2003
DOI: 10.1042/cs1040383
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Relationships between cholesterol homoeostasis and triacylglycerol-rich lipoprotein remnant metabolism in the metabolic syndrome

Abstract: The dysmetabolic syndrome of insulin resistance and visceral obesity is characterized by elevated plasma concentration of triacylglycerol-rich lipoprotein (TRL) remnants that may be related to increased cardiovascular risk. Perturbed hepato-intestinal cholesterol metabolism may play a contributory role in this abnormality. We therefore investigated the association between plasma markers of cholesterol absorption and synthesis with TRL remnant metabolism in 35 men with the metabolic syndrome (MS). Plasma campes… Show more

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Cited by 30 publications
(20 citation statements)
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“…18 However, the changes in cholesterol levels are often more directly associated to the consequences of insulin resistance and hyperinsulinaemia 19 than, to small extent, changes in insulin sensitivity such as those observed here. In addition, most effects of insulin resistance on cholesterol levels are mediated by the handling of lipoproteins, such as chylomicra remnants 20,21 or modulation of lipoprotein lipase. 16,22 The lack of changes in circulating triacylglycerol may point towards a limited extent of change in lipoprotein lipase, but OE is known to induce marked decreases in adipose tissue and increases in muscle lipoprotein lipase 3 that facilitate the transfer of lipid energy from adipose tissue to peripheral tissues.…”
Section: Discussionmentioning
confidence: 99%
“…18 However, the changes in cholesterol levels are often more directly associated to the consequences of insulin resistance and hyperinsulinaemia 19 than, to small extent, changes in insulin sensitivity such as those observed here. In addition, most effects of insulin resistance on cholesterol levels are mediated by the handling of lipoproteins, such as chylomicra remnants 20,21 or modulation of lipoprotein lipase. 16,22 The lack of changes in circulating triacylglycerol may point towards a limited extent of change in lipoprotein lipase, but OE is known to induce marked decreases in adipose tissue and increases in muscle lipoprotein lipase 3 that facilitate the transfer of lipid energy from adipose tissue to peripheral tissues.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, patients with the MetS had a low campesterol/ cholesterol ratio, indicative of reduced cholesterol absorption. 86 This ratio was inversely correlated with plasma levels of TG, remnant cholesterol, and apo B48.…”
Section: Lifestyle Changesmentioning
confidence: 94%
“…A major metabolic abnormality associated with insulin resistance is dyslipidemia characterized by the overproduction of hepatic VLDL-apoB-100, which contributes to the increased risk of cardiovascular disease in this population (6)(7)(8). The failure of insulin to suppress hepatic de novo lipogenesis, increased free fatty acid (FFA) flux, TG synthesis, and decreased fatty acid oxidation collectively lead to increased VLDL overproduction.…”
Section: Discussionmentioning
confidence: 99%
“…Because insulin and naringenin inhibit apoB-100 secretion through activation of the same signaling mechanisms, we postulated that naringenin has the ability to potentiate the effects of insulin in HepG2 cells and that naringenin sensitizes cells to insulin. Thus, examination of the molecular events in hepatocytes exposed to naringenin may provide insight into novel mechanisms for reduction of hepatic overproduction of apoB-100-containing lipoproteins, a characteristic of the dyslipidemia associated with insulin resistance (6)(7)(8).…”
mentioning
confidence: 99%