Premium
Changes in Plasma LDL and HDL Composition in Patients Undergoing Cardiac Surgery
Author(s) -
Hacquebard M.,
Ducart A.,
Schmartz D.,
Malaisse W. J.,
Carpentier Y. A.
Publication year - 2007
Publication title -
lipids
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.601
H-Index - 120
eISSN - 1558-9307
pISSN - 0024-4201
DOI - 10.1007/s11745-007-3114-9
Subject(s) - apolipoprotein b , chemistry , medicine , apolipoprotein a1 , clinical chemistry , phospholipid , triglyceride , endocrinology , cholesterol , lipidology , lipoprotein particle , lipoprotein , cholesteryl ester , antioxidant , very low density lipoprotein , biochemistry , membrane
Changes of lipoprotein composition have been mainly reported in conditions of sepsis. This study characterized compositional changes in LDL and HDL during the acute phase response following cardiac surgery with cardiopulmonary bypass. Twenty‐one patients undergoing cardiac surgery were included in this study. Blood samples were drawn before operation and on day 2 post‐surgery. In parallel to plasma lipids and antioxidant status, lipoproteins were analyzed for lipid, apolipoprotein (apo), hydroperoxide and alpha‐tocopherol content. Beyond decreases in lipid concentrations and antioxidant defenses, cardiac surgery induced substantial modifications in plasma lipoproteins. ApoB decrease in LDL fraction (−46%; P < 0.0001) reflected a marked reduction in the circulating particle number. LDL cholesteryl ester content relative to apoB concentration remained unchanged post‐surgery while triglyceride (+113%; P < 0.001), free cholesterol (+22%; P < 0.05) and phospholipid (+23%; P < 0.025) were raised relative to apoB indicating increased particle size. In HDL, an abrupt rise of apoSAA ( P < 0.05) was observed together with a decrease of apoA1 (−22%; P < 0.005). Cholesteryl ester content in HDL fraction decreased in parallel to apoA1 concentration while triglycerides, free cholesterol and phospholipids increased relative to apoA1. In contrast to unchanged alpha‐tocopherol content, hydroperoxide content was increased in LDL and HDL. By comparison to sepsis, cardiac surgery induces a comparable reduction in circulating LDL but a more limited decrease in HDL particles. Furthermore, in contrast, cardiac surgery induces an increase in polar and non‐polar lipids, as well as of particle size in both LDL and HDL.