Changes in high density lipoprotein subfraction lipids during neutral lipid transfer in healthy subjects and in patients with insulin-dependent diabetes mellitus |
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Authors: | Mary C Ritter John D Bagdade |
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Affiliation: | (1) Department of Medicine, Rush Medical College, 60612-3833 Chicago, Illinois;(2) Section of Endocrinology, rush-Presbyterian-St. Luke’s Medical Center, 1653 West Congress Parkway, 60612-3833 Chicago, IL |
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Abstract: | While it is known that the transfer of cholesteryl ester (CE) from high density lipoprotein (HDL) to the apo B-containing
lipoproteins is increased in patients with diabetes, the extent to which the various lipoprotein fractions engage in neutral
lipid exchange and the magnitude to which triglyceride (TG) is translocated is not known. To examine in greater detail neutral
lipid net mass transfer in diabetes, the HDL subfractions and the apo B-containing lipoproteins were separated, and the net
mass transfer of CE and TG was compared to that of control subjects. In both groups, bidirectional transfer of CE from HDL3 to very low density lipoprotein (VLDL) + low density lipoprotein (LDL) and of TG from VLDL+LDL to HDL3, took place, but this process was significantly greater (P<.01) in insulin-dependent diabetes mellitus (IDDM). In contrast, CE and TG accumulated in HDL2 to a similar degree in normal and IDDM subjects. In recombination experiments with each of the apo B-containing lipoproteins,
IDDM VLDL had a greater capacity to facilitate the exchange of core lipids from both IDDM and control HDL3: on the other hand, LDL from IDDM and control subjects both donated TG and CE to HDL2 and affected little change in HDL3. These findings indicate that all the major plasma fractions normally participate in the trafficking of CE and TG among the
lipoproteins during neutral lipid transfer and show that the principal perturbation in cholesteryl ester transfer in IDDM
involves altered interaction between VLDL and the HDL3 subfraction. |
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