正常人餐后甘油三酯动态代谢对血清一氧化氮和血浆内皮素1的影响
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Effect of Lipid Metabolism after Fat Loading on the Serum Concentration of Nitric Oxide and Plasma Endothelin 1 Level
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    摘要:

    为探讨正常人脂肪负荷后甘油三酯动态代谢对血清一氧化氮和血浆内皮素1浓度的影响,取2 0例正常人标准脂肪餐前(0h)、餐后2、4、6和8h外周静脉血,分离血清,测定甘油三酯、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、载脂蛋白A和载脂蛋白B水平,放射免疫法测定血浆内皮素1浓度,比色法测定血清一氧化氮相对浓度,计算一氧化氮/内皮素1比值。结果发现,餐后2h血清甘油三酯浓度显著高于餐前(2 .19±0 .16比1.161.16±0 .11mmol/L ,P<0 .0 5 ) ,4h达到高峰(3.34±0 .37mmol/L) ,8h恢复至餐前水平。餐后2h血浆一氧化氮浓度存在一过性升高(61.5 8±5 .97比42 .5 0±7.42ng/L ,P<0 .0 5 ) ,6、8h又显著降低(37.60±5 .71比61.5 8±5 .97ng/L ;30 .76±5 .0 1比61.5 8±5 .97ng/L ,P<0 .0 5 )。餐后2h内皮素1浓度较餐前显著降低(99.0 8±16.5 5比114.2 2±16 .45ng/L ,P<0 .0 5 ) ,餐后6、8h较2h显著升高(113.82±19.80比99.0 8±16 .5 5ng/L ,12 1.0 2±19.5 5比99.0 8±16.5 5ng/L ,P<0 .0 5 ) ,餐后8h较4h高(12 1.0 2±19.5 5比10 3.45±19.87ng/L ,P<0 .0 5 )。同样,一氧化氮/内皮素1比值在餐后2h存在高峰(0 .78±0 .13比0 .46±0 .0 9,P<0 .0 5 ) ,餐后6、8h又明显下降(0 .42±0 .0 8比0 .78±0 .13;0 .34±0 .0 9比0 .78±0 .13,P<0 .0 5 )。提示餐后高甘油三酯血症影响一氧化氮和内皮素1之间的平衡,正常人血管内皮细胞存在一过性的一氧化氮生成增加和内皮素1生成减少

    Abstract:

    Aim To explore the effect of lipid metabolism after fat loading on the serum concentration of nitric oxide(NO) and plasm endothelin 1(ET 1) level. Methods 20 healthy subjects were given fat loading after fast for 12~14 h. Peripheral blood examples were drawn before and 2, 4, 6, 8 h after fat loading to determinate the concentration of triglyceride(TG), total cholesterol(TC), low density lipoprotein cholesterol (LDLC), high density lipoprotein cholesterol (HDLC), apolipoprotein A(ApoA), apolipoprotein B(ApoB) and glucose(Glu). Concentration of NO and ET 1 at different time point above were detected through colorimetry and radio immune assay respectively. The ratio of NO/ET 1 was calculated. Results TG concentration began to ascent at 2 h(2.19±0.16 vs 1.16±0.11 mmol/L,P<0.05) and reach the peak at 4 h(3.34±0.37 vs 1.16±0.11 mmol/L,P<0.01) after fat loading. During the course, serum level of NO was highest(61.58±5.97 vs 42.50±7.42 ng/L,P<0.05)and ET 1 plasma level was lowest at 2 h (99.08±16.55 vs 114.22±16.45 ng/L,P<0.05). 4 h later, with the descendent of TG concentration, NO and ET 1 concentration came back to the basic level. There was a peak of NO/ET 1 ratio at the 2 h. Conclusions Transient triglyceridemia affects the production of NO and ET 1, which leads to a compensatory increasing production of NO and momently descendent of ET 1 level.

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林金秀,柴大军,吴可贵,许昌声,康晴,汤冰.正常人餐后甘油三酯动态代谢对血清一氧化氮和血浆内皮素1的影响[J].中国动脉硬化杂志,2001,9(3):227~230.

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  • 收稿日期:2001-10-09
  • 最后修改日期:2001-05-08
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