Diss. (sammanfattning) Göteborg : Göteborgs universitet, 2008. / Härtill 3 uppsatser.

Thesis (Ph.D. in Molecular Biology) -- University of Colorado Denver, 2007. / Typescript. Includes bibliographical references (leaves 123-140). Free to UCD affiliates. Online version available via ProQuest Digital Dissertations;

Young male rats fed a choline-deficient diet for three days accumulated triacylglycerol (TG) in the liver, and had reduced very low density lipoprotein (VLDL), but not high density lipoprotein (HDL), levels in the plasma. Cultured hepatocytes obtained from these rats were used as a model system to investigate how choline deficiency affected hepatic lipogenesis, apolipoprotein synthesis and lipoprotein secretion. When the cells were cultured in a medium free of choline and methionine, the secretion of TG and phosphatidylcholine (PC) was impaired. Supplementation of choline, methionine or lysophosphatidylcholine (lysoPC) to the culture medium increased the secretion of these lipids to normal levels, and stimulated PC biosynthesis. Fractionation of the secreted lipoproteins by ultracentrifugation revealed that the reduced secretion of TG and PC from choline-deficient cells was mainly due to impaired secretion of VLDL. The secretion of HDL and lipid-free proteins (for example albumin), however, was not affected by choline and methionine deficiency. Supplementation of betaine and homocysteine also stimulated PC biosynthesis and enhanced hepatic VLDL secretion. However, supplementation of ethanolamine, N-monomethylethanol-amine or N, N-dimethylethanolamine did not correct the impaired VLDL secretion from the hepatocytes, although an active synthesis of phosphatidylmonomethyl-ethanolamine (PMME) and phosphatidyldimethylethanolamine was observed. Choline deficiency had no effect on the rate of incorporation of [³H]leucine into cellular apolipoprotein B, E and C or on the rate of disappearance of radioactivity from the labeled apolipoproteins. These results suggest that biosynthesis of PC is specifically required for hepatic VLDL (but not HDL) secretion, and any one of the three synthetic pathways, the CDP-choline pathway, methylation of phospha-tidylethanolamine (PE) or reacylation of lysoPC, is sufficient to provide the required PC. The total activity of cytidylyltransferase in liver was unchanged in choline deficiency. However, choline deficiency caused an abnormal distribution of cytidylyltransferase activity between rat liver cytosol and microsomes (mainly endoplasmic reticulum), a decrease in the cytosolic enzyme activity and an increase in the microsomal enzyme activity. In cultured hepatocytes from the choline-deficient rat, the abnormally distributed cytidylyltransferase activity could be rapidly reversed by the addition of choline, but not lysoPC, to the culture medium. The stimulated microsomal activity of cytidylyltransferase during choline deficiency might be a mechanism whereby the cells could more effectively utilize phosphocholine to maintain a normal CDP-choline level in the choline-deficient liver. Rat liver PE N-methyltransferase catalyzes all three transmethylation reactions in the conversion of PE to PC. The in vitro activity of PE N-methyltransferase was increased in choline-deficient livers using endogenous PE as the methyl group acceptor. However, no significant changes were observed in the enzyme activity when exogenous PMME was used as the methyl group acceptor. Addition of methionine to the cultured hepatocytes obtained from choline-deficient rats resulted in a concomitant reduction in cellular PE levels and the specific activity of PE-dependent methyltransferase. However, the specific activity of PMME-dependent methyltransferase was not significantly altered upon the addition of methionine. No change in PE N-methyltransferase activity was observed in the cultured hepatocytes supplemented with choline. Immunoblotting of PE N-methyltransferase, in crude liver microsomes and in membrane fractions of cultured hepatocytes, revealed that the enzyme mass was not altered by choline and methionine deficiency. Thus, hepatic PE N-methyltransferase is preserved in choline deficiency, and its activity is probably dependent on the availability of metabolic substrates (i.e. methionine and PE). / Medicine, Faculty of / Biochemistry and Molecular Biology, Department of / Graduate

Orientador: Eliana Cotta de Faria / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-10T15:03:58Z (GMT). No. of bitstreams: 1 Kinchoku_Harumi_M.pdf: 2499549 bytes, checksum: e5ef36d494fba41f42bf6fe5ac2c96dc (MD5) Previous issue date: 2007 / Resumo: Os principais determinantes da dieta que elevam as concentraçoes de LDL-C sao as gorduras saturadas, gorduras trans e, em menor grau, o colesterol da dieta. O aumento relativo na proporçao de carboidratos resulta em dislipidemia caracterizada pelo aumento das concentrações plasmáticas de TG e VLDL-C, baixas concentrações de HDL-C, razão C:HDL aumentada e, algumas vezes, a presença de partículas de LDL-C pequenas e densas.O propósito deste estudo foi avaliar o impacto do aconselhamento nutricional exclusivo em portadores de dislipidemias,verificando a resposta entre sexos e entre faixas etárias (<60 anos e = 60 anos) e a influência do tempo no tratamento (3,6 e 12 meses). Participaram do estudo 129 sujeitos, 56 homens e 73 mulheres com idade entre 20 a 73 anos sem uso de medicaçao hipolipemiante por no mínimo 30 dias antes e durante o tratamento, e com pelo menos três meses de seguimento nutricional. Para hipercolesterolemia foi orientada a restrição de gorduras saturadas (<7% do VET) e colesterol (<200 mg/dL) e, para hipertrigliceridemia a restriçao de carboidratos simples, bebidas alcoólicas e, restrição de gorduras totais (<20% do VET) para TG>300 mg/dL. Na presença de sobrepeso ou obesidade foi orientada dieta hipocalórica com redução gradativa das calorias. As concentrações de colesterol (C), LDL-C, e triglicérides (TG) foram significativamente reduzidas na população estudada em 14%, 5%, 30% respectivamente. No primeiro trabalho, em que foi avaliada a influência do tempo de aconselhamento nutricional comparado ao período basal, as respostas significativas às orientações dietéticas com três meses foram: para C (-16%), LDL-C (-0,1%) e não HDL-C (-19%); com seis meses para C (-13%), TG (-30%), LDL-C (-9%), nao HDL-C (-17%), Castelli I (-14%) e Castelli II (-4%) e, com 12 meses para C (-14%), TG (-27%) e Castelli I (-13%). As concentrações plasmáticas de HDL-C e o peso corporal não se modificaram. Entre os sexos (trabalho 2) foi observado uma redução de 16% para C e 36% para TG em homens, e de 12% para C, 12% para LDL-C, e 26% para TG nas mulheres e, entre faixa etária de 15% para C, 2% para LDL-C e 33% para TG nos adultos e 14% para C nos idosos. O aumento na concentração de HDL-C foi significativa em homens em relação às mulheres (+5% e -4 %) com hiperlipidemia mista.Todos os participantes responderam ao aconselhamento nutricional reduzindo as concentrações de C, TG, LDL-C e a nao HDL-C. O tempo de orientação dietética não modificou as respostas em lípides e lipoproteínas plasmáticos; sendo o tempo de três meses suficiente para observar os efeitos benéficos da dieta. Um maior número de parâmetros foi reduzido com seis meses indicando que a partir de sexto mês houve um efeito mais abrangente da dieta. Homens e adultos foram mais responsivos à orientação nutricional. As respostas foram maiores que os coeficientes de variação biológico para cada parâmetro avaliado exceto para LDL-C.Recomenda-se a aplicação desta experiência terapêutica positiva em outros Serviços de Saúde por se tratar de uma terapia de baixo custo podendo também contribuir na prevenção e controle de doença cardiovascular / Abstract: The strongest dietary determinants of elevated LDL cholesterol concentrations are dietary saturated fatty acid and trans fatty acid intakes to a lesser extent, dietary cholesterol and excess body weight The aim of the present study was to evaluate the responses plasma lipid to nutritional counseling on dyslipidemic outpatients and analyze their responses by gender and age and analyzing the influence of time (3, 6 and 12 months) of treatment. One-hundred and twenty nine dyslipidemic subjects i.e. 56 males and 73 females aged 20 - 73 years comprised this study. No medication was used 30 days before and during following the diet as part of the inclusion criteria. Patients with hypercholesterolemia were oriented to follow the NCEP step 2 diet, and those with hypertriglyceridemia were oriented to restrict simple carbohydrates and alcoholic beverage and, in presence of TG >300 mg/dl, to use low fat diet (=20%). After nutritional counseling plasma cholesterol (C) concentrations, LDL-C, and triglycerides (TG) were significantly reduced in the population sample by (14%, 5%, 30%), respectively. The response were significant after 3 months for C (-16%), LDL-C (-0,1%) and NHDL-C (-19%), after 6 months for C (-13%), TG (-30%), LDL-C (-9%), NHDL-C (-17%), Castelli I (-14%) and Castelli II (-4%) and, after 12 months for C (-14%), TG (-27%) and Castelli I (-13%). No change was detected in plasma HDL-cholesterol and body weight, after nutritional counseling. Between sexes plasma concentrations reduced for C and TG by 16%, and 36% in men, and by 12% and 26% and 12% for LDL-C in women, and between age by 15% to C, 2% to LDL-C and 33% to TG in middle age and, 14% for C in elderly people. HDL cholesterol concentration was significantly higher in men than in women with mixed hyperlipidemia (+5% and -4 %). All participants responded to nutritional counseling reducing C, TG, LDL-C, NHDL-C, LDL-C. The nutritional counseling time did not modify the responses of plasma lipids and lipoproteins. After 3 months, beneficial effects of the diet were observed, and the higher number of parameters were reduced after 6 month showing a broader actions of diet. Men and adults patients presented better responses to nutritional counseling. The responses to nutritional counseling were higher than coefficient biology variation for each parameter evaluated except to LDL-C. We recommend this positive experience is recommended to other Health Service because is low cost treatment and also contribute in prevention and control of risk factors for cardiovascular disease / Mestrado / Ciencias Basicas / Mestre em Clinica Medica