AU2005264861A1 - Fluorescence assay for MTP activity - Google Patents

Description

WO 2006/009599 PCT/US2005/014460 FLUORESCENCE ASSAY FOR MTP ACTIVITY BACKGROUND OF THE INVENTION Microsomal triglyceride transfer protein (MTP) is a dedicated chaperone that is required for the assembly of apolipoprotein B (apoB) lipoproteins [for reviews, see refs. (1-6)]. It is believed that MTP transfers lipids to nascent apoB in the endoplasmic reticulum and renders it secretion-competent by forming primordial lipoprotein particles [for reviews, see refs. (1-9)]. The importance of MTP's lipid transfer activity in apoB secretion has been established by three independent approaches. First, mutations in MTP have been correlated with the absence of apoB lipoproteins in abetalipoproteinemia (10, 11). Second, antagonists that inhibit MTP's lipid transfer activity in vitro have been shown to decrease apoB secretion in vivo (12-14). Third, the coexpression of MTP with apoB has been demonstrated to facilitate apoB secretion in cells that do not express apoB and MTP (15, 16). In addition to its lipid transfer activity, MTP is known to physically interact with apoB (1, 2). Recently, MTP has been implicated in the import of triacylglycerols (TAGs) from cytosol to the lumen of the endoplasmic reticulum (17-19). Thus, it appears that MTP is a multifunctional protein (2) that plays a crucial role in the transport of TAG within intracellular organelles and in its secretion out of the cells. MTP was identified and purified by Wetterau and Zilversmit (20, 21) based on a radioisotope assay. In this assay, radiolabeled TAGs are incorporated into donor vesicles consisting of phosphatidylcholine (PC) and cardiolipin. These vesicles are incubated with acceptor vesicles in the presence of MTP. After 1-3 h of incubation, the cardiolipin containing donor vesicles are allowed to bind to DE52 and removed by centrifugation.

WO 2006/009599 PCT/US2005/014460 Radioactivity remaining in the supernatant is quantified by scintillation counting. This procedure is labor-intensive and time-consuming. Negatively charged lipids, such as cardiolipin, are known to inhibit the lipid transfer activity of MTP (22). Because of the multiple steps involved in this procedure, it is difficult to automate. Thus, it would be advantageous to have a simple, one-step procedure to measure MTP activity. Such a procedure would be useful, e.g., in identifying compounds that partially inhibit MTP activity and therefore decrease lipoprotein assembly and secretion. The identified compounds are highly desirable as drugs for decreasing plasma cholesterol and triglyceride levels in cells. Several pharmaceutical companies have identified antagonists that inhibit MTP activity (12-14, 23). A general approach taken by these companies is to identify compounds that decrease apoB secretion by HepG2 cells and then to determine their ability to inhibit MTP activity (3, 23). The primary screening involving the inhibition of apoB secretion might have been attributable to the difficulties involved in evaluating large numbers of compounds for MTP inhibition using a multi-step radioactive assay (20, 21). This two-step screening has resulted in the identification of compounds that inhibit MTP activity and decrease apoB secretion. Surprisingly, different compounds identified by various companies are structurally very similar (23). Unfortunately, these compounds cause significant accumulation of TAG in cells raising the possibility that the selected compounds are potent inhibitors of apoB secretion. Ideally, compounds that inhibit MTP activity but that have a partial effect on lipoprotein secretion are sought after. For this purpose, it is be desirable to develop methods that can screen compounds primarily for their ability to inhibit the lipid transfer activity of MTP. The present invention provides 2 WO 2006/009599 PCT/US2005/014460 simple, rapid, and sensitive methods to assay MTP activity that are amenable to automation and high-throughput screening. SUMMARY OF THE INVENTION The present invention provides methods and compositions for measuring MTP activity. In one aspect of the invention, there is provided a method of measuring levels of MTP comprising the steps of: (a) preparing donor vesicles having a fluorescence-labeled lipid incorporated therein; (b) preparing acceptor vesicles; (c) incubating either a cellular homogenate containing MTP or isolated MTP with the acceptor vesicles and the labeled donor vesicles for a time and under conditions sufficient to allow binding of the fluorescence-labeled lipid with MTP during transfer of the labeled lipid from donor to acceptor vesicles; and (d) measuring fluorescence of the fluorescence-labeled lipid bound to MTP. The cellular homogenates may comprise liver cells, intestinal cells, heart cells or any other cells that express MTP including but not limited to cells of animals (including humans), insects and microorganisms. Fluorescence-labeled lipids for use in the present invention include but are not limited to triglycerides, cholesterol esters (CE) or phospholipids. An example of a fluorescence-labeled triacylglycerol is 1, 2 dioleoyl 3-NBD glycerol (NBD-TAG). Vesicles are preferably small unilamellar vesicles, multi-lamellar vesicles, apoB lipoprotein vesicles, other lipoproteins, or phosphatidylcholine (PC) vesicles. The present invention also provides a method for identifying compounds that modulate the lipid transfer activity of MTP. The method comprises the steps of: 3 WO 2006/009599 PCT/US2005/014460 (a) incorporating a fluorescence-labeled lipid into donor vesicles; (b) preparing acceptor vesicles; (c) mixing an aliquot of acceptor vesicles and the labeled donor vesicles with a test compound, the test compound being a known or unknown modulator of MTP; (d) adding a cellular homogenate containing MTP or isolated MTP to the mixture containing donor vesicles, acceptor vesicles, and test compound; (e) incubating a first aliquot of acceptor vesicles, labeled donor vesicles, test compound and MTP for a time and under conditions sufficient to allow binding of the fluorescence-labeled lipid with MTP during transfer of the labeled lipid from donor to acceptor vesicles; (f) incubating a second aliquot of acceptor vesicles, labeled donor vesicles and MTP for a time and under conditions sufficient to allow binding of the fluorescence-labeled lipid with MTP during transfer of the labeled lipid from donor to acceptor vesicles; (g) measuring fluorescence of the fluorescence-labeled lipid bound to MTP obtained in steps (e) and (f); and (h) correlating an increase in fluorescence obtained in step (e) when compared to the fluorescence obtained in step (f) with identification of a compound which increases lipid transfer activity of MTP, while correlating a decrease in fluorescence obtained in step (e) when compared to the fluorescence obtained in step (f) with identification of a compound which decreases lipid transfer activity of MTP. The present invention also provides a method of quantifying lipid transfer activity of microsomal triglyceride transfer protein (MTP). The method comprises the steps of: (a) preparing donor vesicles having a fluorescence-labeled lipid incorporated therein: (b) preparing acceptor vesicles; (c) incubating either a cellular homogenate containing MTP or isolated MTP with the acceptor vesicles and the labeled donor vesicles for a time and under conditions sufficient to allow binding of the fluorescence-labeled lipid with MTP 4 WO 2006/009599 PCT/US2005/014460 during transfer of the labeled lipid from donor to acceptor vesicles; and (d) measuring fluorescence of the fluorescently labeled lipid bound to the MTP. Also provided by the present invention is a method for measuring levels of lipids transferred by MTP. (i.e., measuring net transfer of lipids by MTP). The method comprises the steps of: (a) preparing negatively-charged donor vesicles having a fluorescence-labeled lipid incorporated therein; (b) preparing acceptor vesicles; (c) incubating either a cellular homogenate containing MTP or isolated MTP with the acceptor vesicles and the labeled donor vesicles for a time and under conditions sufficient to allow binding of the fluorescence-labeled lipid with MTP and transfer of the fluoresescence-labeled lipid from donor to acceptor vesicles; (d) removing negatively charged donor vesicles and MTP from the incubation mixture of step (c); and (e) measuring fluorescent labeled lipids transferred to acceptor vesicles. The present invention also provides kits for measuring the lipid transfer activity of MTP and/or for measuring levels of lipids (net transfer of lipids) transferred by MTP. The kits comprise acceptor vesicles and fluorescence-labeled donor vesicles. Preferably, the fluorescence-labeled donor vesicles of the kit are comprised of a triglyceride, a cholesterol ester, or a phospholipid. Vesicles contained in the kit may be small unilamellar vesicles, multi-lamellar vesicles, apoB-lipoprotein vesicles, or phosphatidylcholine (PC) vesicles. The vesicles contained in the kit are preferably admixed with an appropriate buffer and may also contain a stabilizer such as BSA. The donor vesicles in the kit for measuring net transfer of lipids by MTP are preferably negatively charged. .5 WO 2006/009599 PCT/US2005/014460 BRIEF DESCRIPTION OF THE DRAWINGS Figures lA-ID graphically depict the effect of different amounts of donor and acceptor vesicles on the transfer of triacylglycerol (TAG) by microsomal triglyceride transfer protein (MTP). Line graphs and error bars represent means + SD (n-=3). Figures 2A-2C graphically depict the effects of time, temperature and NaCi on TAG transfer activity of MTP. Line graphs and error bars represent means + SD. Figures 3A-3C graphically illustrate the specificity of TAG transfer activity. Figures 4A and 4B are graphs depicting the role of acceptor vesicles in lipid transfer by MTP. Line graphs and error bars represent means + SD. Figures 5A-51 graphically illustrate transfer of various lipids in the presence of different acceptors. Line graphs and error bars represent means ± SD. Figures 6A and 6B are graphs comparing two methods to measure MTP activity in cell homogenates. Line graphs and error bars represent means + SD. Figures 7A and 7B graphically depict inhibition of MTP activity by BMS200150. Line graphs and error bars represent means + SD. Figure 8 is a schematic of a unilamellar vesicle with a labeled triglyceride, NBD TAG, embedded in the bilipid membrane. Figure 9A graphically depicts phospholipid transfer activity of MTP expressed as % lipid transfer over time, where different amounts of purified bovine MTP, in triplicate, were incubated with donor vesicles (1.2 nmoles PE and 100 pmoles of fluorescent PE) and with acceptor vesicles (7.2 moles PC) in 100 pl of 10 mM Tris-HC1 buffer 6 WO 2006/009599 PCT/US2005/014460 containing 0.1% BSA, 150 mM NaCl, and 2 mM EDTA at 370 C. Fluorescence at 550 nm was monitored over time. Figure 9B graphically depicts phospholipid transfer activity of MTP where- data from the 60 min time point of Figure 1 OA were re-plotted and was subjected to non-linear regression analysis ( = 0.9459) using Prism. Figure 1OA graphically depicts cholesterol ester transfer activity of MTP. Different indicated amounts of purified MTP were incubated with donor (1.2 nmoles PC and 100 pmoles of fluorescent CE) and acceptor vesicles as described in Figure 10A. Increases in fluorescence emission at 550 nm were recorded at indicated time intervals. Figure lOB also graphically depicts cholesterol ester transfer activity of MTP where different amounts of MTP were incubated with donor and acceptor vesicles for 30 min and the amounts of fluorescent CE being transferred were calculated. A non-linear regression curve (r 2 = 0.9842) was generated using Prism. Line graphs and error bars represent means ± SD, n = 3. Figure 11A graphically depicts lipid transfer activity in HepG2 cells. HepG2 cell lysates were prepared as described in Example III and used to perform lipid transfer assays in triplicate. Each assay contained 42 tg of protein. Data is expressed as line graphs and error bars representing means and standard deviations, respectively. Figure 11B graphically depicts lipid transfer activity in liver microsomes. Mouse microsomal contents were prepared as described in Example III. TAG, CE, or PE lipid transfer activities were measured in triplicate using 21 pg of protein. Mean values are drawn as line graphs and standard deviations as error bars. Non-linear regression curve fits were performed in Prism. 7 WO 2006/009599 PCT/US2005/014460 Figure 12A graphically depicts the effect of cardiolipin on the triacylglycerol transfer activity of MTP. Donor vesicles made with and without cardiolipin were used. The assay in triplicate contained 0.25 gg purified bovine MTP, 3 p1 donor vesicles (100 pmoles of fluorescent TAG, 1.2 nmol PC with or without 0.081 nmol of cardiolipin), 3 pl PC acceptor vesicles as described in Fig. 10A. The microtiter plate was incubated at 370 C, fluorescence was monitored over time, and % transfer determined as described before. Figure 12B graphically depicts net deposition of lipids by MTP. Transfer assays were set up in triplicate as in Figure 13A containing 0.25 pg MTP, 3 pl donor vesicles, and 3 pl of acceptor vesicles in 100 p1 assay volume. Percent lipid transfer was measured as described in Fig. 10A. To measure lipid deposition, 100 p1 of DE52 anion exchange resin was added to the reactions at the predetennined time points. After centrifugation, 10 pl of supernatant was transferred to a 96 well black microtiter plate. Fluorescence was measured after the addition of 90 pl of isopropanol. Figure 12C graphically depicts relative net lipid deposition by MTP., Net lipid transfer assays were set up in triplicate as described in Figure 13B. Assays contained 0.25 pg of purified bovine MTP, donor vesicles (100 pmole of different fluorescent lipids, 1.2 mole PC, and 0.081 nmoles of cardiolipin), and acceptor vesicles. Percent net lipid deposition was determined at 1 h for TAG as well as CE, and at 1.5 h for PE. The specific activity (% transfer/mg protein/h) was then calculated. Dividing the individual specific activities with the specific activity of TAG lipid transfer and multiplying by 100 provided relative net lipid transfer activities. Bar graphs and error bars represent mean + SD. 8 WO 2006/009599 PCT/US2005/014460 DETAILED DESCRIPTION OF THE INVENTION MTP activity is classically measured by incubating purified MTP or cellular homogenates with donor vesicles containing radio labeled lipids for 1-3 h, precipitating the donor vesicles, and measuring the radioactivity transferred to acceptor vesicles. In accordance with the present invention, new, simple, rapid, and sensitive fluorescence assays for MTP are provided. In a first embodiment of the invention, there is provided a method for measuring levels of MTP and/or quantifying the lipid transfer activity of MTP. In another embodiment of the invention, there is provided a method to measure the levels of lipids transferred by MTP (i.e., net transfer of lipids). These methods are useful in identifying specific inhibitors for individual lipid transfer activities, in characterizing different domains involved in transferring these lipids, and isolation of mutants that bind but cannot transfer lipids. In the first embodiment, MTP's capacity to bind and extract lipid from a membrane in the presence of acceptor vesicles is measured. Fluorescence is quenched when lipids are in unilamellar (one phospholipid bilayer) membrane vesicles. Upon association with MTP, the lipid fluorophore is un-quenched and detected by the flourimeter. The measurement of MTP activity by this assay is time as well as concentration dependent indicating that this procedure can be used to identify other antagonists. A further embodiment measures the net transfer of fluorescent lipids to acceptor vesicles. In this method, fluorescent-lipid deposited in acceptor vesicles is quantified after the removal of MTP and donor vesicles by anion exchange resin. This embodiment 9 WO 2006/009599 PCT/US2005/014460 of the present invention involves an additional step of separating acceptor vesicles from donor vesicles and MTP. In addition, the incorporation of negatively charged lipids in the donor vesicles decreases the sensitivity of the assay. Thus, this assay is preferred when there is a need to measure net transfer of lipids. For routine determination of MTP activity, the disclosed methods of measuring levels of MTP or quantifying lipid transfer activity are preferred. In the assays, isolated and/or purified MTP or cellular homogenates are incubated with donor vesicles containing quenched fluorescence-labeled lipids (e.g., triglycerides, cholesterol esters, and/or phospholipids) and different types of acceptor vesicles. The cellular homogenate may be made from any cells that express MTP. Preferably, the cells are animal liver cells, intestinal cells or heart cells. Preferably, the animal cells are from a mammal such as a rat, mouse, monkey, or human. Cellular homogenates may also comprise cells from insects or microorganisms. In accordance with the present invention, a fluorescence-labeled lipid may include but is not limited to a triglyceride, a cholesterol ester (CE) or a phospholipid. An example of a triglyceride for use in the present invention is triacylglycerol (TAG). An example of a phospholipid for use in the present invention is phosphatidylethanolamine. Examples of different types of fluorescence compounds which may be used for labeling the lipids include but are not limited to 7-nitrobenz-2-oxa-1,3-diazole (NBD), pyrene, or bodipy. Methods of labeling lipids with such fluorescent compounds are well known in the art and prepared fluorescently labeled lipids are also readily available. For use in the present invention, a lipid may contain at least one fluoresecent label at any position. For example, a triacylglycerol may contain at least one NBD at any position 10 WO 2006/009599 PCT/US2005/014460 while having fatty acids at other positions. Examples of pyrene-labeled lipids include the following which are available from Molecular Probes, Inc (Eugene, OR) and listed in their on-line catalog as follows: B-3782 1,2-bis-(1-pyrenedecanoyl)-sn-glycero-3-phosphocholine C-212 cholesteryl 1-pyrenebutyrate D-6562 1,2-dioleoyl-3-(1-pyrenedodecanoyl)-rac-glycerol H-361 1-hexadecanoyl-2-(l-pyrenedecanoyl)-sn-glycero-3-phosphocholine (1-py-Cio-HPC) H-3784 1-hexadecanoyl-2-(l-pyrenedecanoyl)-sn-glycero-3-phosphoethanolamine (p-py-C10 HPE) 11-3809 1-hexadecanoyl-2-(1-pyrenedecanoyl)-sn-glycero-3-phosphoglycerol, ammonium salt (p py-Co-PG) H-3810 1-hexadecanoyl-2-(1-pyrenedecanoyl)-sn-glycero-3-phosphomethanol, sodium salt (p py-Clo-HPM) H-3818 1-hexadecanoyl-2-(l-pyrenehexanoyl)-sn-glycero-3-phosphocholine (p-py-C 6 -HPC) P-58 11 WO 2006/009599 PCT/US2005/014460 N-(1 -pyrenesulfonyl)- 1,2-dihexadecanoyl-sn-glycero-3-phosphoethanolamine, triethylammonium salt (pyS DHPE) Examples of BODIPY-labeled lipids include the following which are available from Molecular Probes, Inc. and listed in their on-line catalog as follows: B-7701 1,2-bis-(4,4-difluoro-5,7-dimethyl-4-bora-3a,4a-diaza-s-indacene-3-undecanoyl)-s glycero-3-phosphocholine (bis-BODIPY@ FL C 1 1 -PC) B-3794 2-(5-buty1-4,4-difluoro-4-bora-3a,4a-diaza-s-indacene-3-nonanoyl)-1-hexadecanoyl-sn glycero-3-phosphocholine

(P-C

4 -BODIPY@ 500/510 C 9 -HPC) C-3927 cholesteryl 4,4-difluoro-5,7-dimethyl-4-bora-3a,4a-diaza-s-indacene-3-dodecanoate (cholesteryl BODIPY@ FL C 12 ) C-12680 cholesteryl 4,4-difluoro-5-(4-methoxyphenyl)-4-bora-3a,4a-diaza-s-indacene- 3 undecanoate (cholesteryl BODIPY@ 542/563 C 11 ) C-12681 cholesteryl 4,4-difluoro-5-(2-pyrrolyl)-4-bora-3a,4a-diaza-s-indacene-3-undecanoate (cholesteryl BODIPY@ 576/589 C 11 ) D-3792 2-(4,4-difluoro-5,7-dimethyl-4-bora-3a,4a-diaza-s-indacene-3-dodecanoyl)-1 hexadecanoyl-sn-glycero-3-phosphocholine (-BODIPY@ FL C 1 2 -HPC) D-3803 '12 WO 2006/009599 PCT/US2005/014160 2-(4,4-difluoro-5,7-dimthyl-4-bora-3a,4a-diaza-s-ildacele-3-peltaloyl)-l hexadecanoyl-sn--glycero-3-phosphocholine (g -BODIPYS FL C 5 -HLPC) D-3800 N-(4,4-difluoro-5 ,7-dimethyl-4-bora-3a,4a-diaza-s-indaccne-3 -propionyl)- 1,2 dihexadecanoyl-sn-glycero-3-phosphoethanolamifle, triethylanm-onium salt (BODIPYS FL DHPE) D-12656 N-(4,4-difluoro-5 ,7-dimethyl-4-bora-3 a,4a-diaza-s-indacene-3-propioflyl)- 1,2 dihexanoyl-sn-glycero-3-phosphothanolanfe, triethylammonium salt (BODIPY® FL dicaproyl PE) D-3813 2-(4,4-difluoro-5 ,7-dipheniyl-4-bora-3a,4a-diaza-s-ildacele-3-dodecaloyl)-l hexadecanoyl-sn-glycero-3-phosphothalolafifle ( -BODI1'Y® 530/550 C 12 -HPE) D-3815 -44dfur-,-ihnl4br-a4-iz--naee3pnaol- hexadecanoyl-sn-glycero-3-phospliocholine ( -BOD~IPYV 530/550 C 5 -HPC) D-3799 I N-(4,4-difluoro-5,7-diphenyl-4-bora-3 a,4a-diaza-s-indacene-3-propiolyl)- 1,2 dihexadecanoyl-sn-glycero-3-phosphoethalolamfife, triethylammnonium salt (BODIPYO 530/550 DHPE) D-3793 2-(4,4-difluoro-5-methyl-4-bora-3a,4a-diaza-s-ildacefle- 3 -dodecanoyl)-l1-hexadecanoyl siz-glycero-3-phosphocholine (f -BODIPY® 500/510 C 12 -HPC) 13 WO 2006/009599 PCT/US2005/014460 D-3795 2-(4,4-difluoro-5-octyl-4-bora-3a,4a-diaza-s-indacene-3-pentanoyl)- 1 -hexadecanoyl-sn glycero-3-phosphocholine (3 -C 8 -BODJPY@ 500/510 C 5 -HPC) D-3806 2-(4,4-difluoro-5-(4-phenyl-1,3-butadienyl)-4-bora-3a,4a-diaza-s-indacene-3-pentanoyl) 1-hexadecanoyl-sn-glycero-3-phosphocholine (-BODIPY@ 581/591 C 5 -HPC) NBD labeled lipids may also be custom synthesized by Molecular Probes, Inc., e.g., D-16408: Custom synthesis of 1,3-diolein, 2-NBD-X ester or B-1800: Custom synthesis of NBD-labeled cholesterol oleate (cholesterol ester) . In addition, the following compounds are available from Molecular Probes, Inc. and do not required custom synthesis: N-00360 (NBD-PE) N-(7-nitrobenz-2-oxa-1, 3-diazol-4-yl)-1,2-dihexadecanoyl sn-glycerol-3-phosphoethanolamine, triethylammonium; N-03786 (NBD C6-HPC) 2-(6-(7-nitrobenz-2-oxa-1,3-diazol-4-yl)amino) hexanoyl-1-hexadecanoyl-sn-glycero-3-phosphocholine; and N-03787 (NBD C12-HPC) 2-(12-(7-nitrobenz-2-oxa- 1,3-diazol-4-yl)amino dodecanoyl- 1 -hexadecanoyl-sn-glycero-3-phosphocholine. Examples of vesicles which may be used in the present invention include small unilamellar vesicles, multi-lamellar vesicles, apoB-lipoprotein vesicles or phosphatidylcholine (PC) vesicles. As used herein and consistent with the understanding of those skilled in the art, "unilamellar vesicles" mean vesicles (liposomes) having one phospholipid bilayer. "Multi-lamellar vesicles" mean vesicles (liposomes) having several phospholipid bilayers. Figure 8 schematically depicts a unilamellar vesicle with a labeled 14 WO 2006/009599 PCT/US2005/014460 triglyceride, NBD-TG, embedded in the bilipid membrane. Methods for making acceptor vesicles are known. See e.g., refs. 20, 21, and 30-32. Methods of making donor vesicles are also well known, see e.g., refs. 20, 21, 30-32. In accordance with the present invention, when making the subject donor vesicles, cardiolipin may be omitted and radiolabeled TAGs replaced with fluorescence-labeled TAGs. Both donor and acceptor vesicles are preferably admixed with an appropriate buffer such as e.g., Tris-HCI, pH at around 7.4. The donor and acceptor vesicles may be stored separately. Alternatively, the vesicles may be stored together so that the donor/acceptor vesicle mixture may be used directly in an assay or kit of the present invention. When donor and acceptor vesicles are stored together, the ratio of donor to acceptor vesicles is preferably in the range of from about 1:4 (donor: acceptor) to about 1:10 (donor: acceptor). Most preferably, the ratio of donor to acceptor vesicles is about 1:6. Vesicle preparations may be further stabilized by the addition of NaCl and BSA to the final concentrations of about 150 mM and 1mg/mi, respectively. MTP may be isolated from different sources and purified using well known methods. See e.g., refs. 20 and 21. For example, MTP may be isolated from bovine liver as previously described (refs. 20 and 21). Human MTP may be prepared by transfecting cultured cells with an expression vector comprising the coding sequence for MTP as described in ref. 15. The disclosures of these references as well as all other cited literature references, are incorporated by reference herein as if fully set forth. In accordance with the present invention, increases in fluorescence due to MTP mediated lipid transfer may be measured after a short period. The methods provided herein have been successfully used to measure the MTP activity in HepG2, Caco-2 cells, 15 WO 2006/009599 PCT/US2005/014460 and COS cells transfected with MTP expression plasmids. Furthermore, the methods provided by the present invention are useful in studying inhibition of cellular as well as purified MTP by its antagonists. The methods are amenable to automation and may be easily adopted for large-scale thorough put screening. In addition, the present invention provides methods which may be used to assay MTP in any sample for various purposes such as identification, modulation, diagnosis etc. For example, the methods may be used to assay activity in purified MTP samples, MTP present in cell lines, tissues etc. The assays provided by the present invention are very versatile and can measure the transfer of any lipid by MTP that contains a fluorescent label. Further, the methods provided herein to measure MTP activity are simple and rapid. They are based on the determination of increases in fluorescence attributable to the binding of fluorophor with MTP that occurs during the transfer of lipids between donor and acceptor vesicles. The methods of the present invention faithfully measure cellular activity in cells known to express MTP and do not measure activity in cells that do not express MTP (Table 1). Furthermore, the methods display similar inhibitory properties of antagonists that were identified using the radioisotope assay of the prior art (Fig. 7). MTP shows significantly higher activity in the presence of acceptor vesicles (Fig. 4). The low lipid binding activity of MTP in the absence of acceptor vesicles provides a unique opportunity to understand the role of different acceptor vesicles in the lipid transfer process. 16 WO 2006/009599 PCT/US2005/014460 With respect to the method provided herein for measuring levels of lipids transferred by MTP (net transfer of lipids), the method actually measures the net deposition of fluorescent-labeled lipids by MTP in acceptor vesicles. Thus, the present invention provides simple and rapid fluorescence assays for the measurement of MTP activity. The advantages of the new methods include ease, rapidity, sensitivity, avoidance of the use of negatively charged lipids, versatility in studying different lipid transfer activities by purified and cellular MTP, ability to measure inhibitory activities of antagonists, and forestalling the use of radioactivity. The fluorescence assays provided by the present invention may be easily automated and used for large-scale, high-throughput screening. This approach is useful in order to identify compounds that partially inhibit MTP activity and possibly minimize the unwanted side effects related to TAG accumulation in cells. It is becoming clear that MTP is a multifunctional protein that may have functions other than being a dedicated lipoprotein assembly chaperone. Compounds identified via screening based on the fluorescence assays provided herein may be useful in the identification of other functions of MTP unrelated to lipoprotein assembly and secretion. In accordance with the present invention, the MTP assays basically consist of three components: donor vesicles, acceptor vesicles, and MTP. The methods provided by the present invention show a linear relationship with all three components of the assay mixture and time (Figs. 1-4). A typical assay may be performed as outlined below. The amounts of the different components listed below may of course be changed, so long as the ratios among the different components remain relatively the same. Four different conditions (blank, 17 WO 2006/009599 PCT/US2005/014460 total, positive control, and test) are recommended for each assay. In all assays, the reaction is started by the final addition of the MTP source. About 3 pl each of acceptor and donor vesicles are pipetted onto fluorescence microtiter (black) plates. About 10 R1 of 10 mM Tris, pH 7.4, containing 2 mM EDTA and 10 pl of 1% BSA stock in 1.5 M NaCl are added. The exact number of vesicles for use in the assays described herein is difficult to quantify routinely. However, an easier method of quantifying vesicles is to measure phospholipid and triglycerides present in different vesicle preparations. Thus, the 3 jil of donor vesicles correlate to about 450 nimol of phosphatidylcholine (PC) and about 14 nmol of triglyceride per milliliter. A range of donor vesicle concentrations may be employed. A preferred range is e.g., anywhere from about 200 to about 600 nmol of phosphatidylcholine (PC) and 7-20 nmol triglyceride. The 3 1d of acceptor vesicles correlate to about 2,400 nmol PC/mt. However, a range of vesicle concentrations may be employed, e.g., anywhere from about 1,400 to about 3,400 nmol PC/ml. In blanks, the needed amount of control buffer (which contains the MTP source in positive control and test samples) is added and the volume made up with water to about 100 g1. In positive controls, a known amount of the MTP source is added and the volume made up with water to about 100 g1. In tests, unknown samples are added and made up to the final assay volume. For totals, about 3sl of donor vesicles and about 97pl of isopropanol only are added. The mixtures are incubated at about 37"C for about 30 min. Fluorescence units are measured using excitation and emission wavelengths of 460-470 and 530-550 rn, respectively. In case of low transfer activity, the incubation time can be increased. In fact, the same titer plate can be used several times to measure increases in fluorescence with time. However, the fluorophore is unstable in isopropanol over long 18 WO 2006/009599 PCT/US2005/014460 periods of time. Thus, for periods longer than 30 min, total values from readings detennined at 30 min or at earlier times should be used. The assay ingredients, including vesicles and positive controls may be made as described herein, and are also available from Chylos, Inc. (Woodbury, NY). In a preferred embodiment of the invention, donor and acceptor vesicles may be both stored and used as combined as described above. In this embodiment, when an assay is performed, only one pipetting step of vesicles (both donor and acceptor) is needed. The vesicles are preferably admixed with an appropriate buffer such as Tris HCl, pH at about 7.4. Other buffers may also be used such as e.g., phosphate buffer and HEPES. In a preferred embodiment, NaCl is added to a final concentration of about 150 mM. A NaCI stock solution (e.g. 3M) may be made and then diluted to yield the final concentration. Other salts such as KCl and MgCl 2 may also be used. Preferably, BSA is added to a final concentration of about 1mg/ml in order to stabilize the vesicles. A stock solution (e.g., 20 mg BSA/ml) may be made and then diluted to yield the final concentration. In still a further embodiment, the incubation step may be performed at room temperature. Donor vesicles containing fluorescent-lipids and acceptor vesicles may be prepared in as described in Example I. In a preferred embodiment, equal volumes of donor and acceptor vesicles may be combined. A typical assay procedure is described below: i. Pipette in triplicate vesicles in a fluorescence microtiter (black) plate as described in the table below. ii. Add water, sample etc. Wait for about 5 min to allow the ingredients to reach room temperature. 19 WO 2006/009599 PCT/US2005/014460 iii. Start the reaction by adding MTP in control and test and add isopropanol to totals. iv. Incubate for 30 min at room temperature. Vesicles Sample Buffer Water Isopropanol MTP A. Blank 5 p1 - 5 pl 901 B. Total 5 pl - - - 95 l C. Control 5 sl - 5 il 85ipl - 5 [d D. Test 5 pl - 90p1 - Measuring the MTP activity: Measure fluorescence units (FU) using excitation and emission wavelengths of 460-470 and 530-550 mu, respectively. Calculation of the MTP activity: % Transfer in Controls (C): (Control FU - Blank FU) / (Total FU - Blank FU) x 100 % Transfer in Test Samples (D): (Test FU - Blank FU) / (Total FU - Blank FU) X 100 A method of identifying compounds that modulate the lipid transfer activity of MTP is also provided by the present invention. The method comprises the steps of: (a) incorporating a fluorescence-labeled lipid into donor vesicles; (b) preparing acceptor vesicles; (c) mixing an aliquot of acceptor vesicles and the labeled donor vesicles with a test compound, the test compound being a known or unknown modulator of MTP; (d) adding a cellular homogenate containing MTP or isolated MTP to the mixture containing donor vesicles, acceptor vesicles, and test compound; (e) incubating a first aliquot of acceptor vesicles, labeled donor vesicles, test compound and MTP for a time and under conditions sufficient to allow binding of the fluorescence-labeled lipid with MTP during transfer of the labeled lipid from donor to acceptor vesicles; (f) incubating a second aliquot of acceptor vesicles, labeled donor vesicles and MTP for a time and under conditions sufficient to allow binding of the fluorescence-labeled lipid with MTP 20 WO 2006/009599 PCT/US2005/014460 during transfer of the labeled lipid from donor to acceptor vesicles; (g) measuring fluorescence of the fluorescence-labeled lipid bound to MTP obtained in steps (e) and (f); and (h) correlating an increase in fluorescence of the fluorescence-labeled lipids bound to MTP obtained in step (e) when compared to the fluorescence of the fluorescence labeled lipid bound to MTP obtained in step (f) with identification of a compound which increases lipid transfer activity of MTP, while correlating a decrease in fluorescence of the fluorescence-labeled lipid bound to MTP obtained in step (e) when compared to the fluorescence of the fluorescence-labeled lipid bound to MTP obtained in step (f) with identification of a compound which decreases lipid transfer activity of MTP. In another aspect of the invention, there is provided a kit for measuring the lipid transfer activity of MTP. The kit comprises acceptor vesicles and fluorescence-labeled donor vesicles as hereinbefore described. Preferably, the fluorescence-labeled donor vesicles are comprised of a triglyceride, a cholesterol ester, or a phospholipid. In another preferred embodiment, the triglyceride is any triacylglycerol that contains NBD label such as 1, 2, dioleoyl 3-NBD glycerol (NBD-TAG). In another preferred embodiment, the phospholipid is phosphatidylethanoloamine. The vesicles are preferably admixed with an appropriate buffer such as Tris HCl, pH at about 7.4. Other buffers may also be used such as e.g., phosphate buffer and HEPES. Acceptor and/or donor vesicles which form part of the kit may include small unilamellar vesicles, multi-lamellar vesicles, apoB-lipoprotein vesicles, or phosphatidylcholine (PC) vesicles. The vesicles may be stabilized by the addition of BSA. 21 WO 2006/009599 PCT/US2005/014460 The present invention also provides a method of quantifying lipid transfer activity of microsomal triglyceride transfer protein (MTP). The method comprises the steps of: (a) preparing donor vesicles having a fluorescednce-labeled lipid incorporated therein:. (b) preparing acceptor vesicles; (c) incubating either a cellular homogenate containing MTP or isolated MTP with the acceptor vesicles and the labeled donor vesicles for a time and under conditions sufficient to allow binding of the fluorescence-labeled lipid with MTP during transfer of the labeled lipid from donor to acceptor vesicles; and (d) measuring fluorescence of the fluorescently labeled lipid bound to the MTP. Also provided by the present invention is a method for measuring levels of lipids transferred by MTP. (i.e., measuring net transfer of lipids by MTP). The method comprises the steps of: (a) preparing negatively-charged donor vesicles having a fluorescence-labeled lipid incorporated therein; (b) preparing acceptor vesicles; (c) incubating either a cellular homogenate containing MTP or isolated MTP with the acceptor vesicles and the labeled donor vesicles for a time and under conditions sufficient to allow binding of the fluorescence-labeled lipid with MTP and transfer of the fluoresescence-labeled lipid from donor to acceptor vesicles; (d) removing negatively charged donor vesicles and MTP from the incubation mixture of step (c); and (e) measuring fluorescent labeled lipids transferred to acceptor vesicles. Donor vesicles made be made negatively charged by the addition of a negatively charged lipid such as cardiolipin, as described in the examples. Other negatively charged lipids may also be used and include but are not limited to phosphatidyl serine and phosphatidyl inositol. The negatively charged donor vesicles and MTP may be removed by sedimentation such as, e.g. centrifugation. Thus for example, the mixture of step (c) 22 WO 2006/009599 PCT/US2005/014460 maybe centrifuged at about 10, 000 to about 12,000 rpm. Acceptor vesicles remain in the supernatant. The present invention also provides useful kits for measuring net transfer of lipids transferred by MTP. The kits comprise acceptor vesicles. and negatively charged fluorescence-labeled donor vesicles. The fluorescence-labeled donor vesicles may be comprised of a triglyceride, a cholesterol ester, or a phospholipid. An example of a triglyceride contained in the kit is any triacylglycerol that contains NBD label. For example, the triacylglycerol may be 1,2,dioleolyl 3-NBD glycerol (NBD-TAG). An example of a phospholipid which make up a donor vesicle is phosphatidylethanolamine. The acceptor vesicles for use in the kits may be small unilamellar vesicles, multi-lamellar vesicles, apoB-lipoprotein vesicles, or phosphatidylcholine (PC) vesicles. The vesicles contained in the kit may be stabilized by the addition of BSA. The following examples further describe the invention and are not meant in any way to limit the scope thereof. 23 WO 2006/009599 PCT/US2005/014460 EXAMPLE I MATERIALS AND METHODS Materials MTP was purified from bovine liver using the radioactivity assay (20, 21) and has been used previously (24-29). PC and TAG were from Avanti Lipids (Alabaster, AL). Fluorescence (nitrobenzoxadiazole)- labeled TAG was from Molecular Probes (Eugene, OR). Vesicles containing fluorescence-labeled cholesteryl ester (CE) and phospholipid (PL) were from Roar Biomedical, Inc. (New York, NY) and Cardiovascular Target, Inc. (New York, NY), respectively. Isopropanol and other chemicals were from Sigma Chemical Co. (St. Louis, MO). Acceptor vesicles were prepared as described by Wetterau and associates (20, 21, 30-32). Donor vesicles were also prepared according to their procedure except that cardiolipin was omitted and radiolabeled TAGs were replaced with fluorescence-labeled TAGs. Known amounts of fluorescent lipids were diluted in isopropanol to generate a standard curve, and amounts of labeled lipids in vesicles were determined after their disruption with isopropanol. The amounts of triolein in vesicles were quantified by a colorimetric assay (InfinityTM Triglyceride Reagent Kit; Sigma). The MTP inhibitor BMS200150 (diphenyl-propyl-piperidinyl-dihydroiso-indole) has been described (12) and was a kind gift from Dr. Haris Jamil of Bristol-Myers Squibb (Princeton, NJ). 24 WO 2006/009599 PCT/US2005/014460 Transfer assay The assay was done in Microfluor @ 2 Black "U" Bottom Micro-titer @ plates (Thermo Labsystems, Franklin, MA). To the wells, was added 3 1 of donor (450 nmol of PC and 14 nmol of TAG per milliliter), 3 1 of acceptor (2,400 nmol PC/ml) vesicles, 10 1 of 10 mM Tris-HCl buffer, pH 7.4, 2 mM EDTA, 150 mM NaCl, distilled water to make the final assay volume of 100 1, and purified MTP (0.1-1.5 g) in triplicate. In some experiments, NaCl and BSA were added to obtain final concentrations of 150 mM and 1 mg/ml, respectively. Plates were incubated at 37*C or at room temperature for different time periods and read with a fluorescence plate reader (7620 Microplate Fluorimeter; Cambridge Technology, Watertown, MA) using 460 nm excitation and 530 mn emission wavelengths. To determine blank values, MTP was omitted from the wells. Total fluorescence in donor vesicles was determined by adding 97 pl of isopropanol to 3 p1 of donor vesicles. To study MTP inhibition, different concentrations of BMS200150 were added to the reaction mixture before the addition of MTP. MTP activity (percentage transfer) was calculated by the following equation: percentage transfer (arbitrary fluorescence units in assay wells blank values)/(total fluorescence units blank values) 100. The specific activity is expressed as percentage transfer per micrograms per hour. Transfection of Cos-7 cells Cos-7 cells were grown (370 C, 5% CO 2 , humidified chamber) in DMEM (Cellgro Mediatech, Inc., Herndon, VA) supplemented with 10% fetal bovine serum and 1% antibiotic-antimycotic (Life Technologies, Rockville, MD). Cells (1 x 10 6 ) were 25 WO 2006/009599 PCT/US2005/014460 plated in 75 cm 2 flasks 24 h before transfection. At the time of transfection, cells were about 50-60% confluent. The MTP expression vector (15) pRc-hMTP (7 g; expresses human MTP under the control of the cytomegalovirus promoter) was introduced into Cos-7 cells complexed with 211 of FuGENE-6 Transfection Reagent (Roche Diagnostics, Indianapolis, IN). Cells were maintained at 370 C and 5% CO 2 in 7 ml of medium for about 72 h. Cos-7 cells were also treated with FuGENE-6 alone (mock transfection) and used as controls. Determination of MTP activity in cell homogenates MTP activity in cellular homogenates was determined as described by Jamil et al. (12). Confluent cell monolayers were washed with ice-cold sterile PBS, pH 7.4, scraped in 5 ml of PBS, transferred to 15 ml conical tubes, and pelleted down by centrifugation (2,500 rpm, 10 min, room temperature). At this point, cell pellets can be stored at 70"C. For homogenization, 750 l of homogenization buffer (50 mM Tris-HCl, pH 7.4, 50 mM KCl, and 5 mM EDTA) and 7.5 jil of protease inhibitor cocktail (catalog number P 2714; Sigma) were added to the cell pellets. Cells were then suspended by repeated aspirations through a needle (29G, 11/2 inches) attached to a 3 ml syringe and homogenized on ice in a ball-bearing homogenizer (clearance 0.253 inches, 10 passages). Cell homogenates were stored on ice, and protein concentrations were determined by the Bradford method (33) using Coomassie Plus Reagent (Pierce, Rockford, IL) and BSA as standards. Cell homogenates were diluted with homogenization buffer to a protein concentration of 1.5 mg/ml. MTP was released from microsomes by deoxycholate treatment (12). For this purpose, cell homogenates were adjusted to 0.054% 26 WO 2006/009599 PCT/US2005/014460 deoxycholate by the addition of one-tenth volume of 0.54% sodium deoxycholate, pH 7.4, and left on ice for 30 min with occasional mixing. Cell membranes were subsequently removed by centrifugation in a SW55 Ti rotor at 50,000 rpm for 1 h at 100 C. The supernatants were dialyzed in 12-14 kDa cutoff dialysis bags against 15 mM Tris-HCl, pH 7.4,40 mM NaCl, 1 mM EDTA, and 0.02% NaN3 , with the first change after 1h and the second change after 2 h followed by overnight dialysis. Cell homogenates were removed from the dialysis bag and used for protein determination and MTP assay. For inhibition studies, HepG2 cells were incubated with different concentrations of the MTP inhibitor BMS200150 for 24 h, and cell homogenates obtained from the cells were used for MTP assay. To develop a more rapid procedure to assay cellular MTP, the procedure described by Chang, Limanek, and Chang (34) was evaluated for cell disruption. In this procedure, cells are first exposed to a hypotonic buffer and then scraped off the plates. Exposure to hypotonic buffers results in swelling of the cells, and scraping breaks these cells. Cell monolayers were washed twice with ice-cold PBS and once with 5 ml of 1 mM Tris-HCl, pH 7.6, 1 mM EGTA, and 1 mM MgCl 2 at 4*C. Cells were then incubated for 2 min at room temperature in 5 ml of ice-cold 1 mM Tris-HCI, pH 7.6, 1 mM EGTA, and 1 mM MgCl2 . The buffer was aspirated, and 0.5 ml of the same buffer was added to cells. Cells were scraped and collected in ice-cold tubes, vortexed, and centrifuged (SW55 Ti rotor, 50,000 rpm, 10*C, 1 h), and supernatants were used for MTP assay and protein determination. 27 WO 2006/009599 PCT/US2005/014460 Determination of MTP activity in rat liver microsomes Rat liver microsomes were prepared as described by Wetterau and Zilversmit (20, 21) with slight modifications. Briefly, 2 g of rat liver was cut into small pieces and washed twice with ice-cold PBS. Pieces were then homogenized in 2 ml of 50 mM Tris HCl, pH 7.4, 5 mM EDTA, 250 mM sucrose, and 0.02% sodium azide using a Polytron homogenizer and centrifuged (Beckman micro-centrifuge, 10,900 rpm, 30 min, 4*C). Supernatants were retained and adjusted to pH 5.1 with concentrated HCl, stirred in the cold for 30 min, and centrifuged (Beckman microcentrifuge, 13,000 rpm, 30 min, 4"C). Pellets were suspended in 2 ml of 1 mM Tris-HCI, pH 7.6, 1 mM EGTA, and 1 mM MgCl 2 , vortexed, and ultracentrifuged (SW55 Ti rotor, 50,000 rpm, 10'C, 1 h), and supernatants were used for MTP assay and protein determination. 28 WO 2006/009599 PCT/US2005/014460 EXAMPLE II Optimization of assay conditions To standardize a fluorescence assay for MTP, TAGs were incorporated into small unilamellar PC vesicles (donor vesicles). It was anticipated that the encapsulation would result in the quenching of the fluorophore. Indeed, disruption of increasing amounts of donor vesicles with iso-propanol resulted in enhanced measurable fluorescence (Fig. 1A, total). This represents the total amounts of fluorophore present in the vesicles. Before disruption, this fluorescence is not detectable because it is quenched in vesicles. It was also envisioned that donor vesicles would be stable and would not release the fluorophore in the absence of MTP. To determine the stability, donor vesicles were mixed with acceptor vesicles and the fluorescence in the absence of MTP was measured after 30 min (Fig. 1A, blank). The blank fluorescence values ranged between 13% and 19% [15.7 ± 2.7% (average SD; n =3)] of the totals. The blank values probably represent the small leakage of the fluorophore. It was then hypothesized that the extraction of TAG from donor vesicles by MTP for transfer would manifest as increased detectable fluorescence. Incubation of constant amounts of MTP and acceptor vesicles with increasing amounts of the donor vesicles resulted in increased detection of fluorescence, indicating the transfer of TAG by MTP (Fig. 1A, transfer). The "transfer" represents the amounts of TAG being transferred by MTP between vesicles. During transfer, the MTP-bound fluorophore is most likely exposed to the aqueous environment and is now detected by the fluorimeter. The fluorescence units were 40-47% higher than the blank values. Next, the data were used to calculate the percentage transfer of TAG 29 WO 2006/009599 PCT/US2005/014460 (Fig. 1B). The percentage transfer activity increased up to 2 p1 of the donor vesicles (28 pmol of TAG) and appeared to saturate thereafter. Next, the effect of different concentrations of acceptor vesicles was studied. In these experiments, constant amounts of MTP and donor vesicles were incubated with different volumes of acceptor vesicles (Fig. 1C). The amounts of TAG transferred increased with increasing amounts of the acceptor vesicles and saturated at 2 pl. The increases in the transfer at lower concentrations of acceptor vesicles indicated that these vesicles were limiting in the assay conditions. However, at 2 pl and above, the assay became independent of the acceptor vesicle concentrations. Note that there was no decrease in detectable fluorescence with increasing concentrations of acceptor vesicles. This indicates that MTP transfers lipids between vesicles and does not cause the unidirectional deposition of lipids into the acceptor vesicles. Under these conditions, MTP was in the process of transferring 20% of the total TAG present in the donor vesicles (Fig. 1D). In subsequent studies, 3 p1 of the acceptor vesicles were used. To determine the intra-assay coefficient of variation (CV), the transfer assay was performed in 10 tubes using 0.5 g of MTP, 3 p1 of donor, and 3p 1 of acceptor vesicles. The percentage transfer observed was 19.9 + 1.8 (mean ± SD; n=10), and the intra-assay CV was 0.09. Similarly, the interassay variations were evaluated. Comparison of seven different independent determinations performed in triplicate using 1 pg of MTP revealed an interassay CV of 0.19. The percentage transfer observed in these experiments was 34.5 + 3.0. Figure 1 shows the effect of different amounts of donor and acceptor vesicles on the transfer of triacylglycerol (TAG) by microsomal triglyceride transfer protein (MTP). 30 WO 2006/009599 PCT/US2005/014460 A: Total. Different indicated volumes of donor vesicles were disrupted by the addition of 100 pl of isopropanol, and the fluorescence units were measured immediately. Note that this value represents the total amounts of fluorophore present in the vesicles and is not a simple sum of "blank" and "transfer" values. Blank. Different volumes of donor vesicles and 3 pl of acceptor vesicles were incubated in assay buffer (100 pl) as described in Example I, Materials and Methods, and fluorescence units were measured after 30 min of incubation at 37" C. Transfer. Incubations were the same as those described for blank except that these samples also contained 0.5 g of purified MTP. This represents the amount of lipids being transported by MTP at a given time. During transfer, MTP-bound fluorescent lipids are most likely exposed to the aqueous environment and are detected by the fluorimeter. B: The data from A were used to calculate the percentage transfer of TAG as described in Materials and Methods. The TAG concentration in donor vesicles was 14 pmol/ml. C: Donor vesicles (3 pd) were incubated (30 min, 37*C) with different volumes of acceptor vesicles along with 0.5 g of purified MTP. The fluorescence units were obtained by subtracting blank fluorescence units from units observed in assay tubes. D: The data from C were used to calculate percentage transfer as described in Example I, Materials and Methods. For this purpose, blank and total fluorescence units were determined in triplicate simultaneously, as described in Example I, Materials and Methods. Line graphs and error bars represent means ± SD (n=3). Experiments were then performed to determine the effects of time, temperature, and NaCl concentrations required for MTP activity (Fig. 2). Different indicated amounts of MTP were incubated with donor and acceptor vesicles as described in Example I, Materials and Methods. Appropriate totals and blanks were in-cluded as described in 31 WO 2006/009599 PCT/US2005/014460 Example I, Materials and Methods. Fluorescence readings were measured at the indicated times in triplicate using a microplate reader. The percentage transfer of TAG is plotted against time. B: Temperature. The experiment was performed on two different microtiter plates. Purified MTP (0.25 g/well) was incubated with donor and acceptor vesicles in triplicate. One plate was incubated at 370 C, and the other was left at room temperature (RT). Fluorescence readings were taken at different time points at room temperature (22*C). C: Effect of NaCl. Donor vesicles (3 pl), acceptor vesicles (3 gl), and MTP (1 gg) were incubated in triplicate for 30 min in 1 mM Tris-HCl, pH 7.4, and 2 mM EDTA in the presence of various indicated concentrations of NaCl. Line graphs and error bars represent means + SD. At all of the different concentrations of MTP used, TAG transfer activity increased with time up to 30 min (Fig. 2A). After that time, the transfer activity began to saturate. The effect of temperature on transfer activity was studied (Fig. 2B). The lipid transfer activity of MTP was the same at room temperature (22'C) and at 37'C, indicating no significant effect of temperature on activity. These results likely indicate that MTP is optimally active at 22'C. The effect of NaCl on MTP activity (Fig. 2C) was also determined. The addition of increasing concentrations of NaCl up to 150 mM resulted in increased MTP activity. Higher concentrations of NaCl appear to inhibit transfer activity. It is concluded therefore, that 30 min incubations and 150 mM NaCl are optimum to determine MTP activity. Next, the specificity of the assay using different concentrations of purified MTP and BSA on TAG transfer was studied (Fig. 3). Results shown in Figure 3A were obtained after donor [3 pl; 450 nmol of phosphatidylcholine (PC) and 14 nmol of TAG 32 WO 2006/009599 PCT/US2005/014460 per milliliter] and acceptor (3 1d; 2,400 nmol PC/ml) vesicles were incubated with different indicated amounts of MTP or BSA in triplicate for 30 min. Fluorescence units were obtained after subtracting blanks from the assay tubes. Data from these results (Figure 3A) for MTP were used to determine percentage transfer activity. For BSA, these values were negative and were not plotted. The assay was also performed in the absence and presence of BSA (0.1%) using various indicated amounts of purified MTP (Figure 3C) Line graphs and error bars represent means + SD. The addition of increasing amounts of MTP resulted in enhanced detectable fluorescence (Fig. 3A). In contrast, the presence of BSA decreased the amounts of detectable fluorescence and may represent either quenching of the released fluorescence by BSA or stabilization of the donor vesicles by BSA, preventing the basal fluorophore leakage. In Fig. 3B, the data were converted to measure the percentage of TAG undergoing transfer between vesicles. Under the experimental conditions, the amounts of TAG being transferred reached saturation at 2 pg of MTP. At saturation, 40% of the total TAG was in the process of transfer and probably represented the maximum binding capacity of MTP. Because BSA decreased the fluorescence units in blank samples, it was reasoned that it may have a positive effect on MTP assay. Furthermore, the presence of BSA may decrease the loss of MTP and vesicles by adsorption to tube surfaces. To test this hypothesis, BSA (1 mg/ml) was used in the assay. As shown in Fig. 3C, the activity measured in the presence of BSA was almost twice that observed in the absence of BSA. This was mainly attributable to decreased blank values in the presence of BSA. The blank values in the presence and absence of BSA were 12.5 + 0.7% and 18.5 ± 0.5% (n=3) of 33 WO 2006/009599 PCT/US2005/014460 the totals. Thus, the inclusion of BSA improves the sensitivity of the assay, most likely by preventing the leakage of the fluorophore from the donor vesicles. Subsequently, the specific activity of MTP determined by radiolabel and fluorescence assays was compared. The specific activity (percentage transfer per microgram per hour) in various preparations using the radiolabel assay was 12.5 + 2.4 (n=27). The specific activity by the fluorescence method in the absence of BSA was 92.6 ± 19.7 (n=20), whereas the specific activity determined in the presence of BSA was 204.4 ± 33.1 (n=7). Thus, specific activities measured by the fluorescence assay were higher than those observed using the radiolabel assay. The higher specific activities may be attributable to the higher sensitivity of the assay. Another reason for the difference may be different parameters used in these two assays. In the radiolabeled assay, the amount of TAG transferred to acceptor vesicles is measured. In contrast, the fluorescence assay described in this example measures the amount of TAG being transferred by the MTP. TABLE 1 Determination of MTP activity in cells using the deoxycholate method Cells Protein per Assay Fluorescence Specific Activity Pg % change % transfer/lpg/h Cos-7 cells 70.9 0.9 0.6 0.026 ± 0.017 Cos-7 cells + 51.0 10.2+ 1.0 0.401 ± 0.04 MTPa HepG2 cells 47.2 23.2 0.6 0.982 10.024 Caco-2 cells 48.6 19.5 1.4 0.801 ± 0.057 MTP, microsomal triglyceride transfer protein. aCos-7 cells transiently transfected with MTP expression vectors. 34 WO 2006/009599 PCT/US2005/014460 Role of acceptor vesicles The MTP assay consists of three components: donor vesicles, acceptor vesicles, and MTP. Obviously, donor vesicles and MTP are required. It was reasoned that MTP could transfer lipids between donor vesicles and that the acceptor vesicles may not be needed for activity measurements. To test this hypothesis, different amounts of donor vesicles (450 nmol of PC and 14 nmol of TAG per milliliter) were incubated without acceptor vesicles and MTP (DV only), with 0.5 g of purified MTP (DV MTP), with 3 1tl of acceptor vesicles (DV + AV), or with 3 [d of acceptor vesicles (2,400 nmol PC/ml) and 0.5 ptg of purified MTP (DV + AV + MTP) in assay buffer (100 pl). Fluorescence units were measured after 30 min of incubation at 37*C. This data is plotted in Figure 4A. The data shown in Figure 4A were used to calculate percentage transfer as described in Materials and Methods. Line graphs and error bars represent means SD. Incubation of increasing amounts of donor vesicles with (DV + AV) or without (DV only) acceptor vesicles gave similar fluorescent readings, indicating little transfer of TAG in the absence of MTP (Fig. 4A). These data are in agreement with the blanks in Fig. IA. Incubation of increasing amounts of donor vesicles with MTP (DV + MTP) resulted in some increase in fluorescence, indicating some transfer of lipids. In contrast, a significant increase in fluorescence was observed when acceptor vesicles were included in the reaction mixture (DV + AV + MTP). The data were then used to calculate percentage transfer of TAG (Fig. 4B). In the absence of acceptor vesicles (DV + MTP), the TAG transfer ranged between 4% and 16%. In the presence of acceptor vesicles (DV + AV + MTP), however, MTP was engaged in transferring almost 40% of TAG present 35 WO 2006/009599 PCT/US2005/014460 in donor vesicles. These data demonstrate that the presence of acceptor vesicles greatly facilitates the transfer process. Transfer of different lipids to various acceptors by MTP The effect of different types of acceptor vesicles on the transfer of various lipids by MTP was studied. First, PC or PC/TAG vesicles were used as acceptors. The percentage transfers observed in triplicate with these acceptors were 33 h 2.6 and 30.9 ± 1.3, respectively, indicating that the absence of TAG in the acceptor vesicles does not have any significant effect on the transfer activity. MTP is known to transfer other lipids besides TAG (20). Thus, experiments were performed to evaluate the suitability of this assay to study the transfer of CEs and PLs in addition to TAG (Fig. 5). In this experiment, small unilamellar vesicles (PC/TAG vesicles), apoB lipoproteins (which contained both VLDL and LDL), and HDL were used as acceptors and the transfer was studied over a period of 4 h. This experiment was performed before the optimization of conditions described in Fig. 2. In these early experiments, incubations were performed for a longer period of time before measuring the transfer activity. Three different types of donor vesicles (3 g1) containing TAG (A-C), cholesteryl ester (D-F), or phospholipids (G-I) were used. The acceptor vesicles (3 pl; 2,400 nmol PC/ml) were small unilamellar vesicles (PC/TAG vesicles; A, D, and G), apolipoprotein B (apoB) lipoproteins (VLDL and LDL; B, E, and H), and HDLs (10 mg protein/ml; C, F, and I). Different donor and acceptor vesicles were incubated without (control) or with 1 tg of purified MTP (MTP) in triplicate for the indicated times, and fluorescence was 36 WO 2006/009599 PCT/US2005/014460 measured as described in Materials and Methods. Line graphs and error bars represent means ± SD. Results indicated that MTP transferred TAG when donor vesicles were incubated with small unilamellar PC/TAG vesicles (Fig. 5A) and apoB lipoproteins (Fig. 5B) but not when incubated with HDL (Fig. 5C). The transfer resulted in a 109-172% increase in fluorescence units after 4 h of incubation (Fig. 5A, B). Similarly, MTP transferred CE in the presence of PC/TAG vesicles (Fig. 5D) and apoB lipoproteins (Fig. 5E) but not in the presence of HDL (Fig. 5F). MTP was able to transfer PLs when donor vesicles were incubated with PC/TAG vesicles; the increase in fluorescence was 186% at 4 h (Fig. 5G). However, studies of the transfer of PL by MTP in the presence of apoB lipoproteins as acceptors were difficult to interpret (Fig. 5H). This was attributable to a significant increase in the background fluorescence when donor vesicles were incubated with apoB lipoproteins in the absence of MTP (compare controls in Fig. 5G, H; also note the different y values in these panels). Again, MTP did not transfer PL when HDL was used as an acceptor (Fig. 51). These studies show that MTP activity transfers both neutral lipids, TAG and CE, when small unilamellar vesicles and apoB lipoproteins are used as acceptors. Measurement of MTP activity in cells The next question was to determine whether this assay could be used to measure MTP activity in cells (Table 1). Microsomal MTP was released by deoxycholate treatment described by Jamil et al. (12). Cos-7 cells were transfected or not with MTP expression vector to determine the specificity of the MTP assay (Table 1). As expected, no MTP was detectable in mock-transfected Cos-7 cells. However, transfection with 37 WO 2006/009599 PCT/US2005/014460 MTP expression vectors resulted in increased MTP activity in Cos-7 cells, in agreement with other studies (15, 29). Similarly, MTP activity could be measured in cellular homogenates of HepG2 and differentiated Caco-2 cells. These studies indicate that the new method can be used to determine cellular MTP activity. The deoxycholate method is cumbersome, involves several steps, and requires at least 2 days. To simplify this procedure, the method of Chang, Limanek, and Chang (34) was evaluated, which involves the disruption of cells by hypotonic buffers and requires far less time to prepare cell extracts for assay. Rat liver microsomes were subjected to hypotonic buffer treatment, and released contents were used for MTP activity measurements. The specific activity (percentage transfer per microgram per hour) of MTP in liver microsomal contents was 0.498 ± 0.09 (mean+ SD, n=9). For transfer assays, 40-50 g of cellular proteins were used in triplicate, and the activity was measured for up to 1 hr. As shown in Figures 6 and 10, both methods gave similar MTP activity. Thus, hypotonic treatment is a better procedure to measure cellular MTP activity because less time and fewer manipulations are required. Inhibition of MTP activity Experiments were then performed to measure the effect of MTP antagonists on its activity (Fig. 7). For this purpose, an MTP inhibitor, BMS200150, described by Jamil et al. (12) was used. Purified MTP (1 g) was incubated with donor and acceptor vesicles for 30 min in the presence of the indicated concentrations of the MTP inhibitor BMS200150. As shown in Fig. 7A, increasing concentrations of BMS200150 resulted in a dose 38 WO 2006/009599 PCT/US2005/014460 dependent inhibition of the purified MTP activity. The IC 50 was 0.08 M and was in the range reported by others (12). Next, HepG2 cells were incubated with different concentrations of the inhibitor for 24 h, and homogenates were prepared using the deoxycholate method (12) and assayed for MTP activity. Cells were washed, and lysates were prepared using the deoxycholate method described in Materials and Methods. For transfer assays, 40-50 g of cellular proteins was used in triplicate. As shown in Fig. 7B, increasing concentrations of BMS200150 resulted in decreased cellular MTP activity. The ICSO value of-1.3 M is in agreement with published studies (12). The differences in the IC 50 values obtained for the purified MTP and cell lysates may be attributable to the presence of other proteins in cell lysates that might interact with the inhibitor and decrease its efficacy. These studies indicate that the assay is useful in measuring MTP activity and its inhibition by antagonists. 39 WO 2006/009599 PCT/US2005/014460 EXAMPLE III Materials and Methods Materials: MTP was purified from bovine liver using the radioisotope assay (7; 19) and rat liver using a kit (Chylos Inc., Woodbury, NY). Fluorescent (nitrobenzoaxadiazol) labeled phosphatidylcholines (PC) and unlabeled PC were purchased from Avanti Polar Lipids (Alabaster, AL). Nitrobenzoaxadiazol-labeled CE, PE, as well as TAG were from Molecular Probes (Eugene, OR). Thermo Labsystems (Franklin, MA) supplied the Black 96 well microtiter plates. Isopropanol and other chemicals were from Sigma Chemical Co. (St. Louis, MO). Preparation ofphospholipid vesicles containing fluorescent PE and CE: Acceptor phosphatidylcholine (PC) vesicles were prepared as described by Wetterau and associates (20-22, 31). Donor vesicles were also prepared by sonication as described before (20-22, 31, 35). Briefly, unlabeled phosphatidylethanolamine (PE) and fluorescent-PE were evaporated and sonicated under nitrogen for 45 minutes at 40 C. CE donor vesicles were prepared similarly using fluorescent-CE and unlabeled PC. Vesicles, collected after centrifugation (about 12,000 rpm, 10 minutes, table-top centrifuge) were found to be stable for one month. Known amounts of fluorescent lipids were diluted in isopropanol to generate standard curves used to estimate the moles of fluorescent lipids incorporated in the donor vesicles. Measuring lipid transfer activities: Assays were performed in triplicate in a black 96 well microtiter plate (35). A final reaction mixture (100 [d) contained 3 pl of donor (1.2 40 WO 2006/009599 PCT/US2005/014460 nmol PC or PE containing various fluorescent lipids), 3 i of acceptor (7.2 nmol of PC) vesicles, and a MTP source in 10 mM Tris, pH 7.4, 0.1% BSA, 150 mM NaCl buffer. The microtitre plate was incubated at 37'C, and at predetermined time points, samples were excited at 485 nm and fluorescence emission was measured at 550 nm using a Victor 3 dual fluorimeter / luminometer (Perkin Elmer). To determine the % lipid transfer, fluorescence values obtained from control assays containing no MTP source (blanks) were subtracted from sample values and then divided by the total fluorescence present in the vesicles reduced by blanks. Blank values ranged 10-25% of total fluorescence in various preparations. To obtain total fluorescence, 3 pl of donor vesicles were incubated with 97 pl of isopropanol for 5 min. Measurement of net lipid deposition: To measure net lipid deposition, fluorescent-TAG containing negatively-charged donor vesicles were prepared (23). To introduce a negative charge, 67.5 nmoles of cardiolipin (~7% of total lipids) were added prior to sonication (20-22, 31). Various amounts of MTP, as well as 3 pl of donor vesicles and 3 1d of acceptor vesicles, were incubated as described above. At predetermined times, fluorescence readings were recorded to quantify the TAG transfer. The reaction mixture was then transferred to microcentrifuge tubes containing 100 pl of DE52 (equilibrated (1:1, v:v) with 15 mM Tris-Cl, pH 7.4, 1 mM EDTA, and 0.02% sodium azide buffer), rotated at 4'C for 5 minutes and centrifuged (12,000 rpm, 5 min,4 0 C?). Supernatants (10 p1) containing only acceptor vesicles were transferred to a microtiter plate, and fluorescence was measured at 5 min intervals after adding 90 pl isopropanol. Readings obtained at 20 min were used for calculations. The blank values obtained in the absence 41 WO 2006/009599 PCT/US2005/014460 of MTP were subtracted from the sample values, divided by the total fluorescence reduced by blanks, and multiplied by 100 to determine the % of lipids deposited to acceptor vesicles. Determination of MTP activity in cells and tissues: HepG2 cells grown to confluence in T175 flasks were washed with PBS and then swelled by 2 minutes incubation at room temperature in hypotonic buffer (1 mM Tris-Cl, pH 7.4, 1 mM MgCl 2 , and ImM EGTA) (34, 35). The buffer was aspirated, cells were scraped in 750 tl of ice-cold hypotonic buffer containing protease inhibitors, homogenized (20 passages through a 21-gauge needle), the lysates were centrifuged (50,000 rpm, 4* C, 1 hour, SW55 Ti rotor), and supernatants were used for lipid transfer assays and protein determination (25). For liver microsome preparation (20, 21, 35), mouse liver pieces were washed with PBS, homogenized in 50 mM Tris-Cl, pH 7.4, 5 mM EDTA, 250 mM sucrose, and 0.02% sodium azide using a Polytron homogenizer, and centrifuged (10,900 rpm, 30 minutes, 40 C, Beckman microcentrifuge). Supernatants were adjusted to pH 5.1 with concentrated HCI, mixed in the cold for 30 minutes and centrifuged (13,000 rpm, 30 minutes, 40 C, Beckman microcentrifuge). Pellets were resuspended in 1mM Tris-Cl, pH 7.6, 1 mM EGTA, and 1 mM MgCl 2 , vortexed, incubated for 30 minutes at 40 C, ultracentrifuged (SW55 Ti rotor, 50,000 rpm, 40 C, 1 h), and supernatants were used for lipid transfer assays and protein determination. 42 WO 2006/009599 PCT/US2005/014460 EXAMPLE IV Results Phospholipid transfer activity Examples I-Il exemplify a simple, rapid, and sensitive assay to measure TAG transfer activity of MTP (35). In Example M, we determined whether the same procedure could be used to quantify the phospholipid (PL) transfer activity of MTP (Figs. 9A-9B). Upon the incubation of different amounts of MTP with donor vesicles containing fluorescent-PE and acceptor vesicles, fluorescence increased and saturated in a time dependent fashion (Fig. 9A). Each concentration gave a specific curve indicating MTP dependent increases in fluorescence, and was confirmed by plotting the 1 h data against varying amounts of MTP (Fig. 9B). PL transfer was linear between 0.1 and 0.3 ig of MTP, and saturated at higher amounts. The reproducibility of the assay was established by determining the intra- and inter-assay coefficient of variation. The transfer activity in 6 separate samples using 0.3 Rg of MTP was 11.9 ± 1.4% and variation was found to be 0.12. The average activity in three independent experiments using 0.25 ig of MTP was 9.9 ± 0.96%, and the coefficient of variation was 0.097. These studies indicate that PL transfer activity of purified MTP could be measured using this method. Cholesterol ester transfer activity To study CE transfer, donor PC vesicles containing fluorescent-CE were incubated with acceptor vesicles and purified MTP (Figs. 10A-10C). The transfer of CE increased initially and then saturated with time for each of the MTP concentrations used (Fig. 1OA). A concentration dependent, linear increase in CE transfer followed by 43 WO 2006/009599 PCT/US2005/014460 saturation was also observed using increasing amounts of MTP (Fig. 10B). The intra assay coefficient of variation using 0.2 pg of MTP was 0.09, n= 6, and the % transfer per h observed in those conditions was 17.4 ± 1.6%. Comparing data from 3 independent experiments using 0.15 pg of MTP revealed a transfer of 15.0 ± 1.9%, n= 9, and inter assay coefficient of variation of 0.127. These studies demonstrate the suitability of the method for determining CE transfer activity of purified MTP. Fluorescent lipid transfer measured in cell homogenates and liver microsomes We then used these assays to study lipid transfer activities in cellular and tissue homogenates. All lipid transfer activities (TAG, CE, and PL) could be measured in HepG2 cell homogenates (Fig. 1 1A). Lipid transfer activities showed time dependent increases and reached maximum between 20-30 minutes of incubation. The rate of CE being transferred and the maximum amounts of CE being transferred were lower than those observed for TAG. PL transfer profiles were similar to those of CE and TAG transfer. The major difference was that PL transfer activity reached a significantly lower maximum transfer. Next we measured lipid transfer activity present in mouse liver microsomes (Fig. 1 IB). All three-lipid transfer activities could be measured in microsomal samples using these assays. Again, the major activity observed was TAG transfer followed by CE and PL transfer activities. The initial rates and the maximum amounts of TAG being transferred were significantly higher compared to those of CE and PL. These studies indicate that the efficiency of lipid transfer is the greatest for TAG followed by those of CE and PL transfer in mouse liver microsomes. 44 WO 2006/009599 PCT/US2005/014460 Relative lipid transfer activities in MTP Subsequently, we sought to compare the relationship between TAG, CE, and PL transfer activities measured in purified MTP preparations as well as in cellular and tissue homogenates (Table 2). In purified bovine and rat MTP preparations, CE and PL transfer activities were 59-60% and 6-5%, respectively, of the TAG transfer activity. These are similar to the relative activities noted by Wetterau et al. in purified bovine MTP using radioactive assay (20, 21). In HepG2 cell lysates and liver microsomes, the CE and PL activities were 42-55% and 13-27%, respectively, compared to the TAG transfer activity. Thus, while the relative CE transfer activity in mouse liver microsomes was similar to the purified protein, HepG2 cell lysates demonstrated less CE transfer activity compared with purified MTP preparations. This suggests that proteins or other soluble factors in cells or tissues may interfere with this transfer. In contrast, relative PL transfer activities observed in HepG2 cells and liver microsomes were 2 to 4 folds higher than those observed in purified MTP preparations. This is most likely due to the presence of other phospholipid transfer proteins, such as, phosphatidylcholine and phosphatidylinositol transfer proteins (36), in cells and tissues that might transfer fluorescent-PE. Measuring net lipid deposition To measure the net deposition of lipids in acceptor vesicles, we required a method to separate acceptor vesicles from the donor vesicles and MTP present in the assay. Wetterau et al. have used cardiolipin and DE52 to achieve this in their radiolabeled assay (20-22, 31), First, we determined that the addition of cardiolipin had no effect on the 45 WO 2006/009599 PCT/US2005/014460 incorporation of TAG in the donor vesicles. The total fluorescence incorporated was 17,821 ± 112 and 17,202 + 1,162 for donor vesicles with and without cardiolipin, respectively. Second, we confirmed that >99% of the donor vesicles and MTP could be removed from the reaction mixture after incubation with DE52. Third, we determined the effect of the presence of cardiolipin in donor vesicles on the TAG transfer activity of MTP. For this purpose, we performed parallel measurements of TAG transfer with donor vesicles containing, and free of, cardiolipin (Fig. 12A). Even though both assays contained the same amounts of acceptor and donor vesicles, as well as MTP, the TAG transfer by MTP from donor vesicles containing cardiolipin was 50% less compared to that obtained with donor vesicles with no cardiolipin and is consistent with published studies (6, 20, 37). Next, we determined the net lipid deposition to acceptor vesicles. For this, donor as well as acceptor vesicles, and MTP were incubated for different times and fluorescent readings were taken to determine the transfer of TAG. The reaction was then stopped, donor vesicles and MTP were precipitated by the addition of DE52, and the TAG deposited in acceptor vesicles was quantified.. The TAG transfer slowly increased with time (Fig. 12B) similar to that observed in the presence of cardiolipin (Fig. 12B). The net deposition of fluorescent TAG to acceptor vesicles increased for 120 min and remained unchanged until 180 min. At saturation, ~ 50-60% of the TAG was deposited in to acceptor vesicles. We then determined relative net lipid deposition of various lipids to acceptor vesicles. Donor vesicles containing fluorescent TAG, CE or PE, as well as cardiolipin were made (Fig. 12C). Net deposition to acceptor vesicles was measured after the 46 WO 2006/009599 PCT/US2005/014460 removal of donor vesicles and MTP. The relative activities were 100 + 4.8 %, 71.0 + 8.5 %, and 13.5 t 5.2 % for TAG, CE, and PL respectively. These relative values are similar to those observed based on lipid transfer measurements (Table 2). Thus, both assays gave similar results concerning relative lipid transfer activities. 47 WO 2006/009599 PCT/US2005/014460 Table 2. Specific and relative lipid transfer activities of MTP Lipid transfer assays were performed using fluorescent lipids as described above in Figs. 2-4. Specific activities (% transfer / mg protein / hour) Were then calculated using time points falling in the linear range for each assay. The absolute rate of lipid transfer (nmol of lipid transferred / mg protein / h) was determined by comparing the fluorescence to standard curves. Dividing the specific activity of the lipid transfer in question by the specific activity of TAG transfer, and multiplying by 100 provided the relative activities (in parentheses). Specific activities (relative activities) MTP source TAG CE PL Purified Bovine 901 ± 36 (100) 533 ± 53 (59) 56± 4 (6) Purified Rat 735 ± 45 (100) 438 ± 175 (60) 34 ± 5 (5) Mouse liver microsomes 9 0.2 (100) 5 ± 1 (55) 1 ± 0.1 (13) HepG2 cell lysate 4 0.5 (100) 1.5 ± 0.1 (42) 1 ± 0.1 (27) 48 WO 2006/009599 PCT/US2005/014460 REFERENCES 1. Hussain, M. M., I. Shi, and P. Dreizen. 2003. Microsomal triglyceride transfer protein and its role in apolipoprotein B-lipoprotein assembly. J. Lipid Res. 44: 22-32. 2. Hussain, M. M., J. Iqbal, K. Anwar, P. Rava, and K. Dai. 2003. Microsomal triglyceride transfer protein: a multifunctional protein. Front. Biosci. 8: S500-S506. 3. 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Wetterau. 1996. An inhibitor of the microsomal triglyceride transfer protein inhibits apoB secretion from HepG2 cells. Proc. Nat?. Acad. Sci. USA. 93: 11991-11995. 13. Haghpassand, M., D. Wilder, and J. B. Moberly. 1996. Inhibition of apolipoprotein B and triglyceride secretion in human hepatoma cells (HepG2). J Lipid Res. 37: 1468-1480. 14. Benoist, F., and T. Grand-Perret. 1997. Co-translational degradation of apolipoprotein B 100 by the proteasome is prevented by microsomal triglyceride transfer protein-synchronized translation studies on HepG2 cells treated with an inhibitor of microsomal triglyceride transfer protein. J. Biol. Chem. 272: 20435 20442. 15. Gordon, D. A., H. Jamil, D. Sharp, D. Mullaney, Z. Yao, R. E. Gregg, and J. Wetterau. 1994. Secretion of apolipoprotein B-containing lipoproteins from HeLa cells is 50 WO 2006/009599 PCT/US2005/014460 dependent on expression of the microsomal triglyceride transfer protein and is regulated by lipid availability, Proc. Nail. Acad. 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Microsomal triacylglycerol transfer protein is required for lumenal accretion of triacylglycerol not associated with Apo B, as well as for Apo B lipidation. J. Biol. Chem. 277: 31516 31525. 20. Wetterau, J. R., and D. B. Zilversmit. 1984. A triglyceride and cholesteryl ester transfer protein associated with liver microsomes. J. Biol. Chem. 259: 10863 10866. 21. Wetterau, J. R., and D. B. Zilversmit. 1985. Purification and characterization 51 WO 2006/009599 PCT/US2005/014460 of microsomal triglyceride and cholesteryl ester transfer protein from bovine liver microsomes. Chem Phys. Lipids. 38: 205-222. 22. Jamil, H., J. K. Dickson, Jr., C-H. Chu, M. W. Lago, J. K. Rinehart, S. A. Biller, R. E. Gregg, and J. R. Wetterau. 1995. Microsomal triglyceride transfer protein. Specificity of lipid binding and transport. J. Biol. Chem. 270: 6549 6554. 23. Chang, G., R. B. Ruggeri, and H. J. Harwood, Jr. 2002. 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Decreased secretion of apoB follows inhibition of apoB-MTP binding by a novel antagonist. Biochemistry. 39: 4892-4899. 28. Bakillah, A., and M. M. Hussain. 2001. Binding of microsomal triglyceride 52 WO 2006/009599 PCT/US2005/014460 transfer protein to lipids results in increased affinity for apolipoprotein B: Evidence for stable microsomal MTP-lipid complexes; J. Biol. Chem. 276: 31466-31473. 29. Tietge, U. J. F., A. Bakillah, C. Maugeais, K. Tsukamoto, M. M. Hussain, and D. J. Rader. 1999. Hepatic overexpression of microsomal triglyceride transfer protein (MTP) results in increased in vivo secretion of VLDL triglycerides and apolipoprotein B. J. Lipid Res.40: 2134-2139. 30. Wetterau, J. R., L. P. Aggerbeck, P. M. Laplaud, and L. R. McLean. 1991. Structural properties of the microsomal triglyceride-transfer protein complex. Biochemistry. 30: 4406-4412. 31. Atzel, A., and J. R. Wetterau. 1993. Mechanism of microsomal triglyceride transfer protein catalyzed lipid transport. 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Claims (32)

1. A method of quantifying lipid transfer activity of microsomal triglyceride transfer protein (MTP), the method comprising: (a) preparing donor vesicles having a fluorescence-labeled lipid incorporated therein: (b) preparing acceptor vesicles; (c) incubating either a cellular homogenate containing MTP or isolated MTP with the acceptor vesicles and the labeled donor vesicles for a time and under conditions sufficient to allow binding of the fluorescence-labeled lipid with MTP during transfer of the labeled lipid from donor to acceptor vesicles; and (d) measuring fluorescence of the fluorescently labeled lipid bound to the MTP.

2. The method of claim 1 wherein the cellular homogenate comprises animal cells that express MTP.

3. The method of claim 1 wherein the cellular homogenate comprises cells from insects or microorganisms that express MTP.

4. The method of claim 1 wherein the fluorescence-labeled lipid is a triglyceride, a cholesterol ester (CE) or a phospholipid.

5. The method of claim 4 wherein the triglyceride is triacylglycerol (TAG). 55 WO 2006/009599 PCT/US2005/014460

6. The method of claim 5 Wherein the fluorescence-labeled TAG contains at least one NBD at any position and fatty acids are located at other positions on the TAG.

7. The method of claim 5 wherein the fluorescence-labeled triacylglycerol is 1, 2 dioleoyl 3-NBD glycerol (NBD-TAG).

8. The method of claim 4 wherein the fluorescent-labeled CE is NBD-CE.

9. The method of claim 4 wherein the fluorescent-labeled phospholipid NBD-PE.

10. The method of claim 1 wherein the acceptor vesicles are small unilamellar vesicles, multi-lamellar vesicles, apoB-lipoprotein vesicles, or phosphatidylcholine (PC) vesicles.

11. The method of claim 1 wherein the donor vesicles are phosphatidylcholine (PC) vesicles containing NBD-labeled lipids.

12. A method for measuring net transfer of lipids transferred by MTP, the method comprising: a) preparing negatively-charged donor vesicles having a fluorescence-labeled lipid incorporated therein: 56 WO 2006/009599 PCT/US2005/014460 (b) preparing acceptor vesicles; (c) incubating either a cellular homogenate containing MTP or isolated MTP with the acceptor vesicles and the labeled donor vesicles for a time and under conditions sufficient to allow binding of the fluorescence-labeled lipid with MTP and transfer of the fluoresescence-labeled lipid from donor to acceptor vesicles; (d) removing negatively-charged donor vesicles and MTP from the incubation mixture of step (c); and (e) measuring fluorescent fabled lipids transferred to acceptor vesicles.

13. The method of claim 12 wherein the negatively-charged donor vesicles and MTP are removed by admixing with an anion exchange resin followed by sedimentation.

14. The method of claim 4 and 5 wherein the triglyceride is triacylglycerol that contains NBD (TAG).

15. The method of claim 4 wherein the phospholipid is any phospholipid that contains NBD.

16. The method of claim 1 wherein the acceptor vesicles are small unilamellar vesicles, apoB-lipoprotein vesicles, or phosphatidylcholine (PC) vesicles.

17. The method of claim 1 wherein the donor vesicles are small unilamellar vesicles that contain NBD-labeled lipids. 57 WO 2006/009599 PCT/US2005/014460

18. The method of claim 12 wherein the cellular homogenate comprises animal cells that express MTP.

19. The method of claim 12 wherein the cellular homogenate comprises cells from insects or microorganisms that express MTP.

20. The method of claim 12 wherein the fluorescence-labeled lipid is a triglyceride, a cholesterol'ester, or a phospholipid.

21. The method of claim 12 wherein the triglyceride is any NBD-labeled triacylglycerol.

22. The method of claim 20 wherein the phospholipid is phosphatidylethanolamine.

23. The method of claim 12 wherein the acceptor vesicles are small unilamellar vesicles, multi-lamellar vesicles, apoB-lipoprotein vesicles, or phosphatidylcholine (PC) vesicles.

24. The method of claim 12 wherein the donor vesicles are phosphatidylcholine (PC) vesicles, small unilamellar vesicles, or multi-lamellar vesicles. 58 WO 2006/009599 PCT/US2005/014460

25. A kit for measuring net transfer of lipids transferred by MTP, said kit comprising- acceptor vesicles and negatively charged fluorescence-labeled donor vesicles.

26. The kit of claim 25 wherein the fluorescence-labeled donor vesicles are comprised of a triglyceride, a cholesterol ester, or a phospholipid.

27. The kit of claim 26 wherein the triglyceride is any triacylglycerol that contains NBD label.

28. The kit of claim 27 wherein the triacylglycerol is 1, 2, dioleoyl 3-NBD glycerol (NBD-TAG).

29. The kit of claim 26 wherein the phospholipid is phosphatidylethanolamine.

30. The kit of claim 25 wherein the acceptor vesicles are small unilamellar vesicles, multi-lamellar vesicles, apoB-lipoprotein vesicles, or phosphatidylcholine (PC) vesicles,

31. The kit of claim 25 wherein the donor vesicles are small unilamellar vesicles, multi-lamellar vesicles, apoB-lipoprotein vesicles, or phosphatidylcholine (PC) vesicles. 59 WO 2006/009599 PCT/US2005/014460

32. The kit of claim 25 wherein the vesicles are stabilized by the addition of BSA. 60