Mims M P, Morrisett J D, Mattioli C A, Gotto A M
Department of Medicine, Baylor College of Medicine, Methodist Hospital, Houston, TX 77030.
N Engl J Med. 1989 Jun 1;320(22):1452-7. doi: 10.1056/NEJM198906013202204.
Recent studies have described a relation between the line widths of the methyl and methylene resonance envelopes in the proton nuclear magnetic resonance spectrum of human plasma and the occurrence of cancer. An average line width of less than 33 Hz has been reported to correlate with the presence of cancer, whereas greater line widths have not. In 26 normal volunteers, we found a significant inverse correlation between fasting triglyceride level and plasma spectral line width. We also observed that dietary lipids have measurable effects on spectral line widths. In another sample of seven normal persons (three of whom had elevated plasma triglyceride levels), the line widths of whole plasma varied widely (mean, 35.6 +/- 8.8 Hz); however, the mean line widths of the lipoprotein fractions isolated from those samples differed greatly, but the variance within each fraction was small (very-low-density lipoprotein, 22.0 +/- 1.9 Hz; low-density lipoprotein, 35.0 +/- 2.8; high-density lipoprotein, 28.8 +/- 1.9). The results of this study indicate that the plasma triglyceride level has a profound effect on the average spectral line width of plasma. This effect can be explained by the relative amounts of lipoprotein fractions in whole plasma. Plasma triglyceride concentrations of more than 1.24 mmol per liter (greater than 110 mg per deciliter), whatever the source, produce average plasma methyl and methylene line widths of less than 33 Hz.
近期研究描述了人体血浆质子核磁共振谱中甲基和亚甲基共振包络线宽度与癌症发生之间的关系。据报道,平均线宽小于33Hz与癌症的存在相关,而较宽的线宽则不然。在26名正常志愿者中,我们发现空腹甘油三酯水平与血浆谱线宽度之间存在显著的负相关。我们还观察到饮食中的脂质对谱线宽度有可测量的影响。在另一个由7名正常人组成的样本(其中3人血浆甘油三酯水平升高)中,全血浆的线宽差异很大(平均值为35.6±8.8Hz);然而,从这些样本中分离出的脂蛋白组分的平均线宽差异很大,但每个组分内的方差很小(极低密度脂蛋白,22.0±1.9Hz;低密度脂蛋白,35.0±2.8;高密度脂蛋白,28.8±1.9)。这项研究的结果表明,血浆甘油三酯水平对血浆的平均谱线宽度有深远影响。这种影响可以用全血浆中脂蛋白组分的相对含量来解释。无论来源如何,血浆甘油三酯浓度超过1.24mmol/L(大于110mg/dL)会使血浆甲基和亚甲基的平均线宽小于33Hz。