Professional Documents
Culture Documents
1) Assess risk for cardiovascular and cerebrovascular disease 2) Assess risk for pancreatitis
Chylomicrons VLDL TG
Lipoprotein lipase
1 5
TG Receptor
mediated endocytosis
Excess CBH
TG
3
Fatty Acids
6
IDL C
FA
Chylomicron remnant Lipoprotein is taken up by the liver lipase
Lipoprotein 8 lipase
14 10 13
Transfer of cholesterol to LDL or IDL
11
LDL
9
Endocytosis via LDL receptors
C HDL
12 CC C
C
Fatty Acids
Hyperlipidemias
Primary
Caused by genetic defects in the synthesis or metabolism of lipoproteins
Oxidation
Oxidized LDL
Oxidation
Oxidized LDL
Foam Cell
Beginning stages in plaque formation
Hyperlipidemias
Primary
Caused by genetic defects in the synthesis or metabolism of lipoproteins
Secondary
Disorders precipitated by other disease states, medications, or lifestyle
Effects of Lifestyle
Obesity
Increases TG (primarily VLDL) Also increases LDL
Sedentary Lifestyle
Increases VLDL synthesis by the liver Decreases the peripheral utilization of fat and glucose All this increases TGs.
Effects of Lifestyle
Exercise
Increases HDL Decreases LDL and VLDL
Diet
Saturated fat and cholesterol increases LDL
Moderate Alcohol
Increases HDL (1 or 2 glasses of beer or wine per day)
200-400 mg/dl
400-1000 mg/dl > 1000 mg/dl
Borderline High
High Very High
Chylomicrons
Lack of exercise
High blood cholesterol
Low HDL
Atherosclerosis
Hypertension
CV Disease
Genetic predisposition Being Male
Aging
Desirable
Borderline High High
cholesterol
cholestene-4-ene-3-one
H2O2
HO
peroxidase
H2O2
2
Moves sample into place Opens buffer container
Read the peak height from the scale on the plastic case
31.5
Electrophoresis of Lipoproteins
Origin
Direction of Migration
All Fractions
Pre
Fasting Conditions
HDL-C by Precipitation
Precipitate all lipoproproteins except HDL
MnCl2
Heparin
centrifuge
precipitate
HDL CHYLOMICRONS VLDL LDL
Measuring VLDL-C
Plastic tube
VLDL
Plasma
Centrifuge
Flow Chart
Receipt of Sample
Beta-Estimate
TG < 250 mg/dl
TG Assay
Beta-Quant
TG > 250 mg/dl
TC Assay
Ultracentrifugation TC Assay
HDL Assay
Use the Friedewald Equation
Split tubes
VLDL fraction Assay
HDL Assay
Direct LDL-C
LDL HDL
LATEX BEAD
VLDL
130-159 mg/dl
> 160 mg/dl
Borderline High
High
IIa
IIb
III
IV
Lecithin/Sphingomyelin Ratio
L/S
> 2/1
Indication
Lungs are mature
1.5-2/1 Transitional
(50% risk of RDS)
END