Linkage between C-reactive protein and triglyceride-rich lipoprotein metabolism.

Linkage between C-reactive protein and triglyceride-rich lipoprotein metabolism.
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DOI:
10.1016/j.metabol.2012.08.008
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发表时间:
2013-03
影响因子:
9.8
通讯作者:
Schaefer, Ernst J.
Schaefer, Ernst J.
中科院分区:
医学1区
文献类型:
--
作者:
Thongtang, Nuntakorn;Diffenderfer, Margaret R.;Ooi, Esther M. M.;Asztalos, Bela F.;Dolnikowski, Gregory G.;Lamon-Fava, Stefania;Schaefer, Ernst J.

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Inflammation plays an important role in atherosclerosis. Elevated C-reactive protein (CRP) levels are associated with a greater risk of cardiovascular disease. Our goal was to study CRP metabolism, and to determine its relationship with lipoprotein metabolism using stable isotope methodology. Eight subjects with combined hyperlipidemia underwent a 15-h primed-constant infusion with deuterated leucine. CRP was purified from the plasma density fraction greater than 1.21g/ml by affinity chromatography. Lipoprotein fractions were separated by sequential ultracentrifugation. Isotope enrichment was determined by gas chromatography/mass spectrometry. The subjects had mean LDL-C levels of 147.5mg/dl and mean CRP levels of 3.4mg/ l. The mean CRP production rate (PR) was 0.050±0.012mg/kg/day and the mean CRP fractional catabolic rate (FCR) was 0.343±0.056 pools/day (residence time 2.92days). CRP pool size (PS) was significantly related to production (r=0.93; p<0.001), but not FCR. CRP PS was also related to body mass index (r=0.79; p=0.02). There was a significant association between CRP FCR and TRL apoB-100 FCR (r=0.74, p=0.04), as well as between CRP PS and TRL apoB-48 FCR (r=-0.90, p=0.002), indicating linkage between CRP and TRL metabolism. The main determinant of plasma CRP levels was CRP production rate. Moreover a significant linkage between CRP metabolism and both TRL apoB-100 and apoB-48 catabolism was noted.
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