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尿毒症及慢性肾疾患患者胆固醇转移率降低的初步报告

The Primary Report on Defect in Cholesterol Transport in Patients with Uremia and Degenerative Nephritides

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【作者】 徐宁生郭夏玲孟庆玲

【Author】 Xu Ning Sheng et al( The Institute of Clinical Medicine Beijing Medical University )

【机构】 北京医科大学临床医学研究所北京医科大学临床医学研究所

【摘要】 高密度脂蛋白(HDL)的胆固醇脂(CE)转移给极低密度脂蛋白(VLDL)、低密度蛋白(LDL)是逆向的胆固醇转移(Reverse Cholesterol transport)中的重要一步。胆固醇转移率(RCT1 Rate of Cholesterol Transfer)表示HDL将CE转运给VLDL的速率mg/hr·100ml。尿毒症及慢性肾疾患患者的RCT显著地低于正常人(P<0.001),RCT的下降不是由于年龄差别,也不仅足由于患者的HDL-ch下降所致。

【Abstract】 Cholesteryl esters in high density lipoproteins (HDL) is transferred to very low density lipoproteins (VLDL) and low density lipoproteins (LDL) , the re_ distribution of cholesterol from HDL to VLDL is considered a crucial step in the reverse cholesterol transport pathway. A defect in cholesterol transport was detected in patients with uremia and degenerative nephritides when the rate of cholesterol transfer (RCT) mg/hr·100ml from HDL to VLDL and LDL was compared with that in controls (p<0.001). The decreased RCT of the patients could not be completely accounted for by their decreased HDL cholesterol levels or different ages.

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