Takahashi Toshihiro, Hirano Tsutomu, Okada Kenta, Adachi Mitsuru
Department of Internal Medicine, Showa University School of Medicine, Tokyo, Japan.
Metabolism. 2003 Oct;52(10):1354-9. doi: 10.1016/s0026-0495(03)00202-6.
To explore the role of apolipoprotein (apo) CIII in the development of hypertriglyceridemia associated with diabetes mellitus, we examined triglyceride (TG) kinetics in apo CIII - deficient mice (apo CIII - null) and wild-type (WT) (C57BL/6J) mice with diabetes induced by the injection of streptozotocin (STZ). Plasma TG levels increased significantly in WT mice after diabetes was induced (102 +/- 29 v 65 +/- 33 mg/dL, P <.01). Apo CIII-null mice had a significantly lower TG level (35 +/- 9 mg/dL) that remained unchanged even when diabetes was induced (35 +/- 8 mg/dL). The TG secretion rate (TGSR) measured by the Triton WR1339 method tended to decrease in diabetic WT, indicating that catabolism of TG was impaired. Apo CIII-null mice showed 2-fold higher TG production than WT mice, indicating markedly faster clearance of TG. The high TGSR was halved when diabetes was induced in apo CIII-null mice, and the fractional catabolic rate (FCR) of TG was also halved, although it was still significantly higher than in WT mice. Lipoprotein lipase (LPL) activity in postheparin plasma was not significantly altered in WT or apo CIII-null mice regardless of the presence or absence of diabetes. [(3)H] very-low-density lipoprotein (VLDL)-TG from WT or apo CIII-null mice showed similar clearance by WT recipients, and this was also observed when VLDL was obtained from diabetic counterparts. In contrast, VLDL-TG was cleared faster by apo CIII-null recipients compared with WT recipients, regardless of the VLDL donors. These results suggest that apo CIII deficiency prevents the development of hypertriglyceridemia associated with diabetes by stimulating TG removal, possibly by promoting the interaction of VLDL with the TG removal system.
为探讨载脂蛋白(apo)CIII在糖尿病相关高甘油三酯血症发生发展中的作用,我们检测了apo CIII缺陷小鼠(apo CIII基因敲除小鼠)和注射链脲佐菌素(STZ)诱导糖尿病的野生型(WT)(C57BL/6J)小鼠的甘油三酯(TG)代谢动力学。诱导糖尿病后,WT小鼠的血浆TG水平显著升高(102±29对65±33mg/dL,P<.01)。apo CIII基因敲除小鼠的TG水平显著较低(35±9mg/dL),即使诱导糖尿病后仍保持不变(35±8mg/dL)。用Triton WR1339法测得的糖尿病WT小鼠的TG分泌率(TGSR)有下降趋势,表明TG分解代谢受损。apo CIII基因敲除小鼠显示出比WT小鼠高2倍的TG生成,表明TG清除明显更快。apo CIII基因敲除小鼠诱导糖尿病后,高TGSR减半,TG的分解代谢率(FCR)也减半,尽管仍显著高于WT小鼠。无论有无糖尿病,WT或apo CIII基因敲除小鼠肝素后血浆中的脂蛋白脂肪酶(LPL)活性均无显著改变。来自WT或apo CIII基因敲除小鼠的[³H]极低密度脂蛋白(VLDL)-TG被WT受体清除的情况相似,从糖尿病对应小鼠获得VLDL时也观察到这种情况。相反,无论VLDL供体如何,与WT受体相比,apo CIII基因敲除受体清除VLDL-TG更快。这些结果表明,apo CIII缺乏可能通过促进VLDL与TG清除系统的相互作用来刺激TG清除,从而预防与糖尿病相关的高甘油三酯血症的发生。