Triglycerides in serum

Ellerbe PM, Sniegoski LT, and Welch MJ (1995) Isotope dilution mass spectrometry as a candidate definitive method for determining total glycerides and triglycerides in serum. Clin Chem 41 397-404. 

D. Lipoprotein lipase. Fenohbrate is a hypotriglyc-eridemic drug that lowers plasma triglycerides by increasing the activity of hpoprotein lipase, the enzyme responsible for disassembly of triglycerides in serum lipoproteins (VLDL, IDL and chylomicrons). 

The body of this chapter discusses population-based univariate reference values and quantities derived from them. If, for example, we produce, treat, and use separate reference values for cholesterol and triglycerides in serum, we have two sets of univariate reference values. The term multivariate... 

A.N. Araujo, J.A.M. Catita, J.L.F.C. Lima, E.A.G. Zagatto,, Monosegmented flow-analysis of slow enzymatic reactions determination of triglycerides in serum, Fre-senius J. Anal. Chem. 360 (1998) 100. 

Lofland, H. B. a semiautomated procedure for the determination of triglycerides in serum. Analyt. Biochem. 9, 393 (1964). 

While the fibric acid derivatives have antihyperlipidemic effects, their use varies depending on the drug. For example, Clofibrate (Atromid-S) and gemfibrozil (Lopid) are used to treat individuals with very high serum triglyceride levels who present a risk of abdominal pain and pancreatitis and who do not experience a response to diet modifications. Clofibrate is not used for the treatment of other types of hyperlipidemia and is not thought to be effective for prevention of coronary heart disease. Fenofibrate (Tricor) is used as adjunctive treatment for the reduction of LDL, total cholesterol, and triglycerides in patients with hyperlipidemia. 

Activities of glutamate-pyruvate transaminase (SGPT, GPT) (EC 2.6.1.2), L-y -glutamyl-transferase (y-GT) (EC 2.3.2.2) and level of triglycerides (TG) in serum, as well as levels of glutathione (GSH) and malondialdehyde (MDA) in the liver were determined. 

Resins are moderately effective in lowering LDL cholesterol but do not lower triglycerides (Table 9-8). Moreover, in patients with elevated triglycerides, the use of a resin may worsen the condition. This may be due to a compensatory increase in HMG-CoA reductase activity and results in an increase in assembly and secretion of VLDL. The increase in HMG-CoA reductase activity can be blocked with a statin, resulting in enhanced reductions in serum lipids (see section on combination therapy). Resins reduce LDL cholesterol from 15% to 30%, with a modest increase in HDL cholesterol (3% to 5%) (Table 9-8). Resins are most often used as adjuncts to statins in patients who require additional lowering of LDL cholesterol. Since these drugs are not absorbed, adverse effects are limited to the gastrointestinal tract (Table 9-9). About 20%... 

Niacin can be combined with a fibrate in patients with high elevations in serum triglycerides. The combination may increase the risk of myopathy compared to either agent alone. 

To identify further which substance, cafestol or kahweol, or both, was inducing changes in serum cholesterol, the investigators attempted, but failed due to technical limitations, to separate the two chemical compounds. Alternatively, they compared coffee oil from Arabica vs. Robusta coffee beans. Arabica beans contain both cafestol and kahweol, while Robusta beans contain cafestol, but almost no kahweol. The investigators found that Arabica and Robusta oils both increased serum cholesterol and triglyceride levels comparably. They thus concluded that cafestol is, and kahweol might be, a serum cholesterol raising factor. 

In rodents, copper administered by single intraperitoneal or subcutaneous injection is lethal at 3 to 7 mg Cu/kg BW (Table 3.7). Mice died when their drinking water contained 640 mg Cu/L (Table 3.7). In rats, copper accumulation in kidneys and lungs is similar regardless of route of administration (Romeu-Moreno et al. 1994). Concentrations of copper in serum of rats (Rattus sp.) reflect dietary copper concentrations in liver and kidney are directly related to serum Cu and ceruloplasmin (Petering et al. 1977). As serum Cu concentrations rise in rats, levels fall for serum cholesterol, triglycerides, and phospholipids (Petering et al. 1977). 

Significantly increased levels in serum of phospholipids, cholesterol, and triglycerides reduced growth rate no evidence of liver or lung damage (Seidenfeld etal. 1984)... 

Increases in serum lipids and glucose appear to be transient and of little clinical importance. /J- Blockers increase serum triglyceride levels and decrease high-density lipoprotein cholesterol levels slightly. /1-Blockers with -blocking properties (carvedilol and labetalol) do not affect serum lipid concentrations. 

Some SGAs and phenothiazines cause elevations in serum triglycerides and cholesterol. The risk for this effect may be less with risperidone, ziprasidone, and aripiprazole. 

Mosca L, Harper K, Sarkar S, O Gorman J, Anderson PW, Cox DA, Barrett-Connor E (2001b) Effect of raloxifene on serum triglycerides in postmenopausal women influence of predisposing factors for hypertriglyceridemia. Clin Ther 23 1552-1565... 

ROCK C L, THORNQUIST M D, KRISTAL A R, PATTERSON R E, COOPER D A, NEUHOUSER M L, neumark-sztainer D and cheskin l j (1999), Demographic, dietary and lifestyle factors differentially explain variability in serum carotenoids and fat-soluble vitamins baseline results from the sentinel site of the Olestra Post-Marketing Surveillance Study , J Nutr, 129(4), 855-64. rodale (1996), The Prevention Index - a report card on the nation s health, 1996 summary report. Rodale Press, Inc, Emmaus, Pennsylvania. SANDLER R S, ZORICH N L, FILLOON T G, WISEMAN H B, LIETZ D J, BROCK M H, ROYER M G and MIDAY R K (1999), Gastrointestinal symptoms in 3181 volunteers ingesting snack foods containing olestra or triglycerides , Annals Internal Med, 130, 253-61. 

Chetty KN, Walker J, Brown K, et al. 1993a. The effects of dietary calcium and chlordecone on cholinesterase, triglycerides, low density lipoproteins, and cholesterol in serum of rat. Arch Environ Contam Toxicol 24 365-367. 

Rare genetic absence of lipoprotein lipase results in excess triglyceride in the blood and its deposition in several tissues, including liver, skin, and pancreas. Orange-red eruptive xanthomas over the mucous membranes and skin may be seen. Abdominal pain and acute pancreatitis may occur. Fasting chylomicronemia produces a milky turbidity in the serum or plasma. 

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