An increase in serum
plasmalogens (1-O-alk-1-enyl-2-acyl glycerophospholipids), which are endogenous anti-oxidative
phospholipids, can potentially prevent age-related diseases such as
atherosclerosis and
metabolic syndrome (MetS). Very long chain
fatty acids (VLCFAs) in plasma may supply the materials for
plasmalogen biosynthesis through peroxisomal beta-oxidation. On the other hand, elevated levels of saturated and monounsaturated VLCFAs in plasma appear to be associated with decreased peroxisomal function, and are a symptom of age-related diseases. To reconcile these contradictory findings, we attempted to investigate the relationship between the serum levels of saturated and monounsaturated VLCFAs, clinical and biochemical parameters, and serum levels of
plasmalogens in subjects with MetS (n = 117), who were asymptomatic Japanese males over 40 years of age.
Fatty acids in serum
lipids were quantified using gas chromatography/mass spectrometry (GC/MS). Serum
plasmalogen levels were determined by liquid chromatography using radioactive
iodine (¹²⁵I-HPLC), and the molecular composition of serum
plasmalogens was analyzed by liquid chromatography-tandem mass spectrometry (LC/MS/MS). We found that MetS subjects showed a significant reduction in the proportion of specific saturated and monounsaturated VLCFAs such as
behenic acid (C22:0),
lignoceric acid (C24:0), and
nervonic acid (C24:1) in serum
lipids compared to non-MetS subjects. These VLCFAs were positively associated with serum levels of
high density lipoprotein cholesterol (HDL-C) as well as
plasmalogen-related parameters, and inversely with serum levels of
triglyceride (TG) and small dense
low density lipoprotein cholesterol (sdLDL-C). In conclusion, the proportion of
nervonic acid in serum
lipids is associated with serum levels of
plasmalogens and with MetS, and probably reflects the peroxisomal dysfunction and enhancement of endoplasmic reticulum (ER) stress seen in common age-related diseases.