PubMed HealthSearch

Biomedical subjects

H Semb

Publications and source records attributed to H Semb.

At least 19 recordsLinked to original sources

Renal function not impaired by hip arthroplasty. A prospective study of 26 patients.

To evaluate the importance of various changes during major surgery, 26 patients, electively chosen for total hip replacement (THR), were investigated for renal function preoperatively and postoperatively. In most of the patients, surgery was performed ad modum Charnley (n 25), and anesthesia was given mainly by continuous administration of bupivacaine or mepivacaine through an epidural catheter. Postoperatively, there was an improvement in glomerular filtration rate (GFR) and a reduction in renal concentrating ability (RCA), but no change in diurnal albumin excretion. No correlation was found between the change in GFR and, e.g., the degree of peroperative hypotension, bleeding, transfusions, or volume of infusions. There was a correlation between the impairment of RCA and the lowering of serum albumin concentration. In 3 patients the GFR was slightly impaired. The risk of contracting severe, acute renal failure seems low in THR performed on patients with reduced or normal kidney function.

Acute Kidney Injury

Hyperlipoproteinemia type I in a patient with active lipoprotein lipase in adipose tissue and indications of defective transport of the enzyme.

This paper presents a case of typical hyperlipoproteinemia type I in a young woman. Her serum triglycerides varied between 2 and 90 mmol/l and she had substantial amounts of apolipoprotein B-48 in fasting plasma. She had no detectable lipoprotein lipase (LPL) activity in post-heparin plasma (less than 0.2 percent of normal). Southern blot analysis suggested no major defect in her LPL gene and Northern blot analysis of adipose tissue RNA showed normal-sized LPL-mRNA. A 2-h [35S]methionine incorporation experiment with adipose tissue pieces in vitro showed that she produced normal-sized LPL and had LPL catalytic activity in the tissue. The amounts were, however, only 5-10% of control. No detectable LPL radioactivity or catalytic activity was released from patient tissue even in the presence of heparin in the incubations. Immunofluorescent staining of adipose tissue biopsies from the patient showed LPL immunoreactivity only in adipocytes and little or none within the capillaries. Treatment of immunoprecipitated labeled LPL with endoglycosidase H showed that the oligosaccharide chains on her enzyme were of the high-mannose type and not processed as in controls. Taken together the data suggest that the patient synthesizes a relatively normal LPL protein which is core-glycosylated and folded into active enzyme as in normal subjects, but is not effectively transported via the Golgi to the cell surface.

Adipose Tissue

Two different mechanisms are involved in nutritional regulation of lipoprotein lipase in guinea-pig adipose tissue.

Lipoprotein lipase activity in adipose tissue responds rapidly to changes in the physiological state. To study what mechanisms are involved in the regulation, guinea pigs were fasted and the decrease in adipose-tissue lipoprotein lipase activity was compared with the decreases in mRNA and lipase synthesis. The mRNA pattern (three species) did not change. There was a close parallelism between the abundance of lipase mRNA and relative lipase synthesis (immunoprecipitable 35S-labelled lipoprotein lipase as fraction of total [35S]protein after pulse-labelling with [35S]methionine). Total protein synthesis decreased on fasting, compounding the decrease in relative lipase synthesis. Lipoprotein lipase mRNA changed similarly in fat-pads and in isolated adipocytes, whereas lipase activity changed more in the pads, indicating disproportionally large changes in extracellularly located lipase. In old guinea pigs the decreases in lipoprotein lipase activity and lipase synthesis were comparable, but in young animals the change in lipase activity was substantially larger than the change in lipase synthesis. Refeeding of fasted young guinea pigs with glucose resulted in a rapid increase in lipoprotein lipase activity, but there was only a small change in lipase mRNA. Old animals responded slowly to refeeding. The results indicate that in older animals the major mechanism for regulation of adipose lipoprotein lipase activity is a relatively slow change in lipase mRNA, whereas in younger animals an additional, more rapid, regulation is exerted on the transport and turnover of the enzyme.

Adipose Tissue

The relation between glycosylation and activity of guinea pig lipoprotein lipase.

Previous studies have indicated that the processing of oligosaccharide chains is necessary for lipoprotein lipase to become catalytically active and may be involved in the regulation of lipase release. Guinea pig adipocytes and perfused guinea pig hearts were labeled with [35S]methionine, and lipoprotein lipase was immunoprecipitated. Digestion with endo-beta-N-acetylglucosaminidase H (Endo H) showed that the mature enzyme contains one high mannose and two complex oligosaccharide chains. Limited proteolysis indicated where in the molecule the chains are attached. Pulse-chase experiments showed that some lipase molecules were rapidly processed and appeared in the medium within 40 min. Other lipase molecules remained fully Endo H-sensitive for more than 2 h, and this form of the lipase did not appear in the medium. Both forms co-eluted with the sole lipoprotein lipase activity peak from heparin-Sepharose; this indicates that both were dimeric. Separation of the two forms was achieved by lectin chromatography and demonstrated that both were catalytically active. Cells treated with methyl-deoxynojirimycin or with deoxymannojirimycin produced and released active lipoprotein lipase which was fully Endo H-sensitive. These studies demonstrate that the trimming and processing of the oligosaccharide chains is not necessary for lipoprotein lipase to become catalytically active and be secreted, and they suggest that a comparatively large fraction of the lipase molecules is retained in the endoplasmic reticulum. Whether they ever reach the processing apparatus in the Golgi or are degraded is not clear.

1-Deoxynojirimycin

Tissue-specific regulation of guinea pig lipoprotein lipase; effects of nutritional state and of tumor necrosis factor on mRNA levels in adipose tissue, heart and liver.

Levels of mRNA for lipoprotein lipase (LPL) in guinea pig epididymal adipose tissue, heart and liver were determined by dot blot analysis of total RNA using a cDNA probe complementary to the coding region, and compared to the LPL activity. For adipose tissue we also measured the incorporation of radioactivity into immunoprecipitable LPL after pulse-labeling with [35S]methionine. LPL activity was 93%, LPL mRNA 82% and LPL synthesis 85% lower in epididymal fat pads from animals fasted for 48 h compared to rigorously fed animals. In contrast, neither LPL activity nor LPL mRNA levels differed in heart. A single dose of tumor necrosis factor (TNF) decreased LPL activity and LPL mRNA in fat pads with no effects in heart. In the liver, TNF caused a marked increase in LPL mRNA levels, which are normally very low. Northern-blot analysis confirmed a previous observation that the patterns of mRNA species differ between heart, in which a 3.8-kb mRNA dominates, and adipose tissue, in which the LPL mRNAs of 3.3 and 2.1 kb occur in similar abundance as the 3.8-kb species.

Adipose Tissue

Mechanisms for turnover of lipoprotein lipase in guinea pig adipocytes.

Guinea-pig adipocytes released lipoprotein lipase activity to the medium without depletion of cell-associated lipoprotein lipase activity. Heparin caused immediate release of 20-25% of the lipase activity to the medium, and also enhanced the continued release. After addition of cycloheximide, cell-associated lipoprotein lipase activity decreased rapidly. Release of lipase activity to the medium continued unabated for about 30 min, but there was little release thereafter. The release accounted for only about 25% of the initial lipoprotein lipase activity in the absence and about 50% in the presence of heparin. In pulse-chase experiments with [35S]methionine, labeled lipoprotein lipase appeared in the medium within 40 min, and most of the release occurred during the first h of chase. In a 4-h chase the total (cells + medium) amount of labeled lipase decreased to 34%. Thus, degradation was a main fate of the lipase. Heparin markedly increased the amount of labeled lipase that was released to the medium and decreased the amount that was degraded. Heparin did not change the time-course for the release, and the amount of labeled lipase degraded was proportional to the amount not released to the medium, indicating that the effect of heparin was primarily on release, not on degradation as such. This study demonstrates that adipocytes synthesize lipoprotein lipase in excess of what is being released, and that the excess is rapidly degraded.

Adipose Tissue

Multiple effects of tumor necrosis factor on lipoprotein lipase in vivo.

A single dose of recombinant murine tumor necrosis factor (TNF) suppressed lipoprotein lipase activity in adipose tissue of fed rats, mice, and guinea pigs for 48 h, even though TNF itself is rapidly metabolized in vivo. Immunoprecipitation of [35S]lipoprotein lipase from fat pads pulse-labeled with [35S]methionine showed a decrease in relative synthesis of the enzyme, which correlated to the decrease in activity. There was no decrease in general protein synthesis and no change in distribution of the enzyme between adipocytes and extracellular locations in the tissue. This is in contrast to fasting in which case there is redistribution of the enzyme within the tissue, decrease in general protein synthesis, but no change in relative synthesis of lipoprotein lipase. TNF did not decrease lipoprotein lipase activity in any tissue other than the adipose but increased the activity in several cases, most markedly in the liver. No [35S]methionine was incorporated into lipoprotein lipase by liver slices from normal or TNF-treated animals. Thus, the increased activity can not be ascribed to enhanced hepatic synthesis of the enzyme. There was an increase in lipoprotein lipase activity in plasma, which correlated to the increase in liver. Thus, TNF suppresses lipoprotein lipase synthesis in adipocytes, but not in other tissues, and has some as yet undefined effect on lipoprotein lipase turnover in extrahepatic tissues, which results in increased transport of active lipase through plasma to the liver.

Adipose Tissue

Molecular cloning and sequence analysis of cDNA encoding lipoprotein lipase of guinea pig.

We have isolated and sequenced cDNA clones covering the entire coding sequence and short flanking regions of guinea pig lipoprotein lipase. The expression cDNA library used was constructed in lambda gt11 with mRNA derived from adipocytes. The deduced amino acid (aa) sequence starts with a stretch of 17 aa interpreted as a leader peptide. The open reading frame continues with 448 aa residues and ends with a TGA stop codon. Combined with previous data this information allows the assignment of domains in the lipase molecule. A likely candidate for the heparin-binding site is a 9-aa stretch containing five positive charges, analogous to the consensus sequence for receptor-binding sites on apolipoproteins E and B. A previously noted homology to pancreatic lipase is extended. Analysis of polyadenylated RNA from several tissues indicated a high level of expression in adipocytes, heart muscle and mammary gland. No lipoprotein lipase mRNA could be detected in liver. Northern blots revealed three major mRNAs with sizes corresponding to 3.8 kb, 3.3 kb and 2.1 kb, respectively. In adipocytes and heart muscle a fourth mRNA, with an estimated size of 4.5 kb, was also detected. Analysis of genomic DNA by Southern blotting indicated a single gene locus coding for lipoprotein lipase. Hence, modification of the primary transcript seems to be involved in the production of the various mRNAs.

Amino Acid Sequence

Lipoprotein lipase in guinea pig tissues: molecular size and rates of synthesis.

Lipoprotein lipase was immunoprecipitated from guinea pig tissues which had been pulse labeled with [35S]methionine. The apparent size of the product (on SDS gels) was 55 kDa in all tissues studied. Lipoprotein lipase released by heparin from adipocytes and from perfused hearts had the same apparent size. No significant amounts of immunoreactive protein with smaller size were found on immunoblotting of tissue homogenates, or in preparations partially purified by heparin-Sepharose chromatography. Lipoprotein lipase accounted for only a small proportion of total protein synthesis. The highest value was in adipose tissue (0.3-0.8%). In lactating mammary gland lipoprotein lipase accounted for about 0.1%, a figure similar to that previously estimated for the proportion of lipoprotein lipase protein in milk. This suggests that lipoprotein lipase is secreted into milk as efficiently as other milk proteins are, in contrast to the previous opinion that the enzyme appears in milk because small amounts leak out from tissue sites. Relative synthesis of lipoprotein lipase was the same in adipocytes from fed or fasted animals, whereas relative synthesis of several other proteins changed dramatically. This indicates that some proteins in guinea pig adipose tissue are under transcriptional control in response to feeding-fasting, but that lipoprotein lipase is not.

Adipose Tissue

Nutritional regulation of lipoprotein lipase in guinea pig tissues.

Glucose transport in guinea pig adipocytes has been shown to be markedly resistant to stimulation by insulin. Lipoprotein lipase is another transport catalyst in adipose tissue which is believed to be regulated by insulin. We have therefore studied how feeding-fasting affects lipoprotein lipase activity in guinea pig tissues. There was an even more marked decrease in adipose tissue lipoprotein lipase activity on fasting in guinea pigs (10-20 fold) than in rats or mice (4-5 fold). In adipocytes, the activity decreased only 2.5-4.5 fold; most of the change was in extracellular lipoprotein lipase. On glucose refeeding, the activity was rapidly restored. In the first 4 hours after glucose administration extracellular lipoprotein lipase activity increased to more than 10 times the amount present in adipocytes. After cycloheximide, lipoprotein lipase activity decreased with a half-life of 22 min. It is concluded that lipoprotein lipase is rapidly produced and turned over in guinea pig adipose tissue, and that the system is quite sensitive to feeding-fasting. In contrast to adipose tissue, there was no significant change in lipoprotein lipase activity in any other tissue on fasting. There was a strong correlation between the activities in heart and diaphragm muscle, but this correlation was independent of feeding-fasting.

Adipose Tissue