A critical appraisal of the measurement of serum 'cholesterol efflux capacity'and its use as surrogate marker of risk of cardiovascular disease

M Anastasius, C Luquain-Costaz, M Kockx… - … et Biophysica Acta (BBA …, 2018 - Elsevier
M Anastasius, C Luquain-Costaz, M Kockx, W Jessup, L Kritharides
Biochimica et Biophysica Acta (BBA)-Molecular and Cell Biology of Lipids, 2018Elsevier
The 'cholesterol efflux capacity (CEC)'assay is a simple in vitro measure of the capacities of
individual sera to promote the first step of the reverse cholesterol transport pathway, the
delivery of cellular cholesterol to plasma HDL. This review describes the cell biology of this
model and critically assesses its application as a marker of cardiovascular risk. We describe
the pathways for cell cholesterol export, current cell models used in the CEC assay with their
limitations and consider the contribution that measurement of serum CEC provides to our …
Abstract
The ‘cholesterol efflux capacity (CEC)’ assay is a simple in vitro measure of the capacities of individual sera to promote the first step of the reverse cholesterol transport pathway, the delivery of cellular cholesterol to plasma HDL.
This review describes the cell biology of this model and critically assesses its application as a marker of cardiovascular risk. We describe the pathways for cell cholesterol export, current cell models used in the CEC assay with their limitations and consider the contribution that measurement of serum CEC provides to our understanding of HDL function in vivo.
Elsevier