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[内源性高甘油三酯血症患者血浆脂蛋白中脂质及载脂蛋白的组成与分布]

[Composition and distribution of lipid and apolipoprotein in plasma lipoproteins of endogenous hypertriglyceridemia].

作者信息

Zhang L, Liu B

出版信息

Hua Xi Yi Ke Da Xue Xue Bao. 1992 Jun;23(2):117-21.

PMID:1452137
Abstract

Lipids and apolipoproteins in plasma VLDL, IDL, LDL, HDL2 and HDL3 isolated by one-step density gradient ultracentrifugation from 7 subjects with endogenous hypertriglyceridemia (HTG) and 4 normalipemics were determined. HTG VLDL was enriched with cholesterol, and its triglyceride (TG), phospholipid (PL) and apo CII, CIII contents (mg/100 mg protein) were significantly higher than those in normal VLDL. ApoE content in HTG VLDL was prone to increasing, and apoB100 content had no apparent difference from that in normal VLDL. Compared with normal HDL2 and HDL3, the contents of total cholesterol (TC), apoAI, CII, and CIII in HTG HDL2, and apoCII, CIII in HTG HDL3 decreased. HTG HDL2 and HDL3 were rich in TG. By analysis of distribution of these lipids and apolipoproteins in various plasma lipoproteins, it was found that the abnormal composition of VLDL and HDL in HTG seemed to be a result of transport of TC, PL, and apoCII, CIII from HDL to VLDL. There was a significantly positive correlation between TC and apoAI, CII, CIII in HDL respectively, which indicated that apoCII and CIII were also associated with the alteration of HDL cholesterol. It is suggested that the elevated plasma VLDL-TG concentration in endogenous hypertriglyceridemia may induce abnormal redistribution of lipid and apolipoprotein among apoCII plasma lipoproteins, and and CIII may play an important role in these changes.

摘要

采用一步密度梯度超速离心法从7例内源性高甘油三酯血症(HTG)患者和4例血脂正常者的血浆中分离出极低密度脂蛋白(VLDL)、中间密度脂蛋白(IDL)、低密度脂蛋白(LDL)、高密度脂蛋白2(HDL2)和高密度脂蛋白3(HDL3),并对其中的脂质和载脂蛋白进行了测定。HTG患者的VLDL富含胆固醇,其甘油三酯(TG)、磷脂(PL)以及载脂蛋白CII、CIII含量(mg/100 mg蛋白质)显著高于正常VLDL。HTG患者VLDL中的载脂蛋白E含量易于升高,载脂蛋白B100含量与正常VLDL无明显差异。与正常HDL2和HDL3相比,HTG患者HDL2中的总胆固醇(TC)、载脂蛋白AI、CII和CIII含量,以及HTG患者HDL3中的载脂蛋白CII、CIII含量均降低。HTG患者的HDL2和HDL3富含TG。通过分析这些脂质和载脂蛋白在各种血浆脂蛋白中的分布发现,HTG患者VLDL和HDL的异常组成似乎是TC、PL以及载脂蛋白CII、CIII从HDL转运至VLDL的结果。HDL中的TC分别与载脂蛋白AI、CII、CIII呈显著正相关,这表明载脂蛋白CII和CIII也与HDL胆固醇的改变有关。提示内源性高甘油三酯血症患者血浆VLDL-TG浓度升高可能导致脂质和载脂蛋白在载脂蛋白CII血浆脂蛋白之间异常重新分布,且载脂蛋白CII和CIII可能在这些变化中起重要作用。

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