非酒精性脂肪性肝炎患者血清低密度脂蛋白中磷脂酰胆碱及其氢过氧化物含量增加。

IF 2.1 4区 医学 Q3 MEDICAL LABORATORY TECHNOLOGY
Annals of Clinical Biochemistry Pub Date : 2024-09-01 Epub Date: 2024-06-19 DOI:10.1177/00045632241259658
Nanao Murakami, Toshihiro Sakurai, Arisa Yamahata, Akiko Sakurai, Kazuhiro Nouso, Yuki Fujii, Hitoshi Chiba, Shu-Ping Hui
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引用次数: 0

摘要

背景:根据肝活检组织学结果,非酒精性脂肪肝可分为单纯性脂肪变性(SS)和非酒精性脂肪性肝炎(NASH)。磷脂酰胆碱(PC)是血清脂蛋白中磷脂的主要成分,很容易被氧化成过氧化氢磷脂酰胆碱(PC-OOH)。虽然 NASH 患者的低密度脂蛋白(LDL)中的脂质成分可能存在异常,但目前仍不清楚。在此,为了更好地了解 NASH 和 SS 患者低密度脂蛋白中脂质的特征,我们比较了这些患者低密度脂蛋白颗粒(LDL-PC、LDL-PCOOH)中 PC 和 PC-OOH 种类的组成,然后阐明了这些脂质与 NASH 严重程度之间的关联:采用NASH患者(女性,n = 9)和SS患者(女性,n = 4;男性,n = 2)的血清样本分离低密度脂蛋白。从分离出的低密度脂蛋白中提取总脂类,用液相色谱-质谱法/质谱法测定PC和PC-OOH的种类:结果:NASH 中 LDL-PC 和 LDL-PCOOH 的总和明显高于 SS。几种低密度脂蛋白-PC(PC 32:0、32:1、32:2、34:3、36:2、饱和脂肪酸酰基链 PC 总和和多不饱和脂肪酸酰基链低密度脂蛋白-PC 总和)和几种低密度脂蛋白-PCOOH(34:2、36:2、36:3 和总量)随着纤维化评分的增加而显著增加。特别是,一系列低密度脂蛋白-PCOOH更能反映纤维化评分的严重程度:结论:LDL-PC 和 LDL-PCOOH 种类与 NASH 的纤维化评分密切相关,这表明异常 LDL 参与了肝纤维化的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Increased phosphatidylcholine and its hydroperoxides in serum low-density lipoproteins from patients with non-alcoholic steatohepatitis.

Background: Non-alcoholic fatty liver disease is classified into simple steatosis (SS) and non-alcoholic steatohepatitis (NASH) according to histological findings from liver biopsies. Phosphatidylcholine (PC), the main component of phospholipids in serum lipoproteins, is easily oxidized to phosphatidylcholine hydroperoxide (PC-OOH). Although a lipid composition in the low-density lipoproteins (LDL) from patients with NASH could be abnormal, it remains unclear. Here, to better understand the characteristics of lipids in the LDL from NASH and SS, we compared the composition of PC and PC-OOH species in LDL particles (LDL-PC, LDL-PCOOH) from these patients, then clarified the association between these lipids and NASH severity.

Methods: The serum samples from patients with NASH (female, n = 9) and SS (female, n = 4; male, n = 2) were used for isolation of LDL. Total lipids were extracted from isolated LDL, and the species of PC and PC-OOH were measured using liquid chromatography-mass spectrometry/mass spectrometry.

Results: The sum of LDL-PC and the sum of LDL-PCOOH were significantly higher in NASH than in SS. Several LDL-PC (PC 32:0, 32:1, 32:2, 34:3, 36:2, sum of PC with saturated fatty acyl chains and sum of LDL-PC with polyunsaturated fatty acyl chains) and several LDL-PCOOH (34:2, 36:2, 36:3 and total) were increased significantly with increasing fibrosis score. In particular, a series of LDL-PCOOH were more reflective of the severity of fibrosis score.

Conclusions: LDL-PC and LDL-PCOOH species were strongly correlated with the fibrosis score in NASH, which suggests that abnormal LDL is involved in the development of liver fibrosis.

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来源期刊
Annals of Clinical Biochemistry
Annals of Clinical Biochemistry Biochemistry, Genetics and Molecular Biology-Clinical Biochemistry
CiteScore
5.20
自引率
4.50%
发文量
61
期刊介绍: Annals of Clinical Biochemistry is the fully peer reviewed international journal of the Association for Clinical Biochemistry and Laboratory Medicine. Annals of Clinical Biochemistry accepts papers that contribute to knowledge in all fields of laboratory medicine, especially those pertaining to the understanding, diagnosis and treatment of human disease. It publishes papers on clinical biochemistry, clinical audit, metabolic medicine, immunology, genetics, biotechnology, haematology, microbiology, computing and management where they have both biochemical and clinical relevance. Papers describing evaluation or implementation of commercial reagent kits or the performance of new analysers require substantial original information. Unless of exceptional interest and novelty, studies dealing with the redox status in various diseases are not generally considered within the journal''s scope. Studies documenting the association of single nucleotide polymorphisms (SNPs) with particular phenotypes will not normally be considered, given the greater strength of genome wide association studies (GWAS). Research undertaken in non-human animals will not be considered for publication in the Annals. Annals of Clinical Biochemistry is also the official journal of NVKC (de Nederlandse Vereniging voor Klinische Chemie) and JSCC (Japan Society of Clinical Chemistry).
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