Familial hyperlipoproteinaemia and coronary heart disease.
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Biomedical subjects
Publications and source records attributed to T G Redgrave.
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1. Labelled thoracic-duct lymph was collected from rats and rabbits after test meals containing [(14)C]cholesterol and [2-(3)H]glyceryl trioleate. 2. The metabolism of labelled cholesterol and triglyceride was studied in normally fed and cholesterol-fed rats and rabbits injected with radioactive lymph from the same species. 3. In normally fed animals of both species, 10min after intravenous administration, about 80% of lymph cholesteryl ester but only about 10% of triglyceride was recovered in the liver after clearance from the plasma. This distribution is consistent with participation of ;remnant' particles in the metabolism of dietary lymph particles. 4. The metabolism of cleared lymph lipoprotein constituents was unchanged in cholesterol-fed rats, but the recovery of cholesteryl ester in the livers of the cholesterol-fed rabbits was decreased to 30% of the cleared dose. 5. The low recovery in cholesterol-fed rabbits was accounted for mainly by increased hydrolysis of cholesteryl ester. 6. It is proposed that differences between rats and rabbits in metabolism of dietary cholesterol might be partly due to the observed enhancement of hydrolysis of lymph lipoprotein cholesteryl ester in rabbits.
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The metabolism of chylomicrons doubly labeled with cholesterol-(3)H and triglyceride-(14)C was studied in unanesthetized rats which were absorbing a fatty test meal. 10 min after intravenous injection, 80% of chylomicron cholesteryl ester, but only 20% of chylomicron triglyceride, was found in the liver. Treatment of recipient rats with puromycin to block hepatic triglyceride release did not increase the proportion of chylomicron triglyceride found in the liver. Rapid partition of chylomicron triglyceride from cholesterol ester also occurred in rats in which the liver had been excluded from the circulation. However, now the cholesteryl ester accumulated in the plasma, whereas triglyceride was cleared by peripheral tissues. Residual labeled cholesterol in the plasma of such rats was shown to be present in particulate form, together with some residual triglyceride. The remnant particles contained about 13% cholesteryl ester. When injected into other rats the remnant particles appeared in the liver more rapidly than did chylomicrons.These observations were consistent with the hypothesis that the first step in chylomicron metabolism occurred in extrahepatic tissues where a large portion of the triglyceride was removed by the action of lipoprotein lipase. The remnant particles so produced contained the chylomicron cholesteryl ester and residual triglyceride, and they were removed from the plasma by the liver.
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A lipid mixture (monoolein, oleic acid-1-(14)C, and palmitic acid-9,10-(3)H) was infused intraduodenally at a steady rate for 8 hr in fasted, unanesthetized rats. The same dose of lipid was given together with pure conjugated bile salts either as an emulsion, 2.5 mM bile salts, or as a micellar solution, 10 mM bile salts. The emulsion contained very little or no micellar lipid. Thoracic duct lymph was collected and in some experiments bile and pancreatic juice were drained to the exterior. After 4-5 hr infusion the same steady lymphatic output of radioactive fatty acids was obtained with emulsion as with micellar solution. It was concluded that absorption of fatty acid could proceed efficiently in the virtual absence of micellar solubilization. In rats with biliary plus pancreatic fistulae, labeled triglyceride was absorbed poorly relative to free fatty acids in the same emulsified particles. This suggested that fatty acids were transferred to the absorptive cells in monomolecular solution and not as emulsion particles. Substitution of a synthetic nonionic detergent for bile salts in lipid mixtures given to rats with biliary and pancreatic fistulae did not affect the lymphatic output of radioactive fatty acids. This indicated that mucosal esterification of labeled free fatty acids was normal in the absence of bile salts. The physical state of the lipid did not affect the pathway of absorption. Finally, comparison of the increased output of esterified fat in the lymph with the output of labeled fat suggested that fat absorption did not greatly affect the turnover of endogenous, unlabeled fat. Results were consistent with the view that most of the endogenous lymph fat comes from reabsorbed biliary lipid.
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Emulsified lipid was infused steadily into the upper small intestine of unanaesthetised rabbits for 6 h and 24 h periods. Lymph was collected from a thoracic duct cannula, the output of infused lipids was measured and the lymph chylomicrons were isolated. Recovery of infused triacylglycerol was 63 +/- 6.4% and recovery of infused radioactive cholesterol was 24 +/- 4.2% during a 24 h period. There was considerable dilution of radioactive exogenous cholesterol with endogenous cholesterol. Provided that absorption was well-established most exogenous lipid was present in the lymph in the form of chylomicrons, and there was a close relationship between lipid content of the lymph and the presence of chylomicrons. During absorption of fats of differing fatty acid composition chylomicrons remained the predominant transport form in the lymph. Chylomicrons obtained during absorption of several fats have been analysed in detail. The protein, phospholipid, free and esterified cholesterol content of these chylomicrons varies within narrow limits. The fatty acid composition of chylomicron triacylglycerols reflects the type of fat in the test meal but the composition of chylomicron phospholipids and cholesteryl esters shows clear discrimination. During absorption of coconut oil there is a strong negative discrimination towards lauric acid both for cholesteryl esters and for phospholipids.
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1. In vivo and in vitro gene-manipulated models were used to study the metabolism of chylomicron remnants. Transgenic mice expressing human apolipoprotein (Apo) A1 or E4, gene knockout mice deficient in ApoE or low density lipoprotein (LDL) receptors and antisense gene inhibition in HepG2 cells were used to evaluate the effect of gene manipulations on the metabolism of chylomicron remnants. 2. Mice transgenic for human ApoE4 showed accelerated clearance of chylomicron-like emulsions when animals were fed a low-fat diet. When challenged by a high-fat diet, remnant clearance in ApoE4 transgenic mice was delayed, as in normal or non-transgenic controls. However, unlike normal nontransgenic controls, in ApoE4 transgenic mice high density lipoprotein (HDL)-cholesterol levels remained high after high-fat feeding, which probably protected the animals from the development of atherosclerosis. In contrast, clearance of chylomicron-like lipid emulsions was not affected by the over-expression of human ApoAI in transgenic mice. 3. Gene knock-out mice deficient in ApoE or deficient in the LDL receptor were used to show that ApoE and LDL receptors are both essential for the normal, fast catabolism of chylomicron remnants by the liver. In the absence of the LDL receptor, an alternative ApoE-dependent pathway operates to clear chylomicrons from the plasma, with significantly delayed catabolism. 4. Antisense gene inhibition techniques were used to suppress the expression of syndecan, a core protein of heparan sulfate proteoglycan, in HepG2 cells. Remnant uptake in cells transfected with the antisense oligodeoxynucleotide complementary to a 20 nucleotide sequence upstream of the initiation site of syndecan cDNA markedly reduced the uptake of chylomicron remnant.