Ceccanti M, Romeo M, Carlomusto C, Santini P, Tagliamonte L
Minerva Med. 1978 Nov 14;69(55):3747-51.
The behaviour of plasma cholesteryl esters has been investigated in patients with liver cirrhosis (so-called Laennec's cirrhosis). Both absolute and percentage values of esters containing di-, tri- and tetra-unsaturated fatty acids were decreased below the normal range; however, the various esters groups showed unequal decrement rates. These findings may be the result of a low lecithin: cholesterol-acyltransferase (LCAT) activity, due either to depression of the enzyme syntesis in the liver, or to inadequate substrate supply (possibly related with an impaired fatty acid production and lecithin synthesis). A decrease of all ester fractions, or a selective one, could also be induced by the releasing of abnormal hydrolases from damaged liver tissues.
对肝硬化(即所谓的Laennec肝硬化)患者的血浆胆固醇酯行为进行了研究。含有二不饱和、三不饱和和四不饱和脂肪酸的酯的绝对值和百分比值均降至正常范围以下;然而,不同酯类的下降速率并不相同。这些发现可能是卵磷脂:胆固醇酰基转移酶(LCAT)活性降低的结果,这可能是由于肝脏中酶合成受抑,或者底物供应不足(可能与脂肪酸生成受损和卵磷脂合成有关)。受损肝组织释放异常水解酶也可能导致所有酯组分或某一特定酯组分减少。