Titov V N
The Russian cardiologic R&D production complex of Minzdrav of Russia, 121552, Moscow, Russia.
Klin Lab Diagn. 2017;62(5):260-271. doi: 10.18821/0869-2084-2017-62-5-260-271.
In phylogenesis, carnivorous animals initially and later herbivorous animals formed separate transfer of exogenous fatty acids in blood, predominantly palmitic acid and later - endogenous oleic acid pool, synthesized in hepatocytes from glucose. In vivo, exogenous fatty acids transfer α-lipoproteins to all cells and chylomicrons to hepatocytes. The endogenous oleic fatty acid, synthesized in hepatocytes is transferred to all cells by β-lipoproteins and to insulin-dependent lipoproteins of very low density. The limitation of cognitive biological function in herbivorous animals underlies the process of transferring of surplus amount of exogenous palmitic acid and alcohol cholesterol by β-lipoproteins becoming a non-physiological one. The bio-availability is affected concerning cells of exogenous polyene fatty acids that transfer in blood α-lipoproteins in carnivorous animals and at the first stage in herbivorous animals. The formation of palmitic non-ligand very low density lipoproteins-β-proteins is affected and their collection and partial utilization in intima generates lipoidosis. In summary, all this becomes a cause of formation of atherosclerosis and atheromatosis. The limitations in phylogenesis of cognitive biological function are considered as an etiological factor of metabolic pandemics. The etiological factors are specific for every one of metabolic pandemics and pathogenesis of all pandemics is developed following common algorithm. It is likely that metabolic pandemics (atherosclerosis and atheromatosis, metabolic essential arterial hypertension, metabolic syndrome, syndrome of insulin resistance, obesity and non-alcoholic fatty disease of liver)are quite not identical to nosologic forms of diseases if considered according etiological factors, pathogenesis and pathology rate in population. The exclusion of all inherent forms of disorder of metabolism of fatty acids and their transfer in β-lipoproteins demonstrates that problem of atherosclerosis, atheromatosis, coronarosclerosis and ischemic heart disease mainly turns out to be a case of eaten one's fill , a result of environment factors impact, disorder of biological function of trophology, biological reaction of exotrophy (external nutrition) and biological function of homeostasis. The prevention of atherosclerosis, atheromatosis and ischemic heart disease in population will be effective only under condition of obligatory individual support of actioning cognitive biological function by more complete biological function of intelligence. The active prevention of metabolic pandemics by force of personal development of cognitive biological function, intelligence function, provides no application of pharmaceuticals. The disorder of cognitive biological function is needed to be improved, incorrect positioning of Homo Sapiens species as omnivorous in animal world; Homo Sapiens is a herbivorous one.
在系统发育过程中,肉食动物最初以及后来的草食动物在血液中形成了外源性脂肪酸的不同转移方式,主要是棕榈酸,后来是内源性油酸池,油酸由肝细胞中的葡萄糖合成。在体内,外源性脂肪酸将α脂蛋白转运至所有细胞,并将乳糜微粒转运至肝细胞。肝细胞合成的内源性油酸通过β脂蛋白转运至所有细胞,并转运至极低密度的胰岛素依赖性脂蛋白。草食动物认知生物学功能的局限性是β脂蛋白转运过量外源性棕榈酸和酒精胆固醇过程非生理性的基础。肉食动物以及草食动物第一阶段血液中α脂蛋白转运的外源性多烯脂肪酸的细胞生物利用度受到影响。棕榈酸非配体极低密度脂蛋白-β蛋白的形成受到影响,它们在内膜中的聚集和部分利用会导致脂质沉积。总之,所有这些都成为动脉粥样硬化和粥样瘤形成的原因。系统发育中认知生物学功能的局限性被认为是代谢性大流行的病因。病因对每一种代谢性大流行都是特定的,所有大流行的发病机制都是按照共同的算法发展的。如果从病因、发病机制和人群中的病理发生率来考虑,代谢性大流行(动脉粥样硬化和粥样瘤、代谢性原发性动脉高血压、代谢综合征、胰岛素抵抗综合征、肥胖症和非酒精性脂肪性肝病)可能与疾病的病种形式并不完全相同。排除脂肪酸代谢及其在β脂蛋白中转移的所有固有紊乱形式表明,动脉粥样硬化、粥样瘤、冠状动脉粥样硬化和缺血性心脏病问题主要是一个吃得过饱的问题,是环境因素影响、营养生物学功能紊乱、外营养(外部营养)生物反应和稳态生物功能的结果。只有在通过更完整的智力生物功能强制个人支持发挥认知生物学功能的情况下,人群中动脉粥样硬化、粥样瘤和缺血性心脏病的预防才会有效。通过个人发展认知生物学功能、智力功能来积极预防代谢性大流行,无需使用药物。需要改善认知生物学功能的紊乱,将智人物种错误地定位为动物界的杂食动物;智人是草食动物。