Resumos em peri??dicos
Plasma clearance of chylomicron remnants is delayed in aged subjects
Registro en:
0021-9150
275
10.1016/j.atherosclerosis.2018.06.468
Autor
TAVONI, T.M.
VINAGRE, C.G.
FREITAS, F.R.
MESQUITA, C.H.
VINAGRE, J.C.
MARIANI, A.C.
KALIL-FILHO, R.
MARANHAO, R.C.
Resumen
Aim: Dietary fats absorbed in the intestine are transported in the circulation
as chylomicrons and remnants that have atherogenic potential.
Although postprandial lipidemia is increased in older subjects, the specific
chylomicron metabolism has not been explored in older subjects nor
compared to young subjects, which is the focus of this study.
Methods: After a 12 h fast, artificially-made emulsions similar to lymph
chylomicrons and doubly labeled with radioactive cholesteryl esters and
triglycerides were intravenously injected in 23 older (66??4 years) and 20
young (24??3 years) subjects. Sequential blood samples were collected to
determine fractional clearance rates (FCR, in min-1) by compartmental
analysis.
Results: Older subjects had higher LDL-cholesterol (p<0.001) and triglycerides
(p<0.0001) than young subjects; HDL-cholesterol presented no
difference. The emulsion cholesteryl-ester FCR was lower in older subjects
compared to the young (p??0.0001). The emulsion triglyceride FCR did not
differ in the two groups. Tested in vitro, however, the lipolysis of the
emulsion triglycerides was less intense in the older than in the young
subjects.
Conclusions: As delayed removal of remnants, indicated by the pronouncedly
smaller cholesteryl ester FCR, is related to the presence of
cardiovascular diseases, this can be a risk factor which could accelerate
atherogenic complications occurring in aged subjects.