Woollett L A, Spady D K, Dietschy J M
Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas 75235 8887.
J Clin Invest. 1989 Jul;84(1):119-28. doi: 10.1172/JCI114131.
These studies were designed to elucidate how shorter (MCT) and longer (HCO) chain-length saturated triacylglycerols and cholesterol interact to alter steady-state plasma LDL-cholesterol levels. When either MCT or HCO was fed in the absence of cholesterol, there was little effect on receptor-dependent LDL transport but a 36-43% increase in LDL-cholesterol production. Cholesterol feeding in the absence of triacylglycerol led to significant suppression of receptor-dependent LDL transport and a 26-31% increase in LDL-cholesterol production. However, when the longer chain-length saturated triacylglycerol was fed together with cholesterol there was a marked increase in the suppression of receptor-dependent LDL transport and an 82% increase in production rate. Together, these two alterations accounted for the observed eightfold increase in plasma LDL-cholesterol concentration. In contrast, feeding the shorter chain-length saturated triacylglycerol with cholesterol actually enhanced receptor-dependent LDL transport while also causing a smaller increase (52%) in the LDL-cholesterol production rate. As a result of these two opposing events, MCT feeding had essentially no net effect on plasma LDL-cholesterol levels beyond that induced by cholesterol feeding alone.
这些研究旨在阐明较短链(中链甘油三酯,MCT)和较长链(长链甘油三酯,HCO)饱和三酰甘油与胆固醇如何相互作用,以改变稳态血浆低密度脂蛋白胆固醇(LDL-胆固醇)水平。当单独喂食MCT或HCO而不添加胆固醇时,对受体依赖性LDL转运几乎没有影响,但LDL-胆固醇生成增加36%-43%。在不添加三酰甘油的情况下喂食胆固醇会导致受体依赖性LDL转运受到显著抑制,LDL-胆固醇生成增加26%-31%。然而,当较长链饱和三酰甘油与胆固醇一起喂食时,受体依赖性LDL转运的抑制作用显著增强,生成速率增加82%。这两种变化共同导致了观察到的血浆LDL-胆固醇浓度增加八倍。相反,将较短链饱和三酰甘油与胆固醇一起喂食实际上增强了受体依赖性LDL转运,同时LDL-胆固醇生成速率的增加幅度较小(52%)。由于这两个相反的作用,喂食MCT对血浆LDL-胆固醇水平的净影响基本上不超过单独喂食胆固醇所引起的影响。