Adrenal Function in females with low plasma HDL-C due to mutations in ABCA1 and LCAT.
INTRODUCTION: Adrenal steroidogenesis is essential for human survival and depends on the availability of the precursor cholesterol. Male subjects with low plasma levels of high density lipoprotein (HDL) cholesterol are characterized by decreased adrenal function. Whether this is also the case in fem...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Public Library of Science (PLoS)
2014-01-01
|
Series: | PLoS ONE |
Online Access: | http://europepmc.org/articles/PMC4026241?pdf=render |
_version_ | 1818477099808194560 |
---|---|
author | Andrea E Bochem Adriaan G Holleboom Johannes A Romijn Menno Hoekstra Geesje M Dallinga Mahdi M Motazacker G Kees Hovingh Jan A Kuivenhoven Erik S G Stroes |
author_facet | Andrea E Bochem Adriaan G Holleboom Johannes A Romijn Menno Hoekstra Geesje M Dallinga Mahdi M Motazacker G Kees Hovingh Jan A Kuivenhoven Erik S G Stroes |
author_sort | Andrea E Bochem |
collection | DOAJ |
description | INTRODUCTION: Adrenal steroidogenesis is essential for human survival and depends on the availability of the precursor cholesterol. Male subjects with low plasma levels of high density lipoprotein (HDL) cholesterol are characterized by decreased adrenal function. Whether this is also the case in female subjects with low plasma HDL-C levels is unresolved to date. FINDINGS: 15 female ATP binding cassette transporter AI (ABCAI) and 14 female lecithin-cholesterol acyltransferase (LCAT) were included in the study. HDL-C levels were 38% and 41% lower in ABCA1 and LCAT mutation carriers compared to controls, respectively. Urinary steroid excretion of 17-ketogenic steroids or 17-hydroxy corticosteroids did not differ between 15 female ABCA1 mutation carriers (p = 0.27 vs 0.30 respectively) and 30 matched normolipidemic controls or between 14 female LCAT mutation carriers and 28 matched normolipidemic controls (p = 0.10 and 0.14, respectively). Cosyntropin testing in an unselected subgroup of 8 ABCA1 mutation carriers and 3 LCAT mutation carriers did not reveal differences between carriers and controls. CONCLUSION: Adrenal function in females with molecularly defined low HDL-C levels is not different from controls. The discrepancy with the finding of impaired steroidogenesis in males with molecularly defined low HDL-C levels underscores the importance of gender specific analyses in cholesterol-related research. |
first_indexed | 2024-12-10T09:33:49Z |
format | Article |
id | doaj.art-79a6ff5fce2c4f0ea53b3c1dbb2b8398 |
institution | Directory Open Access Journal |
issn | 1932-6203 |
language | English |
last_indexed | 2024-12-10T09:33:49Z |
publishDate | 2014-01-01 |
publisher | Public Library of Science (PLoS) |
record_format | Article |
series | PLoS ONE |
spelling | doaj.art-79a6ff5fce2c4f0ea53b3c1dbb2b83982022-12-22T01:54:16ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0195e9096710.1371/journal.pone.0090967Adrenal Function in females with low plasma HDL-C due to mutations in ABCA1 and LCAT.Andrea E BochemAdriaan G HolleboomJohannes A RomijnMenno HoekstraGeesje M DallingaMahdi M MotazackerG Kees HovinghJan A KuivenhovenErik S G StroesINTRODUCTION: Adrenal steroidogenesis is essential for human survival and depends on the availability of the precursor cholesterol. Male subjects with low plasma levels of high density lipoprotein (HDL) cholesterol are characterized by decreased adrenal function. Whether this is also the case in female subjects with low plasma HDL-C levels is unresolved to date. FINDINGS: 15 female ATP binding cassette transporter AI (ABCAI) and 14 female lecithin-cholesterol acyltransferase (LCAT) were included in the study. HDL-C levels were 38% and 41% lower in ABCA1 and LCAT mutation carriers compared to controls, respectively. Urinary steroid excretion of 17-ketogenic steroids or 17-hydroxy corticosteroids did not differ between 15 female ABCA1 mutation carriers (p = 0.27 vs 0.30 respectively) and 30 matched normolipidemic controls or between 14 female LCAT mutation carriers and 28 matched normolipidemic controls (p = 0.10 and 0.14, respectively). Cosyntropin testing in an unselected subgroup of 8 ABCA1 mutation carriers and 3 LCAT mutation carriers did not reveal differences between carriers and controls. CONCLUSION: Adrenal function in females with molecularly defined low HDL-C levels is not different from controls. The discrepancy with the finding of impaired steroidogenesis in males with molecularly defined low HDL-C levels underscores the importance of gender specific analyses in cholesterol-related research.http://europepmc.org/articles/PMC4026241?pdf=render |
spellingShingle | Andrea E Bochem Adriaan G Holleboom Johannes A Romijn Menno Hoekstra Geesje M Dallinga Mahdi M Motazacker G Kees Hovingh Jan A Kuivenhoven Erik S G Stroes Adrenal Function in females with low plasma HDL-C due to mutations in ABCA1 and LCAT. PLoS ONE |
title | Adrenal Function in females with low plasma HDL-C due to mutations in ABCA1 and LCAT. |
title_full | Adrenal Function in females with low plasma HDL-C due to mutations in ABCA1 and LCAT. |
title_fullStr | Adrenal Function in females with low plasma HDL-C due to mutations in ABCA1 and LCAT. |
title_full_unstemmed | Adrenal Function in females with low plasma HDL-C due to mutations in ABCA1 and LCAT. |
title_short | Adrenal Function in females with low plasma HDL-C due to mutations in ABCA1 and LCAT. |
title_sort | adrenal function in females with low plasma hdl c due to mutations in abca1 and lcat |
url | http://europepmc.org/articles/PMC4026241?pdf=render |
work_keys_str_mv | AT andreaebochem adrenalfunctioninfemaleswithlowplasmahdlcduetomutationsinabca1andlcat AT adriaangholleboom adrenalfunctioninfemaleswithlowplasmahdlcduetomutationsinabca1andlcat AT johannesaromijn adrenalfunctioninfemaleswithlowplasmahdlcduetomutationsinabca1andlcat AT mennohoekstra adrenalfunctioninfemaleswithlowplasmahdlcduetomutationsinabca1andlcat AT geesjemdallinga adrenalfunctioninfemaleswithlowplasmahdlcduetomutationsinabca1andlcat AT mahdimmotazacker adrenalfunctioninfemaleswithlowplasmahdlcduetomutationsinabca1andlcat AT gkeeshovingh adrenalfunctioninfemaleswithlowplasmahdlcduetomutationsinabca1andlcat AT janakuivenhoven adrenalfunctioninfemaleswithlowplasmahdlcduetomutationsinabca1andlcat AT eriksgstroes adrenalfunctioninfemaleswithlowplasmahdlcduetomutationsinabca1andlcat |