Removal of intravenous Intralipid in patients with familial hypercholesterolemia during inhibition of cholesterol absorption and synthesis
| Autor: | Anna Ketomäki, Tatu A. Miettinen, Helena Gylling |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male Squalene Fat Emulsions Intravenous medicine.medical_specialty Very low-density lipoprotein Clinical Biochemistry Familial hypercholesterolemia 030204 cardiovascular system & hematology Biochemistry Absorption Hyperlipoproteinemia Type II 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Double-Blind Method Internal medicine medicine Humans Triglycerides 030304 developmental biology 0303 health sciences Cross-Over Studies Cholesterol Biochemistry (medical) Phytosterols Cholesterol LDL General Medicine medicine.disease Lipids Sitosterols Crossover study Sterol Endocrinology chemistry Low-density lipoprotein Female lipids (amino acids peptides and proteins) Lipoprotein Chylomicron |
| Zdroj: | Clinica Chimica Acta. 344:83-93 |
| ISSN: | 0009-8981 |
| Popis: | While plant stanols are known to upregulate low density lipoprotein (LDL) receptors, we studied the effects of plant stanol (STA) and sterol (STE) ester spreads on triglyceride-rich lipoprotein (TRL) removal in statin-treated patients with familial hypercholesterolemia (FH) using intravenous Intralipid-squalene fat tolerance test.Five patients consumed STA and STE in a randomized, crossover study for 4 weeks. TRL removal was studied at baseline and at the end of both periods. Serum, chylomicron (CM), and very low density lipoprotein lipids, squalene, and plant sterols were measured.LDL cholesterol was decreased by both spreads (15-16%, p0.05). Plant sterol concentrations were doubled in serum and CM by STE vs. STA. After the injection of Intralipid, CM squalene and sitosterol, but not triglycerides (TG), reached higher peak levels (and area under the incremental curve (AUIC) of squalene) by both spreads than at baseline. Despite different plant sterol concentrations by STE vs. STA, the incremental curves for plant sterols were similar by the spreads.Despite the retarded removal of TRL lipids by STA and STE in the statin-treated subjects with FH, improvement of the fasting lipid profile was suggested important in consideration of combination of cholesterol absorption inhibitor with statins even in FH. |
| Databáze: | OpenAIRE |
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