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1.
Nutrients ; 13(7)2021 Jun 25.
Artículo en Inglés | MEDLINE | ID: mdl-34202167

RESUMEN

In a recent study, we showed that konjac glucomannan (KGM) inhibits rice gruel-induced postprandial increases in plasma glucose and insulin levels. To extend this research, we investigated the effects of KGM addition to rice gruel on pre- and postprandial concentrations of circulating lipoprotein lipase (LPL), glycosylphosphatidylinositol-anchored high-density lipoprotein-binding protein 1 (GPIHBP1), hepatic triglyceride lipase (HTGL), free fatty acids (FFA), and triglycerides (TG). A total of 13 Japanese men, without diabetes, dyslipidemia, or gastrointestinal diseases, interchangeably ingested rice gruel containing no KGM (0%G), rice gruel supplemented with 0.4% KGM (0.4%G), and rice gruel supplemented with 0.8% KGM (0.8%G), every Sunday for 3 weeks. Blood samples were obtained at baseline and at 30, 60, and 120 min after ingestion to measure the abovementioned lipid parameters. Lipid parameters showed small, but significant, changes. Significant reductions were found in circulating FFA levels among all participants. Circulating TG levels significantly declined at 30 min and then remained nearly constant in the 0.8%G group but exhibited no significant difference in the 0%G and 0.4%G groups. Although circulating levels of LPL and GPIHBP1 significantly decreased in the 0%G and 0.4%G groups, they increased at 120 min in the 0.8%G group. Participants in the 0%G and 0.4%G groups showed significant decreases in circulating HTGL levels, which was not observed in the 0.8%G group. Our results demonstrate the novel pleiotropic effects of KGM. Supplementation of rice gruel with KGM powder led to TG reduction accompanied by LPL and GPIHBP1 elevation and HTGL stabilization, thereby attenuating TG metabolism.


Asunto(s)
Suplementos Dietéticos , Grano Comestible , Mananos , Oryza , Triglicéridos/sangre , Adulto , Estudios Cruzados , Método Doble Ciego , Humanos , Metabolismo de los Lípidos/efectos de los fármacos , Lipoproteína Lipasa/sangre , Masculino , Persona de Mediana Edad , Periodo Posprandial/efectos de los fármacos , Polvos , Receptores de Lipoproteína/sangre
2.
Am J Clin Nutr ; 110(6): 1502-1509, 2019 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-31535138

RESUMEN

BACKGROUND: Comparative studies suggest that DHA may have stronger serum triglyceride-lowering effects than EPA; however, the molecular basis for this differential effect remains unexplored in humans. Differential regulation of lipogenesis and triglyceride clearance are 2 possible mechanisms of action. OBJECTIVES: We compared the effects of EPA and DHA supplementation on serum triglycerides, markers of lipogenesis, and lipoprotein lipase (LPL) activity in adults participating in a double-blind, multiarm, placebo-controlled parallel-group randomized trial. Lipogenesis was assessed with the lipogenic index and compound specific isotope analysis (CSIA). METHODS: Young, healthy normolipidemic men and women (n = 89; 21.6 ± 0.23 y; mean ± SEM) were randomly allocated into 1 of 3 supplement groups for 12 wk: 1) olive oil, 2) ∼3 g EPA/d, and 3) ∼3 g DHA/d. Omega-3 supplements were provided in triglyceride form. Blood was collected before and after supplementation for the analysis of fatty acids and preheparin LPL activity. Variations in the 13C:12C ratio (δ13C) of palmitate (16:0) and linoleate (18:2n-6) were measured by CSIA. RESULTS: DHA supplementation reduced blood triglycerides (0.85 ± 0.04 mmol/L to 0.65 ± 0.03 mmol/L; P < 0.01), with no change seen with EPA supplementation. DHA supplementation did not change the lipogenic index or δ13C-16:0, whereas EPA supplementation increased the lipogenic index by 11% (P < 0.01) and δ13C-16:0 (P = 0.03) from -23.2 ± 0.2 to -22.8 ± 0.2 milliUrey ± SEM. CONCLUSIONS: Reduced triglyceride concentrations after DHA supplementation are associated with increased LPL activity, whereas the null effect of EPA supplementation on blood triglycerides may stem from the concomitant increases in lipogenesis and LPL activity. Further investigation of the differential triglyceride-lowering effects of EPA and DHA is warranted in both normolipidemic and hyperlipidemic individuals. This trial was registered at clinicaltrials.gov as NCT03378232.


Asunto(s)
Ácidos Docosahexaenoicos/administración & dosificación , Ácido Eicosapentaenoico/administración & dosificación , Lipogénesis/efectos de los fármacos , Lipoproteína Lipasa/sangre , Triglicéridos/sangre , Adulto , Suplementos Dietéticos , Femenino , Humanos , Masculino , Adulto Joven
3.
Phytomedicine ; 53: 43-52, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30668411

RESUMEN

BACKGROUND: Hypertriglyceridemia (HTg) defines as high amounts of triglyceride (TG) in the blood which can lead to serious complications over time. HTg is usually a part of metabolic disorders such as diabetes mellitus, metabolic syndrome, and dyslipidemia. Different medications have been used to treat HTg but experimentally, many herbs have been recommended for treating HTg as an adjuvant therapy. In most cases, the recommendations are based on animal studies and limited evidences exist about their mechanisms and clinical usefulness. PURPOSE: This review focused on the herbs which have been shown TG lowering effect. METHOD: The search was done in PubMed, Science Direct, Scopus, Web of Science and Google Scholar databases a 20-year period between 1997 to 2017 with keywords search of medicinal plant, plant extract, hypertriglyceridemia, dyslipidemia, hyperlipidemia, lipoprotein lipase and apolipoprotein. RESULTS: According to the results, many plants showed positive effects but Allium sativum, Nigella sativa, Curcuma longa, Anethum graveolens and Commiphora mukul had the best TG lowering effect with exact mechanisms of action. CONCLUSION: It seems that use of these plants as complementary therapeutics or extraction of their active ingredients along with currently available drugs will improve the management of HTg in patients.


Asunto(s)
Hipertrigliceridemia/tratamiento farmacológico , Fitoquímicos/farmacología , Plantas Medicinales , Animales , Dislipidemias/tratamiento farmacológico , Dislipidemias/prevención & control , Humanos , Hiperlipidemias/tratamiento farmacológico , Lipoproteína Lipasa/sangre , Fitoterapia/métodos , Triglicéridos/sangre
4.
Nutrients ; 9(10)2017 Oct 19.
Artículo en Inglés | MEDLINE | ID: mdl-29048361

RESUMEN

The aim of this study was to investigate the effect of a high fat diet with experimental oil consisting of 60% MUFAs (monounsaturated fatty acids) with a P/S ratio of 5 on fat deposition and lipid metabolism in obese hamsters. Hamsters were randomly assigned to a control group and a diet-induced obesity group for nine weeks. Then an additional eight-week experimental period began, during which obese hamsters were randomly divided into three groups and fed different amounts of the experimental oil mixture in their diets as follows: 5%, 15%, and 20% w/w (OB-M5, OB-M15, and OB-M20 groups, respectively). The results showed that the OB-M15 and OB-M20 groups had significantly lower blood cholesterol and higher insulin levels. Compared to the control group, the three obese groups exhibited higher hepatic fatty acid synthase activity; however, the acyl-CoA oxidase activities were also enhanced. Although dietary fat content differed, there were no differences in energy intake, final body weights, and epididymal fat weights among the four groups. These results suggest that regardless of whether the specimens had a high fat intake or not, dietary fat containing high MUFAs with a high P/S ratio had beneficial effects on maintaining blood lipid profiles and may not result in body fat accumulation in obese hamsters, possibly by promoting lipolytic enzyme activities.


Asunto(s)
Adiposidad , Ácidos Grasos Monoinsaturados/administración & dosificación , Ácidos Grasos Insaturados/administración & dosificación , Obesidad/prevención & control , Aumento de Peso , Adiponectina/sangre , Animales , Glucemia/metabolismo , Peso Corporal , Colesterol/sangre , Cricetinae , Dieta Alta en Grasa , Grasas de la Dieta/administración & dosificación , Ácido Graso Sintasas/metabolismo , Ácidos Grasos Monoinsaturados/sangre , Ácidos Grasos Insaturados/sangre , Insulina/sangre , Leptina/sangre , Metabolismo de los Lípidos , Lipoproteína Lipasa/sangre , Hígado/metabolismo , Masculino , Obesidad/sangre , PPAR gamma/genética , PPAR gamma/metabolismo , ARN Mensajero/genética , ARN Mensajero/metabolismo , Esterol Esterasa/sangre , Triglicéridos/sangre
5.
Prostaglandins Other Lipid Mediat ; 128-129: 1-7, 2017 01.
Artículo en Inglés | MEDLINE | ID: mdl-28025036

RESUMEN

This study aimed to determine circulating levels of polyunsaturated fatty acids (PUFAs), secretory phospholipase A2 (sPLA2), lipoprotein lipase (LPL) and measure circulating protein levels of angiopoietin-like protein 3 (ANGPTL3), ANGPTL4, cyclooxygenase-2 (COX-2) and prostaglandin E2 (PGE2) in patients with acne vulgaris. Serum from 21 control subjects and 31 acne vulgaris patients were evaluated for levels of arachidonic acid (AA, C20:4n- 6), dihomo-gamma-linolenic acid (DGLA, C20:3n-6), eicosapentaenoic acid (EPA, C20:5n-3) and docosahexaenoic acid (DHA, C22:6n-3). PUFA levels were determined by an optimized multiple reaction monitoring (MRM) method using ultra fast-liquid chromatography (UFLC) coupled with tandem mass spectrometry (MS/MS). Lipid profile, routine biochemical and hormone parameters were assayed by standard kit methods Serum EPA levels were significantly decreased while AA/EPA and DGLA/EPA ratio were significantly increased in acne vulgaris patients compared to controls. Serum levels of AA, DGLA and DHA showed no significant difference while activity of sPLA2 and LPL were significantly increased in acne vulgaris compared to controls. Results of this study reveal the presence of a proinflammatory state in acne vulgaris as shown by significantly decreased serum EPA levels and increased activity of sPLA2, AA/EPA and DGLA/EPA ratio. Increased LPL activity in the serum of acne vulgaris patients can be protective through its anti-dyslipidemic actions. This is the first study reporting altered EPA levels and increased sPLA2 activity in acne vulgaris and supports the use of omega-3 fatty acids as adjuvant treatment for acne patients.


Asunto(s)
Acné Vulgar/sangre , Ácido Eicosapentaenoico/sangre , Acné Vulgar/enzimología , Adolescente , Adulto , Proteína 3 Similar a la Angiopoyetina , Proteína 4 Similar a la Angiopoyetina/sangre , Proteínas Similares a la Angiopoyetina/sangre , Niño , Ciclooxigenasa 2/sangre , Dinoprostona/sangre , Femenino , Humanos , Inflamación/sangre , Lipoproteína Lipasa/sangre , Masculino , Adulto Joven
6.
Nutrition ; 32(9): 995-1001, 2016 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-27130470

RESUMEN

OBJECTIVE: To investigate the effects of glycyrrhizic acid supplementation on glucose and lipid metabolism in rodents consuming a high-fat, high-sucrose diet. METHODS: Twenty-four male, 8-week old Sprague Dawley rats with an initial weight of 160 to 200 g were randomised into three groups (n = 6 for each group): groups A (standard rat chow), B (high-fat, high-sucrose diet), and C (high-fat, high-sucrose diet + 100 mg/kg/d of glycyrrhizic acid via oral administration). The rats were treated accordingly for 4 wk. Glycaemic parameters, lipid profile, stress hormones, and adiponectin levels were measured after the treatment. Relative gene expressions of peroxisome proliferator-activated receptor α and γ, lipoprotein lipase as well as gluconeogenic enzymatic activities in different tissues were also determined. RESULTS: Consumption of high-fat, high-sucrose diet triggered hyperglycaemia, insulin resistance, and dyslipidemia, which were effectively attenuated by supplementation with glycyrrhizic acid. Glycyrrhizic acid supplementation also effectively reduced circulating adrenaline, alleviated gluconeogenic enzymes overactivity, and promoted the upregulation of lipoprotein lipase expression in the cardiomyocytes and skeletal muscles. A high calorie diet also triggered hypoadiponectinaemia and suppression of peroxisome proliferator-activated receptor γ expression, which did not improve with glycyrrhizic acid treatment. CONCLUSION: Supplementation with glycyrrhizic acid could alleviate high calorie diet-induced glucose and lipid metabolic dysregulations by reducing circulatory stress hormones, normalizing gluconeogenic enzyme activities, and elevating muscular lipid uptake. The beneficial effects of these bioactivities outweighed the adverse effects caused by diet-induced repression of peroxisome proliferator-activated receptor γ expression, resulting in the maintenance of lipid and glucose homeostasis.


Asunto(s)
Antiinflamatorios/farmacología , Dieta Alta en Grasa/efectos adversos , Ácido Glicirrínico/farmacología , Síndrome Metabólico/prevención & control , PPAR gamma/antagonistas & inhibidores , Sacarosa/administración & dosificación , Adiponectina/sangre , Animales , Antiinflamatorios/sangre , Grasas de la Dieta/administración & dosificación , Epinefrina/sangre , Gluconeogénesis/efectos de los fármacos , Ácido Glicirrínico/sangre , Lipoproteína Lipasa/sangre , Lipoproteína Lipasa/efectos de los fármacos , Masculino , Síndrome Metabólico/sangre , PPAR gamma/sangre , Ratas , Ratas Sprague-Dawley
7.
J Nutr Biochem ; 32: 46-54, 2016 06.
Artículo en Inglés | MEDLINE | ID: mdl-27142736

RESUMEN

Fucoidan, a sulfated polysaccharide extracted from brown seaweeds, possesses many biological activities including anti-inflammatory and antioxidant activities. We aimed to investigate the protective effects of fucoidan on dyslipidemia and atherosclerosis in apolipoprotein E-deficient mice (ApoE(shl) mice) and to elucidate its molecular targets in the liver by using a transcriptomic approach. For 12weeks, ApoE(shl) mice were fed a high-fat diet (HFD) supplemented with either 1% or 5% fucoidan. Fucoidan supplementation significantly reduced tissue weight (liver and white adipose tissue), blood lipid, total cholesterol (TC), triglyceride (TG), non-high-density lipoprotein cholesterol (non-HDL-C) and glucose levels in HFD-fed ApoE(shl) mice but increased plasma lipoprotein lipase (LPL) activity and HDL-C levels. Fucoidan also reduced hepatic steatosis levels (liver size, TC and TG levels, and lipid peroxidation) and increased white adipose tissue LPL activity. DNA microarray analysis and quantitative reverse transcription-polymerase chain reaction demonstrated differential expression of genes encoding proteins involved in lipid metabolism, energy homeostasis and insulin sensitivity, by activating Ppara and inactivating Srebf1. Fucoidan supplementation markedly reduced the thickness of the lipid-rich plaque, lipid peroxidation and foaming macrophage accumulation in the aorta in HFD-fed ApoE(shl) mice. Thus, fucoidan supplementation appears to have anti-dyslipidemic and anti-atherosclerotic effects by inducing LPL activity and inhibiting the effects of inflammation and oxidative stress in HFD-fed ApoE(shl) mice.


Asunto(s)
Aterosclerosis/prevención & control , Suplementos Dietéticos , Dislipidemias/dietoterapia , Hipolipemiantes/uso terapéutico , Hígado/metabolismo , Polisacáridos/uso terapéutico , Túnica Íntima/metabolismo , Animales , Aorta/inmunología , Aorta/metabolismo , Aorta/patología , Aterosclerosis/etiología , Aterosclerosis/inmunología , Biomarcadores/sangre , Biomarcadores/metabolismo , Dieta Alta en Grasa/efectos adversos , Dislipidemias/metabolismo , Dislipidemias/patología , Dislipidemias/fisiopatología , Perfilación de la Expresión Génica , Regulación de la Expresión Génica , Hipolipemiantes/administración & dosificación , Peroxidación de Lípido , Lipoproteína Lipasa/sangre , Hígado/inmunología , Hígado/patología , Masculino , Ratones Endogámicos , Enfermedad del Hígado Graso no Alcohólico/etiología , Enfermedad del Hígado Graso no Alcohólico/inmunología , Enfermedad del Hígado Graso no Alcohólico/prevención & control , Tamaño de los Órganos , Estrés Oxidativo , Phaeophyceae/química , Polisacáridos/administración & dosificación , Algas Marinas/química , Túnica Íntima/inmunología , Túnica Íntima/patología
8.
Scand J Clin Lab Invest ; 74(4): 285-95, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24564634

RESUMEN

BACKGROUND: Low-density lipoprotein cholesterol (LDL-C) is a major cardiovascular risk. However, some patients show symptoms of coronary heart disease (CHD) even though their LDL-C is strictly controlled. Therefore, it is important to treat other risk factors. METHODS: Some 129 outpatients with dyslipidemia who were treated with either atorvastatin 10 mg/day (ATO), pitavastatin 2 mg/day (PIT), or rosuvastatin 2.5 mg/day (ROS) were enrolled. After informed consent was obtained, these patients were switched to another statin. Lipid profiles and lipoprotein fraction by polyacrylamide gel electrophoresis (PAGE) were compared between before and after 3 months of treatment with non-fasting blood sample. RESULTS: LDL-C did not show any significant changes after switching and was maintained around 2.59 mmol/L in all groups. High-density lipoprotein cholesterol (HDL-C) was significantly increased in group ATO→PIT (1.43→1.54 mmol/L, p = 0.0010) and ROS→PIT (1.46→1.57 mmol/L, p = 0.0004), and was significantly decreased in group PIT→ATO (1.44→1.36 mmol/L, p = 0.0290). Apolipoprotein A-I (Apo A-I) and preheparin lipoprotein lipase (LPL) mass showed similar changes in HDL-C. Changes in HDL-C showed a significant positive correlation with those in Apo A-I and preheparin LPL mass, and a little but significant negative correlation with changes in Lp(a) and intermediate density lipoprotein (IDL) fraction. CONCLUSIONS: ATO, PIT, and ROS have comparable effect on LDL-C lowering. Changes in HDL-C were similar to those in Apo A-I and preheparin LPL mass, and PIT was the most effective treatment in increasing HDL-C, Apo A-I, and preheparin LPL mass.


Asunto(s)
LDL-Colesterol/sangre , Dislipidemias/tratamiento farmacológico , Fluorobencenos/uso terapéutico , Ácidos Heptanoicos/uso terapéutico , Pirimidinas/uso terapéutico , Pirroles/uso terapéutico , Quinolinas/uso terapéutico , Sulfonamidas/uso terapéutico , Anciano , Anciano de 80 o más Años , Apolipoproteína A-I/sangre , Atorvastatina , Enfermedades Cardiovasculares/sangre , Enfermedades Cardiovasculares/prevención & control , HDL-Colesterol/sangre , Femenino , Humanos , Inhibidores de Hidroximetilglutaril-CoA Reductasas/uso terapéutico , Lipoproteína Lipasa/sangre , Masculino , Persona de Mediana Edad , Factores de Riesgo , Rosuvastatina Cálcica , Resultado del Tratamiento
9.
Chin J Integr Med ; 20(1): 31-5, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-23001493

RESUMEN

OBJECTIVE: To investigate the anti-hyperlipidemic effects of apple polyphenols extract (APE) in Triton WR-1339-induced endogenous hyperlipidemic model. METHODS: Firstly, APE was isolated and purified from the pomace of Red Fuji Apple and contents of individual polyphenols in APE were determined using high-performance liquid chromatography-mass spectrometry (HPLC-MS). Secondly, forty male National Institude of Health (NIH) mice were randomly divided into 5 groups with 8 animals in each group. The Fenofibrate Capsules (FC) group and APE groups received oral administration of respective drugs for 7 consecutive days. All mice except those in the normal group were intravenously injected through tail vein with Triton WR-1339 on the 6th day. Serum and livers from all the mice were obtained 18 h after the injection. The changes in serum total cholesterol (TC), triglyceride (TG), lipoprotein lipase (LPL) and hepatic triglyceride lipase (HTGL) were measured by respective kits. Finally, expression of hepatic peroxisome proliferator-activated receptor alpha (PPARα) mRNA was measured by real-time reverse transcription-polymerase chain reaction (RT-PCR) method. RESULTS SERUM TC AND TG LEVELS SIGNIFICANTLY INCREASED IN TRITON WR-1339-INDUCED MODEL GROUP COMPARED WITH THE NORMAL GROUP (P<0.01). ORAL ADMINISTRATION OF APE [200 AND 400 MG/(KG DAY)] DOSE-DEPENDENTLY REDUCED THE SERUM LEVEL OF TG IN HYPERLIPIDEMIC MICE (P<0.01). SERUM LPL AND HTGL ACTIVITIES SIGNIFICANTLY DECREASED IN TRITON WR-1339-INDUCED MODEL GROUP COMPARED WITH THE NORMAL GROUP (P<0.05). ORAL ADMINISTRATION OF APE [200 AND 400 MG/(KG DAY)] DOSE-DEPENDENTLY ELEVATED THE SERUM ACTIVITY OF LPL IN HYPERLIPIDEMIC MICE (P<0.05 OR P<0.01). FURTHERMORE, COMPARED WITH THE NORMAL GROUP, HEPATIC MRNA LEVEL OF PPARα IN THE MODEL GROUP SIGNIFICANTLY DECREASED (P<0.01). ORAL ADMINISTRATION OF APE [200 AND 400 MG/(KG DAY)] DOSE-DEPENDENTLY ELEVATED THE EXPRESSION OF PPARα IN HYPERLIPIDEMIC MICE (P<0.05 OR P<0.01): CONCLUSION: APE could reduce TG level via up-regulation of LPL activity, which provides new evidence to elucidate the anti-hyperlipidemic effects of APE.


Asunto(s)
Ácido Clorogénico/farmacología , Flavonoides/farmacología , Hipolipemiantes/farmacología , Lipoproteína Lipasa/genética , Taninos/farmacología , Regulación hacia Arriba/efectos de los fármacos , Animales , Ácido Clorogénico/uso terapéutico , Colesterol/sangre , Flavonoides/uso terapéutico , Hiperlipidemias/sangre , Hiperlipidemias/tratamiento farmacológico , Hiperlipidemias/enzimología , Hiperlipidemias/patología , Lipoproteína Lipasa/sangre , Masculino , Ratones , PPAR alfa/genética , PPAR alfa/metabolismo , Fitoterapia , Polietilenglicoles , ARN Mensajero/genética , ARN Mensajero/metabolismo , Taninos/uso terapéutico , Triglicéridos/sangre
10.
J Nutr ; 143(10): 1618-25, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23902956

RESUMEN

There are limited data from prospective studies regarding interactions between lipoprotein lipase gene (LPL) and lifestyle factors in association with HDL-cholesterol (HDL-C) concentrations, a biomarker of coronary heart disease risk. Our prospective cohort study investigated the interactive effects of a common LPL polymorphism and lifestyle factors, including obesity, smoking, alcohol consumption, physical activity, and dietary intake, on follow-up measurements of HDL-C and triglyceride (TG) concentrations. A total of 5314 Korean men and women aged 40-69 y participated in the study. Serum HDL-C and TG concentrations were measured in all participants at baseline and 6-y follow-up examinations. On the basis of genome-wide association data for HDL-C and TG concentrations, we selected the most significant polymorphism (rs10503669), which was in high linkage disequilibrium with the serine 447 stop (S447×) mutation (D' = 0.99) of LPL. We found that carrying the T allele reflecting the LPL ×447 allele was positively associated with follow-up measurement of HDL-C concentrations (P < 0.001). In the linear regression model adjusted for baseline HDL-C concentration and potential risk factors, we observed interactive effects of the polymorphism and consumption of alcohol (P-interaction < 0.01) and unsaturated fat (P-interaction < 0.05) on follow-up measurement of HDL-C concentrations. We also observed interactive effects of the polymorphism and body mass index (P-interaction < 0.01) on follow-up measurement of TG concentrations after adjusting for the baseline level and potential risk factors. Our findings suggest that carriers of the LPL ×447 allele benefit from moderate alcohol consumption and a diet high in unsaturated fat to minimize reduction of blood HDL-C concentrations and that obese persons who do not carry the LPL ×447 allele need to control body weight to prevent hypertriglyceridemia.


Asunto(s)
HDL-Colesterol/genética , Grasas de la Dieta/farmacología , Etanol/farmacología , Ácidos Grasos Insaturados/farmacología , Lipoproteína Lipasa/genética , Polimorfismo Genético , Triglicéridos/sangre , Adulto , Anciano , Consumo de Bebidas Alcohólicas , Alelos , Pueblo Asiatico/genética , Índice de Masa Corporal , HDL-Colesterol/sangre , Dieta , Femenino , Estudio de Asociación del Genoma Completo , Humanos , Hipertrigliceridemia/sangre , Hipertrigliceridemia/etiología , Hipertrigliceridemia/genética , Desequilibrio de Ligamiento , Lipoproteína Lipasa/sangre , Masculino , Persona de Mediana Edad , Mutación , Obesidad/sangre , Obesidad/complicaciones , Obesidad/genética , Estudios Prospectivos , República de Corea
11.
Mol Nutr Food Res ; 57(9): 1569-77, 2013 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-22930403

RESUMEN

SCOPE: We previously found that curcuminoids decreased blood glucose and improved insulin resistance by reducing serum free fatty acids (FFAs) and increasing fatty acid oxidation in skeletal muscle of diabetic rats. This study was to investigate whether curcuminoids have beneficial effects on type 2 diabetic patients, and its possible mechanisms. METHODS AND RESULTS: Overweight/obese type 2 diabetic patients (BMI ≥ 24.0; fasting blood glucose ≥ 7.0 mmol/L or postprandial blood glucose ≥11.1 mmol/L) were randomly assigned to curcuminoids (300 mg/day) or placebo for 3 months. Bodyweight, glycosylated hemoglobin A1c (HbA1c ,% ), serum fasting glucose, FFAs, lipids, and lipoprotein lipase (LPL) were determined. A total of 100 patients (curcuminoids, n = 50; placebo, n = 50) completed the trial. Curcuminoids supplementation significantly decreased fasting blood glucose (p < 0.01), HbA1c (p = 0.031), and insulin resistance index (HOMA-IR) (p < 0.01) in type 2 diabetic patients. Curcuminoids also led to a significant decrease in serum total FFAs (p < 0.01), triglycerides (P = 0.018), an increase in LPL activity (p < 0.01). CONCLUSION: These findings suggest a glucose-lowering effect of curcuminoids in type 2 diabetes, which is partially due to decrease in serum FFAs, which may result from promoting fatty acid oxidation and utilization.


Asunto(s)
Glucemia/efectos de los fármacos , Curcumina/farmacología , Diabetes Mellitus Tipo 2/sangre , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Hipoglucemiantes/farmacología , Adolescente , Adulto , Anciano , Peso Corporal , Método Doble Ciego , Ácidos Grasos no Esterificados/sangre , Femenino , Hemoglobina Glucada/metabolismo , Humanos , Insulina/sangre , Resistencia a la Insulina , Lipoproteína Lipasa/sangre , Masculino , Persona de Mediana Edad , Obesidad/tratamiento farmacológico , Periodo Posprandial/efectos de los fármacos , Triglicéridos/sangre , Adulto Joven
12.
Chem Biol Interact ; 203(1): 323-9, 2013 Mar 25.
Artículo en Inglés | MEDLINE | ID: mdl-23073171

RESUMEN

This study was designed to investigate the effects of conjugated linoleic acid (CLA) supplementation and endurance exercise training-induced changes on post-heparin lipoprotein lipase (PH-LPL) and butyrylcholinesterase (BChE) activities along with leptin, insulin and lipid levels in plasma by a randomized double blind experiment. Eighteen sedentary male volunteers were randomly divided into CLA and Placebo (PLC) supplementation groups. Both groups underwent daily supplementation of either 3g CLA or 3g placebo for 30 days, respectively, and performed exercise on a bicycle ergometer 3 times per week for 30-40 min at 50% VO2 peak workload. For plasma glucose, insulin and leptin levels and BChE activity fasting blood was used. For PH-LPL measurements, blood was collected 15 min after 50 IU/kg iv heparin injection. In all groups, there is a statistically significant decrease in BChE (p = 0.03, p = 0.02) and leptin (p = 0.002), insulin and HOMA-IR levels (p = 0.02). Exercise with or without CLA supplementation decreased insulin levels and increased insulin sensitivity. PH-LPL activity was increased significantly in both groups, displaying increased fatty acid mobilization. We conclude that though CLA supplementation and exercise can affect these parameters, CLA is not more effective than exercise alone. Hence, a prolonged supplementation regime may be more effective. Taken together in our small study group, our findings display that BChE is a potential marker for synthetic function of liver, fat metabolism, an obesity marker, a function long overlooked.


Asunto(s)
Glucemia/metabolismo , Butirilcolinesterasa/sangre , Grasas Insaturadas en la Dieta/administración & dosificación , Ejercicio Físico/fisiología , Ácidos Linoleicos Conjugados/administración & dosificación , Lípidos/sangre , Lipoproteína Lipasa/sangre , Adulto , Suplementos Dietéticos , Método Doble Ciego , Humanos , Masculino , Obesidad/sangre , Obesidad/dietoterapia , Resistencia Física/fisiología , Adulto Joven
13.
Am J Vet Res ; 73(1): 62-7, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-22204289

RESUMEN

OBJECTIVE: To determine the effects of increases in dietary intake of polyunsaturated and saturated fatty acids on plasma lipid and lipoprotein concentrations and activity of associated enzymes in healthy domestic cats. ANIMALS: 16 healthy adult sexually intact female cats. PROCEDURES: A baseline diet (40% energy from fat) and 4 test diets, with increased amounts of fat (51% and 66% energy from fat) from the addition of polyunsaturated and saturated fatty acids, were fed for 6 weeks each. Plasma cholesterol, triglyceride, and lipoprotein cholesterol concentrations, along with activities of lipoprotein lipase, hepatic lipase, and lecithin-cholesterol acyl transferase, were measured at the end of each feeding period. RESULTS: Diet, amount of fat, or ratio of polyunsaturated to saturated fatty acids had no effect on plasma concentrations of cholesterol, triglycerides, and very-low-density or high-density lipoproteins or the activity of lecithin-cholesterol acyl transferase. Low-density lipoprotein concentrations were significantly lower in cats fed a high-fat diet containing polyunsaturated fatty acids. Lipoprotein concentration and hepatic lipase activity were significantly higher in cats fed the fat-supplemented diets, and this was unrelated to whether diets were enriched with polyunsaturated or saturated fatty acids. CONCLUSIONS AND CLINICAL RELEVANCE: Diets containing up to 66% of energy from fat were tolerated well by healthy cats and did not affect plasma lipid concentrations. Therefore, high-fat diets probably will not contribute to hypercholesterolemia or hypertriglyceridemia in cats.


Asunto(s)
Gatos/metabolismo , Colesterol/sangre , Grasas Insaturadas en la Dieta/farmacología , Grasas de la Dieta/farmacología , Triglicéridos/sangre , Animales , Grasas de la Dieta/administración & dosificación , Grasas de la Dieta/análisis , Grasas Insaturadas en la Dieta/administración & dosificación , Grasas Insaturadas en la Dieta/análisis , Femenino , Lipasa/sangre , Lipoproteína Lipasa/sangre , Lipoproteínas/sangre , Lipoproteínas HDL/sangre , Lipoproteínas LDL/sangre , Lipoproteínas VLDL/sangre , Fosfatidilcolina-Esterol O-Aciltransferasa/sangre
14.
Br J Nutr ; 108(2): 208-17, 2012 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-22011563

RESUMEN

Proanthocyanidins have been shown to improve postprandial hypertriacylglycerolaemia. The present study aims to determine the actual contribution of chylomicrons (CM) and VLDL in the hypotriacylglycerolaemic action of grape seed proanthocyanidin extract (GSPE) in the postprandial state and to characterise the mechanisms by which the GSPE treatment reduces TAG-rich lipoproteins in vivo. A plasma lipid tolerance test was performed on rats fasted for 14 h and orally loaded with lard containing either GSPE or not. GSPE (250 mg/kg body weight) markedly blocked the increase in plasma TAG induced by lard, with a statistically significant reduction of 22 % in the area under the curve. The VLDL-rich fraction was the major contributor (72 %) after 1 h, whereas the CM-rich fraction was the major contributor (85 %) after 3 h. At 5 and 7 h after treatment, CM-rich and VLDL-rich fractions showed a similar influence. Plasma post-heparin lipoprotein lipase (LPL) activity and LPL mRNA levels in white adipose tissue and muscle were not affected by GSPE. On the contrary, GSPE treatment significantly repressed (30 %) the secretion of VLDL-TAG. In the liver, GSPE treatment induced different effects on the expression of acyl-coenzyme A synthetase long-chain family member 1, Apoc3 and 3-hydroxy-3-methylglutaryl-coenzyme A reductase at 1 h and Cd36 at 5 h, compared to those induced by lard. Furthermore, GSPE treatment significantly increased the activity of carnitine palmitoyltransferase 1a at 1 h. In conclusion, both CM-rich and VLDL-rich fractions contributed to the hypotriacylglycerolaemic action of GSPE, but their influence depended on time. GSPE induces hypotriacylglycerolaemic actions by repressing lipoprotein secretion and not by increasing LPL activity.


Asunto(s)
Quilomicrones/sangre , Suplementos Dietéticos , Extracto de Semillas de Uva/uso terapéutico , Hipertrigliceridemia/prevención & control , Hipolipemiantes/uso terapéutico , Lipoproteínas VLDL/sangre , Proantocianidinas/uso terapéutico , Triglicéridos/sangre , Ácido 3-Hidroxibutírico/sangre , Animales , Carnitina O-Palmitoiltransferasa/genética , Carnitina O-Palmitoiltransferasa/metabolismo , Quilomicrones/química , Ácidos Grasos no Esterificados/sangre , Regulación Enzimológica de la Expresión Génica , Hipertrigliceridemia/sangre , Hipertrigliceridemia/metabolismo , Mucosa Intestinal/enzimología , Mucosa Intestinal/metabolismo , Grasa Intraabdominal/enzimología , Grasa Intraabdominal/metabolismo , Lipoproteína Lipasa/sangre , Lipoproteína Lipasa/genética , Lipoproteína Lipasa/metabolismo , Lipoproteínas VLDL/química , Lipoproteínas VLDL/metabolismo , Hígado/enzimología , Hígado/metabolismo , Masculino , Especificidad de Órganos , Periodo Posprandial , ARN Mensajero/metabolismo , Ratas , Ratas Wistar , Triglicéridos/efectos adversos , Triglicéridos/metabolismo
15.
J Sci Food Agric ; 91(6): 1006-13, 2011 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-21360538

RESUMEN

BACKGROUND: Cyanidin-3-O-ß-glucoside (Cy-3-g)-rich foods have been reported to inhibit the onset of obesity, but whether the pure anthocyanin supplementation affects obesity remains uncertain. RESULTS: Cy-3-g supplementation significantly reduced obesity, accumulation of fat in visceral adipose and liver tissues, and plasma triglyceride levels. Furthermore, adenosine monophosphate (AMP)-activated protein kinase phosphorylation (pAMPK) in the skeletal muscle and visceral adipose were significantly increased by Cy-3-g consumption. This was followed by the activation of lipoprotein lipase (LPL) in plasma and skeletal muscle but the suppression of this enzyme in visceral adipose. LPL activation in skeletal muscle cells and its suppression in adipocytes by Cy-3-g were blocked by inhibition of pAMPK. CONCLUSION: Our present data thus demonstrate that Cy-3-g improves obesity and triglyceride metabolism in KK-Ay mice. The underlying mechanism is found to be partly related to the activation of LPL in plasma and skeletal muscle, and inhibition of LPL in adipose tissue following the activation of pAMPK.


Asunto(s)
Antocianinas/administración & dosificación , Suplementos Dietéticos , Glucósidos/administración & dosificación , Lipoproteína Lipasa/metabolismo , Obesidad/dietoterapia , Obesidad/metabolismo , Triglicéridos/metabolismo , Proteínas Quinasas Activadas por AMP/antagonistas & inhibidores , Proteínas Quinasas Activadas por AMP/genética , Proteínas Quinasas Activadas por AMP/metabolismo , Animales , Células Cultivadas , Femenino , Alimentos Funcionales/análisis , Regulación Enzimológica de la Expresión Génica , Hipertrigliceridemia/etiología , Hipertrigliceridemia/prevención & control , Grasa Intraabdominal/efectos de los fármacos , Grasa Intraabdominal/metabolismo , Grasa Intraabdominal/patología , Lipoproteína Lipasa/sangre , Lipoproteína Lipasa/genética , Hígado/metabolismo , Hígado/patología , Ratones , Músculo Esquelético/citología , Músculo Esquelético/efectos de los fármacos , Músculo Esquelético/metabolismo , Obesidad/sangre , Obesidad/fisiopatología , Fosforilación , Inhibidores de Proteínas Quinasas/farmacología , Procesamiento Proteico-Postraduccional , ARN Mensajero/metabolismo , Triglicéridos/sangre
16.
Zhongguo Zhong Yao Za Zhi ; 36(11): 1492-8, 2011 Jun.
Artículo en Chino | MEDLINE | ID: mdl-22779185

RESUMEN

Hyperlipidemia plays a vital role in cardiovascular disease, and threatens our lives. The aim of this paper is to study the effects of Shuanghua granules on blood lipid in normal mice and different hyperlipidemia models. Acute and endogenous hyperlipidemia was induced in mice with yolk and Triton WR-1339 respectively. The model of hyperlipidemia in rats was set up by feeding high cholesterol diet. Then preventive effects of Shuanghua granules was observed compared with lovastatin and Zhibituo. We found that Shuanghua granules 5.6, 11.3, 22.5 g x kg (-1) could significantly reduce the serum TG level in normal mice (P < 0.01, P < 0.05). No significant difference was found in liver index, serum TG and HDL-C levels. When the mice were treated with either yolk or Triton WR-1339 in the presence of Shuanghua granules, the plasma lipoprotein levels (TC and LDL-C) were significantly reduced (P < 0.01, P < 0.05). Shuanghua granules could reduce the serum TC, TG, LDL-C, MDA, NEFA and liver TC, TG, LDL-C levels, simultaneously raise serum and liver HDL-C, serum SOD, LPL, HL, LA levels of hyperlipidemia rats (P < 0.01, P < 0.05). Shuanghua granules also significantly reduced whole blood viscosity, RV, etaP, IER and IEA (P < 0.01, P < 0.05), and lowered fatty degeneration of liver tissue. Compared with hyperlipidemia model, there was no significant increase in faeces lipoids concentrations. The results confirmed the mechanism of blood lipid regulating effects of Shuanghua granules is probably related with its antioxidation, regulating hemorheology and improving LPA, HL, LA enzymatic activity.


Asunto(s)
Modelos Animales de Enfermedad , Medicamentos Herbarios Chinos/farmacología , Hiperlipidemias/tratamiento farmacológico , Hiperlipidemias/prevención & control , Lonicera , Fitoterapia , Animales , Viscosidad Sanguínea/efectos de los fármacos , Colesterol/sangre , Hiperlipidemias/sangre , Peroxidación de Lípido/efectos de los fármacos , Lípidos/sangre , Lipoproteína Lipasa/sangre , Lipoproteína Lipasa/efectos de los fármacos , Hígado/efectos de los fármacos , Hígado/patología , Masculino , Ratones , Preparaciones de Plantas , Ratas , Triglicéridos/sangre
17.
Arterioscler Thromb Vasc Biol ; 30(12): 2510-7, 2010 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-20930167

RESUMEN

OBJECTIVE: To determine whether n-3 fatty acids (n-3) influence arterial cholesterol delivery and lipoprotein lipase (LpL) levels in insulin-resistant mice. METHODS AND RESULTS: Insulin resistance contributes to risk of cardiovascular disease. It was previously reported that saturated fat (SAT) diets increased, but n-3 diets decreased, arterial low-density lipoprotein (LDL) cholesterol deposition from LDL total and selective uptake; this was associated with increased or decreased arterial LpL, respectively. Insulin receptor transgenic knockout mice (L1) were fed a chow, SAT, or n-3 diet for 12 weeks. Double-fluorescent boron dipyrromethene (BODIPY)-cholesteryl ester (CE) and Alexa dye-labeled human LDL were injected to separately trace LDL-CE and LDL-apolipoprotein B whole particle uptake. In contrast to SAT, n-3 diets markedly reduced all plasma lipids, ameliorating progression of insulin resistance. As opposed to SAT, n-3 reduced arterial LDL uptake, CE deposition, and selective uptake. Disparate patterns of CE deposition between diets were comparable with arterial LpL distribution; SAT induced high LpL levels throughout aortic media; LpL was limited only to intima in n-3-fed mice. CONCLUSIONS: n-3 diets diminish arterial LDL-cholesterol deposition in mice with insulin resistance, and this is associated with changes in arterial LpL levels and distribution.


Asunto(s)
Aorta/metabolismo , Enfermedades de la Aorta/prevención & control , Aterosclerosis/prevención & control , LDL-Colesterol/sangre , Grasas de la Dieta/administración & dosificación , Aceites de Pescado/administración & dosificación , Resistencia a la Insulina , Lipoproteína Lipasa/sangre , Animales , Antígenos CD/genética , Aorta/patología , Enfermedades de la Aorta/sangre , Enfermedades de la Aorta/genética , Enfermedades de la Aorta/patología , Apolipoproteína B-100 , Apolipoproteínas B/sangre , Aterosclerosis/sangre , Aterosclerosis/genética , Aterosclerosis/patología , Peso Corporal , Aceite de Coco , Aceite de Maíz/administración & dosificación , Grasas de la Dieta/metabolismo , Modelos Animales de Enfermedad , Ácidos Docosahexaenoicos/administración & dosificación , Ácido Eicosapentaenoico/administración & dosificación , Aceites de Pescado/metabolismo , Humanos , Insulina/sangre , Resistencia a la Insulina/genética , Masculino , Ratones , Ratones Noqueados , Ratones Transgénicos , Mutación , Aceite de Oliva , Aceites de Plantas/administración & dosificación , Receptor de Insulina/genética , Aceite de Cártamo/administración & dosificación , Factores de Tiempo
18.
Zhong Yao Cai ; 33(4): 575-7, 2010 Apr.
Artículo en Chino | MEDLINE | ID: mdl-20845787

RESUMEN

OBJECTIVE: To observe the effect on energy metabolism of rats with cold property Chinese medicine Radix Scutellariae. METHODS: The body weight gain, temperature, hydroposia content were determined before administration and every five days after administration. The activities of Na4(+)-K(+)-ATPase, Ca(2+)-ATPase and SDH, LPL, HP, the contents of NEAF, T3, T4, TSH were measured after having been administrated with water extracts of Radix Scutullaxiae at the dose of 6.0, 3.0 g/kg for 43 days. RESULTS: The body weight gains were raised and the hydroposia contents have been decreased. The activities of SDH were increased significantly while Na(+)-K(+)-ATPase, Ca(2+)-ATPase of liver had little change. The content of NEAF, the activity of LPL, HP were decreased significantly, and the contents of T3, T4, TSH and the body weight, temperature had no significant change. CONCLUSION: Radix Scutellariae can inhibit the energy metabolism of rat. The mechanism may not be related to thyroxine pathway.


Asunto(s)
Medicamentos Herbarios Chinos/farmacología , Metabolismo Energético/efectos de los fármacos , Hígado/metabolismo , Scutellaria baicalensis/química , Animales , Peso Corporal/efectos de los fármacos , ATPasas Transportadoras de Calcio/metabolismo , Medicamentos Herbarios Chinos/administración & dosificación , Medicamentos Herbarios Chinos/aislamiento & purificación , Ácidos Grasos no Esterificados/sangre , Lipoproteína Lipasa/sangre , Hígado/efectos de los fármacos , Distribución Aleatoria , Ratas , Ratas Sprague-Dawley , ATPasa Intercambiadora de Sodio-Potasio/metabolismo , Succinato Deshidrogenasa/metabolismo , Tiroxina/sangre , Triyodotironina/sangre
19.
Biol Pharm Bull ; 33(3): 468-72, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-20190411

RESUMEN

It has been reported that red ginseng acidic polysaccharide (RGAP), isolated from Korean red ginseng, displays immunostimulatory and anti-tumor activities. In a follow-up study, we have carried out a study on the anti-hyperlipidemic effects of RGAP using hyperlipidemic rats acutely induced by Triton WR1339 or corn oil intravenously injected. Oral administration of RGAP (100 to 1000 mg/kg) dose-dependently reduced the serum levels of triglyceride (TG) up-regulated by Triton WR1339, an inducer of endogenous model hyperlipidemia. Moreover, RGAP treatment was shown to significantly decrease the levels of non-esterified fatty acid (NEFA) concomitant with TG reduction. However, such reduction effects were not observed in cases of total cholesterol (TC) and phospholipid levels increased under the same conditions, although there was an inhibitory tendency. Similar suppressive patterns were also seen in hepatic parameters (total lipids and TG) under the same conditions. The exogenous hyperlipidemic rat condition triggered by corn oil also supported the anti-hyperlipidemic activity of RGAP in serum and hepatic parameters of TG and NEFA. Interestingly, RGAP significantly enhanced the serum activity of lipoprotein lipase, a key hydrolytic enzyme of lipid molecules in lipoprotein, in a dose-dependent manner up to 80%, implying potential involvement of this enzyme in lowering TG and NEFA by RGAP. Therefore, our data suggest that RGAP may play an additional role in reducing hyperlipidemic conditions, which can be used as a valuable neutraceutical application for the treatment of hyperlipidemia.


Asunto(s)
Hiperlipidemias/tratamiento farmacológico , Hipolipemiantes/uso terapéutico , Metabolismo de los Lípidos/efectos de los fármacos , Panax/química , Fitoterapia , Extractos Vegetales/uso terapéutico , Polisacáridos/uso terapéutico , Animales , Colesterol/sangre , Aceite de Maíz , Grasas de la Dieta/administración & dosificación , Modelos Animales de Enfermedad , Relación Dosis-Respuesta a Droga , Ácidos Grasos no Esterificados/sangre , Hiperlipidemias/sangre , Hiperlipidemias/inducido químicamente , Hipolipemiantes/farmacología , Lipoproteína Lipasa/sangre , Hígado/efectos de los fármacos , Hígado/metabolismo , Masculino , Fosfolípidos/sangre , Extractos Vegetales/farmacología , Polisacáridos/farmacología , Distribución Aleatoria , Ratas , Ratas Sprague-Dawley , Triglicéridos/sangre
20.
Mol Nutr Food Res ; 54(4): 543-50, 2010 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19937854

RESUMEN

Omega-3 fatty acids (FAs) may accelerate plasma triglyceride (TG) clearance by altering lipoprotein lipase (LPL) activity. Yet, the ability of n-3 FAs to increase LPL activity is dependent on transcription factors such as peroxisome proliferator-activated receptor alpha (PPARalpha). The objective was to examine the effects of n-3 FAs on LPL activity considering the occurrence of PPARalpha L162V polymorphism. First, 14 pairs of men either L162 homozygotes or carriers of the V162 allele were supplemented with n-3 FAs. Second, transient transfections in HepG2 cells, for the L162- and V162-PPARalpha variants with the peroxisome proliferator-response element from the human LPL gene, were transactivated with n-3 FAs. In vivo results demonstrate that the LPL activity increased non-significantly by 14.4% in L162 homozygotes compared with 6.6% in carriers of the PPARalpha-V162 allele, after n-3 FA supplementation. Additionally, the L162 homozygotes tended towards an inverse correlation between LPL activities and plasma TG levels. Conversely, carriers of the V162 allele showed no such relationship. In vitro data demonstrates that transcription rates of LPL tended to be higher for the L162-PPARalpha than V162-PPARalpha after n-3 FAs activation. Overall, these results indicate that n-3 FA supplementation increases the transcription rate of LPL to a greater extent in L162-PPARalpha than V162-PPARalpha.


Asunto(s)
Ácidos Grasos Omega-3/farmacología , Lipoproteína Lipasa/sangre , PPAR alfa/genética , Polimorfismo Genético/genética , Adolescente , Adulto , Carcinoma Hepatocelular , Línea Celular Tumoral , Dieta , Ácidos Docosahexaenoicos/sangre , Ácido Eicosapentaenoico/sangre , Eritrocitos/química , Ácidos Grasos/sangre , Expresión Génica , Genotipo , Humanos , Lípidos/sangre , Lipoproteína Lipasa/genética , Neoplasias Hepáticas , Masculino , Persona de Mediana Edad , Transfección
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