Initial rate of cholesterol esterification association with high density lipoproteins in human plasma.

The enzyme lecithin:cholesterol acyl transferase has been measured both in total plasma and in the fraction of plasma from which very low and low density lipoproteins have been removed by ultracentrifugation. The correlation between the activity of the enzyme and the free cholesterol concentration was positive in whole plasma and negative in apoB-deficient plasma. On the other hand, the positive correlation between plasma triglycerides and cholesterol esterification was not changed by the removal of apoB-containing lipoproteins. Subjects with the highest levels of high density lipoprotein cholesterol were found to have the lowest enzyme activity, but this correlation was disclosed only in apoB-deficient plasma. This inverse relationship was abolished when the enzyme activity was measured in the absence of all lipoproteins with a density less than 1.125 g/ml. Cholesterol esterification, when determined after removal of lipoproteins with a density less than 1.063 g/ml, was negatively correlated with the in vivo plasma concentration of lipoproteins in the density range 1.063-1.125 g/ml. The same results were obtained in vitro by addition of increasing amounts of this class of high density lipoproteins either in total plasma or in the ultracentrifuged fractions of plasma. This provides further evidence that the lighter density class of high density lipoproteins inhibits the enzyme reaction under physiological conditions.