Addition of aminoguandine (3 or 15 mM) to glycolaldehyde and apoA-I incubations also inhibited crosslink formation (lane 3 versus 4, and lane 5 versus 6, Fig. 6B.) This treatment restored efflux to glycated lipid-free apoA-I to control apoA-I levels (Fig. 6C).Characterisation of in vivo modified apoA-I and cholesterol efflux to lipid-free apoA-I from ML 281 people with Type 1 diabetes and controlsApoA-I from people with well-controlled Type 1 diabetes had lower Arg and Lys than controls (Arg: 90.569.4 vs 100.067.6 ; Lys: 93.264.5 vs 100.067.6; both p,0.05) (Fig. 7A). Trp levels were not different, but CML levels were elevated (1.75-fold; Fig. 7B). No cross-linked apoA-I was detected in patients or controls (data not shown). Efflux (at 4 h) from lipidGlycation Alters Apolipoprotein A-I Lipid AffinityFigure 5. Cholesterol efflux to native and glycated drHDL from lipid-laden mouse macrophages. (A) Cholesterol efflux from AcLDLloaded J774A.1 cells exposed to 5 mM 9-cis-retinoic acid (R) and/or TO901317 (T) after exposure (8 h) to control drHDL (black bars) or drHDL exposed to glycolaldehyde (30 mM, 24 h, white bars). # Significantly different to control as assessed by one-way ANOVA. (B) Macrophage cholesterol efflux from AcLDL-loaded J774A.1 cells, following pretreatment with 5 mM 9-cis-retinoic acid (R) and TO-901317 (T), to drHDL 16985061 containing apoA-I after 0 (black bars), 4 (white bars) or 8 h (dotted bars). drHDL was treated with 0?0 mM glucose, 3 mM methylglyoxal (MG) or 3 mM glycolaldehyde (GA) for 24 h, 37uC. doi:10.1371/journal.pone.0065430.gFigure 4. Cholesterol efflux to native and glycated lipid-free apoA-I from lipid-laden macrophages. AcLDL-loaded J774A.1 cells were pretreated with cAMP, ML-240 before exposure to control or modified apoA-I for 0 (black bars) or 4 h (white bars). Lipid free apoA-I was treated with (A) 0?0 mM glucose, (B) 0? mM methylglyoxal (MG), or (C) 0? mM glycolaldehyde (GA) for 24 h at 37uC before addition to cells. * Significantly different by two-way ANOVA to the complete system without apoA-I pretreatment with glucose/methylglyoxal/ glycolaldehyde at that time point. doi:10.1371/journal.pone.0065430.gloss of Lys and Trp was detected with glycolaldehyde, compared to methylglyoxal, with both lipid-free apoA-I and drHDL. Methylglyoxal induced a similar loss of each residue for lipid-free apoA-I,and a preferential loss of Arg from drHDL [25]. This was accompanied by protein cross-linking. ApoA-I from people with Type 1 diabetes showed significant Arg and Lys depletion, but not Trp loss compared to controls, consistent with the known kinetics of modification of side-chain residues by these agents [33]. This in vivo loss was greater than that observed for apoA-I exposed to glucose ex vivo, but less than that induced by methylglyoxal or glycolaldehyde. Previous studies have reported no differences between HDL from controls or people with Type 1 diabetes with regard to size, density and particle composition [34]. Exposure of isolated apoA-I to glycolaldehyde ex vivo increased CML levels; elevated levels were also detected on apoA-I isolated from people with Type 1 diabetes compared to controls. We have previously reported increased levels of CML and others AGEs on lipid-free apoA-I isolated from people with Type 2 diabetes [14]. Ten-fold higher levels of CML have also been reported on HDLGlycation Alters Apolipoprotein A-I Lipid AffinityFigure 6. Inhibition of glycation of lipid-free apoA-I by aminoguanidine. (A) Arg, Lys and T.Addition of aminoguandine (3 or 15 mM) to glycolaldehyde and apoA-I incubations also inhibited crosslink formation (lane 3 versus 4, and lane 5 versus 6, Fig. 6B.) This treatment restored efflux to glycated lipid-free apoA-I to control apoA-I levels (Fig. 6C).Characterisation of in vivo modified apoA-I and cholesterol efflux to lipid-free apoA-I from people with Type 1 diabetes and controlsApoA-I from people with well-controlled Type 1 diabetes had lower Arg and Lys than controls (Arg: 90.569.4 vs 100.067.6 ; Lys: 93.264.5 vs 100.067.6; both p,0.05) (Fig. 7A). Trp levels were not different, but CML levels were elevated (1.75-fold; Fig. 7B). No cross-linked apoA-I was detected in patients or controls (data not shown). Efflux (at 4 h) from lipidGlycation Alters Apolipoprotein A-I Lipid AffinityFigure 5. Cholesterol efflux to native and glycated drHDL from lipid-laden mouse macrophages. (A) Cholesterol efflux from AcLDLloaded J774A.1 cells exposed to 5 mM 9-cis-retinoic acid (R) and/or TO901317 (T) after exposure (8 h) to control drHDL (black bars) or drHDL exposed to glycolaldehyde (30 mM, 24 h, white bars). # Significantly different to control as assessed by one-way ANOVA. (B) Macrophage cholesterol efflux from AcLDL-loaded J774A.1 cells, following pretreatment with 5 mM 9-cis-retinoic acid (R) and TO-901317 (T), to drHDL 16985061 containing apoA-I after 0 (black bars), 4 (white bars) or 8 h (dotted bars). drHDL was treated with 0?0 mM glucose, 3 mM methylglyoxal (MG) or 3 mM glycolaldehyde (GA) for 24 h, 37uC. doi:10.1371/journal.pone.0065430.gFigure 4. Cholesterol efflux to native and glycated lipid-free apoA-I from lipid-laden macrophages. AcLDL-loaded J774A.1 cells were pretreated with cAMP, before exposure to control or modified apoA-I for 0 (black bars) or 4 h (white bars). Lipid free apoA-I was treated with (A) 0?0 mM glucose, (B) 0? mM methylglyoxal (MG), or (C) 0? mM glycolaldehyde (GA) for 24 h at 37uC before addition to cells. * Significantly different by two-way ANOVA to the complete system without apoA-I pretreatment with glucose/methylglyoxal/ glycolaldehyde at that time point. doi:10.1371/journal.pone.0065430.gloss of Lys and Trp was detected with glycolaldehyde, compared to methylglyoxal, with both lipid-free apoA-I and drHDL. Methylglyoxal induced a similar loss of each residue for lipid-free apoA-I,and a preferential loss of Arg from drHDL [25]. This was accompanied by protein cross-linking. ApoA-I from people with Type 1 diabetes showed significant Arg and Lys depletion, but not Trp loss compared to controls, consistent with the known kinetics of modification of side-chain residues by these agents [33]. This in vivo loss was greater than that observed for apoA-I exposed to glucose ex vivo, but less than that induced by methylglyoxal or glycolaldehyde. Previous studies have reported no differences between HDL from controls or people with Type 1 diabetes with regard to size, density and particle composition [34]. Exposure of isolated apoA-I to glycolaldehyde ex vivo increased CML levels; elevated levels were also detected on apoA-I isolated from people with Type 1 diabetes compared to controls. We have previously reported increased levels of CML and others AGEs on lipid-free apoA-I isolated from people with Type 2 diabetes [14]. Ten-fold higher levels of CML have also been reported on HDLGlycation Alters Apolipoprotein A-I Lipid AffinityFigure 6. Inhibition of glycation of lipid-free apoA-I by aminoguanidine. (A) Arg, Lys and T.