Takeuchi N, Saheki S
Department of Laboratory and Clinical Medicine, Faculty of Medicine, Ehime University.
Rinsho Byori. 1993 Jul;41(7):750-8.
An ultracentrifugal technique for separating and analyzing serum lipoproteins was evaluated in comparison with analyses by electrophoresis using agarose-gel and polyacrylamide-gel. In general, the percent of pre beta- and beta-lipoproteins in electrophoresis was estimated higher than the percent of VLDL and LDL in ultracentrifugal method, while the percentage of alpha-lipoprotein in the former was estimated lower than that of HDL in the latter. In cases with abnormal lipoproteinemias, various discrepancies arose between the methods. For examples, pre beta- and beta-lipoproteins were estimated too high by the analyses with electrophoresis. The cholesterol content in HDL decreases in hypertriglyceridemia accompanied by an increase in triglyceride content. Therefore, when HDL cholesterol is determined by a polyanion method to assess the net HDL concentration in such cases, it is estimated to be low. Such errors are not only found in the determination of HDL cholesterol, but also in apoproteins in liver cirrhosis, because the composition of HDL apoprotein is markedly altered. Since the heterogeneity of lipoproteins separated by ultracentrifugation is characteristic in hereditary disorders of lipoproteins such as LCAT deficiency, the centrifugal technique is essential for lipoprotein analysis in such disorders. The disadvantages in ultracentrifugation are cross-contaminations among fractions, and removals of lipids and apoproteins from lipoprotein particles. Apo A-I and E proteins, and phospholipids were removed from the particles more rapidly than other components. From the results of repeated ultracentrifugation of HDL, 3% of apo A-I was estimated to be lost from the HDL during the centrifuge procedure.
与使用琼脂糖凝胶和聚丙烯酰胺凝胶电泳分析血清脂蛋白的方法相比,对一种用于分离和分析血清脂蛋白的超速离心技术进行了评估。一般来说,电泳中前β脂蛋白和β脂蛋白的百分比估计高于超速离心法中极低密度脂蛋白(VLDL)和低密度脂蛋白(LDL)的百分比,而前者中α脂蛋白的百分比估计低于后者中高密度脂蛋白(HDL)的百分比。在脂蛋白血症异常的情况下,两种方法之间出现了各种差异。例如,通过电泳分析,前β脂蛋白和β脂蛋白的估计值过高。在高甘油三酯血症中,HDL中的胆固醇含量降低,同时甘油三酯含量增加。因此,在此类情况下,当通过聚阴离子法测定HDL胆固醇以评估净HDL浓度时,估计值会偏低。此类误差不仅在HDL胆固醇的测定中出现,在肝硬化患者的载脂蛋白测定中也会出现,因为HDL载脂蛋白的组成发生了显著变化。由于超速离心分离的脂蛋白的异质性在脂蛋白遗传性疾病(如卵磷脂胆固醇酰基转移酶(LCAT)缺乏症)中具有特征性,因此离心技术对于此类疾病的脂蛋白分析至关重要。超速离心的缺点是各组分之间的交叉污染,以及脂蛋白颗粒中脂质和载脂蛋白的去除。载脂蛋白A-I和E以及磷脂比其他成分从颗粒中去除得更快。从HDL重复超速离心的结果来看,估计在离心过程中有3%的载脂蛋白A-I从HDL中丢失。