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Catabolism of lipoprotein-X induced by infusion of 10% fat emulsion.

Abstract
The clinical significance of lipoprotein-X (Lp-X) induced by intravenous infusion of 10% fat emulsion was assessed, with special reference to atherogenesis, by in vitro experiment using purified Lp-X from the sera of patients receiving Intralipid 10%. Lp-X appeared after long-term intravenous infusion of 10% fat emulsion in the patients with intestinal fistula due to the anastomotic leakage. To clarify the role of Lp-X in terms of atherogenicity, the cholesterol metabolism of Lp-X in macrophages as scavenger cells and in hepatocytes as parenchymal cells was studied. When [3H]cholesterol-labeled Lp-X or oxidized low-density lipoprotein (o-LDL) was incubated with J-774 macrophages, the incorporation of Lp-X into macrophages was negligible compared with o-LDL. When Lp-X or high-density lipoprotein (HDL) was incubated with J-774 macrophages laden with [3H]cholesterol, the release of cholesterol from macrophages was enhanced by Lp-X as well as HDL. When [3H]cholesterol-labeled Lp-X LDL or HDL was incubated with the human hepatoma cell line of Hep G2 cells, the incorporation of Lp-X into Hep G2 cells was less than that of LDL, but similar to that of HDL. From these findings, it is suggested that the catabolism of Lp-X cholesterol generated with intravenous 10% fat emulsion was mediated by hepatocytes rather than by macrophages, indicating that the hyperlipidemia due to increased Lp-X may not be atherogenic.
AuthorsM Abe, M Kawano, T Tashiro, H Yamamori, K Takagi, Y Morishima, K Shirai, Y Saitou, N Nakajima
JournalNutrition (Burbank, Los Angeles County, Calif.) (Nutrition) Vol. 13 Issue 5 Pg. 417-21 (May 1997) ISSN: 0899-9007 [Print] United States
PMID9225333 (Publication Type: Journal Article)
Chemical References
  • Fat Emulsions, Intravenous
  • Lipoprotein-X
  • Lipoproteins, HDL
  • Lipoproteins, LDL
  • Tritium
  • Cholesterol
Topics
  • Animals
  • Arteriosclerosis (etiology)
  • Biological Transport, Active
  • Cell Line
  • Cholesterol (metabolism)
  • Fat Emulsions, Intravenous (administration & dosage, adverse effects)
  • Humans
  • Hyperlipidemias (etiology)
  • Lipoprotein-X (biosynthesis, blood, metabolism)
  • Lipoproteins, HDL (metabolism)
  • Lipoproteins, LDL (metabolism)
  • Liver (metabolism)
  • Macrophages (metabolism)
  • Mice
  • Parenteral Nutrition, Total (adverse effects)
  • Tritium

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