出版社：American Society for Biochemistry and Molecular Biology
摘要：A cholesterol-rich emulsion (LDE) that resembles the LDL lipidic structure is taken-up by LDL receptors after intravenous injection by means of apolipoprotein E it acquires in the circulation and can be used to probe LDL metabolism. In this study, LDE was labeled with [14C]cholesteryl oleate and [3H]cholesterol and injected into 19 patients with coronary artery disease (CAD) and into 14 subjects without CAD to verify whether the kinetic behavior of the radioactive lipids is different in CAD. Blood was sampled over 24 h for radioactivity measurement after lipid extraction and separation by thin-layer chomatography. Fractional clearance rate (FCR, in h−1) of [14C]cholesteryl ester was not different in CAD and nonCAD expressed as median (25%; 75%): 0.08 (0.062; 0.134) h−1 versus 0.06 (0.04; 0.083) h−1, P = 0.167. However, [3H]cholesterol FCR was greater in CAD than in nonCAD (mean ± SEM): 0.163 ± 0.016 h−1 versus 0.077 ± 0.014 h−1, P 3H]cholesterol was also greater in CAD subjects than nonCAD at 10 h and 24 h after emulsion injection ( P = 0.029 and 0.024 respectively). In conclusion, both removal from the plasma and esterification of the LDE-cholesterol were increased in CAD. These findings may contribute for unraveling pro-atherogenic mechanisms and the establishment of novel CAD markers.
