PubMed · 11347091
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T Shoda, N Tada. 2001. [Primary type V hyperlipidemia].. https://pubmed.ncbi.nlm.nih.gov/11347091/
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Postprandial composition of chylomicron triacylglycerols (TAG) and their clearance may be affected by the molecular weight of TAG, their fatty acid (FA) combinations and the positional distribution of FA in TAG. Delayed postprandial TAG clearance is a risk factor for cardiovascular disease. However, due to the complexity of traditional analysis methods, the composition of individual TAG molecules is frequently overlooked. In this study, chylomicron TAG molecular weight distribution and regioisomerism were followed in 10 healthy female volunteers after two fat loads with identical FA composition but different positional distributions (palm oil and transesterified palm oil). An efficient tandem mass spectrometric method of analysis was applied. During the 6-h observation period, the relative concentrations of TAG with 48:2 [48 acyl carbons and 2 double bonds (ACN:DB)], 50:3 and 50:2 decreased, whereas the proportions of 48:0 (tripalmitin), 52:3 and 54:4 remained constant and the proportion of 54:3 (triolein) increased (P < 0.05). The existence of seven regioisomers containing palmitic, oleic and linoleic acids in different sn-positions was studied. The amount of 1,3-dipalmitoyl-2-oleoyl-sn-glycerol was less (P < 0.05) 1.5 h postprandially than at 2-5 h after palm oil, and less (P < 0.05) at 1.5 h than at 2-6 h after transesterified palm oil. This may be an indication of a loss of palmitic acid in the gut. Taken together, TAG molecular weight composition and to a lesser extent, positional distribution, seem to affect the rates of chylomicron TAG clearance in humans.
Increased postprandial lipemia has been stated as one of the mechanisms responsible for atherogenesis in smokers. We measured the postalimentary lipid response and the in vivo intravascular delipidation index of an artificial chylomicron emulsion in healthy adult smokers and controls. The blood was collected in the fasting state immediately after the smokers smoked one cigarette. The lipemia was measured 2, 4, 6 and 8 h postalimentarily in smokers (S, n = 8) and in non-smoking controls (C, n = 8) and the chylomicron metabolism rate was measured 2, 4, 6, 8, 12, 16, 20, 24 and 30 min after the injection of an artificial emulsion to S (n = 10) and to C (n = 10). The lipoproteins were isolated in the fasting period and 4 h after the fatty meal and their chemical composition in cholesterol, triglycerides, phospholipids and protein was determined. Smokers showed an increased lipolysis percentage value (mean +/- S.E.M.) of the artificial chylomicron (39.1 +/- 3.1) compared to controls (26.5 +/- 3.3) and higher levels of HDL(2)-PL: 28.4 +/- 4.3 (S) versus 16.2 +/- 2.0 (C) mg/dl (mean +/- S.E.M.). In conclusion, the oral fat tolerance was not altered in smokers but an upregulation of the rate of metabolism of the TG-rich lipoproteins was elicited immediately after smoking one cigarette.
We established a strategy to directly measure cholesterol and triglyceride levels of each lipoprotein fraction using a combination of agarose gel electrophoresis and differential staining. The cholesterol and triglyceride levels determined by electrophoresis correlated significantly with those of ultracentrifugation. The correlation coefficients between these methods were, for cholesterol levels 0.975(very low density lipoproteins, VLDL), 0.986(low density lipoproteins, LDL) and 0.965(high density lipoproteins, HDL) and for triglyceride levels 0.994(VLDL), 0.963(LDL) and 0.959(HDL) respectively. Both intra-and inter-assays showed low values of coefficients of variation (CV) (less than 3.57%). We observed a strong linearity between staining and triglyceride concentration. An increased VLDL-cholesterol was observed in type III subjects, a result which enabled distinction between type III and type IIb or type V lipoproteinemia. The method revealed lipoprotein patterns in some samples otherwise unexpected from their corresponding serum lipid parameters. Analyses of these electrophoretic patterns thus provide an effective technique to classify types of hyperlipidemia defined by the WHO. Furthermore, quantitative measurement of chylomicrons, usually difficult, proved to be achievable, providing an additional analysis of postprandial hyperlipidemia and the exact measurement of LDL-cholesterol after diet. Consequently, we recommend this simple and easy method for clinical evaluation of abnormalities in lipoprotein profiles.