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Human Molecular Genetics Advance Access originally published online on September 5, 2008
Human Molecular Genetics 2008 17(23):3806-3813; doi:10.1093/hmg/ddn278
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Published by Oxford University Press 2008

Characterization of placental cholesterol transport: ABCA1 is a potential target for in utero therapy of Smith–Lemli–Opitz syndrome

Marie L. Lindegaard1,*, Christopher A. Wassif1, Boris Vaisman2, Marcelo Amar2, Elizabeth V. Wasmuth1, Robert Shamburek2, Lars B. Nielsen3,4, Alan T. Remaley2 and Forbes D. Porter1

1 Section on Molecular Dysmorphology, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Schriver National Institute of Child Health and Human Development 2 Lipoprotein Metabolism Section, Pulmonary and Vascular Medicine Branch, National Heart, Lung and Blood Institute, NIH, DHHS, Bethesda, MD, USA 3 Department of Clinical Biochemistry, Rigshospitalet 4 Department of Biomedical Sciences, University of Copenhagen, Denmark

* To whom correspondence should be addressed at: Department of Clinical Biochemistry, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark. Tel: +45 35452957; Fax: +45 35452524; Email: marie.s.lindegaard{at}dadlnet.dk

Received July 11, 2008; Revised August 15, 2008; Accepted September 1, 2008

Patients with Smith–Lemli–Opitz syndrome (SLOS) are born with multiple congenital abnormalities. Postnatal cholesterol supplementation is provided; however, it cannot correct developmental malformations due to in utero cholesterol deficit. Increased transport of cholesterol from maternal to fetal circulation might attenuate congenital malformations. The cholesterol transporters Abca1, Abcg1, and Sr-b1 are present in placenta; however, their potential role in placental transport remains undetermined. In mice, expression analyses showed that Abca1 and Abcg1 transcripts increased 2–3-fold between embryonic days 13.5 and 18.5 in placental tissue; whereas, Sr-b1 expression decreased. To examine the functional role of Abca1, Abcg1 and Sr-b1 we measured the maternal–fetal transfer of 14C-cholesterol in corresponding mutant embryos. Disruption of either Abca1 or Sr-b1 decreased cholesterol transfer by ~30%. In contrast, disruption of the Abcg1 had no effect. Treatment of pregnant C57Bl/6 female mice with TO901317, an LXR-agonist, increased both Abca1 expression and maternal–fetal cholesterol transfer to the fetus. In an SLOS mouse model (Dhcr7–/–), which is incapable of de novo synthesis of cholesterol, in utero treatment with TO901317 resulted in increased cholesterol content in Dhcr7–/– embryos. Our data support the hypothesis that Abca1, and possibly Sr-b1, contributes to transport maternal cholesterol to the developing fetus. Furthermore, we show, as a proof of principle, that modulating maternal–fetal cholesterol transport has potential for in utero therapy of SLOS.


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