Titov V N
Klin Lab Diagn. 2016 Jan;61(1):4-12.
The concepts of atherosclerosis as afatly acids pathology, deficiency syndrome in cells ofpolyene fatty acids were expounded in 1990. The spirits cholesterol and glycerin play integrated physical chemical function in fatly acids' metabolism in transforming polar fatty acids into such non-polar form as ethers cholesterol and triglycerides. The amount of fatty acids transferred by lipoproteins to triglycerides significantly exceeds amount of fatty acids as ethers cholesterol. The triglycerides dominate in cells and ethers cholesterol outside cells. The hypertriglyceridemia is a disorder of transformation in blood of phylogenetically late insulin-dependent palmitic and oleinic lipoproteins of very low density and receptor apoE/B-100-endocytosis by cells of non-ligand lipoproteins of very low density. The hypertriglyceridemia is a disorder of support of cells with energy substrates, problem of cell "energetics", formalton of adenosine triphosphate. It is proposed to evaluate prognostic value of spirits cholesterol in blood plasma only in case of physiological level of triglycerides. The spirits cholesterol never exceeds content of triglycerides however high would be content of spirits cholesterol in blood plasma under family hypercholesterolemia. The increasing of concentration of triglycerides always results in increasing of content of spirits cholesterol and especially spirits cholesterol-lipoprotein of low density. If level of triglycerides and spirits cholesterol is increased normalization of content of triglycerides using diet is to be implemented To evaluate content of spirits cholesterol in blood plasma is rational only under physiological level of triglycerides. Quite often, after decreasing of content of triglycerides content of spirits cholesterol spontaneously decreases by itself. It is supposed that functions of phylogenetic early resident macrophages of intima and late monocytes-macrophages differs. The functional characteristics of second ones under surplus induction by substrate (non-ligand lipoproteins) forms atheromatosis. The increasing of content of apoC-III in blood plasma--test of accumulation of blood of a physiologicpal mitic lipoproteins of low density, compensatory activation of lipolysis of triglycerides in lipoproteins of low density, but not blockade of biological function of trophology, biological reaction of exotrophy.
1990年阐述了动脉粥样硬化作为脂肪酸病理学、多烯脂肪酸细胞缺乏综合征的概念。精神胆固醇和甘油在脂肪酸代谢中发挥综合物理化学功能,将极性脂肪酸转化为醚胆固醇和甘油三酯等非极性形式。脂蛋白转移到甘油三酯的脂肪酸量显著超过作为醚胆固醇的脂肪酸量。甘油三酯在细胞内占主导,醚胆固醇在细胞外占主导。高甘油三酯血症是系统发育后期胰岛素依赖的棕榈酸和油酸极低密度脂蛋白在血液中转化以及非配体极低密度脂蛋白细胞受体载脂蛋白E/B - 100内吞作用的紊乱。高甘油三酯血症是细胞能量底物支持的紊乱、细胞“能量学”问题、三磷酸腺苷的形成问题。仅在甘油三酯生理水平的情况下才建议评估血浆中精神胆固醇的预后价值。无论家族性高胆固醇血症患者血浆中精神胆固醇含量多高,精神胆固醇含量都不会超过甘油三酯含量。甘油三酯浓度的增加总是导致精神胆固醇含量增加,尤其是低密度精神胆固醇 - 脂蛋白含量增加。如果甘油三酯和精神胆固醇水平升高,应通过饮食使甘油三酯含量正常化。仅在甘油三酯生理水平下评估血浆中精神胆固醇含量才合理。通常,甘油三酯含量降低后,精神胆固醇含量会自行自发降低。据推测,内膜系统发育早期驻留巨噬细胞和晚期单核细胞 - 巨噬细胞的功能不同。后者在底物(非配体脂蛋白)过度诱导下的功能特征形成动脉粥样硬化。血浆中载脂蛋白C - III含量增加——生理水平极低密度脂蛋白血液蓄积的检测、低密度脂蛋白中甘油三酯脂解的代偿性激活,但不是营养生物学功能的阻断、外营养生物学反应。