VLDL and IDL apolipoprotein B-100 kinetics in familial hypercholesterolemia due to impaired LDL receptor function or to defective apolipoprotein B-100

Mutations in the apolipoprotein (apo) B, E (LDL) receptor gene and in the apolipoprotein B-100 gene are the cause of familial hypercholesterolemia (FH) and of familial defective apo B-100 (FDB), respectively. Whether these abnormalities lead to altered production or uptake of very low density lipopr...

Full description

Bibliographic Details
Main Authors: Henryk Zulewski, Ron Ninnis, André R. Miserez, Manfred W. Baumstark, Ulrich Keller
Format: Article
Language:English
Published: Elsevier 1998-02-01
Series:Journal of Lipid Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0022227520338992
_version_ 1818384893158096896
author Henryk Zulewski
Ron Ninnis
André R. Miserez
Manfred W. Baumstark
Ulrich Keller
author_facet Henryk Zulewski
Ron Ninnis
André R. Miserez
Manfred W. Baumstark
Ulrich Keller
author_sort Henryk Zulewski
collection DOAJ
description Mutations in the apolipoprotein (apo) B, E (LDL) receptor gene and in the apolipoprotein B-100 gene are the cause of familial hypercholesterolemia (FH) and of familial defective apo B-100 (FDB), respectively. Whether these abnormalities lead to altered production or uptake of very low density lipoprotein (VLDL) or intermediate density lipoprotein (IDL) has not been established previously. Therefore VLDL and IDL apo B-100 kinetics were measured in seven subjects with FH, in six subjects with FDB, and in five normocholesterolemic controls using primed-constant infusions of [1-13C]leucine. Absolute production rates (APR) of VLDL apoB were higher in FH than in controls (27.1 ± 1.9 vs. 17.9 ± 2.1 mg/kg/day P < 0.03). VLDL APR in FDB were between those of FH and controls (24.3 ± 4.8 mg/kg/day), and demonstrated a relatively large inter-individual variability. The increase in VLDL APR in FH resulted in higher fasting serum triglyceride concentrations than in controls (P < 0.05), whereas in FDB triglycerides were between those observed in FH and in controls. A significant correlation was observed between VLDL apoB APR and serum triglycerides in FH and in FDB; the correlation coefficient for all subjects was r = 0.84 (P < 0.0001), indicating that the major determinant of serum triglyceride concentrations was VLDL apoB APR. IDL apoB APR was lower in FH and in FDB compared to controls (P < 0.03 P < 0.02, respectively): and its fractional catabolic rate (FCR) was slightly lower in FH and in FDB, resulting in similar plasma IDL apoB concentrations in all three groups of subjects. IDL apoB APR in FH were negatively correlated with LDL cholesterol concentrations (r = –0.89; P < 0.001); LDL cholesterol concentrations correlated positively with the part of VLDL that did not appear in IDL (r = 0.82 P < 0.02), bypassing therefore the delipidation cascade. In conclusion the data demonstrate increased VLDL apoB production rates in FH. VLDL and IDL kinetics differ when LDL concentrations are elevated either due to a LDL receptor defect or due to defective apolipoprotein B-100.—Zulewski H., R. Ninnis, A. R. Miserez, M. W. Baumstark, and U. Keller. VLDL and IDL apolipoprotein B-100 kinetics in familial hypercholesterolemia due to impaired LDL receptor function or to defective apolipoprotein B-100.
first_indexed 2024-12-14T03:29:29Z
format Article
id doaj.art-baad0b55088e4ef4ad7d47cb952caffb
institution Directory Open Access Journal
issn 0022-2275
language English
last_indexed 2024-12-14T03:29:29Z
publishDate 1998-02-01
publisher Elsevier
record_format Article
series Journal of Lipid Research
spelling doaj.art-baad0b55088e4ef4ad7d47cb952caffb2022-12-21T23:18:47ZengElsevierJournal of Lipid Research0022-22751998-02-01392380387VLDL and IDL apolipoprotein B-100 kinetics in familial hypercholesterolemia due to impaired LDL receptor function or to defective apolipoprotein B-100Henryk Zulewski0Ron Ninnis1André R. Miserez2Manfred W. Baumstark3Ulrich Keller4Division of Endocrinology, Diabetes, and Clinical Nutrition, and Department of Research, University Hospital of Basel, Petersgraben 4, CH-4031 Basel, SwitzerlandDivision of Endocrinology, Diabetes, and Clinical Nutrition, and Department of Research, University Hospital of Basel, Petersgraben 4, CH-4031 Basel, SwitzerlandDivision of Endocrinology, Diabetes, and Clinical Nutrition, and Department of Research, University Hospital of Basel, Petersgraben 4, CH-4031 Basel, SwitzerlandDepartment of Sports Medicine, Albert Ludwigs-University, D-79106 Freiburg, GermanyDivision of Endocrinology, Diabetes, and Clinical Nutrition, and Department of Research, University Hospital of Basel, Petersgraben 4, CH-4031 Basel, Switzerland; To whom correspondence should be addressed.Mutations in the apolipoprotein (apo) B, E (LDL) receptor gene and in the apolipoprotein B-100 gene are the cause of familial hypercholesterolemia (FH) and of familial defective apo B-100 (FDB), respectively. Whether these abnormalities lead to altered production or uptake of very low density lipoprotein (VLDL) or intermediate density lipoprotein (IDL) has not been established previously. Therefore VLDL and IDL apo B-100 kinetics were measured in seven subjects with FH, in six subjects with FDB, and in five normocholesterolemic controls using primed-constant infusions of [1-13C]leucine. Absolute production rates (APR) of VLDL apoB were higher in FH than in controls (27.1 ± 1.9 vs. 17.9 ± 2.1 mg/kg/day P < 0.03). VLDL APR in FDB were between those of FH and controls (24.3 ± 4.8 mg/kg/day), and demonstrated a relatively large inter-individual variability. The increase in VLDL APR in FH resulted in higher fasting serum triglyceride concentrations than in controls (P < 0.05), whereas in FDB triglycerides were between those observed in FH and in controls. A significant correlation was observed between VLDL apoB APR and serum triglycerides in FH and in FDB; the correlation coefficient for all subjects was r = 0.84 (P < 0.0001), indicating that the major determinant of serum triglyceride concentrations was VLDL apoB APR. IDL apoB APR was lower in FH and in FDB compared to controls (P < 0.03 P < 0.02, respectively): and its fractional catabolic rate (FCR) was slightly lower in FH and in FDB, resulting in similar plasma IDL apoB concentrations in all three groups of subjects. IDL apoB APR in FH were negatively correlated with LDL cholesterol concentrations (r = –0.89; P < 0.001); LDL cholesterol concentrations correlated positively with the part of VLDL that did not appear in IDL (r = 0.82 P < 0.02), bypassing therefore the delipidation cascade. In conclusion the data demonstrate increased VLDL apoB production rates in FH. VLDL and IDL kinetics differ when LDL concentrations are elevated either due to a LDL receptor defect or due to defective apolipoprotein B-100.—Zulewski H., R. Ninnis, A. R. Miserez, M. W. Baumstark, and U. Keller. VLDL and IDL apolipoprotein B-100 kinetics in familial hypercholesterolemia due to impaired LDL receptor function or to defective apolipoprotein B-100.http://www.sciencedirect.com/science/article/pii/S0022227520338992apolipoprotein B-100VLDLIDLLDLFHFDB
spellingShingle Henryk Zulewski
Ron Ninnis
André R. Miserez
Manfred W. Baumstark
Ulrich Keller
VLDL and IDL apolipoprotein B-100 kinetics in familial hypercholesterolemia due to impaired LDL receptor function or to defective apolipoprotein B-100
Journal of Lipid Research
apolipoprotein B-100
VLDL
IDL
LDL
FH
FDB
title VLDL and IDL apolipoprotein B-100 kinetics in familial hypercholesterolemia due to impaired LDL receptor function or to defective apolipoprotein B-100
title_full VLDL and IDL apolipoprotein B-100 kinetics in familial hypercholesterolemia due to impaired LDL receptor function or to defective apolipoprotein B-100
title_fullStr VLDL and IDL apolipoprotein B-100 kinetics in familial hypercholesterolemia due to impaired LDL receptor function or to defective apolipoprotein B-100
title_full_unstemmed VLDL and IDL apolipoprotein B-100 kinetics in familial hypercholesterolemia due to impaired LDL receptor function or to defective apolipoprotein B-100
title_short VLDL and IDL apolipoprotein B-100 kinetics in familial hypercholesterolemia due to impaired LDL receptor function or to defective apolipoprotein B-100
title_sort vldl and idl apolipoprotein b 100 kinetics in familial hypercholesterolemia due to impaired ldl receptor function or to defective apolipoprotein b 100
topic apolipoprotein B-100
VLDL
IDL
LDL
FH
FDB
url http://www.sciencedirect.com/science/article/pii/S0022227520338992
work_keys_str_mv AT henrykzulewski vldlandidlapolipoproteinb100kineticsinfamilialhypercholesterolemiaduetoimpairedldlreceptorfunctionortodefectiveapolipoproteinb100
AT ronninnis vldlandidlapolipoproteinb100kineticsinfamilialhypercholesterolemiaduetoimpairedldlreceptorfunctionortodefectiveapolipoproteinb100
AT andrermiserez vldlandidlapolipoproteinb100kineticsinfamilialhypercholesterolemiaduetoimpairedldlreceptorfunctionortodefectiveapolipoproteinb100
AT manfredwbaumstark vldlandidlapolipoproteinb100kineticsinfamilialhypercholesterolemiaduetoimpairedldlreceptorfunctionortodefectiveapolipoproteinb100
AT ulrichkeller vldlandidlapolipoproteinb100kineticsinfamilialhypercholesterolemiaduetoimpairedldlreceptorfunctionortodefectiveapolipoproteinb100