Impaired lipid metabolism in idiopathic pulmonary alveolar proteinosis

<p>Abstract</p> <p>Background</p> <p>It is well known that lipids abnormally accumulate in the alveoli during idiopathic pulmonary alveolar proteinosis (PAP). It is unclear, however, whether lipids also abnormally accumulate in serum. This study investigated the serum l...

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Main Authors: Xu Wenbing, Wang Juan, Gui Yaosong, Feng Ruie, Zhou Jiong, Wang Lan, Xu Kai-Feng, Luo Jinmei, Tian Xinlun, Xiao Yi, Zhu Yuanjue
Format: Article
Language:English
Published: BMC 2011-04-01
Series:Lipids in Health and Disease
Subjects:
Online Access:http://www.lipidworld.com/content/10/1/54
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author Xu Wenbing
Wang Juan
Gui Yaosong
Feng Ruie
Zhou Jiong
Wang Lan
Xu Kai-Feng
Luo Jinmei
Tian Xinlun
Xiao Yi
Zhu Yuanjue
author_facet Xu Wenbing
Wang Juan
Gui Yaosong
Feng Ruie
Zhou Jiong
Wang Lan
Xu Kai-Feng
Luo Jinmei
Tian Xinlun
Xiao Yi
Zhu Yuanjue
author_sort Xu Wenbing
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>It is well known that lipids abnormally accumulate in the alveoli during idiopathic pulmonary alveolar proteinosis (PAP). It is unclear, however, whether lipids also abnormally accumulate in serum. This study investigated the serum lipid panels in idiopathic PAP patients and explored the relationships between serum levels and the severity of idiopathic PAP.</p> <p>Methods and Results</p> <p>Clinical data including the level of serum lipids were evaluated in 33 non-diabetic idiopathic PAP patients and 157 healthy volunteers. Serum levels of triglyceride were higher in PAP patients than in healthy subjects (median: 192.00 mg/dl (<it>P</it><sub>25</sub>: 104.36, <it>P</it><sub>75</sub>: 219.00) <it>vs </it>119.56 mg/dl (<it>P</it><sub>25</sub>: 78.81, <it>P</it><sub>75</sub>: 193.03), <it>P </it>< 0.05), while high-density lipoprotein cholesterol (HDL-C) levels were lower in patients than in the control group (42.50 ± 10.30 <it>vs </it>51.34 ± 12.06 mg/dl, <it>P </it>< 0.01). Forced expiratory volume in one second and forced vital capacity in hypertriglyceridemia patients were lower than those in patients with normal triglyceride. Serum LDL-C and HDL-C ratio correlated negatively with PaO<sub>2 </sub>(r = -0.403, <it>P </it>< 0.05) and positively with lactate dehydrogenase (r = 0.381, <it>P </it>< 0.05).</p> <p>Conclusions</p> <p>PAP associates with high triglyceride and low HDL levels in the serum, and these lipids provide potential intervention strategy for treatment.</p>
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spelling doaj.art-2ae8239f67a943e788fda81bdfd4de772022-12-22T02:50:16ZengBMCLipids in Health and Disease1476-511X2011-04-011015410.1186/1476-511X-10-54Impaired lipid metabolism in idiopathic pulmonary alveolar proteinosisXu WenbingWang JuanGui YaosongFeng RuieZhou JiongWang LanXu Kai-FengLuo JinmeiTian XinlunXiao YiZhu Yuanjue<p>Abstract</p> <p>Background</p> <p>It is well known that lipids abnormally accumulate in the alveoli during idiopathic pulmonary alveolar proteinosis (PAP). It is unclear, however, whether lipids also abnormally accumulate in serum. This study investigated the serum lipid panels in idiopathic PAP patients and explored the relationships between serum levels and the severity of idiopathic PAP.</p> <p>Methods and Results</p> <p>Clinical data including the level of serum lipids were evaluated in 33 non-diabetic idiopathic PAP patients and 157 healthy volunteers. Serum levels of triglyceride were higher in PAP patients than in healthy subjects (median: 192.00 mg/dl (<it>P</it><sub>25</sub>: 104.36, <it>P</it><sub>75</sub>: 219.00) <it>vs </it>119.56 mg/dl (<it>P</it><sub>25</sub>: 78.81, <it>P</it><sub>75</sub>: 193.03), <it>P </it>< 0.05), while high-density lipoprotein cholesterol (HDL-C) levels were lower in patients than in the control group (42.50 ± 10.30 <it>vs </it>51.34 ± 12.06 mg/dl, <it>P </it>< 0.01). Forced expiratory volume in one second and forced vital capacity in hypertriglyceridemia patients were lower than those in patients with normal triglyceride. Serum LDL-C and HDL-C ratio correlated negatively with PaO<sub>2 </sub>(r = -0.403, <it>P </it>< 0.05) and positively with lactate dehydrogenase (r = 0.381, <it>P </it>< 0.05).</p> <p>Conclusions</p> <p>PAP associates with high triglyceride and low HDL levels in the serum, and these lipids provide potential intervention strategy for treatment.</p>http://www.lipidworld.com/content/10/1/54high-density lipoprotein cholesterollipidpulmonary alveolar proteinosistriglyceride
spellingShingle Xu Wenbing
Wang Juan
Gui Yaosong
Feng Ruie
Zhou Jiong
Wang Lan
Xu Kai-Feng
Luo Jinmei
Tian Xinlun
Xiao Yi
Zhu Yuanjue
Impaired lipid metabolism in idiopathic pulmonary alveolar proteinosis
Lipids in Health and Disease
high-density lipoprotein cholesterol
lipid
pulmonary alveolar proteinosis
triglyceride
title Impaired lipid metabolism in idiopathic pulmonary alveolar proteinosis
title_full Impaired lipid metabolism in idiopathic pulmonary alveolar proteinosis
title_fullStr Impaired lipid metabolism in idiopathic pulmonary alveolar proteinosis
title_full_unstemmed Impaired lipid metabolism in idiopathic pulmonary alveolar proteinosis
title_short Impaired lipid metabolism in idiopathic pulmonary alveolar proteinosis
title_sort impaired lipid metabolism in idiopathic pulmonary alveolar proteinosis
topic high-density lipoprotein cholesterol
lipid
pulmonary alveolar proteinosis
triglyceride
url http://www.lipidworld.com/content/10/1/54
work_keys_str_mv AT xuwenbing impairedlipidmetabolisminidiopathicpulmonaryalveolarproteinosis
AT wangjuan impairedlipidmetabolisminidiopathicpulmonaryalveolarproteinosis
AT guiyaosong impairedlipidmetabolisminidiopathicpulmonaryalveolarproteinosis
AT fengruie impairedlipidmetabolisminidiopathicpulmonaryalveolarproteinosis
AT zhoujiong impairedlipidmetabolisminidiopathicpulmonaryalveolarproteinosis
AT wanglan impairedlipidmetabolisminidiopathicpulmonaryalveolarproteinosis
AT xukaifeng impairedlipidmetabolisminidiopathicpulmonaryalveolarproteinosis
AT luojinmei impairedlipidmetabolisminidiopathicpulmonaryalveolarproteinosis
AT tianxinlun impairedlipidmetabolisminidiopathicpulmonaryalveolarproteinosis
AT xiaoyi impairedlipidmetabolisminidiopathicpulmonaryalveolarproteinosis
AT zhuyuanjue impairedlipidmetabolisminidiopathicpulmonaryalveolarproteinosis