Hepatic total cholesterol concentration

In this study, both groups of exercised animals had lower plasma total cholesterol and chylomicron cholesterol than appropriate sedentary control animals (Table VI). Unexpectedly, plasma HDL cholesterol was also lower in both groups of exercised animals (Table VI). Together with the results obtained on hepatic HDL cholesterol production, these data demonstrate that plasma HDL cholesterol concentration reflects hepatic HDL cholesterol production in obese, but not in lean rats. 

In six patients with renal transplants treated with sirolimus, mean total plasma cholesterol, triglyceride, and apolipoprotein concentrations increased (1067). The authors suggested that sirolimus increases lipase activity in adipose tissue and reduces lipoprotein lipase activity, resulting in increased hepatic synthesis of triglycerides, increased secretion of VLDL, and increased hypertriglyceridemia. 

Other dietary interventions or diet supplements may be useful in certain patients with lipid disorders. Increased intake of soluble fiber in the form of oat bran, pectins, certain gums, and psyllium products can result in useful adj unctive reductions in total and LDL cholesterol, but these dietary alterations or supplements should not be substimted for more active forms of treatment. Total daily fiber intake should be about 20 to 30 g/day, with about 25%, or 6 g/day, being soluble fiber. Studies with psyllium seed in doses of 10 to 15 g/day show reductions in total and LDL cholesterol ranging from about 5% to 20% They have little or no effect on HDL cholesterol or triglyceride concentrations. These products also may be useful in managing constipation associated with the bile acid sequestrants. Psyllium binds cholesterol in the gut but also reduces hepatic production and clearance. Fish... 

The liver is responsible for synthesis of cholesterol, high-density lipoproteins, and very-low-density lipoproteins. The enzymes lipoprotein lipase and lecithin-cholesterol acyltransferase also are synthesized in this organ. Increased serum triglyceride and FFA concentrations are encountered in patients with hepatic failure, primarily due to the increased lipolysis. The significant insulin resistance that can be seen in cirrhosis causes a shift to lipids as a fuel source. Whereas only 35% of total calories are derived from fat in normal patients after an overnight fast, this can increase to 75% in patients with cirrhosis. Incorporation of late evening snacks in patients with liver cirrhosis may correct abnormal substrate metabolism, increase carbohydrate, and decrease fat oxidation rates. ... 

Thyroid hormones regulate the turnover of carbohydrates, lipids, and proteins. They promote glucose absorption, hepatic and renal gluconeogenesis, hepatic glycogenolysis, and glucose utilization in muscle and adipose tissue (18). They increase de novo cholesterol synthesis but increase low-density lipoprotein degradation and cholesterol disposal even more, leading to a net decrease in total and in low-density lipoprotein cholesterol plasma levels (19). Thyroid hormones are anabolic when present at normal concentrations they then stimulate the expression of many key enzymes of metabolism. ... 

In goat kids orally administered 1 to 5 g/kg myrrh daily, grinding of teeth, salivation, soft feces, loss of appetite, jaundice, shortness of breath, ataxia, and recumbency were seen, and the animals died between days 5 and 16. Intestinal, hepatic, and renal toxicity were accompanied by anemia, leukopenia, increases in serum ALP activity and in concentrations of bilirubin, cholesterol, triglycerides and creatinine, and decreases in total protein and albumin. A dose of 0.25 g/kg was not toxic (Omer and Adam 1999). 

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