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Biomedical subjects

D B Zilversmit

Publications and source records attributed to D B Zilversmit.

At least 73 records · Page 4Linked to original sources

Atherogenesis: a postprandial phenomenon.

The hypothesis that plasma chylomicrons in persons who ingest a cholesterol-rich diet are atherogenic is evaluated. Evidence is presented that in humans, and experimental animals, chylomicron remnants as well as low-density lipoproteins are taken up by arterial cells. In persons who do not have familial hyperlipoproteinemia, atherogenesis may occur during the postprandial period. Research directions that may contribute to the evaluation of chylomicron remnants as a risk factor for atherogenesis are discussed. Lipoprotein studies after administration of a test meal containing fat and cholesterol are urgently needed.

Animals↗

Cholesterol Index of foods. Teaching tool for fat-modified diets.

The Cholesterol Index of foods expresses the relative effect of individual portions of foods on the serum cholesterol of an average individual. It is calculated from food cholesterol content and fatty acid composition. The total Cholesterol Index for the day has a value of 100 for a 2,400-kcal, prudent diet and a value of slightly above 200 for an equicaloric average American diet. The Cholesterol Index for a recipe prepared at home is the sum of the Index values for its ingredients. The Index can be adapted to individual dietary prescriptions fo patients with hyperlipidemia. After publication of Cholesterol Index tables, the Index could be used by dietitians or by individuals who wish to alter their present food pattern to a more prudent diet.

Adult↗

Cholesteryl ester exchange protein in human plasma isolation and characterization.

A protein catalyzing the exchange of cholesteryl esters among the lipoproteins was found in human plasma. A rapid method for assaying this activity was developed based on the transfer of radioactive cholesteryl esters from low density lipoprotein with MnCl2 in the presence of phosphate. Fractionation of plasma through a combination of ammonium sulfate precipitation, ultracentrifugation at p = 1.25, and chromatography on Phenyl-Sepharose, CM-cellulose, and concanavalin A-Sepharose, yielded a preparation purified 3500-fold compared to the starting plasma. The exchange protein was found to be a glycoprotein with an isoelectric point of 5 and apparent molecular weight of 80 000. On the basis of these properties and its immunological characteristics the exchange protein was judged to be distinct from any of the known apolipoproteins. This protein could also be separated from plasma phosphatidylcholine cholesterol acyl-transferase on DEAE-cellulose. The exchange protein did not appear to influence cholesterol esterification in lipoproteins by phosphatidylcholine cholesterol acyl-transferase, and the latter had no effect on the transfer of low density lipoprotein cholesteryl esters to high density lipoprotein. The exchange protein did not esterify cholesterol or hydrolyze cholesteryl esters in lipoproteins.

Animals↗

Relative atherogenicity of different plasma lipoproteins.

Originally, data from the Framingham study appeared to show that serum lipoprotein fractions were no better in predicting coronary heart disease than the total serum cholesterol. More recently, the concentration of high density lipoprotein has been shown to exhibit a strong negative correlation with coronary heart disease, especially in the older age groups in which total serum cholesterol shows little or no correlation with clinical events. Biochemical mechanisms that might clarify the role of high density lipoprotein in atherogenesis are forthcoming. Another aspect of the lipoprotein-atherogenesis question pertains to the possible role of chylomicrons. Animal experiments show that cholesterol feeding is frequently accompanied by an increase in beta-migrating, very low density lipoproteins which appear to be chylomicron remnants. The atherogenic effect of serum low- and very low-density lipoproteins, including chylomicron remnants, appears to depend more on their contribution to the total cholesterol concentration than to their origin in liver versus intestines.

Animals↗

Effect of intessive plasmapheresis on the plasma cholesterol concentration with familial hypercholesterolemia.

Plasmapheresis was studied as a means of reducing the serum cholesterol concentration in 3 hypercholesterolemic patients who each underwent courses of intensive plasmapheresis with removal of 250--500 ml of plasma each day for 5--9 days. In one homozygous Type II patient, the serum cholesterol concentration decreased from 609 +/- 45 mg/100 ml (mean +/- SEM) to 365 +/- 17 mg/100 ml (40% decrease, P less than 0.05) with two different courses of plasmapheresis. In the two other patients with non-homozygous hyperbetalipoproteinemia the serum cholesterol concentration decreased from 289 +/- 27 mg/100 ml to 205 +/- 19 mg/100 ml (29% decrease, p less than 0.05). After cessation of treatment, the cholesterol concentration returned to pre-treatment levels in 10--13 days in the homozygous patient and 7 days in one non-homozygous hyperbetalipoproteinemic patient; clofibrate (2 g/day) in this patient was associated with a smaller reduction of the cholesterol concentration with plasmapheresis and an increased rate of return of pre-treatment levels after plasmapheresis was stopped. Sustained plasmapheresis for 6 days in the other non-homozygous hyperbetalipoproteinemic patient resulted in a new approximate "steady state" with a serum cholesterol concentration of 176--199 mg/100 ml compared with a pre-plasmapheresis value of 227 mg/100 ml. The response of the plasma cholesterol levels to plasmapheresis was subjected to kinetic analysis based on a current model of the regulation of lipoprotein metabolism.

Adolescent↗

Phospholipid-exchange proteins as membrane probes.

Phospholipid-exchange proteins, first discovered in rat liver, have now been identified in a variety of animal and plant tissues. In rat liver one protein transfers phosphatidylcholine with a high degree of specificity. Another protein fraction is capable of transferring all major types of phospholipids as well as cholesterol. Beef heart is a good source of phospholipid-exchange protein, which transfers phosphatidylinositol and phosphatidylcholine. Studies with phospholipid-exchange protein from beef heart, beef liver and rat liver show that these proteins are useful for the study of membrane structure. When unilamellar vesicles of isotopically labeled phosphatidylcholine are incubated with nonlabeled mitochondria in the presence of phospholipid-exchange protein, only the outer portion of the phosphatidylcholine bilayer is exchangeable and translocation of lipids between inner and outer parts of the bilayer is exceedingly slow. Resealed red blood cell ghosts show an equilibration of phosphatidylcholine between the inner and outer portions of the bilayer with a t1/2 of two hours. An even faster equilibration of various phospholipids in the microsomal mmebrane appears to take place in rat-liver microsomes.

Animals↗

Extensive exchange of rat liver microsomal phospholipids.

Liver microsomal fractions were prepared from rats injected with a single dose of choline [14C]methylchloride or with single or multiple doses of 32Pi. Exchangeability of microsomal phospholipids was determined by incubation with an excess of mitochondria and phospholipid exchange proteins derived from beef heart, beef liver or rat liver. Labeled phosphatidylcholine, phosphatidylethanolamine, phosphatidylserine and phosphatidylinositol were found to act as a single pool and were 85--95% exchangeable in 1--2h. High latencies of mannose-6-phosphate phosphohydrolase activities and impermeability of microsomes to EDTA proved that phospholipid exchange proteins did not have access to the intracisternal space. If microsomal membranes are largely composed of phospholipid bilayers, the experiments suggest that one or more of the phospholipid classes in microsomal membranes undergo rapid translocation between the inner and outer portions of the bilayer.

Animals↗

Stimulation by acidic phospholipids of protein-catalyzed phosphatidylcholine transfer.

1. The catalyzed transfer of phosphatidylcholine from unilamellar liposomes to mitochondria by phospholipids exchange protein from beef heart or from beef liver is stimulated by the presence of up to 20 mol% acidic phospholipid (phosphatidylinositol or phosphatidic acid) in the liposome. Co-sedimentation of liposomes with mitochondria increases with increasing mol% acidic phospholipid. 2. The catalyzed transfer of phosphatidylcholine from unilamellar liposomes to multilamellar vesicles by beef heart or beef liver exchange proteins is also stimulated by the presence of acidic phospholipid. No co-sedimentation of negatively charged transfer of phosphatidylcholine from multilamellar vesicles to unilamellar liposomes by phospholipid exchange protein from beef heart or beef liver reaches a maximum at 7.5% phosphatidylinositol in the liposomes. Inhibition of phosphatidylcholine transfer was observed at levels of liposome phosphatiylinositol of greater than 15 mol% only in the presence of beef liver exchange protein. 4. Changes in the surface charge of liposomes by the addition of acidic phospholipid were verified by a novel application of polyvinylchloride block electrophoresis that allows the direct measurement of the relative electrophoretic mobility of sonicated vesicles.

Animals↗

Protein-catalyzed exchange of phosphatidylcholine between sonicated liposomes and multilamellar vesicles.

Phospholipid exchange protein from beef heart or beef liver does not catalyze the transfer of phosphatidylcholine from multilamellar vesicles of phosphatidylcholine. Certain combinations of phospholipids, however, do yield multilamellar vesicles that will exchange phosphatidylcholine with liposomes in the presence of exchange protein. Multilamellar vesicles of phosphatidylcholine:phosphatidylethanolamine:cardiolipin (70:25:5, mol%) can be used in place of mitochondria or erythrocyte ghosts as an improved acceptor particle in the study of liposome structure with phospholipid exchange proteins. These multilamellar vesicles act as a well-defined reservoir of unlabeled phosphatidylcholine with 7% exchangable phospholipid. When the distribution of phosphatidylcholine in liposomes is studied by the exchange protein technique, results can be influence by the choice of phospholipid acceptor particle. With mitochondria as acceptor particle, the percentage of phosphatidylcholine in the outer monolayer of a liposome appears to be 60%, whereas a value of 70% is obtained when multilamellar vesicles are the acceptor. The discrepancy can be explained by a heterogeneity in liposomes prepared by sonication. A size-dependent fusion or adsorption process occurs between liposomes and mitochondria; the very small liposomal vesicles, obtained by gel filtration, combine nearly quantitatively with the natural membrane. This phenomenon is not seen with multilamellar vesicles. Thus by using multilamellar vesicles one obtains a less biased estimate of phospholipid distribution between inner and outer layers of liposomes.

Animals↗

Rat liver proteins capable of transferring phosphatidylethanolamine. Purification and transfer activity for other phospholipids and cholesterol.

Two proteins, one in a highly purified form, have been isolated from the soluble fraction of rat liver homogenate. These proteins accelerate the transfer of labeled phosphatidylethanolamine, phosphatidylcholine, phosphatidylinositol, sphingomyelin, and cholesterol from liposomes to mitochondria or erythrocyte ghosts. The fraction obtained after ammonium sulfate precipitation, gel filtration on Sephadex G-75, ion-exchange chromatography on CM-cellulose, ampholyte displacement chromatography, and heat treatment exhibited an 876-fold increase in its phosphatidylethanolamine transfer activity as compared with the postmitochondrial supernatant adjusted to pH 5.1. Isoelectric focusing on polyacrylamide gels shows a single band between pH 8.6 and 9.0. The transfer activity is abolished by trypsin, but withstands 5-min heating at 90 degrees. After heat treatment, a single major band is seen on polyacrylamide gel electrophoresis followed by two minor ones. The molecular weight of the major band is 12,500, as determined by electrophoresis on 15% polyacrylamide gels in the presence of sodium dodecyl sulfate. A molecular weight of 13,500 was calculated from molecular filtration through Sephadex G-50. The relative transfer activities toward the different phospholipids remain constant throughout the last three steps of the purification procedure in spite of the extensive change in the electrophoretic profile of the protein mixture. The cholesterol transfer activity remains unchanged after the final heat treatment as well. This indicates that all of the transfer activities are present in a single protein.

Animals↗

Use of esterified retinol to trace the degradation of chylomicrons in cholesterol-fed rabbits.

Moderately hypercholesterolemic rabbits hydrolyzed chylomicron TG at the same rate as normal animals, but were found to accumulate partially degraded intestinal lipoproteins of Sf 100-400 and Sf 20-100. These results support the hypothesis that the hypercholesterolemia induced by cholesterol feeding results at least in part from an inability to clear chylomicron remnants in proportion to the rate of their formation.

Animals↗

Effect of cholesterol feeding on arterial lipolytic activity in the rabbit.

Two trioleoyl glycerol hydrolases, one of lysosomal origin as determined by a high correlation with the lysosomal marker enzyme, N-acetyl-beta-glucosaminidase, and one having the characteristics of lipoprotein lipase, were measured at varying stages of lesion development in the aortas of cholesterol-fed rabbits. Both lipases were greatly enhanced in atheromatous aortas and were linearly related to lesion severity as measured by total aortic cholesterol. Lipoprotein lipase activities of myocardium and of plasma of cholesterol-fed rabbits were also significantly increased relative to controls. The data suggest that lipoprotein lipase might be a factor regulating cholesterol deposition in the aorta.

Acetylglucosaminidase↗

High plasma cholesterol in mink (Mustela vison) without atherosclerosis.

Mink fed a commercial ration moderately high in cholesterol or fed a cholesterol-free semipurified diet have plasma cholesterol-free semipurified diet have plasma cholesterol concentrations similar to that found in human beings living in industrialized countries. In contrast with human beings, 80% of the plasma cholesterol in mink is carried in the high density lipoprotein fraction. Aortas and coronary arteries from animals up to 8 yr old were found to be free of fatty streaks and atherosclerotic plaques, both grossly and microscopically.

Age Factors↗

Controlling factors in the maintenance of plasma cholesterol concentration in the rabbit.

We have investigated factors important in the maintenance of plasma cholesterol concentration in three groups of New Zealand white rabbits fed either a cholesterol-free, commercial stock diet or an atherogenic diet consisting of stock diet supplemented with 0.1% cholesterol and 10% corn oil. When fed stock diet, the plasma cholesterol concentration in female rabbits (164 mg/100 ml) of one strain was significantly greater than plasma cholesterol concentration in males (67 mg/100 ml) of the same strain or in females (62 mg/100 ml) of another strain. Cholesterol absorption and turnover, steroid excretion and tissue cholesterol storage were examined. The percentage of an oral dose of isotopically labeled cholesterol absorbed could not account for group differences in plasma cholesterol concentrations and was not changed by cholesterol supplementation for 3 weeks. Turnover of plasma cholesterol conformed to a two-pool model in rabbits fed stock diet and the atherogenic diet. In rabbits fed the atherogenic diet, the irreversible disposal rate from pool A and total acidic steroid excretion were inversely related to plasma cholesterol concentration. One controlling factor in the maintenance of relatively low plasma cholesterol concentrations in cholesterol-fed rabbits appears to be enhanced bile acid excretion.

Animals↗

The distribution of labeled albumin across the rabbit thoracic aorta in vivo.

125I-albumin was injected intravenously into normal conscious rabbits. The rabbits were killed after 10 minutes to 24 hours, and the descending thoracic aorta was excises immediately, opened longitudinally, rinsed, and frozen. Samples of frozen aorta were sectioned paralled to the intimal surface and washed with trichloroacetic acid (TCA) prior to counting. TCA-soluble tissue radioactivity slowly increased with time, suggesting that 125I was cleaved gradually from the labeled albumin within the aortic wall. At up to 4 hours, transmural concentration profiles of TCA-precipitable radioactivity had steep gradients near the intimal surface, moderate gradients near the medial-advential border, and were relatively falt in the middle of the media. After 24 hours, the steep intimal gradient had disappeared. Concentrations were otherwise comparable to those at 4 hours. The rate of accumulation of TCA-precipitable radioactivity was rapid initially (measurable concentrations were found throughout the media after only 10 minutes) and decreased with time. The results are consistent with entry of 125I-albumin into the media from both the luminal and adventitial sides. Approximate calculations indicate that the albumin mass transfer resistance associated with the intimal endothelium is about 1 order of magnitude greater than that associated with the media.

Animals↗