Zaidan H, Gutman A, Berkow S, Hamosh P, Hamosh M
Pediatr Res. 1984 Dec;18(12):1321-4. doi: 10.1203/00006450-198412000-00020.
The frequent inclusion of heparin in fluids used for total parenteral nutrition in infants, prompted an investigation of the ability of heparin to release lipoprotein lipase (LPL) and hepatic lipase (HL) from the endothelial surface into the circulation, and of the effect of heparin on tissue stores of lipase in the postnatal period. In rat pups, plasma postheparin lipolytic activity (PHLA) released by IP administration of heparin (0.5 unit/g body wt) was 15% of adult values at birth and increased rapidly to reach 60% on day 10. Repeated doses of heparin (in adult rats, given 0.1 unit/g IV) at 1 and 4 h after the initial dose did not affect the maximal response to heparin. In all age groups 80% of PHLA was inhibited by 0.5 M NaCl, suggesting a mostly nonhepatic origin for the released enzyme. Heart, lung, and liver lipase activities of rat pups were not significantly different from controls not given heparin. The pattern of change in tissue enzyme content was similar for heart and lung, but different from hepatic lipase. LPL activity in the former increased from 10 and 30% to 60 and 100% of adult values between birth and 10 days while in the latter enzyme activity exceeded adult levels at birth and decreased to 50% of adult values during the latter half of the suckling period (days 10-21). Our results demonstrate that heparin does not cause depletion of tissue lipases in the postnatal period. The parallel increases in LPL content of peripheral tissues and PHLA suggest that in all age groups heparin-induced release of LPL into the circulation is proportional to tissue lipolytic activity.
婴儿全胃肠外营养所用液体中经常添加肝素,这促使人们研究肝素从内皮表面释放脂蛋白脂肪酶(LPL)和肝脂肪酶(HL)进入循环的能力,以及肝素对出生后脂肪酶组织储备的影响。在新生大鼠中,腹腔注射肝素(0.5单位/克体重)后释放的血浆肝素后脂解活性(PHLA)在出生时为成年值的15%,并迅速增加,在第10天达到60%。在成年大鼠中,初始剂量后1小时和4小时重复给予肝素(0.1单位/克静脉注射)不影响对肝素的最大反应。在所有年龄组中,80%的PHLA被0.5M NaCl抑制,表明释放的酶大多并非来自肝脏。新生大鼠心脏、肺和肝脏的脂肪酶活性与未给予肝素的对照组无显著差异。心脏和肺组织酶含量的变化模式相似,但与肝脂肪酶不同。前者的LPL活性在出生至10天之间从成年值的10%和30%增加到60%和100%,而后者的酶活性在出生时超过成年水平,并在哺乳后期(第10 - 21天)降至成年值的50%。我们的结果表明,肝素在出生后不会导致组织脂肪酶耗竭。外周组织LPL含量与PHLA的平行增加表明,在所有年龄组中,肝素诱导LPL释放到循环中的量与组织脂解活性成正比。