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Submitted on December 5, 2006
Accepted on October 31, 2007
Metabolic Research Centre, School of Medicine and Pharmacology, University of Western Australia, Perth, Western Australia
* To whom correspondence should be addressed. E-mail: Hugh.Barrett{at}uwa.edu.au.
Context: Apolipoprotein(apo) C-III is associated with hypertriglyceridemia and progression of cardiovascular disease. Plasma apoC-III is elevated in centrally obese men, and we hypothesized that the kinetics of apoC-III are disturbed in these subjects.
Objective: We developed a compartmental model to determine very-low-density lipoprotein (VLDL) and high-density lipoprotein(HDL) apoC-III metabolic parameters in centrally obese men, and investigated the associations with VLDL-apoB and HDL-apoA-I kinetics.
Study Design: Apolipoprotein kinetics was determined using stable isotope techniques and compartmental modelling in 39 centrally obese and 12 non obese men.
Results:Compared with non obese subjects, centrally obese subjects had increased plasma apoC-III concentration (160±5mg/L vs 103±9mg/L, P<0.001), reflecting increased concentrations of both VLDL-apoC-III and HDL-apoC-III. These related to increased production rate (PR) of VLDL-apoC-III (2.12±0.14mg/kg/day vs 1.56±0.29mg/kg/day, P<0.05) and reduced fractional catabolic rate (FCR) of both VLDL- and HDL-apoC-III (0.70±0.02pools/day vs 0.82±0.05pools/day, P<0.05). In centrally obese men, VLDL-apoC-III concentration was significantly (P<0.05) associated with VLDL-apoB concentration and PR, as well as with HDL-apoA-I FCR and PR, and inversely with VLDL-apoB FCR. HDL-apoC-III concentration was significantly (P<0.05) associated with the concentrations of both VLDL-apoB and HDL-apoA-I, the FCR and PR of HDL-apoA-I, and inversely with the VLDL-apoB FCR. In multiple regression analysis, both VLDL-apoC-III and HDL-apoC-III concentrations were significantly associated with HDL-apoA-I FCR.
Conclusions: In centrally obese men, elevated VLDL-apoC-III and HDL-apoC-III concentrations are a consequence of elevated production and decreased catabolism of VLDL-apoC-III and reduced catabolism of HDL-apoC-III, respectively. These defects are associated with disturbances in VLDL-apoB and HDL-apoA-I metabolism.
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