AI Article Synopsis

  • Lipoprotein Z (LP-Z) particles were studied in the context of liver diseases, specifically obstructive jaundice and cholestasis, with the aim of developing a reliable NMR-based assay for their quantification.
  • The assay demonstrated strong linearity and precision, revealing distinct lipid and protein compositions of LP-Z compared to low-density lipoproteins (LDL).
  • LP-Z particles were absent in healthy individuals and several liver disease conditions, but were present in some patients with hypertriglyceridemia and elevated in certain cases of alcoholic liver disease, indicating a need for further research on their role in these diseases.

Article Abstract

Background: Lipoprotein particles with abnormal compositions, such as lipoprotein X (LP-X) and lipoprotein Z (LP-Z), have been described in cases of obstructive jaundice and cholestasis. The study objectives were to: (1) develop an NMR-based assay for quantification of plasma/serum LP-Z particles, (2) evaluate the assay performance, (3) isolate LP-Z particles and characterize them by lipidomic and proteomic analysis, and (4) quantify LP-Z in subjects with various liver diseases.

Methods: Assay performance was assessed for linearity, sensitivity, and precision. Mass spectroscopy was used to characterize the protein and lipid content of isolated LP-Z particles.

Results: The assay showed good linearity and precision (2.5-6.3%). Lipid analyses revealed that LP-Z particles exhibit lower cholesteryl esters and higher free cholesterol, bile acids, acylcarnitines, diacylglycerides, dihexosylceramides, lysophosphatidylcholines, phosphatidylcholines, triacylglycerides, and fatty acids than low-density lipoprotein (LDL) particles. A proteomic analysis revealed that LP-Z have one copy of apolipoprotein B per particle such as LDL, but less apolipoprotein (apo)A-I, apoC3, apoA-IV and apoC2 and more complement C3. LP-Z were not detected in healthy volunteers or subjects with primary biliary cholangitis, primary sclerosing cholangitis, autoimmune hepatitis, or type 2 diabetes. LP-Z were detected in some, but not all, subjects with hypertriglyceridemia, and were high in some subjects with alcoholic liver disease.

Conclusions: LP-Z differ significantly in their lipid and protein content from LDL. Further studies are needed to fully understand the pathophysiological reason for the enhanced presence of LP-Z particles in patients with cholestasis and alcoholic liver disease.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7564541PMC
http://dx.doi.org/10.3390/jcm9092915DOI Listing

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  • Lipoprotein Z (LP-Z) particles were studied in the context of liver diseases, specifically obstructive jaundice and cholestasis, with the aim of developing a reliable NMR-based assay for their quantification.
  • The assay demonstrated strong linearity and precision, revealing distinct lipid and protein compositions of LP-Z compared to low-density lipoproteins (LDL).
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