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The relative contribution of lipoproteins and free fatty acid to the cellular triacylglycerol content of cultured human fibroblasts was tested. Fibroblasts accumulated triacylglycerol in proportion to the molar ratio of free fatty acid (oleic acid) to albumin in the medium. Fibroblasts also accumulated triacylglycerol when exposed to medium containing human very low density liproprotein. This accumulation of triacylglycerol was apparently due to direct uptake of intact very low density lipoprotein particles initiated by binding of very low density lipoprotein to cell surface receptors. The amount of 125I-labeled very low density lipoprotein protein internalized and degraded by the cell saturated at the same very low density lipoprotein concentration that produced the maximum increase in cell triacylglycerol. Preincubations with lipoprotein-deficient serum, which enhanced the cell's ability to bind 125I-labeled very low density lipoprotein, increased the amount of 125I-labeled very low density lipoprotein internalized and degraded by the cell in parallel with increased levels of cellular triacylglycerol. Results suggest that the triacylglycerol that accumulates in the presence of very low density lipoprotein represents a lysosomal pool of partially degraded very low density lipoprotein. Measurements of lipase activity of fibroblast homogenates revealed three pH optima at (in descending order of magnitude of activity) pH 4, pH 6, and pH 8. The pH 8 lipase does not appear to represent lipoprotein lipase, since it is not activated by either serum or heparin. Exposure of the cells to medium with varying lipid composition had no effect on the lipase activities. The lipase activities of fibroblasts from donors with familial hypertriglyceridemia appear to be normal.

To test whether the altered lipid composition of high-density lipoprotein (HDL) particles influences their ability to interact with the HDL receptor on cultured fibroblasts, HDL3 isolated from normal and diabetic donors with different degrees of hypertriglyceridemia was subjected to binding competition, cholesterol efflux, and net cholesterol transport assays. When HDL3 particles from different subjects were incubated with cholesterol-loaded fibroblasts, the initial rates of cholesterol efflux from cells to HDL3 particles appeared to be an exclusive function of the relative ability of HDL3 to interact with the HDL receptor. Variation in lipid composition of HDL3 particles did not appear to have any significant influence on either the receptor-binding or the efflux-promoting abilities of HDL3. When the movement of cholesterol between cells and HDL3 particles was allowed to approach equilibrium, the lipid composition of HDL3 became an important factor in determining the net amount of cholesterol removed from cells, with cholesterol-deficient triacylglycerol-rich HDL3 particles having the best capacity to promote net transport of cholesterol from cells. These results suggest that the ability of HDL to bind to its cell-surface receptor, rather than variations in the lipid composition of the HDL particle, is the major determinant of cholesterol efflux from cells to HDL particles. However, the lipid composition of HDL as well as its receptor-binding activity determine the net amount of cholesterol transported from cells over long-term incubation.