Levels of
high density lipoprotein (HDL) and its major
protein component,
apolipoprotein (
apo) A-I, are strongly inversely correlated to risk of
atherosclerosis and other
vascular diseases. A number of properties of
apo A-I may contribute to this protection, including removal of
cholesterol from peripheral tissues to the liver (reverse
cholesterol transport), anti-inflammatory and anti-oxidative activities, and modulation of vascular function.
Apo A-I has
lipid-associating domains that form class A amphipathic helices.
Peptide analogs that have no sequence homology to the domains in
apo A-I but possess the class A motif have been shown to not only associate with
phospholipid but also mimic several of the functional properties of
apo A-I.
Peptide 4F, with four phenylalanines on the non-polar face, was found to be maximally effective in mimicking the positive qualities of
apo A-I; this
peptide inhibited
atherosclerosis, reduced
inflammation and oxidation, and improved vascular function in a number of animal models, and when synthesized with D-
amino acids is orally bioavailable. Several other classes of
peptide mimetics are now being studied, and may contribute to our understanding of the functions of
apo E and apo J. The use of
peptide mimetics to study
apolipoprotein function has proved to be a powerful tool, and may lead to novel therapeutic agents in the prevention of
atherosclerosis and other
vascular diseases.