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Twenty-six children with marasmus and 27 with kwashiorkor were compared with 23 control children of matching ages. Kwashiorkor was characterized by increased phospholipids (NS), low (P < 0.01) apolipoprotein (apo) B-rich LDL, and near normal apo A-I and HDL-C. In children with marasmus apo B (P < 0.02) LDL-C (NS), apo A-I (P < 0.01), and HDL-C (P < 0.001) decreased. Fifteen children in each group were followed for 2 wk. Control values were progressively reached after 2 wk. In the younger children final apo B was higher than in control subjects (P < 0.03) but apo A-I was identical. Apo A-IV, assayed because it correlates with the functional state of intestine, was near normal in children with kwashiorkor and decreased with treatment. In children with marasmus apo A-IV decreased by 50%, increased with treatment in older children, but further diminished in younger children. After 2 wk apo A-IV was significantly lower in all patients than in control subjects. Apo A-IV, by remaining depressed after other variables normalized, seems a good index of nutritional status.

The effects of chronic ethanol administration on the activities of gamma-glutamyltransferase (GGT) in plasma and in hepatic plasma membranes of male and female rats are studied. The effects of alcohol on the lipid level in plasma are also investigated. After 4 weeks of treatment, GGT activity significantly increases in plasma either in male rats (131 %, p < 0.02) or in female ones (64%, p < 0.05). In addition, chronic alcohol consumption simultaneously increases ß-lipoprotein and triglyceride levels in plasma only in male rats (181%, p < 0.05 and 171%, p < 0.01, respectively). In the liver, a significant elevation of GGT activity is observed in plasma membranes (146% in male rats, p < 0.02, and 84% in female rats, p < 0.02) but neither in homogenates nor in microsomal fractions. So, the variation of enzymatic activity in plasma as well as in hepatic plasma membranes is higher in male than in female rats. These results demonstrate, as for phénobarbital, that alcohol provokes an induction of GGT in rat liver only in the plasma membrane fraction.

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