冠心病患者低密度脂蛋白亚组分颗粒大小的分析
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江苏省应用基础研究课题(BJ97111)


Analyzing of Low Density Lipoprotein Subfraction Particle Size in Patients with Coronary Artery Disease
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    摘要:

    为研究冠心病患者低密度脂蛋白亚组分颗粒直径的异常特征,超速离心分离37例冠心病患者及2 6例对照组的血浆低密度脂蛋白,采用2 %~16 %聚丙烯酰胺凝胶梯度电泳法分析低密度脂蛋白颗粒直径及电泳图形。发现冠心病患者低密度脂蛋白颗粒直径( 2 5 .71±0 .6 6nm)较对照组( 2 6 .41±0 .95nm)显著变小(P<0 .0 1) ,两组间A型、B型低密度脂蛋白分布不同(P<0 .0 5 )。低密度脂蛋白颗粒直径分别同血浆甘油三酯(r=- 0 .2 9,P<0 .0 5 )和载脂蛋白B(r=- 0 .2 5 ,P<0 .0 5 )呈负相关,同高密度脂蛋白胆固醇水平(r=0 .2 8,P<0 .0 5 )呈正相关。B型低密度脂蛋白中游离胆固醇蛋白质比值( 1.0 2±0 .45 )较A型( 1.5 9±1.2 1)显著下降(P<0 .0 5 ) ;低密度脂蛋白颗粒直径同游离胆固醇蛋白质比值呈正相关(r=0 .31,P<0 .0 5 )。提示冠心病患者血浆低密度脂蛋白以小颗粒的B型为主;且血浆甘油三酯对低密度脂蛋白颗粒直径具调节作用

    Abstract:

    Aim To study size of low density lipoprotein (LDL) particle in patients with coronary artery disease (CHD).Methods Plasma LDL in 37 CHD patients and 26 control subjects were analyzed by 2%~16% non-denaturing polyacrylamide gradient gels. Results The CHD patients had significantly less particle diameters than control subjects(25.71±0.66 nm vs. 26.41±0.95 nm, respectively;P<0.01). The distribution of LDL subfraction pattern was significantly difference between two groups (P<0.05). LDL particle diameter was found negatively correlated with plasma triglycerides (r=-0.29,P<0.05) and apoB (r=-0.25,P<0.05) level, while positively correlated with plasma HDLC level(r=0.28,P<0.05). Free cholesterol to protein ratio of LDL in pattern B was found less than that in pattern A (1.02±0.45 vs. 1.59±1.21,P<0.05), meanwhile a significantly positive correlation was also found between LDL particle diameter and this ratio (r=0.31,P<0.05).Conclusion Small, density pattern B LDL subfraction may be a risk factor for atherosclerosis. Plasma triglyceride may be a factor in regulation of LDL subfraction particle diameter.

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汪俊军,陈大宁,张凌,庄一义.冠心病患者低密度脂蛋白亚组分颗粒大小的分析[J].中国动脉硬化杂志,2000,8(2):124~126.

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  • 收稿日期:1999-09-05
  • 最后修改日期:1999-12-30
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