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Plasma PCSK9 correlates with apoB-48-containing triglyceride-rich lipoprotein production in men with insulin resistance.

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.
AuthorsJean-Philippe Drouin-Chartier, André J Tremblay, Jean-Charles Hogue, Valéry Lemelin, Benoît Lamarche, Patrick Couture
JournalJournal of lipid research (J Lipid Res) Vol. 59 Issue 8 Pg. 1501-1509 (08 2018) ISSN: 1539-7262 [Electronic] United States
PMID29946054 (Publication Type: Journal Article)
CopyrightCopyright © 2018 Drouin-Chartier et al.
Chemical References
  • Apolipoprotein B-48
  • Lipoproteins
  • Triglycerides
  • Proprotein Convertase 9
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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