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6 protocols using apoa 1

1

HDL Composition and Enzyme Activities

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Total HDL was isolated by sequential ultracentrifugation (density range 1.063–1.210 g/ml), using potassium bromide (KBr) gradients. HDL composition was determined by measuring the content of total cholesterol (Roche Diagnostics), TG (Roche Diagnostics), free cholesterol (Wako Chemicals, Richmond, VA, USA) phospholipid (Wako Chemicals), apoA-I (Roche Diagnostics) apoA-II (Kamiya Biomedical Company, Seattle, WA, USA), apoE (Kamiya Biomedical Company) and apoC-III (Kamiya Biomedical Company). Composition data are expressed as a % of HDL total mass. PON-1 activity in serum was measured using phenylacetate as a substrate, as described [19 (link)]. Lp-PLA2 activity was measured using 2-thio-PAF (Cayman Chemical Company, Ann Arbor, MI, USA) as a substrate, according to the manufacturer’s instructions [20 (link)]. To determine the distribution of Lp-PLA2 among the lipoprotein fractions, apoB-containing lipoproteins were precipitated from serum using dextran sulfate, as described [21 (link)].
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2

Lipoprotein Isolation and Characterization

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Lipoproteins were isolated from thawed plasma by flotation sequential ultracentrifugation, according to density: VLDL (1.006–1.019 g/mL), LDL (1.019–1.063 g/mL), and HDL (1.063–1.210 g/mL). Their lipid and apolipoprotein composition was determined by measuring the content of cholesterol, triglycerides, apoB, apoA-I (Roche Diagnostics, Basel, Switzerland), phospholipids, free cholesterol (Wako Pure Chemical, Osaka, Japan), apoA-II, apoE, and apoC-III (Kamiya Biomedicals, Seattle, WA, USA) in the autoanalyzer. ApoJ was evaluated using commercial ELISA (Mabtech).
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3

Plasma and CSF Lipid Biomarkers Assay

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Plasma cholesterol (Roche), ApoA-I (Roche), ApoB (Roche), and ApoE (Kamiya) concentrations were assayed on a Cobas C311 (Roche) and plasma and CSF human serum albumin by ELISA (E88-129; Bethyl Laboratories, Inc.). CSF cholesterol and triglyceride phospholipid were determined by fluorescence assays (A12216 (Invitrogen) and MAK122 (Sigma-Aldrich), respectively). CSF ApoA-I (DAPA10 (R&D Systems, Inc.)), ApoB (ab108807 (Abcam)), ApoE (ab108813 (Abcam)), and ApoJ (DCLU00 (R&D Systems, Inc.)) were determined by ELISA.
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4

Lipoprotein Particle Analysis in Fasting Samples

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Samples were collected in the fasting state. Triglycerides and LDL‐C were measured on fresh serum samples using traditional enzymatic methods. Non‐HDL‐C was calculated as total cholesterol minus HDL‐C. All other measurements of apolipoproteins and lipoprotein particle subclasses (triglyceride‐rich lipoprotein particles [TRLP], LDLP and high‐density lipoprotein particles [HDLP]) were performed on available frozen plasma EDTA or serum samples from the modified intent‐to‐treat population (mITT) population. Lipoprotein particle concentration and average lipoprotein particle size were measured by nuclear magnetic resonance (NMR) spectroscopy at baseline and 26 weeks (LabCorp, Burlington, NC, USA). The lipoprotein insulin resistance (LPIR) score, a weighted combination of six lipoprotein subclass measures (large TRLP, large HDLP, small LDLP and mean sizes of TRLP, LDLP and HDLP), was also calculated.27 Preheparin serum LPL mass was measured by enzyme‐linked immunosorbent assay (ALPCO, Salem, NH, USA). ApoA‐I, apoB (Roche, Indianapolis, IN, USA) and apoC‐III (Kamiya, Seattle, WA, USA) were measured by immunoturbidimetry at baseline and at 4, 12 and 26 weeks.
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5

Lipid and Glucose Profiling Protocol

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Iodixanol was supplied as 60% w/v solution (OptiPrepTM) by Axis-Shield PLC (Dundee, UK). OptiSealTM tubes (3.2 ml) were supplied by Beckman Coulter (Krefeld, Germany). Triacylglycerol, Cholesterol, LDL-Cholesterol, HDL-Cholesterol, apoB, apoA1 and lipoprotein(a) assays, calibrators and serum lipid controls were purchased from Roche (Mannheim, Germany). For lipoprotein(a), the measuring range was 7–240 nmol/L (Tina-quant® Lipoprotein (a) Gen. 2, Roche). All lipid measurements were performed on the Cobas C501 from Roche. Inter- and intra-assay coefficients of variation for lipoprotein(a) are shown in Table S5. Non-HDL-C was calculated as the difference between TC and HDL-C. Glucose was measured on the Siemens ADVIA 2400. HbA1c was determined with the Tosoh G8 HPLC Analyzer. Hs-CRP was measured on the BN II Siemens nephelometric analyser. For fibrinogen, the ACL TOP (Instrumentation Laboratory) was used.
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6

Comprehensive Lipid and Inflammation Panel

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The following biochemical indicators were detected in this study: total Cholesterol (TC), triglyceride (TG), HDLC, low-density lipoprotein cholesterol (LDLC), APOA1, apolipoprotein B (APOB), lipoprotein a (LPA), hypersensitive C-reactive protein (CRP), TRSF, homocysteine (HCY), and AAT. The commercially available enzymatic colorimetric assays (TC, TG, HDLC, LDLC, APOA1, APOB, LPA, CRP, and TRSF were purchased from Roche Diagnostics, Switzerland; HCY were purchased from Jiuqiang, Beijing; AAT were purchased from DIALAB diagnostic, Austria) and an automated analyzer system (Cobas 8000 modular device Roche Diagnostics, Switzerland) were used.
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