血浆胆固醇含量对代谢综合征患者HDL亚类分布的影响
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湖南省卫生计生委项目(B2015-49);湖南省自然科学基金项目(2014JJ3104);湖南省教育厅项目(12C1246);湖南省高层次卫生人才“225”工程项目基金;南华大学研究生科研创新项目(2013XCX20);南华大学“十二五”科技创新团队基金;南华大学留学回国人员启动基金(2013XQD52);南华大学大学生创新项目资助


Relationship Between Plasma Cholesterol Concentration and the Distribution of HDL Subclasses in Patients with Metabolic Syndrome
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    摘要:

    目的 探讨代谢综合征 (MS) 患者血浆胆固醇水平对高密度脂蛋白 (HDL) 亚类分布的影响。方法 采用全自动生化分析仪测定MS患者血浆血脂含量及载脂蛋白浓度,用双向电泳-免疫印记法测定血浆HDL亚类的含量。并根据中国成人血脂异常防治指南,将MS患者按血浆总胆固醇 (TC) 浓度分为3组,即TC正常范围组: TC<5.17 mmol/L、TC临界升高组: 5.17 mmol/L≤TC<6.21 mmol/L、TC升高组: TC≥6.21 mmol/L。结果 与对照组相比,MS患者血浆空腹血糖 (FPG) 、TC、甘油三酯 (TG) 、低密度脂蛋白胆固醇 (LDLC)、载脂蛋白B100(apoB100)、preβ1-HDL、HDL3b含量及apoB100/AI和LDLC/HDLC比值均显著性增高 (P<0.05或P<0.001),HDLC、apoAI、HDL2a、HDL2b显著降低 (P<0.05或P<0.001);并且随着血浆TC水平的升高,小颗粒的preβ1-HDL和HDL3b 含量升高,而大颗粒的HDL2a和HDL2b含量降低。MS患者HDLC的含量降低和(或)LDLC含量升高都存在不同程度的血浆HDL亚类分布异常,而且HDLC含量异常时存在HDL各亚类分布异常的程度较LDLC含量异常时更显著;当二者同时异常时,小颗粒的preβ1-HDL增加,大颗粒的HDL2b减少更加明显。直线相关和多元回归分析中发现,血浆TC、HDLC和LDLC含量紊乱与HDL亚类异常分布存在关联。结论 MS患者胆固醇含量与HDL亚类分布异常有关。

    Abstract:

    Aim To investigate the association between high density lipoprotein (HDL) subclasses and plasma cholesterol concentration in metabolic syndrome (MS).Methods Concentrations of plasma lipids and the apolipoproteins were detected by automated biochemical analyzer,HDL subclasses were determined by two-dimensional gel electrophoresis associated with immunodetection. According to the Chinese Adult Dyslipidemia Prevention Guide,the MS subjects were divided into three groups of total cholesterol (TC) <5.17 mmol/L,5.17 mmol/L≤TC<6.21 mmol/L,TC≥6.21 mmol/L.Results Compared with their counterparts of the control,the levels of plasma fasting plasma glucose (FPG),TC,TG,low density lipoprotein cholesterol (LDLC),apolipoprotein B100(apoB100),preβ1-HDL,HDL3b,apoB100/AI and LDLC/HDLC were significantly increased in MS (P<0.05 or P<0.001),the concentrations of high density lipoprotein cholesterol (HDLC),apolipoprotein AI (apoAI),HDL2a and HDL2b were significantly decreased in MS (P<0.05 or P<0.001). The content of preβ1-HDL and HDL3b were increased,while the HDL2a and HDL2b were decreased significantly,with the increasing of plasma TC levels in MS. The decreasing of HDLC levels and (or) the increasing of LDLC levels make the plasma HDL subclass abnormal,what’s more,the abnormal HDLC content played a stronger role when both of them are abnormal,the content of small particles preβ1-HDL have increasing trend and the content of HDL2b have decreasing trend. The levels of plasma TC,HDLC and LDLC were positively correlated with the abnormal HDL subclass distribution analyzed by linear correlation and multiple regression analysis.Conclusion The plasma TC level may be related to HDL subclasses distribution abnormality in MS.

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肖梨花,李 娜,丁 岚,陈 浩,陈武哲,龙怀城,段理人,龙石银,田 英.血浆胆固醇含量对代谢综合征患者HDL亚类分布的影响[J].中国动脉硬化杂志,2015,23(05):509~514.

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  • 收稿日期:2015-01-27
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