Abstract |
Intestinal triglyceride (TG)-rich lipoproteins (TRLs) are important in the pathogenesis of atherosclerosis in insulin resistance (IR). We investigated the association of plasma proprotein convertase subtilisin/kexin type 9 (PCSK9) concentrations with apoB-48-containing TRL metabolism in 148 men displaying various degrees of IR by measuring in vivo kinetics of TRL apoB-48 during a constant-fed state after a primed-constant infusion of L-[5,5,5-D3] leucine. Plasma PCSK9 concentrations positively correlated with TRL apoB-48 pool size (r = 0.31, P = 0.0002) and production rate (r = 0.24, P = 0.008) but not the fractional catabolic rate (r = -0.04, P = 0.6). Backward stepwise multiple linear regression analysis identified PCSK9 concentrations as a positive predictor of TRL apoB-48 production rate (standard β = +0.20, P = 0.007) independent of BMI, age, T2D/ metformin use, dietary fat intake during the kinetic study, and fasting concentrations of TGs, insulin, glucose, LDL cholesterol, or C-reactive protein. We also assessed intestinal expression of key genes involved in chylomicron processing from duodenal samples of 71 men. Expression of PCSK9 and HMG-CoAR genes was positively associated (r = 0.43, P = 0.002). These results support PCSK9 association with intestinal secretion and plasma overaccumulation of TRL apoB-48 in men with IR.
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Authors | Jean-Philippe Drouin-Chartier, André J Tremblay, Jean-Charles Hogue, Valéry Lemelin, Benoît Lamarche, Patrick Couture |
Journal | Journal of lipid research
(J Lipid Res)
Vol. 59
Issue 8
Pg. 1501-1509
(08 2018)
ISSN: 1539-7262 [Electronic] United States |
PMID | 29946054
(Publication Type: Journal Article)
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Copyright | Copyright © 2018 Drouin-Chartier et al. |
Chemical References |
- Apolipoprotein B-48
- Lipoproteins
- Triglycerides
- Proprotein Convertase 9
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Topics |
- Adult
- Apolipoprotein B-48
(blood, chemistry)
- Caco-2 Cells
- Cross-Sectional Studies
- Gene Expression Regulation
- Humans
- Insulin Resistance
- Intestinal Mucosa
(metabolism)
- Lipoproteins
(blood, chemistry)
- Male
- Middle Aged
- Proprotein Convertase 9
(blood)
- Triglycerides
(chemistry)
- Young Adult
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