Yanai Hidekatsu, Tomono Yoshiharu, Yoshida Hiroshi, Tada Norio
Department of Internal Medicine, International Medical Center of Japan Kohnodai Hospital, Ichikawa, Chiba 272-8516, Japan.
Rinsho Byori. 2010 Jan;58(1):39-44.
Excess adiposity has been shown to play a crucial role in the development of the metabolic syndrome. Characteristics for dyslipidemia in the metabolic syndrome are elevated fasting and postprandial triglyceride (TG) and decreased high-density lipoprotein-cholesterol (HDL-C). Diacylglycerol(DAG) has been suggested to suppress postprandial hyperlipidemia and promote negative caloric balance by increasing energy expenditure, due to intestinal physiochemical dynamics that differ from triacylglycerol (TAG). Our study (Study 1) demonstrated that DAG suppressed postprandial increase in TG-rich lipoprotein, very low density lipoprotein (VLDL), and insulin as compared with TAG in young male individuals. Further, our another study using the apolipoprotein C-II deficient subject demonstrated that DAG suppressed postprandial increase in VLDL-cholesterol and remnant-like particle-cholesterol compared with TAG, suggesting that DAG suppress postprandial TG-rich lipoprotein independent of lipoprotein lipase. Study 1 also showed that DAG significantly increased plasma serotonin, which is mostly present in intestine and mediates thermogenesis, proposing a possible mechanism for a postprandial increase in energy expenditure by DAG. Our studies presented DAG-mediated amelioration in postprandial TG-rich lipoprotein, insulin, and energy metabolism, indicating the therapeutic application of DAG for the metabolic syndrome.
已有研究表明,肥胖在代谢综合征的发生发展中起着关键作用。代谢综合征中血脂异常的特征是空腹和餐后甘油三酯(TG)升高,高密度脂蛋白胆固醇(HDL-C)降低。由于二酰甘油(DAG)的肠道物理化学动力学与三酰甘油(TAG)不同,有人提出它可通过增加能量消耗来抑制餐后高脂血症并促进负热量平衡。我们的研究(研究1)表明,与TAG相比,在年轻男性个体中,DAG可抑制富含TG的脂蛋白、极低密度脂蛋白(VLDL)和胰岛素的餐后升高。此外,我们另一项针对载脂蛋白C-II缺乏受试者的研究表明,与TAG相比,DAG可抑制餐后VLDL胆固醇和残粒样颗粒胆固醇的升高,这表明DAG可独立于脂蛋白脂肪酶抑制餐后富含TG的脂蛋白。研究1还表明,DAG可显著增加血浆5-羟色胺,其主要存在于肠道并介导产热,这为DAG导致餐后能量消耗增加提出了一种可能的机制。我们的研究表明DAG可改善餐后富含TG的脂蛋白、胰岛素和能量代谢,这表明DAG在代谢综合征的治疗中具有应用价值。