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实验性肾病中甘油三酯的分解代谢缺陷与异常极低密度脂蛋白有关。

Catabolic defect of triglyceride is associated with abnormal very-low-density lipoprotein in experimental nephrosis.

作者信息

Furukawa S, Hirano T, Mamo J C, Nagano S, Takahashi T

机构信息

First Department of Internal Medicine, Showa University School of Medicine, Tokyo, Japan.

出版信息

Metabolism. 1990 Jan;39(1):101-7. doi: 10.1016/0026-0495(90)90155-6.

Abstract

Very-low-density lipoprotein (VLDL)-triglyceride (TG) kinetics were examined in puromycin aminonucleoside-induced nephrotic rats in order to establish the nature of the hypertriglyceridemia associated with this condition. Nephrotic rats had a plasma TG concentration 10-fold higher than the controls. In nephrotic rats TG secretion rate was elevated only 1.2-fold above the controls, suggesting that the catabolism of TG was also impaired. Lipolytic activities were determined in postheparin plasma (PHP) of the control and the nephrotic rats. There were no significant differences in either the activity of lipoprotein lipase (LPL) or hepatic lipase (HL). VLDL-TG was endogenously radiolabeled in donor rats with [2-3H]-glycerol. The half life (T1/2) was then determined by monitoring the clearance of plasma [3H]-VLDL-TG in normal recipient animals. The T1/2 of VLDL-TG from nephrotic rats was twice that of normal rats. The defect in VLDL-TG clearance could be partially rectified by preincubation with high-density lipoprotein (HDL) from normal rats, but not with HDL from nephrotic rats. VLDL from either nephrotic or normal rats were incubated with PHP of normal rats to assess the effectiveness of VLDL-TG as a substrate for PHP. The lipolytic rate for nephrotic VLDL was significantly lower than that for normal VLDL, suggesting that VLDL from nephrotic rats was somewhat resistant to the action of LPL and HL. When VLDL from nephrotic rats was preincubated with HDL from normal rats, the low lipolytic rate of VLDL-TG improved significantly. This was not observed when HDL from nephrotic rats was used for the preincubation. The results suggested that physical and/or chemical change of VLDL particles due to nephrosis results in a catabolic defect of VLDL-TG.

摘要

为了确定与嘌呤霉素氨基核苷诱导的肾病大鼠相关的高甘油三酯血症的本质,对其极低密度脂蛋白(VLDL)-甘油三酯(TG)动力学进行了研究。肾病大鼠的血浆TG浓度比对照组高10倍。在肾病大鼠中,TG分泌率仅比对照组升高1.2倍,这表明TG的分解代谢也受到了损害。在对照组和肾病大鼠的肝素后血浆(PHP)中测定了脂解活性。脂蛋白脂肪酶(LPL)或肝脂肪酶(HL)的活性均无显著差异。用[2-3H]-甘油对供体大鼠的VLDL-TG进行内源性放射性标记。然后通过监测正常受体动物血浆中[3H]-VLDL-TG的清除率来确定半衰期(T1/2)。肾病大鼠的VLDL-TG的T1/2是正常大鼠的两倍。VLDL-TG清除缺陷可通过与正常大鼠的高密度脂蛋白(HDL)预孵育而部分纠正,但与肾病大鼠的HDL预孵育则不能。将肾病大鼠或正常大鼠的VLDL与正常大鼠的PHP一起孵育,以评估VLDL-TG作为PHP底物的有效性。肾病VLDL的脂解速率显著低于正常VLDL,这表明肾病大鼠的VLDL对LPL和HL的作用有一定抗性。当肾病大鼠的VLDL与正常大鼠的HDL预孵育时,VLDL-TG的低脂解速率显著改善。当使用肾病大鼠的HDL进行预孵育时未观察到此现象。结果表明,肾病导致的VLDL颗粒的物理和/或化学变化导致了VLDL-TG的分解代谢缺陷。

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