randomisation study. Lancet 2012; 380:572-80.

(6.) AIM-HIGH Investigators, Boden WE, Probstfield JL, Anderson T, Chaitman BR, Desvignes-Nickens P, et al. Niacin in patients with low HDL cholesterol levels receiving intensive statin therapy. N Engl J Med 2011;365:2255-67.

(7.) Schwartz GG, Olsson AG, Abt M, Ballantyne CM, Barter PJ, Brumm J, et al. Effects of dalcetrapib in patients with a recent acute coronary syndrome. N Engl J Med 2012;367:2089-99.

(8.) Ordovas JM, Schaefer EJ, Salem D, Ward RH, Glueck CJ, Vergani C, et al. Apolipoprotein A-I gene polymorphism associated with premature coronary artery disease and familial hypoalphalipoproteinemia. N Engl J Med 1986;314:671-7.

(9.) Santos RD, Asztalos BF, Martinez LRC, Miname MH, Polisecki E, Schaefer EJ. Clinical presentation, laboratory values, and coronary heart disease risk in marked high-density lipoprotein-deficiency states. J Clin Lipidol 2008;2:237-47.

(10.) Attie AD, Kastelein JP, Hayden MR. Pivotal role of ABCA1 in reverse cholesterol transport influencing HDL levels and susceptibility to atherosclerosis. J Lipid Res 2001;42:1717-26.

(11.) Ferrans VJ, Fredrickson DS. The pathology of Tangier disease. A light and electron microscopic study. Am J Pathol 1975;78:101-58.

(12.) Vaisar T, Pennathur S, Green PS, Gharib SA, Hoofnagle AN, Cheung MC, et al. Shotgun proteomics implicates protease inhibition and complement activation in the antiinflammatory properties of HDL. J Clin Invest 2007;117:746-56.

(13.) Shah AS, Tan L, Long JL, Davidson WS. Proteomic diversity of high density lipoproteins: our emerging understanding of its importance in lipid trans port and beyond. J Lipid Res 2013;54:2575-85.

(14.) Rosenson RS, Brewer HB Jr, Chapman MJ, Fazio S, Hussain MM, Kontush A, et al. HDL measures, particle heterogeneity, proposed nomenclature, and relation to atherosclerotic cardiovascular events. Clin Chem 2011;57:392-410.

(15.) Jeyarajah EJ, Cromwell WC, Otvos JD. Lipoprotein particle analysis by nuclear magnetic resonance spectroscopy. Clin Lab Med 2006;26:847-70.

(16.) Caulfield MP, Li S, Lee G, Blanche PJ, Salameh WA, Benner WH, et al. Direct determination of lipoprotein particle sizes and concentrations by ion mobility analysis. Clin Chem 2008;54:130716.

(17.) Mackey RH, Greenland P, Goff DC Jr, Lloyd-Jones D, Sibley CT, Mora S. High-density lipoprotein cholesterol and particle concentrations, carotid atherosclerosis, and coronary events: MESA (Multi-Ethnic Study of Atherosclerosis). J Am Coll Cardiol 2012;60:508-16.

(18.) Mora S, Glynn RJ, Ridker PM. High-density lipoprotein cholesterol, size, particle number, and residual vascular risk after potent statin therapy. Circulation 2013;128:1189-97.

(19.) Asztalos BF, Tani M, Schaefer EJ. Metabolic and functional relevance of HDLsubspecies. Curr Opin Lipidol 2011;22:176-85.

(20.) Asztalos BF, Schaefer EJ. High-density lipoprotein subpopulations in pathologic conditions. Am J Cardiol 2003;91:12-7.

(21.) Schaefer EJ, Santos RD, Asztalos BF. Marked HDL deficiency and premature coronary heart disease. Curr Opin Lipidol 2010;21:289-97.

(22.) Shen BW, Scanu AM, Kezdy FJ. Structure of human serum lipoproteins inferred from compositional analysis. Proc Natl Acad Sci U S A 1977; 74:837-41.

(23.) Huang R, Silva RAGD, Jerome WG, Kontush A, Chapman MJ, Curtiss LK, et al. Apolipoprotein AI structural organization in high-density lipoproteins isolated from human plasma. Nat Struct Mol Biol 2011;18:416-22.

(24.) Guha S, Li M, Tarlov MJ, Zachariah MR. Electrospray-differential mobility analysis of bionanoparticles. Trends Biotechnol 2012;30:291300.

(25.) Page JS, Kelly RT, Tang K, Smith RD. Ionization and transmission efficiency in an electrospray ionization-mass spectrometry interface. J Am Soc Mass Spectrom 2007;18:1582-90.

(26.) Pramanik BN, Ganguly AK, Gross ML. Applied electrospray mass spectrometry: practical spectroscopy series. Boca Raton, FL: CRC Press; 2002.

(27.) Oss M, Kruve A, Herodes K, Leito I. Electrospray ionization efficiency scale of organic compounds. Anal Chem 2010;82:2865-72.

(28.) Flagan RC. Differential mobility analysis of aerosols: a tutorial. KONA 2008;26:254-8.

(29.) Hoppel WA. Determination of the aerosol size distribution from the mobility distribution of the charged fraction of aerosols. J Aerosol Sci 1978; 9:41-54.

(30.) Wojdyr M. Fityk: a general-purpose peak fitting program. J Appl Crystallogr 2010;43:1126-8.

(31.) Cavigiolio G, Shao B, Geier EG, Ren G, Heinecke JW, Oda MN. The interplay between size, morphology, stability, and functionality of high-density lipoprotein subclasses. Biochemistry (Mosc) 2008;47:4770-9.

(32.) Jarvik GP, Rozek LS, Brophy VH, Hatsukami TS, Richter RJ, Schellenberg GD, et al. Paraoxonase (PON1) phenotype is a better predictor of vascular disease than is PON1(192) or PON1(55) genotype. Arterioscler Thromb Vasc Biol 2000;20: 2441-7.

(33.) Swaney JB. Properties of lipid-apolipoprotein association products. Complexes of human apo AI and binary phospholipid mixtures. J Biol Chem 1980;255:8798-803.

(34.) Havel RJ, Eder HA, Bragdon JH. The distribution and chemical composition of ultracentrifugally separated lipoproteins in human serum. J Clin Invest 1955;34:1345-53.

(35.) Scanu A, Reader W, Edelstein C. Molecular weight and subunit structure of human serum high density lipoprotein after chemical modification by succinic anhydride. Biochim Biophys Acta 1968;160:32-45.

(36.) Delalla OF, Elliott HA, Gofman JW. Ultracentrifugal studies of high density serum lipoproteins in clinically healthy adults. Am J Physiol 1954;179: 333-7.

(37.) Asztalos BF, Sloop CH, Wong L, Roheim PS. Two-dimensional electrophoresis of plasma lipoproteins: recognition of new apo A-I-containing subpopulations. Biochim Biophys Acta 1993;1169:291-300.

(38.) Rye K-A, Barter PJ. Formation and metabolism of prebeta-migrating, lipid-poor apolipoprotein A-I. Arterioscler Thromb Vasc Biol 2004;24: 421-8.

Patrick M. Hutchins, [1] Graziella E. Ronsein, [1] Jeffrey S. Monette, [1] Nathalie Pamir, [1] Jake Wimberger, [1] Yi He, [1] G.M. Anantharamaiah, [2] Daniel Seung Kim, [1] Jane E. Ranchalis, [1] Gail P. Jarvik, [1] Tomas Vaisar, [1] and Jay W. Heinecke [1] *

[1] Department of Medicine, University of Washington, Seattle, WA; [2] Atherosclerosis Unit, University of Alabama Medical Center, Birmingham, AL.

* Address correspondence to this author at: Division of Metabolism, 850 Republican, Box 358055, University of Washington, Seattle, WA 98109. Fax 206-5433567; e-mail

Received June 3, 2014; accepted August 25, 2014.

Previously published online at DOI: 10.1373/clinchem.2014.228114

[3] Nonstandard abbreviations: HDL-C, high-density-lipoprotein cholesterol; CVD, cardiovascular disease; apo, apolipoprotein; ABCA1, ATP-binding cassette transporter 1; HDL-P, HDL particles; NMR, nuclear magnetic resonance; IMA, ion mobility analysis; ESI, electrospray ionization; rHDL, reconstituted HDL; CCVD, carotid cerebrovascular disease; pI, isoelectric point; S-HDL, small HDL; M-HDL, medium HDL; L-HDL, large HDL.

Table 1. Precision of calibrated IMA.

  Factor                Analytical   Intra-assay   Interassay
                        CV (%) (a)   CV (%) (b)    CV (%) (c)

  Samples                   1            12            12
  Analyses/sample           6             3            3
  Total                    5.8           6.2          11.4
  Small                    11.9         18.8          19.7
  Medium                   5.9          12.8          15.0
  Large                    8.0           7.1          19.8
HDL-P subspecies (d)
  % small                  6.6          20.1          20.6
  % medium                 3.0           9.4          10.2
  % large                  9.9           6.2          10.1
HDL size (d)
  Small                    0.6           1.0          1.3
  Medium                   0.4           0.7          1.2
  Large                    0.7           0.7          1.1

(a) Repeated analysis of a single HDL isolate.

(b) Parallel isolations and analyses of plasma samples.

(c) Serial isolations and analyses of plasma samples.

(d) Based on calibration and deconvolution of IMA
spectra into 3 HDL subspecies.

Fig. 3. Apparent molecular masses of HDL subspecies
by calibrated IMA.
The observed diameters of reference proteins were plotted
against their molecular masses (A). For all points,
SDs were smaller than the dots. A best-fit curve (power
series; black curve) was used to interpolate the apparent
molecular mass of HDL subspecies. Mean diameters, size-spans,
and corresponding apparent molecular masses are
tabulated (B).

            Diameter (nm)            Apparent
                                molecular mass (kDa)

            mode     span       mode       span

small HDL   7.85     7.2-8.2    120        94-136
medium HDL  8.64     8.2-9.7    160       136-222
large HDL   10.35    9.7-11.8   270       222-402
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Title Annotation:Lipids, Lipoproteins, and Cardiovascular Risk Factors
Author:Hutchins, Patrick M.; Ronsein, Graziella E.; Monette, Jeffrey S.; Pamir, Nathalie; Wimberger, Jake;
Publication:Clinical Chemistry
Article Type:Report
Geographic Code:1USA
Date:Nov 1, 2014
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