100 Different Cholesterol Studies
From 1970 to 1979
(Lower Section Shows The
Only Two Studies Earlier)
Life Flow One
The Solution For Heart Disease
by
Karl Loren
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Links
To Scientific Studies About Cholesterol |
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Here To Jump To The Study |
Title
Or Description |
Comments |
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...1... |
- Nutrition imbalance and angiotoxins as dietary risk factors in coronary
heart disease.
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...2... |
- Desaturation of bile and cholesterol gallstone dissolution with
chenodeoxycholic acid.
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...3... |
- Cholesterol in the prediction of atherosclerotic disease. New perspectives
based on the Framingham study.
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...4... |
- High-density lipoproteins in the prevention of atherosclerotic heart
disease. Part II. Biochemical role in the pathogenesis of atherosclerosis.
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...5... |
- Studies on the effects of hormones on cholesterol synthesis in mammalian
cells in culture.
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...6... |
- Hyperlipidaemia in children.
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...7... |
- Lipoprotein receptors, cholesterol metabolism, and atherosclerosis.
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...8... |
- Gallstones. The present and future of medical dissolution.
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...9... |
- Cholesterol embolism: the great masquerader.
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...10... |
- Gallstone dissolution--a progress report.
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Position #10 |
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...11... |
- A reappraisal of the mechanisms of hypocholesterolemic action of therapeutic
agents.
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...12... |
- Intrahepatic metabolism and secretion of biliary lipids.
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...13... |
- Effect of deoxycholic acid ingestion on bile acid metabolism and biliary
lipid secretion in normal subjects.
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...14... |
- HDL-cholesterol: the negative risk factor for coronary heart disease.
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...15... |
- Cholesterol methodology for human studies.
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...16... |
- Dietary fat intake and serum cholesterol levels in coronary heart disease.
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...17... |
- Milk, serum cholesterol, and the Maasai. A hypothesis.
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...18... |
- The cholesterol problem, the egg and lipid metabolism in the laying hen.
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In any event, a great deal more evidence from well constructed
human diet studies will be needed before low cholesterol diets can be
recommended to the general population as an aid to control of cholesterol
balance and heart disease. |
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...19... |
- Pathogenesis of human cholesterol cholelithiasis.
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...20... |
- Receptor-mediated endocytosis: insights from the lipoprotein receptor
system.
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Position #20 |
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...21... |
- Lipoprotein-X.
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...22... |
- Feedback regulation of metabolism by dietary constituents: lipids.
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...23... |
- Intermolecular hydrogen bonding between lipids: influence on organization
and function of lipids in membranes.
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...24... |
- Multivalent feedback regulation of HMG CoA reductase, a control mechanism
coordinating isoprenoid synthesis and cell growth.
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...25... |
- Evolution of the LDL receptor concept-from cultured cells to intact animals.
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...26... |
- Composition of the lipids in human milk: a review.
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...27... |
- Effects of ethanol on lipid metabolism.
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...28... |
- Age-dependence of molecular and functional changes in biological membrane
properties.
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...29... |
- Effects of dietary fibre on serum lipid levels and fecal bile acid
excretion.
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...30... |
- The role of physical activity in the prevention of ischaemic heart disease.
A review.
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Position #30 |
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...31... |
- Multi-laboratory comparison of three heparin-Mn2+ precipitation procedures
for estimating cholesterol in high-density lipoprotein.
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...32... |
- Lipoproteins and lipid transport.
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...33... |
- Fructose as a dietary sweetener in diabetes mellitus.
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...34... |
- Is atherosclerosis reversible?
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...35... |
- Dietary recommendations for the community towards the postponement of
coronary heart disease.
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...36... |
- The dynamics of membrane structure.
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...37... |
- HDL - should we be 'chasing' it now?
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Although 'within defined population groups the association of low HDL level
with increased coronary risk seems to be established', the author concludes 'The
inverse relation between plasma HDL level and risk of CHD remains a phenomenon
that we cannot explain in scientific terms'. |
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...38... |
- Further leads on metabolic epidemiology of large bowel cancer.
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...39... |
- Management of gallstones in the aged.
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...40... |
- Dietary management of the pregnant diabetic.
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Position #40 |
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...41... |
- Biochemical basis for the selection of oral contraceptives.
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...42... |
- The effect of exercise on plasma high density lipoproteins.
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...43... |
- Plasma lipoproteins and coronary heart disease.
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...44... |
- Recent progress in the development of radioimmunoassays for human serum
lipoproteins.
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...45... |
- Primary prevention of coronary heart disease: a critique.
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The question is whether alteration of risk factors will aid primary and
secondary prevention of coronary heart disease. Critical review of available
evidence indicates that inferences have been made about the beneficial effects
of risk factor modification without an adequate test of the hypothesis. Trial
interventions to assess the efficacy of serum cholesterol-lowering measures have
had negative or equivocal results. |
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...46... |
- Phospholipid unsaturation and plasma membrane organization.
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...47... |
- Dietetic treatment of obesity with low and high-carbohydrate diets:
comparative studies and clinical results.
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...48... |
- The regulation of prostaglandin E1 formation: a candidate for one of the
fundamental mechanisms involved in the actions of vitamin C.
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...49... |
- The origins of atherosclerosis.
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...50... |
- George Lyman Duff Memorial Lecture. Lifestyles, major risk factors, proof
and public policy.
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Position #50 |
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...51... |
- Transient monocular blindness.
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...52... |
- Pigment gallstones.
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...53... |
- Gardner's syndrome. Recent developments in research and management.
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...54... |
- Cause and course of acute myocardial infarction.
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...55... |
- Fat embolism syndrome: traumatic coagulopathy with respiratory distress.
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...56... |
- Angina pectoris among 10,000 men. II. Psychosocial and other risk factors as
evidenced by a multivariate analysis of a five year incidence study.
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...57... |
- Bile salts and gallstone disease.
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...58... |
- Cardiovascular disease in uremic patients on hemodialysis.
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...59... |
- Primary prevention of atherosclerosis: nutritional aspects.
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...60... |
- Androgens.
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Position #60 |
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...61... |
- Oral contraceptive hypertension and thromboembolism.
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...62... |
- Interventions in atherosclerosis: a review for surgeons.
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...63... |
- Biochemical anomalies of the nephrotic syndrome.
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...64... |
- Pericardial heart disease.
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...65... |
- The applications of steroid hormone radioimmunoassays to clinical
obstetrics.
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...66... |
- The effect of 5,8,11,14-eicosatetraynoic acid on lipid metabolism.
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...67... |
- Cholelithiasis. Review of advances in research.
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...68... |
- American Academy of Pediatrics. Nutrition Committee of the Canadian
Paediatric Society and the Committee on Nutrition of the American Academy of
Pediatrics. Breast-feeding. A commentary in celebration of the International
Year of the Child, 1979.
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...69... |
- Vessel injury and atherosclerosis.
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...70... |
- Essential fatty acids and the vulnerability of the artery during growth.
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Position #70 |
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...71... |
- A review of research examining the coronary-prone behavior pattern.
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...72... |
- The enterohepatic circulation of conjugated bile acids in healthy man:
quantitative description and functions.
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...73... |
- The enterohepatic circulation of bile acids in man.
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...74... |
- Diabetes and the heart: coronary heart disease.
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...75... |
- Bile acids, diarrhea, and antibiotics: data, speculation, and a unifying
hypothesis
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...76... |
- Hyperlipoproteinemia in renal insufficiency.
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...77... |
- The lipid metabolism of the arterial wall and its abnormalities in diabetes.
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...78... |
- Diet, nutrition, and cancer.
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...79... |
- The management of hyperlipidemia: whether, rather than how.
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The premise that measures used to lower the plasma lipids in patients with
hyperlipidemia will lead to reductions in new events of coronary heart disease
(the Lipid Hypothesis) should be reconsidered today as a result of several
recent reports of large-scale double-blind drug trials in the United Kingdom and
in the United States. |
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...80... |
- The enterohepatic circulation of bile acids in man.
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Position #80 |
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...81... |
- Primary prevention of atherosclerosis: a challenge to the physician caring
for children.
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...82... |
- Corneal arcus and hyperlipoproteinaemia.
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...83... |
- HDL cholesterol and coronary heart disease.
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...84... |
- Relative atherogenicity of different plasma lipoproteins.
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...85... |
- Animal models of human cholesterol gallstone disease: a review.
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...86... |
- Fiber and gastrointestinal microecology.
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...87... |
- Is atheroma a reversible lesion?
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...88... |
- Lipids of human milk and infant formulas: a review.
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...89... |
- Lipids of human milk and infant formulas: a review.
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...90... |
- Importance of apolipoproteins in lipid metabolism.
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Position #90 |
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...91... |
- Diet and coronary heart disease.
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...92... |
- Perspectives in coronary prevention.
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...93... |
- Fiber, intestinal sterols, and colon cancer.
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...94... |
- Are atherosclerotic lesions reversible or not?
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...95... |
- Hematologic aberrations in metabolic diseases.
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...96... |
- Colestipol: a review of its pharmacological properties and therapeutic
efficacy in patients with hypercholesterolaemia.
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...97... |
- Beneficial physiologic action of beans.
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...98... |
- Hormone-sensitive lipase of adipose tissue.
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...99... |
- Hormone production in ovarian carcinomas. Histochemical approach in stroma
reaction.
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...100... |
- Pathophysiology of lipoprotein transport.
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Position #100 |
Return To Top
| The
Following Two Studies Are Dated Prior To 1970 |
| ...101... |
- On the stratification of human bile and its importance for the solubility of
cholesterol.
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| ...102... |
- Tropical sprue in expatriates from the tropics living in the continental
United States.
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HealthGate Documents
Record 1 from database: MEDLINE
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- Title
- Nutrition imbalance and angiotoxins as dietary risk factors in coronary
heart disease.
- Author
- Kummerow FA
- Address
-
- Source
- Am J Clin Nutr, 1979 Jan, 32:1, 58-83
- Abstract
- Imbalancing nutritionally adequate diets with an excessive amount of fat
calories and cholesterol has obscured the fact that intimal thickening occurs
spontaneously in time on low-fat cholesterol-free diets during the aging
process, and that intimal thickening can be accelerated by dietary angiotoxic
"risk factors." Electron microscopy of arterial tissue from animal
models identified degenerated smooth muscle cells in the fetus from sows kept on
low-fat cholesterol-free diets. After birth, the degenerated smooth muscle cells
increased in number with age. The presence of angiotoxic "risk
factors" such as oxidized cholesterol and vitamin D3 (cholecalciferol) in
the diet of such animal models increased the frequency of smooth muscle cell
death in their arteries. Two types of pathology could be developed in the
thoracic aorta by continuous or short term feeding of 12.5 times more vitamin D
than normally present in commercial rations: 1) a diffuse fibroelastic intimal
thickening in the thoracic aorta (arteriosclerosis) with no evidence of lipid
deposition by continuous feeding of vitamin D or 2) an initimal thickening in
the thoracic aorta and intimal thickening with foam cells and extracellular
lipid deposits (atherosclerosis) in the coronary arteries after a short period
of supplemental vitamin D followed by 3 to 4 months of supplement-free diets.
These two types of arterial damage were identical to that in the plugs of
thoracic aorta obtained as a by-product of elective coronary bypass surgery.
Although all of the possible sources of oxidized cholesterol in the diet have as
yet not been identified, laboratory studies have identified oxidized cholesterol
as an angiotoxic factor. Since population groups that consume less vitamin
D-supplemented foods, less deep fat fried cholesterol-containing foods, and less
hydrogenated fats have a lower incidence of coronary heart disease than
Americans, it seems judicious for food processors to reduce these previously
unconsidered risk factors to a minimum. This could be done by eliminating
vitamin D2 and D3 from all vitamin supplements, from all food and cereal
products and from the diet of livestock 1 month before they were killed so that
the intake of vitamin D is no larger than the 400 IU/quart in milk which is
necessary to prevent rickets in children. Deep fat fryers, which are kept at
almost 200 C for 24 hr/day, could perhaps be replaced with microwave ovens in
fast food chain outlets. Processors could hydrogenate vegetable oils to a
minimum trans fatty acid content and rearrange this fat with polyunsaturated
fats to produce high polyunsaturated fats trans-free margarines and shortenings.
- Language of Publication
- English
- Unique Identifier
- 79101156
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- MeSH Heading (Major)
- Arteriosclerosis|CI/EP/*ET; Cholecalciferol|*PO; Cholesterol|*AA/PO;
Coronary Disease|*ET; Diet|*ST
- MeSH Heading
- Aging; Animal; Aorta, Thoracic|PA; Aortic Diseases|ET; Cell Survival|DE;
Cholesterol, Dietary; Dietary Fats|AD; Dietary Proteins; Energy Intake; Fats,
Unsaturated; Female; Human; Lipoproteins, LDL|BL; Myocardium|ME;
Oxidation-Reduction; Pregnancy; Risk; Support, U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0002-9165
- Country of Publication
- UNITED STATES
Record 2 from database: MEDLINE
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- Title
- Desaturation of bile and cholesterol gallstone dissolution with
chenodeoxycholic acid.
- Author
- Hofmann AF
- Address
-
- Source
- Am J Clin Nutr, 1977 Jun, 30:6, 993-1000
- Abstract
- The feeding of one of the major biliary bile acids, chenodeoxycholic acid,
at a dose of 10 to 15 mg/kg per day causes the circulating bile acid pool to
become greatly enriched in this bile acid. When chenodeoxycholic acid composes
more than 70% of the biliary bile acids, the amount of cholesterol secreted in
bile falls, and bile becomes unsaturated in cholesterol. If cholesterol
gallstones are present and are exposed to this unsaturated bile, they will
dissolve in 4 to 24 months in the majority of patients. Extensive clinical
experience indicates that such medical therapy is safe, despite unequivocal
toxicity of chenodeoxycholic acid in several nonhuman primates. When therapy is
stopped, bile resaturates, and stones may recur. Since cholecystecomy is a
rapid, safe, effective, and usually permanent treatment for all gallstones, the
value of medical therapy remains uncertain at present, except for patients in
whom surgery is inadvisable. Nonetheless, the demonstration that
chenodeoxycholic acid ingestion will desaturate bile and induce gallstone
dissolution would appear to be an important pharmacological advance.
- Language of Publication
- English
- Unique Identifier
- 77199121
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- MeSH Heading (Major)
- Bile|DE/*ME/SE; Chenodeoxycholic Acid|ME/*TU; Cholelithiasis|*DT/PP;
Cholesterol|*/ME
- MeSH Heading
- Adult; Animal; Bile Acids and Salts|ME; Human; Liver|ME; Stereoisomerism;
Support, U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0002-9165
- Country of Publication
- UNITED STATES
Record 3 from database: MEDLINE
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- Title
- Cholesterol in the prediction of atherosclerotic disease. New perspectives
based on the Framingham study.
- Author
- Kannel WB; Castelli WP; Gordon T
- Address
-
- Source
- Ann Intern Med, 1979 Jan, 90:1, 85-91
- Abstract
- Prospective data at Framingham and elsewhere have shown conclusively that
risk of coronary heart disease in persons younger than age 50 is strikingly
related to the serum total cholesterol level. Within so-called normal limits
risk has been found to mount over a five-fold range. The impact has been found
to be augmented by other risk factors. The contribution of the serum total
cholesterol to risk has also been found to be determined by its partition in the
various lipoprotein fractions. A relatively large amount of cholesterol in the
low-density lipoprotein fraction is atherogenic, whereas that in the
high-density fraction appears protective. The independent contribution of
very-low density lipoprotein and its triglyceride or cholesterol content has, on
the other hand, not been established. The previous position that virtually all
of the lipid information pertaining to coronary heart disease resided in the
serum total cholesterol must be accordingly modified.
- Language of Publication
- English
- Unique Identifier
- 79122614
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- MeSH Heading (Major)
- Arteriosclerosis|*ET; Atherosclerosis|BL/DH/*ET; Cholesterol|*BL
- MeSH Heading
- Age Factors; Aged; Coronary Disease|BL/ET/PC; Female; Human;
Hyperlipidemia|BL/GE; Lipoproteins, HDL|BL; Lipoproteins, LDL|BL; Lipoproteins,
VLDL|BL; Male; Middle Age; Prospective Studies; Risk; Triglycerides|BL
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0003-4819
- Country of Publication
- UNITED STATES
Record 4 from database: MEDLINE
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- Title
- High-density lipoproteins in the prevention of atherosclerotic heart
disease. Part II. Biochemical role in the pathogenesis of atherosclerosis.
- Author
- Berger GM
- Address
-
- Source
- S Afr Med J, 1978 Oct 21, 54:17, 693-7
- Abstract
- Evidence is presented that high-density lipoprotein (HDL) promotes the
efflux of cholesterol from cells in vitro, and may thus play an important role
in the transport of cholesterol from non-hepatic tissues to the liver for
excretion. Hypothetical schemes are presented whereby this may be achieved in
vivo. This putative function of HDL may be of particular importance in
situations in which the capacity of cells to limit the uptake of cholesterol is
exceeded, and may therefore constitute the basis for the proposed
antiatherogenic action of plasma HDL. However, direct data on the transport
function of HDL in intact organisms are meagre. Furthermore, a characteristic of
mature atherosclerotic lesions is the extracellular, rather than the
intracellular, deposition of cholesterol and other lipids, and the degree to
which HDL may influence this process has not been demonstrated. Finally, in
inherited disorders which markedly impair the putative HDL transport pathway,
atherosclerotic heart disease is generally not an early or severe complication.
Despite these caveats, the physiological significance of HDL deserves further
attention in order to clarify the uncertainties enumerated above. The clinical
application of plasma HDL assay is limited at present to excluding the
clinically non-deleterious condition of hyperalpha (HDL)-lipoproteinaemia in
patients suffering from familial hypercholesterolaemia.
- Language of Publication
- English
- Unique Identifier
- 79118087
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- MeSH Heading (Major)
- Coronary Disease|ET/*ME/PC; Lipoproteins, HDL|*BL/ME/PH
- MeSH Heading
- Adrenal Cortex|CY; Anticholesteremic Agents; Atherosclerosis|ME; Cells,
Cultured|ME; Cholesterol|ME; Cholesterol Esters|ME; Chylomicrons|BI;
Esterification; Human; Lipoproteins, LDL|AI; Lipoproteins, VLDL|BI; Liver|ME;
Tangier Disease|ME; Whole-Body Counting
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0038-2469
- Country of Publication
- SOUTH AFRICA
Record 5 from database: MEDLINE
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- Title
- Studies on the effects of hormones on cholesterol synthesis in mammalian
cells in culture.
- Author
- Avigan J
- Address
-
- Source
- Expos Annu Biochim Med, 1977, 33:, 1-11
- Abstract
- The studies described here suggest the potential physiological role of
polypeptide and corticosteroid hormones in the regulation of cholesterol
synthesis. Evidence was shown for substantial differences between various cell
types in their responses to these agents and for certain degree of independence
of the effects on biosynthesis of cholesterol from those on protein and DNA
synthesis. Cholesterol synthesis and HMGCoA reductase are stimulated in a number
of diploid cell lines following an incubation with insulin or with
glucocorticoids for 4 hr or longer. Stimulation of sterol synthesis by insulin
and by dexamethasone requires protein synthesis, but the two hormones do not
compete for the same site. Addition of glucagon or of dibutyryl cyclic AMP, or
elevation of intracellular cyclic AMP by PGE1 does not inhibit cholesterol
synthesis in skin fibroblasts. A possibility of a relationship between the
mechanisms of the hormonal effects and of feedback control of cholesterol
synthesis is suggested.
- Language of Publication
- English
- Unique Identifier
- 77246619
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- MeSH Heading (Major)
- Cholesterol|*BI; Cyclic AMP|*PD; Dexamethasone|*PD; Glucagon|*PD;
Insulin|*PD; Prostaglandins E|*PD
- MeSH Heading
- Animal; Aorta|DE/ME; Bucladesine|PD; Cell Line; Cells, Cultured;
Cycloheximide|PD; DNA|BI; Fibroblasts|ME; Human; Hydroxymethylglutaryl CoA
Reductases|ME; Kinetics; Rabbits; Skin|DE/ME
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0300-9076
- Country of Publication
- FRANCE
Record 6 from database: MEDLINE
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- Title
- Hyperlipidaemia in children.
- Author
- Lloyd JK
- Address
-
- Source
- Br Heart J, 1975 Feb, 37:2, 105-14
- Abstract
- Hyperlipidaemia in children is most commonly expressed as
hypercholesterolaemia. "Normal values" for serum cholesterol, if
defined statistically, vary between communities, and levels of cholesterol in
childhood above which an increased risk of coronary heart disease in adult life
may be expected have not been firmly established. It is suggested that serum
cholesterol concentration over 250 mg/dl (6.47 mmol/l) in a child over 1 year of
age merits detailed investigation, including full lipoprotein analysis, and
levels of serum cholesterol between230 and 250 mg/dl (5.95-6.47 mmol/l) should
be repeated with further studies if indicated. Secondary hyperlipoproteinaemia
rarely presents diagnostic problems but must always be excluded. The only
primary hyperlipoproteinaemia likely to be encountered in childhood is familial
hyperbetalipoproteinaemia in its common heterozygous form. The most effective
means to date of lowering serum cholesterol in this condition is cholestyramine,
but the long-term consequences of therapy are not known and treatment should at
present be limited to children from high-risk families. Long-term follow-up is
essential and until results of such studies are available population screening
is unjustified.
- Language of Publication
- English
- Unique Identifier
- 75127804
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- MeSH Heading (Major)
- Hypercholesterolemia|*/CL; Hyperlipidemia|*/CL/CO/DI/DT/GE
- MeSH Heading
- Adolescence; Age Factors; Child; Child, Preschool; Cholestasis|CO;
Cholesterol|BL; Cholestyramine|TU; Chylomicrons|BL; Coronary Disease|ET;
Diabetes Mellitus|CO; Electrophoresis; Fasting; Glucose-6-Phosphatase|DF;
Glycogen Storage Disease|CO; Human; Hypothyroidism|CO; Infant; Lipoproteins|BL;
Liver Diseases|CO; Nephrotic Syndrome|CO; Puberty; Triglycerides|BL;
Xanthomatosis|ET
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0007-0769
- Country of Publication
- ENGLAND
Record 7 from database: MEDLINE
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- Title
- Lipoprotein receptors, cholesterol metabolism, and atherosclerosis.
- Author
- Goldstein JL; Brown MS
- Address
-
- Source
- Arch Pathol, 1975 Apr, 99:4, 181-4
- Abstract
- Deposition of cholesterol esters in the arterial intima is a characteristic
feature of human atherosclerosis. Very little is known about the mechanisms by
which cells normally regulate their cholesterol ester content. Recent studies in
cultured human cells demonstrate the existence of a cell surface receptor that
binds plasma low density lipoproteins and regulates the sterol content of cells
by modulating the rates of uptake, esterification, and synthesis of cholesterol.
A possible role for this lipoprotein receptor in the pathogenesis of
atherosclerosis is discussed.
- Language of Publication
- English
- Unique Identifier
- 75108544
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- MeSH Heading (Major)
- Arteriosclerosis|*ET; Atherosclerosis|*ET/ME; Binding Sites|*;
Cholesterol|BI/*ME; Lipoproteins, LDL|BL/*ME
- MeSH Heading
- Alcohol Oxidoreductases|AI; Animal; Aorta|ME; Enzyme Repression; Esters;
Fibroblasts|ME; Glutarates; Human; Hyperlipidemia|GE/ME; Iodine Radioisotopes;
Lysosomes|ME; Protein Binding
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0003-9985
- Country of Publication
- UNITED STATES
Record 8 from database: MEDLINE
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- Title
- Gallstones. The present and future of medical dissolution.
- Author
- Pearlman BJ; Schoenfield LJ
- Address
-
- Source
- Med Clin North Am, 1978 Jan, 62:1, 87-105
- Abstract
- Adequate concentrations of bile acids and phospholipids are necessary to
keep cholesterol in solution in bile. When the amount of cholesterol exceeds the
capacity of bile acids and phospholipids to keep the cholesterol in micellar
solution, bile becomes supersaturated; then, under appropriate conditions,
cholesterol crystals form and gallstones may develop. Current dissolution
therapy is aimed at desaturating the bile, thereby shifting the equilibrium of
cholesterol from a crystalline phase back toward a micellar state, thus
permitting gallstones to dissolve. Chenodeoxycholic acid is the drug being most
extensively tested for efficacy in dissolution; at present, it is successful in
about 60 per cent of cases. The primary mechanism of action appears to be
suppression of biliary secretion of cholesterol. Further experience is needed to
confirm the safety of chenodeoxycholic acid, to gain more precision in patient
selection, and to determine ideal dose. The role of chenodeoxycholic acid in
prophylaxis and in prevention of recurrence needs further study. Other potential
agents for dissolution also deserve investigation.
- Language of Publication
- English
- Unique Identifier
- 78090870
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- MeSH Heading (Major)
- Chenodeoxycholic Acid|*TU; Cholelithiasis|*DT/ET/PP; Cholesterol|*PH
- MeSH Heading
- Adult; Age Factors; Animal; Bile Acids and Salts|PH/TU; Common Bile Duct
Calculi|DT; Female; Haplorhini; Human; Indians, North American; Macaca mulatta;
Male; Middle Age; Sex Factors; Support, U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0025-7125
- Country of Publication
- UNITED STATES
Record 9 from database: MEDLINE
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- Title
- Cholesterol embolism: the great masquerader.
- Author
- Darsee JR
- Address
-
- Source
- South Med J, 1979 Feb, 72:2, 174-80
- Abstract
- Embolization of cholesterol crystals from ulcerated atheromatous lesions can
produce distinct syndromes that mimic more common disease processes. Cholesterol
emboli can present as renal failure, hypertension, spells of numbness, abdominal
pain, and myocardial infarction, or as a multisystem disease that closely
approximates the presentation, clinical course, and even biopsy picture of
polymyositis or periarteritis nodosa. A review of this problem with particular
attention to the clinical presentations should help in the early diagnosis and
treatment of cholesterol emboli and avoid unnecessary and inappropriate
therapies.
- Language of Publication
- English
- Unique Identifier
- 79138904
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- MeSH Heading (Major)
- Cholesterol|*; Embolism, Fat|CO/*DI/TH
- MeSH Heading
- Aortic Diseases|DI/ET; Aortic Valve Insufficiency|CO; Blindness|ET; Cerebral
Ischemia, Transient|DI/ET; Diagnosis, Differential; Human; Hypertension|ET;
Intestinal Diseases|ET; Kidney Diseases|DI/ET; Pancreatitis|DI; Syndrome;
Vasculitis|ET
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0038-4348
- Country of Publication
- UNITED STATES
Record 10 from database: MEDLINE
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- Title
- Gallstone dissolution--a progress report.
- Author
- Pearlman BJ; Marks JW; Bonorris GG; Schoenfield LJ
- Address
-
- Source
- Clin Gastroenterol, 1979 Jan, 8:1, 123-40
- Abstract
- Cholesterol gallstone formation occurs in three stages. First, the bile must
be saturated with cholesterol, thereby allowing cholesterol crystals to form.
Then, nucleation and growth of the gallstone can occur, although little is known
about these latter two stages. Therapy for dissolution of gallstones is directed
at desaturating the bile. Chenodeoxycholic acid (CDCA), the most extensively
tested agent, is successful in dissolving 60 per cent of radiolucent gallstones;
however, long-term safety remains to be demonstrated. Ursodeoxycholic acid
(UDCA), the 7 beta epimer of CDCA, is a promising agent for cholesterol
gallstone dissolution, but it, other potential agents, and dietary manipulations
require more extensive study. An important problem, the prevention of recurrence
of gallstones after dissolution, also needs resolution. Medical dissolution
probably will be applicable as an alternative to cholecystectomy for most
patients with radiolucent gallstones, but the specific relative indications
remain to be determined. A variety of modalities, both medical and surgical, are
being used for the treatment of retained or reformed bile duct stones. These
include T-tube infusions, oral CDCA, and extraction either through the T-tube
tract or after endoscopic papillotomy. Further studies, including controlled
trials, are necessary to determine the relative indications for these methods.
- Language of Publication
- English
- Unique Identifier
- 79126287
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- MeSH Heading (Major)
- Cholelithiasis|*/DT/ET
- MeSH Heading
- Animal; Bile|ME; Bile Acids and Salts|ME/TU; Chenodeoxycholic Acid|AE/ME/PD;
Cholesterol|ME; Common Bile Duct Calculi|DT; Contraceptives, Oral, Synthetic|AE;
Deoxycholic Acid|AA/ME/PD; Diarrhea|CI; Enterohepatic Circulation; Estrogens|AE;
Female; Hepatitis, Toxic|ET; Human; Liver|DE; Male; Phosphatidylcholines|ME;
Pregnancy; Recurrence; Risk; Support, U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0300-5089
- Country of Publication
- ENGLAND
Record 11 from database: MEDLINE
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- Title
- A reappraisal of the mechanisms of hypocholesterolemic action of therapeutic
agents.
- Author
- Sodhi HS; Kudchodkar BJ; Clifford C; Borhani N; Mason DT
- Address
-
- Source
- Adv Exp Med Biol, 1978, 109:, 331-45
- Abstract
- The most commonly used methods to study the mechanisms of
hypocholesterolemic action of therapeutic agents generally determine the
turnover of total (exchangeable) cholesterol pools in the body. This approach is
based on the view that whatever increases the total load of cholesterol in the
body will increase the levels of plasma cholesterol, and vice versa. Despite the
importance of this assumption it has never been tested, and there is no evidence
to indicate that it is valid under all conditions. This "overload"
hypothesis dates from the times before the importance of plasma lipoproteins was
recognized and their role in the transport of lipids was well understood.
However, it is becoming increasingly clear that the levels of plasma cholesterol
are determined more directly by the "transport" of cholesterol into
and out of plasma compartment by lipoproteins than by the synthesis, absorption
and elimination of cholesterol from the total body pools. Any effects that the
latter parameters of cholesterol metabolism have on the levels of plasma
cholesterol must be mediated through changes in synthesis and the subsequent
metabolism of plasma lipoproteins. In other words, in any equation relating
changes in the levels of plasma cholesterol to the changes in synthesis,
absorption and elimination of cholesterol from the body pools we must consider
the "transport" of cholesterol by lipoproteins and their metabolism.
- Language of Publication
- English
- Unique Identifier
- 79079847
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- MeSH Heading (Major)
- Anticholesteremic Agents|*PD
- MeSH Heading
- Animal; Atherosclerosis|ME; Biological Transport|DE; Cholesterol|BL/ME;
Human; Lipoproteins|ME; Models, Biological
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0065-2598
- Country of Publication
- UNITED STATES
Record 12 from database: MEDLINE
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- Title
- Intrahepatic metabolism and secretion of biliary lipids.
- Author
- Montet JC; Gerolami A
- Address
-
- Source
- Digestion, 1978 Jul-Aug, 17:4, 346-64
- Abstract
- The purpose of this work is to review the arguments which support the role
of mixed micelle formation in the biliary secretion of lipids. These arguments
are derived from in vitro physicochemical studies and from results obtained in
vivo during biliary drainage in animals and in man. They show that, for the
essential, mixed micelle formation between lecithins, cholesterol and bile salts
can explain the biliary lipid secretion. The amount of lipids transported into
the bile depends on the intrahepatic metabolism of cholesterol and lecithins.
Different bile salts have opposite effects on the saturation of bile with
cholesterol. During chronic administration of bile salts, the differences may be
explained by specific actions on cholesterol metabolism and particularly on
cholesterol absorption. On the contrary, during acute injection of bile salts,
in most animal species, those bile salts which have the greatest ability of
dissolving cholesterol in vitro (dihydroxy being more efficient than trihydroxy)
are those which determine the greatest biliary secretion of cholesterol.
- Language of Publication
- English
- Unique Identifier
- 78215449
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- MeSH Heading (Major)
- Bile|*ME; Lipids|*ME; Liver|*ME
- MeSH Heading
- Animal; Bile Acids and Salts|AD/ME; Cholesterol|ME; Choline|AD; Diet; Human;
Phenobarbital|PD; Phosphatidylcholines|ME
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0012-2823
- Country of Publication
- SWITZERLAND
Record 13 from database: MEDLINE
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- Title
- Effect of deoxycholic acid ingestion on bile acid metabolism and biliary
lipid secretion in normal subjects.
- Author
- LaRusso NF; Szczepanik PA; Hofmann AF
- Address
-
- Source
- Gastroenterology, 1977 Jan, 72:1, 132-40
- Abstract
- The effect of deoxycholate ingestion, 750 mg per day, on bile acid kinetics,
biliary bile acid composition, and biliary lipid secretion was studied in 7
healthy volunteers. Bile acid kinetics were measured by isotope dilution, and
hourly outputs of bile acid, cholesterol, and phospholipid were quantitated by a
duodenal perfusion technique during a 24-hr period which included three liquid
meals and an overnight fast. Biliary bile acid composition was assessed by
coupled gas chromatography-mass spectrometry. After deoxycholic acid ingestion,
biliary bile acids became composed of predominantly deoxycholyl conjugates, and
deoxycholic acid pools increased 4-fold. Both chenodeoxycholic and cholic acid
pools decreased, and daily synthesis of each of the primary bile acids was
inhibited by 50%. Total bile acid pools did not change in any consistent manner.
Daily bile acid secretion increased slightly during deoxycholic acid ingestion,
and recycling frequency varied reciprocally with the total bile acid pool both
before and during deoxycholic acid treatment. Deoxycholic acid ingestion caused
no change in either the daily secretion of cholesterol or lecithin, or the
cholesterol saturation of fasting-state bile, which remained unsaturated
throughout the study. SGOT levels increased to 4 times the upper limits of
normal in 2 of 7 subjects, but these levels promptly returned to normal when
deoxycholate feeding was stopped. Serum cholesterol levels decreased in every
subject (average 15%) during deoxycholic acid administration. No evidence for a
direct role of deoxycholate in the pathogenesis of cholesterol cholelithiasis
was obtained in these studies.
- Language of Publication
- English
- Unique Identifier
- 77049514
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- MeSH Heading (Major)
- Bile|AN/*DE; Bile Acids and Salts|AN/*ME; Deoxycholic Acid|AN/ME/*PD;
Lipids|*SE
- MeSH Heading
- Cholesterol|SE; Clinical Trials; Human; Kinetics; Male; Support, U.S. Gov't,
P.H.S.
- Publication Type
- CLINICAL TRIAL; JOURNAL ARTICLE; REVIEW
- ISSN
- 0016-5085
- Country of Publication
- UNITED STATES
Record 14 from database: MEDLINE
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- Title
- HDL-cholesterol: the negative risk factor for coronary heart disease.
- Author
- Tan MH
- Address
-
- Source
- Ann Acad Med Singapore, 1980 Oct, 9:4, 491-5
- Abstract
- High density lipoprotein cholesterol (HDL-cholesterol) has emerged as a
negative risk factor for coronary heart disease. Humans with low levels of
HDL-cholesterol are at greater risk of developing coronary heart disease whereas
those with high levels are less prone. The epidemiological and biological
evidence of this association are strong. As a predictor of coronary heart
disease risk, HDL-cholesterol is independent of the other risk factors and is
the most powerful lipid predictor. Both genetic and environmental factors
influence the serum HDL-cholesterol level. Two physiological mechanisms may
explain the presumed protective effect of HDL-cholesterol. However, controlled
trials of intervention on the effect of rising HDL-cholesterol on coronary heart
disease risk are not yet available. The physician is recommended to include
HDL-cholesterol determination as part of his approach to the management of
hyperlipoproteinemia. But he is cautioned against the pitfalls of methodology
and data interpretation.
- Language of Publication
- English
- Unique Identifier
- 81230893
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- MeSH Heading (Major)
- Cholesterol|*BL; Coronary Disease|*BL; Lipoproteins, HDL|*BL
- MeSH Heading
- Adult; Age Factors; Alcoholism|BL; Child; Cholestyramine|PD; Clofibrate|PD;
Dietary Fats|AD; Exertion; Female; Human; Hyperlipoproteinemia|GE; Infant,
Newborn; Male; Nicotinic Acids|PD; Obesity|BL; Racial Stocks; Risk; Sex Factors;
Smoking
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0304-4602
- Country of Publication
- SINGAPORE
- CAS Registry/EC Number
- 0 (Dietary Fats); 0 (Lipoproteins, HDL Cholesterol); 0 (Lipoproteins, HDL);
0 (Nicotinic Acids); 11041-12-6 (Cholestyramine); 57-88-5 (Cholesterol);
637-07-0 (Clofibrate)
Record 15 from database: MEDLINE
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- Title
- Cholesterol methodology for human studies.
- Author
- Zak B
- Address
-
- Source
- Lipids, 1980 Sep, 15:9, 698-704
- Abstract
- A classification and review of the methodology involved in the determination
of serum cholesterol for human (or animal) studies are presented. The purpose of
both is to enable selection of a technique appropriate for the assay intended
with a reasonable understanding of its advantages, disadvantages and
limitations. The various methods discussed include direct reaction systems,
partial isolation systems and complete isolation systems, as well as screening,
reference and definitive procedures. The interferences that could occur are
considered, especially those caused by hemoglobin, the turbidity in lipidemia,
and bilirubin, as well as interferences caused by optical aberrations and
chemical reactants. The various instrumental methods used to determine
cholesterol or a substitute determinand such as hydrogen peroxide are discussed,
including spectrophotometry, electrochemistry and densitometry of
electrophoretically separated proteins.
- Language of Publication
- English
- Unique Identifier
- 81029844
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- MeSH Heading (Major)
- Cholesterol|*BL/IP
- MeSH Heading
- Animal; Autoanalysis; Bilirubin|BL; Human; Kinetics; Methods; Solvents;
Support, Non-U.S. Gov't
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0024-4201
- Country of Publication
- UNITED STATES
- CAS Registry/EC Number
- 0 (Solvents); 57-88-5 (Cholesterol); 635-65-4 (Bilirubin)
Record 16 from database: MEDLINE
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- Title
- Dietary fat intake and serum cholesterol levels in coronary heart disease.
- Author
- Walker AR
- Address
-
- Source
- S Afr Med J, 1980 Jul 5, 58:1, 7-12
- Abstract
- In South Africa tremendous publicity is being given to the very high death
rate from coronary heart disease (CHD) in the White and Indian populations.
Certain advertisements and articles in the lay press have poured scorn on the
advice given to the public by various medical and nutritional bodies to reduce
fat intake, especially that of animal origin, in order to lower serum
cholesterol level and, hopefully, reduce the occurrence of CHD. Furthermore, a
number of overseas critics, some of high standing, have belittled the
relationship between diet, in particular fat, and atherogenesis and CHD. In
seeking to clarify the situation, a number of questions have been posed and
answered from currently available information. It is shown, inter alia, that the
principal challenges of skeptics are based on insubstantial evidence. It is
concluded that the recommendations of authoritative bodies to combat CHD are
worthy of urgent consideration, in respect of both dietary and non-dietary
changes. It is maintained that public health benefits--other than the
amelioration of CHD--which are achievable by avoiding severe obesity, stopping
smoking and reducing hypertension, are beyond dispute.
- Language of Publication
- English
- Unique Identifier
- 80259312
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- MeSH Heading (Major)
- Cholesterol|*BL; Coronary Disease|DH/*ET; Dietary Fats|*/ME/PD
- MeSH Heading
- Adult; Animal; Atherosclerosis|ET; Child, Preschool; Cholesterol,
Dietary|PD; Diet; Eggs; Female; Human; Hypercholesterolemia, Familial|CO;
Lipoproteins, HDL|BL; Male; Milk; Nutritional Requirements
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0038-2469
- Country of Publication
- SOUTH AFRICA
- CAS Registry/EC Number
- 0 (Cholesterol, Dietary); 0 (Dietary Fats); 0 (Lipoproteins, HDL); 57-88-5
(Cholesterol)
Record 17 from database: MEDLINE
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- Title
- Milk, serum cholesterol, and the Maasai. A hypothesis.
- Author
- Gibney MJ; Burstyn PG
- Address
-
- Source
- Atherosclerosis, 1980 Mar, 35:3, 339-43
- Abstract
- The Maasai of East Africa have been found to have low serum concentrations
of cholesterol and a low incidence of cardiovascular disease in spite of
apparently very high milk intakes. On that basis it has been frequently
suggested that milk contains a "hypocholesterolaemic factor". The
hypocholesterolaemia of the Maasai had also been attributed to a genetic
adaptation. We feel that the milk intakes reported for the Maasai are
excessively high and that the low incidence of cardiovascular diseases and low
levels of serum cholesterol may be adequately explained by their variable and
generally low energy intakes.
- Language of Publication
- English
- Unique Identifier
- 80153661
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- MeSH Heading (Major)
- Cholesterol|*BL; Coronary Disease|BL/*EP/GE/UR; Milk|*PH; Negroid Race|*
- MeSH Heading
- Adult; Animal; Anticholesteremic Agents|PH; Blacks; Calcium, Dietary|PH;
Cattle; Cholesterol, Dietary|PD; Glutarates|ME; Human; Kenya; Male; Orotic
Acid|ME; Tanzania
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0021-9150
- Country of Publication
- NETHERLANDS
- CAS Registry/EC Number
- 57-88-5 (Cholesterol); 65-86-1 (Orotic Acid)
Record 18 from database: MEDLINE
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- Title
- The cholesterol problem, the egg and lipid metabolism in the laying hen.
- Author
- Naber EC
- Address
-
- Source
- Poult Sci, 1976 Jan, 55:1, 14-30
- Abstract
- There is little doubt that high blood serum lipid levels are related to a
higher incidence of atherosclerotic disease in humans. Experimental evidence to
date suggests that dietary intervention can reduce blood lipid levels in most
cases and that some small reduction in occurrence of cardiovascular disease will
probably result. On the other hand no reduction in total mortality has been
demonstrated in the well constructed dietary studies. It appears that there is
considerable variation in the human population with regard to their patterns of
lipid metabolism. Some apparently regulate body production of cholesterol in
response to dietary changes, others do not. Some seem to excrete excess sterols
efficiently, while some do not. It seems likely, therefore, that dietary
manipulation would be useful for those disposed by heredity and other conditions
to accumulation of excessive sterols in the body. On the other hand drug control
of cholesterol biosynthesis and/or sterol excretion may be more effective
solutions to the problem of sterol accumulation. Irrespective of whether diet or
drugs prove to be the best answer to control of sterol balance, these should be
applied only to that segment of the population known to require such treatment.
The egg is an important dietary source of cholesterol and as a result is used
sparingly in low cholesterol diets. On the other hand normal egg consumption of
two eggs per day does not appear to overload cholesterol balance in the healthy
human adult since depression in cholesterol biosynthesis and increased sterol
excretion will result. Investigation of the lipid metabolism of the laying hen
has shown that most of the cholesterol found in the egg is synthesized in the
liver where it is under both dietary and drug control. Most of the cholesterol
deposited in egg yolk may be essential for embryonic development. Drugs that
severely limit cholesterol biosynthesis probably also limit synthesis of adrenal
and sex hormones and hence limit reproduction. Moderate depressions in
lipogenesis achieved without feeding of large amounts of dietary fat may offer a
means for moderating cholesterol deposition in eggs. On the other hand, it also
seems clear that genetic selection could be used to moderate egg cholesterol
concentration. In any event, a great deal more evidence from well constructed
human diet studies will be needed before low cholesterol diets can be
recommended to the general population as an aid to control of cholesterol
balance and heart disease.
- Language of Publication
- English
- Unique Identifier
- 76222378
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- MeSH Heading (Major)
- Chickens|*ME; Cholesterol, Dietary|*AE; Eggs|*/AN; Lipids|*ME
- MeSH Heading
- Animal; Animal Feed; Arteriosclerosis|DH/ET; Azasteroids|PD;
Cholesterol|BI/BL; Egg Yolk|AN; Fats, Unsaturated|ME; Female; Human; Liver|ME;
Male; Middle Age; Myocardial Infarction|DH; Safflower Oil|ME; Thyroxine|PD
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0032-5791
- Country of Publication
- UNITED STATES
Record 19 from database: MEDLINE
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- Title
- Pathogenesis of human cholesterol cholelithiasis.
- Author
- Strasberg SM; Fisher MM
- Address
-
- Source
- Can Med Assoc J, 1975 Feb 22, 112:4, 484-8
- Abstract
- The pathogenesis of cholesterol cholelithiasis in humans has been studied by
means of three techniques. The cholesterol-solubilizing capacity of bile may be
determined by estimation of the relative composition of the three major lipid
constituents of bile. Consistent reduction in the cholesterol-carrying capacity
of gallbladder bile of persons with gallstones when compared with normal
subjects has not been shown. Normal subjects frequently have supersaturated
bile. Secretion rates of biliary lipids have been estimated by two methods; with
the method that appears to be more physiologic no change in lipid secretion
rates was found in gallstone patients. Bile acid pool size has been measured by
isotope dilution techniques; it is reduced in patients with gallstones. It is
not clear whether this reduction is important in the pathogenesis of cholesterol
cholelithiasis, for the bile acid secretion rate is normal because of an
increased rate of cycling of the pool through the enterohepatic circulation. The
role of the gallbladder in the genesis of cholesterol cholelithiasis may be more
important than has been realized.
- Language of Publication
- English
- Unique Identifier
- 75091865
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- MeSH Heading (Major)
- Cholelithiasis|*ET/ME; Cholesterol|*/AN
- MeSH Heading
- Bile|AN; Bile Acids and Salts|AN/BI/SE; Female; Gallbladder|PP; Human;
Intestines|BS; Liver|SE; Liver Circulation; Male; Methods;
Phosphatidylcholines|SE; Phospholipids|AN; Radioisotope Dilution Technique;
Solubility
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0008-4409
- Country of Publication
- CANADA
Record 20 from database: MEDLINE
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- Title
- Receptor-mediated endocytosis: insights from the lipoprotein receptor
system.
- Author
- Brown MS; Goldstein JL
- Address
-
- Source
- Proc Natl Acad Sci U S A, 1979 Jul, 76:7, 3330-7
- Abstract
- The low density lipoprotein (LDL) receptor system coordinates the metabolism
of cholesterol, an essential component of the plasma membrane of all mammalian
cells. Study of this system has led to an enhanced understanding of the cellular
basis of cholesterol homeostasis. It has also brought into focus an important
mechanism of metabolic regulation--the process of receptor-mediated endocytosis.
In this article, we first describe the receptor-mediated endocytosis of LDL, a
sequence of events in which receptor binding and internalization are coupled in
specialized regions of the plasma membrane called coated pits. Second, we trace
the cellular functions of the cholesterol derived from internalized LDL. Third,
genetic evidence is presented to indicate that both the binding and
internalization of LDL are mediated by a single receptor molecule that contains
two active sites, one mediating binding and the other internalization. Finally,
the characteristics of the LDL receptor system are used to suggest models for
receptor systems in general.
- Language of Publication
- English
- Unique Identifier
- 80034881
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- MeSH Heading (Major)
- Endocytosis|*; Lipoproteins, LDL|*ME; Receptors, Cell Surface|GE/*ME
- MeSH Heading
- Adolescence; Animal; Case Report; Cell Membrane|ME; Cells, Cultured;
Cholesterol|ME; Female; Fibroblasts|ME; Human; Hypercholesterolemia,
Familial|GE/ME; Male; Models, Biological; Support, U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0027-8424
- Country of Publication
- UNITED STATES
Record 21 from database: MEDLINE
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- Title
- Lipoprotein-X.
- Author
- Narayanan S
- Address
-
- Source
- CRC Crit Rev Clin Lab Sci, 1979 Aug, 11:1, 31-51
- Abstract
- Lipoprotein-X is an abnormal lipoprotein that appears in the sera of
patients with obstructive jaundice, and thus is a sensitive indicator of
cholestasis. In patients with familial plasma lecithin, Cholesterol
acyltransferase (LCAT) deficiency, there is an inverse relationship between
plasma Lp-X levels and LCAT activity. Ultracentrifugation procedures utilized
for isolation of Lp-X have shown that it is associated with the low density
lipoprotein fraction. Lp-X can be visualized by electrophoresis on either Agar
or Agarose. The purity of Lp-X preparations has been documented by
immunochemical procedures. The availability of highly purified antisera to Lp-X
has served as a basis of one of the assay procedures for this lipoprotein. It's
chemical composition has been established. Phospholipids and unesterified
cholesterol constitute the bulk of the Lp-X molecule. Electron microscopic
studies have demonstrated that Lp-X is a spherical particle which has strong
aggregating properties. Membrane bound enzymes have been shown to aggregate with
Lp-X. The fact that bile lipoprotein can be converted to Lp-X by the addition of
albumin and that Lp-X can be converted to bile lipoprotein by the addition of
bile salts offers a possible explanation for the origins of Lp-X. Phospholipases
of plasma might play a role in the catabolism of Lp-X. The value and limitations
of Lp-X determinations will also be addressed in this review.
- Language of Publication
- English
- Unique Identifier
- 80068156
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- MeSH Heading (Major)
- Cholestasis|*BL/DI; Lipoprotein-X|*BL/IP/PH
- MeSH Heading
- Alkaline Phosphatase|ME; Amino Acids|BL; Animal; Apoproteins|BL; Bile Acids
and Salts|BL; Chemistry; Cholesterol|BL; Cholesterol Esters|BL; Human;
Immunologic Techniques; Lecithin Acyltransferase Deficiency|BL; Lipoproteins|BL;
Nucleotidases|ME; Phospholipids|BL; Pyrophosphatases|ME; Research
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0590-8191
- Country of Publication
- UNITED STATES
Record 22 from database: MEDLINE
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- Title
- Feedback regulation of metabolism by dietary constituents: lipids.
- Author
- Mancini M; Postiglione A; di Marino L
- Address
-
- Source
- Nutr Metab, 1977, 21:1-3, 13-25
- Abstract
- Cholesterol is distributed in different body pools, Input in these pools
takes place through absorption of dietary cholesterol and endogenous synthesis.
Absorption is limited in man. Endogenous synthesis is under negative feedback
control, but its physiological relevance in man is less well established. Recent
studies in familial hypercholesterolemia have shown a slower catabolism of low
density lipoproteins (LDL) and an overproduction of apoprotein B. It seems that
also the synthesis of the apoprotein B is controlled by a feedback mechanism.
Overall concentration of lipids and lipoproteins in plasma is determined by the
interaction between several genetic and dietary feedback mechanisms.
- Language of Publication
- English
- Unique Identifier
- 78031568
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- MeSH Heading (Major)
- Cholesterol|BI/BL/*ME; Cholesterol, Dietary|*ME
- MeSH Heading
- Animal; Human; Hyperlipidemia|GE/ME; Intestinal Absorption; Nutrition;
Triglycerides|BL
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0029-6678
- Country of Publication
- SWITZERLAND
Record 23 from database: MEDLINE
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- Title
- Intermolecular hydrogen bonding between lipids: influence on organization
and function of lipids in membranes.
- Author
- Boggs JM
- Address
-
- Source
- Can J Biochem, 1980 Oct, 58:10, 755-70
- Abstract
- Biological membranes have unique lipid compositions suggesting a specific
role for many lipids. Evidence is reviewed concerning the intermolecular forces
between glycero- and sphingolipids and cholesterol, the dependence of many of
these interactions on the state of ionization of lipids, pH, ionic strength, and
divalent cation concentration. The effect of intermolecular interactions between
certain lipids on lipid clustering, interaction with cholesterol, on the
conformation of proteins, and on transitions to the hexagonal phase is
considered. Other forces which cause lipids phase separation or clustering are
discussed. It is concluded that lipids are in dynamic equilibrium with their
environment and can act as receptors for certain intra- or extra-cellular
stimuli, which they can translate into a response by undergoing changes in
fluidity, phase transitions, or phase separation.
- Language of Publication
- English
- Unique Identifier
- 81111501
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- MeSH Heading (Major)
- Membrane Lipids|AN/*PH
- MeSH Heading
- Animal; Calcium; Cell Membrane|PH; Chemistry; Cholesterol; Fatty Acids|AN;
Glycerides; Human; Hydrogen Bonding; Intracellular Membranes|PH;
Phospholipids|PH; Sphingolipids; Structure-Activity Relationship; Support,
Non-U.S. Gov't
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0008-4018
- Country of Publication
- CANADA
- CAS Registry/EC Number
- 0 (Fatty Acids); 0 (Glycerides); 0 (Membrane Lipids); 0 (Phospholipids); 0
(Sphingolipids); 57-88-5 (Cholesterol); 7440-70-2 (Calcium)
Record 24 from database: MEDLINE
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- Title
- Multivalent feedback regulation of HMG CoA reductase, a control mechanism
coordinating isoprenoid synthesis and cell growth.
- Author
- Brown MS; Goldstein JL
- Address
-
- Source
- J Lipid Res, 1980 Jul, 21:5, 505-17
- Abstract
- The availability of compactin (ML-236B), a potent competitive inhibitor of
3-hydroxy-3-methylglutaryl Coenzyme A reductase, has permitted the demonstration
of a hitherto unsuspected aspect of mevalonate metabolism and isoprenoid
synthesis in cultured mammalian cells. 3-Hydroxy-3-methylglutaryl Coenzyme A
reductase, the enzyme that synthesizes mevalonate, appears to be regulated
through a multivalent feedback mechanism. Full suppression of the reductase
requires the presence of at least two regulators: 1) cholesterol, which is
normally derived exogenously from plasma low density lipoprotein (LDL), and 2) a
nonsterol product, which is normally synthesized endogenously from mevalonate.
Evidence indicates that both of these regulators of the reductase may be
essential for the growth of mammalian cells in culture. The multivalent feedback
regulation of 3-hydroxy-3-methylglutaryl Coenzyme A reductase, together with
secondary regulatory changes in other enzymes of the sterol synthetic pathway,
coordinates the branched pathway of mevalonate metabolism so as to assure a
constant supply of cholesterol and nonsterol products. These new findings have
important implications for the understanding of isoprenoid metabolism and its
relation to cell growth.
- Language of Publication
- English
- Unique Identifier
- 80250689
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- MeSH Heading (Major)
- Hydroxymethylglutaryl CoA Reductases|*ME; Mevalonic Acid|ME/*PD
- MeSH Heading
- Animal; Cell Division; Cell Line; Cholesterol|ME; Cricetulus; Feedback;
Female; Fibroblasts|EN; Hamsters; Human; Kinetics; Lipoproteins, LDL|ME;
Naphthalenes|PD; Ovary; Support, U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0022-2275
- Country of Publication
- UNITED STATES
- CAS Registry/EC Number
- EC 1.1.1.88 (Hydroxymethylglutaryl CoA Reductases); 0 (Naphthalenes);
150-97-0 (Mevalonic Acid); 57-88-5 (Cholesterol); 73573-88-3 (compactin)
Record 25 from database: MEDLINE
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- Title
- Evolution of the LDL receptor concept-from cultured cells to intact animals.
- Author
- Brown MS; Kovanen PT; Goldstein JL
- Address
-
- Source
- Ann N Y Acad Sci, 1980, 348:, 48-68
- Abstract
- The initial observations in cultured fibroblasts made six years ago allowed
the formulation of a series of hypotheses concerning LDL metabolism in tissues
of animals and man. The most important of these hypotheses was that a large
fraction of LDL was removed from plasma by a specific receptor-mediated uptake
mechanism whose function was to supply cholesterol to extrahepatic cells. This
hypothesis is strongly supported by genetic observations in patients with
familial hypercholesterolemia and by studies of the four model systems discussed
above. These studies by no means solve all of the important questions about LDL
metabolism. We still need to know which tissues take up the most LDL; we need to
know how much LDL is cleared by the liver and whether this clearance involves
the same LDL receptor that operates in extra-hepatic cells; we need to know the
mechanism for the clearance of the one-half to two-thirds of LDL that leaves the
plasma by receptor-independent pathways; and finally we need to know how an
abnormal accumulation of LDL in the plasma leads to the deposition of
cholesterol in scavenger cells and produces atherosclerosis.
- Language of Publication
- English
- Unique Identifier
- 80240490
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- MeSH Heading (Major)
- Lipoproteins, LDL|BL/DF/*ME; Receptors, Drug|GE/*ME
- MeSH Heading
- Adenine|AA/PD; Animal; Cells, Cultured; Cholesterol|ME; Ethinyl
Estradiol|PD; Fibroblasts|ME; Human; Hypercholesterolemia, Familial|ME;
Leukocytes|ME; Support, U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0077-8923
- Country of Publication
- UNITED STATES
- CAS Registry/EC Number
- 0 (Receptors, Drug); 2380-63-4 (4-aminopyrazolo(3,4-d)pyrimidine); 57-63-6
(Ethinyl Estradiol); 57-88-5 (Cholesterol); 73-24-5 (Adenine)
Record 26 from database: MEDLINE
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- Title
- Composition of the lipids in human milk: a review.
- Author
- Jensen RG; Clark RM; Ferris AM
- Address
-
- Source
- Lipids, 1980 May, 15:5, 345-55
- Abstract
- Recent publications on the composition of human milk are reviewed. The
importance of proper sampling is discussed. Fat contents of 2.6-4.5% and
cholesterol amounts of 200-650 mg/100 g fat were reported. The phytosterols in
milk were increased by the consumption of these sterols. Phytosterols could
contribute to the "total cholesterol" in milk if analyses are done
colorimetrically. The fatty acid composition is remarkably uniform unless
bizarre diets are consumed; the amounts of linoleic acid vary the most.
Phospholipids contained more long chain polyunsaturated fatty acids than
triacylglycerols.
- Language of Publication
- English
- Unique Identifier
- 80231560
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- MeSH Heading (Major)
- Lipids|*AN; Milk, Human|*AN
- MeSH Heading
- Animal; Cattle; Cholesterol|AN; Comparative Study; Fats|AN; Fatty Acids|AN;
Fatty Acids, Unsaturated|AN; Female; Human; Membrane Lipids|AN; Milk|AN;
Phospholipids|AN; Pregnancy; Sterols|AN; Support, U.S. Gov't, Non-P.H.S.;
Vegetarianism
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0024-4201
- Country of Publication
- UNITED STATES
- CAS Registry/EC Number
- 0 (Fats); 0 (Fatty Acids); 0 (Fatty Acids, Unsaturated); 0 (Membrane
Lipids); 0 (Phospholipids); 0 (Sterols); 57-88-5 (Cholesterol)
Record 27 from database: MEDLINE
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- Title
- Effects of ethanol on lipid metabolism.
- Author
- Baraona E; Lieber CS
- Address
-
- Source
- J Lipid Res, 1979 Mar, 20:3, 289-315
- Abstract
- Alcohol promotes accumulation of fat in the liver mainly by substitution of
ethanol for fatty acids as the major hepatic fuel. The degree of lipid
accumulation depends on the supply of dietary fat. Progressive alteration of the
mitochondria, which occurs during chronic alcohol consumption, decreases fatty
acid oxidation by interfering with citric acid cycle activity. This block is
partially compensated for by increased ketone body production, which results in
ketonemia. Thus, mitochondrial damage perpetuates fatty acid accumulation even
in the absence of ethanol oxidation. Alcohol facilitates esterification of the
accumulated fatty acids to triglycerides, phospholipids, and cholesterol esters,
all of which accumulate in the liver. The accumulated lipids are disposed of in
part as serum lipoprotein, resulting in moderate hyperlipemia. In some
individuals with pre-existing alterations of lipid metabolism, small ethanol
dose may provoke marked hyperlipemia which responds to alcohol withdrawal.
Inhibition of the catabolism of cholesterol to bile salt may contribute to the
hepatic accumulation and hypercholesterolemia. The capacity of lipoprotein
production and hyperlipemia development increases during chronic alcohol
consumption, probably as a result of the concomitant hypertrophy of the
endoplasmic reticulum and Golgi apparatus. However, this compensation is
relatively inefficient in ridding the liver of fat. This inefficiency may be
linked to alterations of hepatic microtubules induced by ethanol or its
metabolites, which interfere with the export of protein from liver to serum,
promoting hepatic accumulation of proteins as well as fat. As liver injury
aggravates, hyperlipemia wanes and liver steatosis is exaggerated. Derangements
of serum lipids similar to those found in other types of liver disease also
become apparent. The changes in serum lipids may be a sensitive indicator of the
progression of liver damage in the alcoholic.
- Language of Publication
- English
- Unique Identifier
- 79195642
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- MeSH Heading (Major)
- Alcohol, Ethyl|ME/*TO; Alcoholism|*ME; Fatty Liver, Alcoholic|*ET/ME;
Lipids|*ME
- MeSH Heading
- Adipose Tissue|ME; Animal; Atherosclerosis|CI; Cholesterol|ME; Dietary Fats;
Dietary Proteins; Fatty Acids|ME; Human; Hyperlipidemia|CI; Lipid Mobilization;
Lipoproteins|ME; Lipotropic Agents|PD; Liver|DE/ME; Liver Cirrhosis,
Alcoholic|ET; Support, U.S. Gov't, Non-P.H.S.; Support, U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0022-2275
- Country of Publication
- UNITED STATES
Record 28 from database: MEDLINE
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- Title
- Age-dependence of molecular and functional changes in biological membrane
properties.
- Author
- Hegner D
- Address
-
- Source
- Mech Ageing Dev, 1980 Sep-Oct, 14:1-2, 101-18
- Abstract
- Some general aspects including results on the possible mechanisms of
membrane ageing are reviewed. The liquid-crystalline fluid state of a biological
membrane is an essential condition for maintenance of different membrane
functions. The liquid-crystalline state of different plasma membranes changes
with age of the organism. The degree of unsaturated fatty acids decreases and
the content of cholesterol increases during ageing. It could be shown that
superoxide radicals originate from minor side-reactions of oxidoreductase
enzymes. Ageing increases the amount of superoxide radicals. A small amount of
radicals escape quenching by superoxide dismutase. The formation of radicals
leads to degradation of membrane lipids. The age-dependent changes in membrane
lipid composition influence respiratory activity in rat heart mitochondria of
old animals. Rat liver plasma membrane lipids also show a decrease in membrane
fluidity which results in a change in transport parameters of cholic acid and
thymidine. The change in age-dependent lipid-protein interactions was
demonstrated by spin-label measurements in model membranes. The results
demonstrated that peroxidative break-down of lipids is an ongoing
post-transcriptional process of ageing. The possible role of protective repair
mechanisms is discussed.
- Language of Publication
- English
- Unique Identifier
- 81147168
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- MeSH Heading (Major)
- Aging|*; Cell Membrane|*PH
- MeSH Heading
- Animal; Biological Transport; Chemistry; Cholesterol|ME; Fatty Acids,
Unsaturated|ME; Free Radicals; Human; Lipids|PH; Membrane Fluidity; Membrane
Proteins|PH; Mitochondria, Heart|ME; Oxidoreductases|ME; Superoxides|ME
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0047-6374
- Country of Publication
- SWITZERLAND
- CAS Registry/EC Number
- EC 1. (Oxidoreductases); 0 (Fatty Acids, Unsaturated); 0 (Free Radicals); 0
(Membrane Proteins); 11062-77-4 (Superoxides); 57-88-5 (Cholesterol)
Record 29 from database: MEDLINE
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- Title
- Effects of dietary fibre on serum lipid levels and fecal bile acid
excretion.
- Author
- Kay RM
- Address
-
- Source
- Can Med Assoc J, 1980 Dec 20, 123:12, 1213-7
- Abstract
- Epidemiologic studies have suggested that dietary fibre protects humans
against coronary heart disease, but interpretation of the data is confounded by
coexisting differences in both dietary and environmental variables. The
hypocholesterolemic action of dietary fibre varies: in general mucilaginous
fibres such as pectin and oat bran are more effective than particulate fibres
such as wheat bran. Although the mechanism of action of mucilaginous fibres is
not completely understood, there is evidence that they induce small increases in
the fecal excretion of bile acids and neutral steroids that are not fully
compensated for by de novo cholesterol synthesis.
- Language of Publication
- English
- Unique Identifier
- 81111680
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- MeSH Heading (Major)
- Cellulose|*ME; Cholesterol|*BL; Dietary Fiber|*ME
- MeSH Heading
- Animal; Bile|ME; Coronary Disease|PC; Dietary Fats; Feces|AN; Human;
Intestinal Absorption; Lipoproteins|BL; Male; Middle Age; Rats; Steroids|ME;
Support, Non-U.S. Gov't; Triglycerides|BL
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0008-4409
- Country of Publication
- CANADA
- CAS Registry/EC Number
- 0 (Dietary Fats); 0 (Lipoproteins); 0 (Steroids); 0 (Triglycerides); 57-88-5
(Cholesterol); 9004-34-6 (Cellulose)
Record 30 from database: MEDLINE
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- Title
- The role of physical activity in the prevention of ischaemic heart disease.
A review.
- Author
- Wyndham CH
- Address
-
- Source
- S Afr Med J, 1979 Jul 7, 56:1, 7-13
- Abstract
- It has been demonstrated that vigorous leisure-time physical activity and
hard physical occupational work protect against ischaemic heart disease (IHD),
but the protective mechanisms are not clear. According to most research reports
programmes of regular physical activity do not lower serum cholesterol
concentrations, but they do lower serum triglyceride levels. Dedicated marathon
runners have lower serum low density lipoprotein and higher high density
lipoprotein levels than controls, but it has not been proved that this
lipoprotein pattern is the result of regular, high-intensity exercise. Regular
physical exercise lowers the blood pressure to a greater degree in hypertensives
than in controls. An exercise programme plus diet had no greater effect on serum
total cholesterol levels than did diet alone on subjects with primary
hyperlipoproteinaemia types IIa, IIb and IV. However, in types IIb and IV the
exercise programme plus diet was more effective than diet alone in lowering
serum triglyceride levels. The results of these studies are not valid for
deciding whether regular exercise decreases the IHD risk factors studied. Such
judgements must be based upon the results of randomized, controlled trials. The
only satisfactory trial of this nature to date was done in Helsinki, and its
results were inconclusive.
- Language of Publication
- English
- Unique Identifier
- 80014871
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- MeSH Heading (Major)
- Coronary Disease|EP/MO/*PC/PP; Exertion|*; Hyperlipidemia|DH/*ME
- MeSH Heading
- Adult; Aged; Blood Glucose|AN; Blood Pressure; Body Weight; Cholesterol|BL;
Comparative Study; Female; Heart Rate; Human; Hypertension|PP; Insulin|BL;
Lipids|BL; Lipoproteins, HDL|BL; Lipoproteins, LDL|BL; Lipoproteins, VLDL|BL;
Male; Middle Age; Occupational Diseases; Research Design; Risk; Smoking; Sports
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0038-2469
- Country of Publication
- SOUTH AFRICA
Record 31 from database: MEDLINE
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- Title
- Multi-laboratory comparison of three heparin-Mn2+ precipitation procedures
for estimating cholesterol in high-density lipoprotein.
- Author
- Albers JJ; Warnick GR; Wiebe D; King P; Steiner P; Smith L; Breckenridge C;
Chow A; Kuba K; Weidman S; Arnett H; Wood P; Shlagenhaft; A
- Address
-
- Source
- Clin Chem, 1978 Jun, 24:6, 853-6
- Abstract
- Plasma high-density lipoprotein is commonly estimated by measuring the
cholesterol remaining in plasma supernatant solutions after other lipoproteins,
which contain apolipoprotein B, are precipitated with heparin and Mn2+. The
method (method I) now in use by the Lipid Research Clinics, in which Mn2+ is at
46 mmol/liter final concentration, is reasonably accurate, but precipitation and
sedimentation of lipoproteins other than high-density lipoproteins is often
incomplete. We evaluated two modifications of method I. In method II, the Mn2+
concentration was doubled; the second modification (method III) included the
increased Mn2+ concentration in a combined heparin Mn2+ reagent, decreased
sample volume (2 ml), and a shorter incubation time (10 min at room
temperature). The percentages of samples with turbid supernates (i.e.,
incomplete sedimentation) by methods I, II, and III were 9, 3, and 2%,
respectively. Among non-turbid supernates, the percentages of samples containing
measurable apolipoprotein B (incomplete precipitation) were 79, 19, and 16%,
respectively. We conclude that method III is the most convenient and accurate of
the three procedures.
- Language of Publication
- English
- Unique Identifier
- 78189383
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- MeSH Heading (Major)
- Cholesterol|*AN; Lipoproteins, HDL|*/BL; Manganese|*
- MeSH Heading
- Comparative Study; Evaluation Studies; Heparin; Human; Methods;
Precipitation; Quality Control; Support, U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0009-9147
- Country of Publication
- UNITED STATES
Record 32 from database: MEDLINE
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- Title
- Lipoproteins and lipid transport.
- Author
- Havel RJ
- Address
-
- Source
- Adv Exp Med Biol, 1975, 63:, 37-59
- Abstract
- Continued advances in the delineation of pathways of lipid transport in
lipoproteins now provide substantial information on all phases of plasma
triglyceride transport. Analysis of certain genetic human disorders, together
with studies in experimental animals, has begun to show how lipoproteins
transport cholesterol as esters of long chain fatty acids. Both triglycerides
and cholesterol are esters of long chain fatty acids. Both triglycerides and
cholesteryl esters are transported in the "core" of lipoproteins, but
the polar lipids and the apoproteins at the aqueous interface critically
determine the interactions with enzymes and cellular receptors that control this
complex transport system. Differences in pathways as well as in rates of lipid
transport appear to underlie the large interspecies variations in lipoprotein
concentrations.
- Language of Publication
- English
- Unique Identifier
- 76084889
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- MeSH Heading (Major)
- Lipids|*ME; Lipoproteins|*ME
- MeSH Heading
- Animal; Biological Transport; Cholestasis|ME; Cholesterol|ME;
Chylomicrons|ME; Endoplasmic Reticulum|ME; Golgi Apparatus|ME; Human;
Hyperlipidemia|ME; Lecithin Acyltransferase|DF; Lecithin Acyltransferase
Deficiency; Lipid Metabolism, Inborn Errors|EN; Lipoproteins, HDL|ME;
Lipoproteins, LDL|ME; Lipoproteins, VLDL|ME; Liver|ME; Lymph|ME; Models,
Biological; Support, U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0065-2598
- Country of Publication
- UNITED STATES
Record 33 from database: MEDLINE
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- Title
- Fructose as a dietary sweetener in diabetes mellitus.
- Author
- Koivisto VA
- Address
-
- Source
- Diabetes Care, 1978 Jul-Aug, 1:4, 241-6
- Abstract
- Human beings, including those with diabetes, have a desire for sweetness in
the diet that cannot be ignored. The Food and Drug Administration ban of
cyclamates and possible ban of saccharin have raised the question of alternative
sweeteners for diabetic persons. Considerable interest has been focused on
fructose, and both basic and clinical research has delineated its metabolic
effects. This paper reviews the characteristics of fructose, as well as its
physiology and metabolism in both normal and diabetic man. Findings seems to
indicate that, in controlled diabetes, chronic or limited consumption of
fructose at moderate doses has no adverse effects on the levels of blood
glucose, cholesterol, or tryglycerides.
- Language of Publication
- English
- Unique Identifier
- 81113518
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- MeSH Heading (Major)
- Diabetic Diet|*; Fructose|AD/ME/*TU
- MeSH Heading
- Adolescence; Blood Glucose|ME; Child; Child, Preschool; Cholesterol|BL;
Diabetes Mellitus|BL; Dietary Carbohydrates|TU; Human; Intestinal Absorption;
Sweetening Agents|TU; Triglycerides|BL
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0149-5992
- Country of Publication
- UNITED STATES
- CAS Registry/EC Number
- 0 (Blood Glucose); 0 (Sweetening Agents); 0 (Triglycerides); 30237-26-4
(Fructose); 57-88-5 (Cholesterol)
Record 34 from database: MEDLINE
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- Title
- Is atherosclerosis reversible?
- Author
- Gotto AM Jr
- Address
-
- Source
- J Am Diet Assoc, 1979 May, 74:5, 551-7
- Abstract
- In this review, the author recapitulates the mechanisms involved in the
development of atherosclerotic plaques. The relationship of high plasma
cholesterol and the per cent of caloric intake from saturated fat is noted. Can
intervention on risk factors prevent or reverse atherosclerosis? In animal
studies, regression of atherosclerotic lesions has been achieved when dietary
factors were manipulated. Recent studies in man have also pointed to the
effectiveness of reducing cholesterol and cholesteryl esters in atherosclerotic
plaques.
- Language of Publication
- English
- Unique Identifier
- 79173711
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- MeSH Heading (Major)
- Arteriosclerosis|*TH; Atherosclerosis|ET/ME/*TH; Dietary Fats|*/AE;
Lipids|*ME
- MeSH Heading
- Animal; Aorta|PA; Cholesterol|ME; Coronary Disease|BL; Human;
Lipoproteins|ME; Models, Molecular; Risk
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0002-8223
- Country of Publication
- UNITED STATES
Record 35 from database: MEDLINE
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- Title
- Dietary recommendations for the community towards the postponement of
coronary heart disease.
- Author
- Shaper AG; Marr JW
- Address
-
- Source
- Br Med J, 1977 Apr 2, 1:6065, 867-71
- Abstract
- The public has recently been confronted with many, often conflicting,
recommendations about diet and reducing the risk of coronary heart disease
(CHD). Dietary recommendations to the community designed to lower the risk of
CHD should be specific, clear, and brief. People should be advised to reduce
their intake of foods that are high in saturated fats and replace these
partially with foods that are relatively high in polyunsaturated fats. This will
lower both total fat and dietary cholesterol intakes and will also change the
ratio of polyunsaturated to saturated fats.
- Language of Publication
- English
- Unique Identifier
- 77159186
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- MeSH Heading (Major)
- Coronary Disease|CI/ET/*PC; Diet|*
- MeSH Heading
- Cholesterol|BL; Cholesterol, Dietary|AE; Dietary Fats|AE; Fats, Unsaturated;
Health Education; Human; Male; Middle Age; Obesity|CO
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0007-1447
- Country of Publication
- ENGLAND
Record 36 from database: MEDLINE
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- Title
- The dynamics of membrane structure.
- Author
- Quinn PJ; Chapman D
- Address
-
- Source
- CRC Crit Rev Biochem, 1980, 8:1, 1-117
- Abstract
- The membranes of living organisms are involved in many aspects of the life,
growth and development of all cells. The predominant structural elements of
these membranes are lipids and proteins and the basic structure of these
molecules has been reviewed. The physical properties of the lipid constituents
particularly their behavior in aqueous systems has led to the concepts of
thermotropic and lyotropic mesomorphism; the interaction between different types
of lipid molecules modulate this behavior. Interaction of phospholipids in
aqueous systems with cholesterol, ions and drugs have been examined in this
context. In addition a variety of model lipid-protein systems have been
investigated and the implications of interactions between lipids and different
proteins in biological membranes has been evaluated. This leads to a detailed
consideration of the way lipids and proteins ae organized in cell membranes and
contains an appraisal of the evidence supporting contemporary views of membrane
structure. Particular attention has been devoted to the question of how mobile
the components are within the structure. Particular attention has been devoted
to the question of how mobile the components are within the structure. Finally
the biosynthesis, turnover and modulation of the properties of interacting
membrane constituents is critically reviewed and possible ways of controlling
the behavior of cells and organisms by altering the structural parameters of
different membranes has been considered.
- Language of Publication
- English
- Unique Identifier
- 80245245
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- MeSH Heading (Major)
- Cell Membrane|DE/*PH/UL
- MeSH Heading
- Animal; Antigens|ME; Cholesterol|ME; Cross-Linking Reagents; Escherichia
coli; Fatty Acids|ME; Human; Ligands; Lipase|ME; Lipid Bilayers; Membrane
Fluidity; Membrane Lipids|AN/PH; Membrane Proteins|AN/PH; Protein Conformation;
Saccharomyces cerevisiae; Temperature
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0045-6411
- Country of Publication
- UNITED STATES
- CAS Registry/EC Number
- EC 3.1.1.3 (Lipase); 0 (Antigens); 0 (Cross-Linking Reagents); 0 (Fatty
Acids); 0 (Ligands); 0 (Lipid Bilayers); 0 (Membrane Lipids); 0 (Membrane
Proteins); 57-88-5 (Cholesterol)
Record 37 from database: MEDLINE
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- Title
- HDL - should we be 'chasing' it now?
- Author
- Smith EB
- Address
-
- Source
- J Hum Nutr, 1980 Feb, 34:1, 59-62
- Abstract
- Although 'within defined population groups the association of low HDL level
with increased coronary risk seems to be established', the author concludes 'The
inverse relation between plasma HDL level and risk of CHD remains a phenomenon
that we cannot explain in scientific terms'.
- Language of Publication
- English
- Unique Identifier
- 80138522
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- MeSH Heading (Major)
- Cholesterol|*ME; Coronary Disease|*BL/ET; Lipoproteins, HDL|*BL/ME
- MeSH Heading
- Adult; Aged; Atherosclerosis|BL; Cholesterol Esters|GE; Heterozygote;
Homozygote; Human; Lipoproteins, LDL|ME; Lipoproteins, VLDL|ME; Male; Middle
Age; Risk
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0308-4329
- Country of Publication
- ENGLAND
- CAS Registry/EC Number
- 57-88-5 (Cholesterol)
Record 38 from database: MEDLINE
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- Title
- Further leads on metabolic epidemiology of large bowel cancer.
- Author
- Reddy BS; Mastromarino A; Wynder EL
- Address
-
- Source
- Cancer Res, 1975 Nov, 35:11 Pt. 2, 3403-6
- Abstract
- Studies in metabolic epidemiology have shown that the dietary intake of high
fat affects the composition of the intestinal bacteria and their metabolic
activity as well as the levels of certain neutral sterols and bile acids that
may act as tumor promoters for the colon. A strong association has also been
established between microbially modified bile acids and cholesterol metabolites
and the risk of colon cancer among different populations. The patients with
colon cancer had high concentrations of fecal bile acids and cholesterol
metabolites compared with the controls. It remains to be shown whether this
established association is causative in nature.
- Language of Publication
- English
- Unique Identifier
- 76064125
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- MeSH Heading (Major)
- Dietary Fats|*; Intestinal Neoplasms|CI/*ET/GE/MI; Intestines|*MI
- MeSH Heading
- Animal; Bacteria|ME; Bile Acids and Salts|ME/PD; Cholesterol|ME; Colitis,
Ulcerative|ME; Colonic Neoplasms|ET; Feces|AN; Human; Intestinal Polyps|ME;
Meat; Neoplasms, Experimental|CI; Rats; Support, U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0008-5472
- Country of Publication
- UNITED STATES
Record 39 from database: MEDLINE
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- Title
- Management of gallstones in the aged.
- Author
- Ratner JT; Rosenberg GM
- Address
-
- Source
- J Am Geriatr Soc, 1975 Jun, 23:6, 258-64
- Abstract
- Calculous gallbladder disease is the most common indication for
intra-abdominal surgery in the elderly. Feeding bile salts may possibly increase
the solubility of cholesterol in bile and may cause diminution in the size of
radiolucent gallstones, the principal ingredient of which is cholesterol.
However, indications for such treatment are still not clear, and long-term
effectiveness and safety still have to be evaluated. If the aged patient with
gallstones has severe symptoms, is a good medical risk and is not demented,
surgical treatment should not be denied because of advanced age. If the patient
has "silent" or "dyspeptic" gallstones and is a poor risk or
demented, surgical therapy should be postponed at least temporarily, in the hope
that medical methods for dissolving gallstones soon will be perfected.
- Language of Publication
- English
- Unique Identifier
- 75152157
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- MeSH Heading (Major)
- Cholelithiasis|DI/EP/*SU
- MeSH Heading
- Adult; Aged; Bile|AN; Bile Acids and Salts; Biliary Tract|PP;
Cholesterol|AN; Cholic Acids; Female; Human; Life Expectancy; Male; Micelles;
Middle Age; Phospholipids|AN; Postoperative Complications; Quebec; Solubility;
Surgery, Operative|AE; Time Factors
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0002-8614
- Country of Publication
- UNITED STATES
Record 40 from database: MEDLINE
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- Title
- Dietary management of the pregnant diabetic.
- Author
- Knopp RH; Childs MT; Warth MR
- Address
-
- Source
- Curr Concepts Nutr, 1979, 8:, 119-39
- Abstract
- The tendency of the pregnant diabetic to fasting ketosis limits the extent
to which calorie restriction (particularly negative calorie balance) can be used
in the treatment of the obese, adult-onset, pregnant diabetic. In addition, the
vagaries of measuring excess weight gain and detecting extraneous sources of
weight gain in diabetic pregnancy, and the difficulty of accurately enforcing a
caloric prescription without forcing the subject to weigh her food, make the
determination of an accurate degree of caloric limitation difficult at best. A
greater reliance on the mother's appetite center may be more accurate and
rewarding in most instances than any devices available to the clinician.
Important considerations in the diet of the pregnant diabetic are adequate
protein, minerals, and vitamins, an amount of carbohydrate that is constant from
day to day but not necessarily restricted, carbohydrate intake in an unrefined
form that maximizes the intake of associated fiber, and a reproducible meal and
snack schedule which complements in insulin regimen. Insulin must remain the
primary therapeutic tool if the effects of maternal diabetes on fetal morbidity
and mortality are to be minimized.
- Language of Publication
- English
- Unique Identifier
- 80112071
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- MeSH Heading (Major)
- Diabetic Diet|*; Pregnancy in Diabetes|BL/*DH
- MeSH Heading
- Adipose Tissue|ME; Animal; Body Weight; Cholesterol|BL; Energy Intake;
Energy Metabolism; Fatty Acids|BI; Female; Fetus; Glucose|ME; Human; Insulin
Resistance; Lipoproteins|BL; Pregnancy; Rats; Support, U.S. Gov't, P.H.S.;
Triglycerides|BL
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0090-0443
- Country of Publication
- UNITED STATES
- CAS Registry/EC Number
- 50-99-7 (Glucose); 57-88-5 (Cholesterol)
Record 41 from database: MEDLINE
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- Title
- Biochemical basis for the selection of oral contraceptives.
- Author
- Briggs MH
- Address
-
- Source
- Int J Gynaecol Obstet, 1978-79, 16:6, 509-17
- Abstract
- Many specific plasma proteins show dose-related changes when oral estrogens
are administered. Large increases in concentration are seen in many important
binding proteins, such as the sex hormone-binding globulin, transcortin, the
retinol-binding protein, ceruloplasmin, and transferrin. A smaller group of
plasma proteins are reduced in amount. These changes are related to altered
rates of hepatic synthesis and secretion. As the overall effect of estrogen is
one of increased protein synthesis, there is a reduction in the amount of
plasma-free amino acids and in the pattern of distribution. Oral contraceptive
(OC) users frequently show significant alterations in biochemical tests of
vitamin status, at least some of which are related to alterations in plasma
proteins. Other biochemical changes associated with OC use include a fasting
hyperlipidemia, due mainly to increases in triglycerides, although there is
often also a small increase in cholesterol. These changes are due primarily to
increases in several lipoprotein fractions and are related mainly to the
estrogen component. A deterioration in glucose tolerance occurs in many OC users
and is probably induced by both estrogens and progestogens. There is evidence
that certain clinical side effects of OCs, such as depression, are associated
with specific biochemical changes.
- Language of Publication
- English
- Unique Identifier
- 80025136
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- MeSH Heading (Major)
- Contraceptives, Oral|*PD; Contraceptives, Oral, Synthetic|AE/*PD
- MeSH Heading
- Amino Acids|BL; Blood Proteins|ME; Carbohydrates|ME; Cholesterol|BL;
Erythrocytes|EN; Female; Fibrinogen|BI; Human; Insulin|ME; Lipids|ME;
Lipoproteins|BL; Pregnancy; Proteins|ME; Serum Albumin|BI; Triglycerides|BL;
Vitamins|ME
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0020-7292
- Country of Publication
- UNITED STATES
Record 42 from database: MEDLINE
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- Title
- The effect of exercise on plasma high density lipoproteins.
- Author
- Wood PD; Haskell WL
- Address
-
- Source
- Lipids, 1979 Apr, 14:4, 417-27
- Abstract
- The influence of vigorous activity in man on plasma lipids and lipoproteins
is reviewed, with particular emphasis on high density lipoproteins. Both cross
sectional and longitudinal (or training) studies have been reported, many of
them of less than ideal design. Nonetheless, a consistent pattern emerges in
which increased exercise levels lead to lower plasma concentrations of
triglycerides and very low density lipoproteins, and of low density
lipoproteins. High density lipoprotein levels increase. Sometimes, but not
uniformly, plasma total cholesterol level falls as the result of these changes.
The increase in plasma high density lipoprotein appears to be the result largely
of an increase in the less dense HDL2 subfraction. Plasma apolipoprotein A-I
levels (but not apo-A-II levels) seem to increase concomitantly. The precise
biochemical mechanism responsible for these changes has not been elucidated; but
the recent finding of increased lipoprotein lipase activity in adipose tissue
and muscle of endurance runners suggests that increased lipolytic rate of
triglyceride-rich lipoproteins may be an initial step in a sequence of events
leading to higher plasma levels of HDL-2.
- Language of Publication
- English
- Unique Identifier
- 79177522
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- MeSH Heading (Major)
- Exertion|*; Lipoproteins, HDL|*BL/GE
- MeSH Heading
- Aging; Alcohol Drinking; Cholesterol|BL; Contraceptives, Oral|PD; Diet;
Estrogens|PD; Human; Lipoproteins, LDL|BL; Obesity|BL; Sex Factors; Smoking|BL;
Socioeconomic Factors; Support, U.S. Gov't, P.H.S.; Triglycerides|BL
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0024-4201
- Country of Publication
- UNITED STATES
Record 43 from database: MEDLINE
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- Title
- Plasma lipoproteins and coronary heart disease.
- Author
- Scanu AM
- Address
-
- Source
- Ann Clin Lab Sci, 1978 Mar-Apr, 8:2, 79-83
- Abstract
- Both plasma low-density (LDL) and high-density lipoproteins (HDL) have been
associated with the genesis of cardiovascular disease. Recent studies with cells
grown in culture have suggested a regularory role of these lipoproteins in
cellular cholesterol metabolism and pointed at abnormalities resulting from
deviations of these regulatory processes. The precise relationship between these
observations in vitro and the atherogenic process remains open to investigation.
- Language of Publication
- English
- Unique Identifier
- 78143268
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- MeSH Heading (Major)
- Coronary Disease|*BL/ET; Lipoproteins, HDL|*BL; Lipoproteins, LDL|*BL
- MeSH Heading
- Apolipoproteins|BL; Cholesterol|BL/ME; Human; Hyperlipidemia|CO/GE;
Liver|ME; Receptors, Drug|ME; Support, U.S. Gov't, Non-P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0091-7370
- Country of Publication
- UNITED STATES
Record 44 from database: MEDLINE
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- Title
- Recent progress in the development of radioimmunoassays for human serum
lipoproteins.
- Author
- Karlin JB; Juhn DJ; Goldberg R; Rubenstein AH
- Address
-
- Source
- Ann Clin Lab Sci, 1978 Mar-Apr, 8:2, 142-54
- Abstract
- A review of radioimmunoassays for measuring human apolipoprotein B (apo B),
the A apolipoproteins of high density lipoprotein (apo A-I and apo A-II) and
apolipoprotein C-II (apo C-II) in human plasma and in isolated lipoproteins is
presented. The sensitivity, specificity and validity of each of these assays is
discussed. In normolipidemic subjects the reported serum apo B concentrations
ranged between 0.83 +/- 0.16 and 0.92 +/- 0.21 g per l (m +/- SD). Serum apo B
concentrations were highest in Type II subjects (Type IIa homozygotes 3.83 +/-
0.43 g per l; Type IIa heterozygotes 2.37 +/- 0.47 g per l) and were less
elevated in patients with Type IV and Type V disorders (1.32 +/- 0.21 g per l
and 1.26 +/- 0.30 g per l, respectively). Preliminary data on the relationship
between plasma apo B and cholesterol, the distribution of apo B amongst the
lipoprotein classes and a comparison of the lipoprotein lipid-apo B ratios in
the various hyperlipidemic disorders are summarized. In contrast to apo A-II,
the immunoreactivity of apo A-I was not fully exposed in whole sera and in
isolated lipoproteins. The different methods used to measure the apo A-I
immunoreactivity are discussed. In normolipidemic subjects the serum apo A-I
concentration in males and females was 1.13 +/- 0.061 and 1.24 +/- 0.068 g per l
(m +/- SD), respectively, while the corresponding serum apo A-II values were
0.35 +/- 0.038 g per l and 0.41 +/- 0.046 g per l. In subjects with Tangier's
disease, the serum apo A-I and apo A-II concentrations were less than 1 percent
and 5 to 7 percent of that found in controls. The serum apo A-I level was also
reduced in two subjects with abetalipoproteinemia (0.38 g per l and 0.30 g per
l) and Tye II hyperlipoproteinemia (range 0.54 to 0.86 g per l). In
normotriglyceridemic subjects and those with Type IIa hyperlipoproteinemia, the
total plasma apo C-II concentrations were 0.0497 +/- 0.0040 g per l and 0.0562
+/- 0.0054 g per l (m +/- SE). Plasma apo C-II levels in Type IIb, Type IV and
Type V lipoproteinemic subjects were 0.0899 +/- 0.0046, 0.0854 +/- 0.0069 and
0.1328 +/- 0.0021 g per l, respectively and were significantly higher than in
the normotriglyceridemic subjects. An analysis of the relationship between the
apo C-II content and the lipoprotein lipase activator properties of VLDL
isolated from normo- and hypertriglyceridemic plasma samples is presented.
- Language of Publication
- English
- Unique Identifier
- 78143266
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- MeSH Heading (Major)
- Apolipoproteins|*BL/IM; Hyperlipidemia|*BL/GE; Lipoproteins|*BL
- MeSH Heading
- Cholesterol|BL; Human; Lipoproteins, HDL|BL; Lipoproteins, LDL|BL;
Lipoproteins, VLDL|BL; Radioimmunoassay|MT; Tangier Disease|BL; Triglycerides|BL
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0091-7370
- Country of Publication
- UNITED STATES
Record 45 from database: MEDLINE
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- Title
- Primary prevention of coronary heart disease: a critique.
- Author
- Borhani NO
- Address
-
- Source
- Am J Cardiol, 1977 Aug, 40:2, 251-9
- Abstract
- The question is whether alteration of risk factors will aid primary and
secondary prevention of coronary heart disease. Critical review of available
evidence indicates that inferences have been made about the beneficial effects
of risk factor modification without an adequate test of the hypothesis. Trial
interventions to assess the efficacy of serum cholesterol-lowering measures have
had negative or equivocal results. It remains to be seen whether the findings of
clinical trials on hypertension can be applied toward primary prevention of
coronary heart disease in the community. The cigarette smoking habit seems to be
unique among coronary heart disease risk factors. The evidence appears
sufficient to justify serious consideration of a strategy of preventing the
smoking habit now, persuading patients to stop and encouraging teenagers not to
start.
- Language of Publication
- English
- Unique Identifier
- 77218992
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- MeSH Heading (Major)
- Coronary Disease|ET/MO/*PC
- MeSH Heading
- Adult; Blood Pressure; Case Report; Cholesterol|BL; Clofibrate|TU; Corn;
Dextrothyroxine|TU; Dietary Carbohydrates; Dietary Fats; Dietary Proteins;
Estrogens, Conjugated|TU; Fats, Unsaturated; Female; Human; Male; Middle Age;
Myocardial Infarction|PC; Nicotinic Acids|TU; Oils; Psychology; Recurrence;
Risk; Smoking|CO; Soybeans; Vegetables
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0002-9149
- Country of Publication
- UNITED STATES
Record 46 from database: MEDLINE
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- Title
- Phospholipid unsaturation and plasma membrane organization.
- Author
- Emmelot P; Van Hoeven RP
- Address
-
- Source
- Chem Phys Lipids, 1975 May, 14:3, 236-46
- Abstract
- A comparison has been made between the unsaturation of plasma-membrane
phospholipids,present in the human erythrocyte, rat liver, mouse liver and a
rapidly growing rat hepatoma. Of the double bonds present in the hydrocarbon
chains of the membrane phospholipids,onethird is contributed by sphingomyelin
plus phosphatidyl choline and the remainder by phosphatidyl serine, ethanolamine
and inositol. Assuming that the phospholipids are asymmetrically distributed in
the two leaflets of the bilayer in general, the consequences of this asymmetry
in combination with cholesterol content and fatty acid distribution on plasma
membrane organization and function are discussed. It is suggested, that the
organizational disposition of plasma membrane components other than
phospholipids is at least related if not dependent upon the latter's asymmetric
distribution in the bilayer.
- Language of Publication
- English
- Unique Identifier
- 75148496
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- MeSH Heading (Major)
- Cell Membrane|*AN/EN; Fatty Acids, Unsaturated|*
- MeSH Heading
- Animal; Blood Proteins; Carcinoma, Hepatocellular; Cholesterol;
Erythrocytes; Human; Liver; Liver Neoplasms; Mice; Phosphatidylcholines;
Phosphatidylethanolamines; Phosphatidylinositols; Phosphatidylserines; Rats;
Sphingomyelins
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0009-3084
- Country of Publication
- NETHERLANDS
Record 47 from database: MEDLINE
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- Title
- Dietetic treatment of obesity with low and high-carbohydrate diets:
comparative studies and clinical results.
- Author
- Rabast U; Schönborn J; Kasper H
- Address
-
- Source
- Int J Obes, 1979, 3:3, 201-11
- Abstract
- In spite of numerous studies in the literature, it is still questionable as
to whether the isocaloric exchange of carbohydrate and fat, in the form of a
diet, leads to different degrees of weight loss. In comparative studies, obese
patients given a low-carbohydrate (4.14 MJ [1000 kcal]) formula diet (diet Ia)
lost 14.0 +/- 1.4 kg and those given an iso-energetic high-carbohydrate diet
(diet Ib) 9.8 +/- 0.9 kg. The degree of weight loss was significantly different.
Daily weight losses were 362 g and 298 g respectively. Comparative studies of
high and low-carbohydrate (7.83 MJ [1900 kcal]) formula diets (diets IIa and b)
with a greater number of calories did not show any significant difference.
However, there was a greater mean weight loss with the low-carbohydrate diet
(351 g/day) compared with that under the high-carbohydrate diet (296 g/day).
Evaluation of 117 patients treated with formula diets resulted in a weight loss
of over 9 kg in 102 obese patients and over 18 kg in 52 patients. The good
response to the low-carbohydrate diet was partly responsible for the successful
therapy.
- Language of Publication
- English
- Unique Identifier
- 80136466
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- MeSH Heading (Major)
- Diet, Reducing|*; Dietary Carbohydrates|*AD; Obesity|*DH
- MeSH Heading
- Adult; Blood Glucose; Body Weight; Cholesterol|BL; Comparative Study;
Dietary Fats|AD; Female; Human; Male; Potassium|BL; Sodium|BL; Triglycerides|BL;
Uric Acid|BL
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0307-0565
- Country of Publication
- ENGLAND
- CAS Registry/EC Number
- 57-88-5 (Cholesterol); 69-93-2 (Uric Acid); 7440-09-7 (Potassium); 7440-23-5
(Sodium)
Record 48 from database: MEDLINE
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- Title
- The regulation of prostaglandin E1 formation: a candidate for one of the
fundamental mechanisms involved in the actions of vitamin C.
- Author
- Horrobin DF; Oka M; Manku MS
- Address
-
- Source
- Med Hypotheses, 1979 Aug, 5:8, 849-58
- Abstract
- Vitamin C stimulates the formation of PGE1 in human platelets. The effect
occurs over the physiologically relevant range of concentrations. PGE1 is
required for T lymphocyte function and plays a major part in the regulation of
immune responses. PGE1 is also important in the regulation of collagen and
ground substance metabolism, in cholesterol metabolism and in regulation of
responsiveness to insulin. It is proposed that defective formation of PGE1 could
account for many of the features of scurvy and for many of the reported
therapeutic effects of vitamin C. If correct, vitamin C will be of value only in
conjunction with an adequate supply of dihomogammalinolenic acid, the precursor
of PGE1. Essential fatty acids, pyridoxine and zinc are all required to achieve
this.
- Language of Publication
- English
- Unique Identifier
- 80077422
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- MeSH Heading (Major)
- Ascorbic Acid|*PD/TU; Prostaglandins E|*BI/DF
- MeSH Heading
- Animal; Arachidonic Acids|ME; Ascorbic Acid Deficiency|CO; Blood
Platelets|ME; Cats; Cholesterol|BL; Collagen|ME; Dental Caries|ET; Drug Therapy,
Combination; Glycosaminoglycans|ME; Human; Linolenic Acids|AD/ME;
Neoplasms|DT/ET; Platelet Aggregation|DE; Salivation; Scurvy|ME; Sjogren's
Syndrome|ET; Stimulation, Chemical
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0306-9877
- Country of Publication
- ENGLAND
Record 49 from database: MEDLINE
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- Title
- The origins of atherosclerosis.
- Author
- Woolf N
- Address
-
- Source
- Postgrad Med J, 1978 Mar, 54:629, 156-62
- Abstract
- The presence of atherosclerotic lesions in young adults suggests that early
stages of atherogenesis occur during childhood. The relationship of intimal
lesions in childhood to fully developed atherosclerosis is briefly discussed.
Factors likely to promote lipid accumulation within the arterial wall and
proliferation of connective tissue elements are reviewed with particular
emphasis on endothelial cell injury and the possible consequences of this for
intimal smooth muscle cell proliferation.
- Language of Publication
- English
- Unique Identifier
- 78178775
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- MeSH Heading (Major)
- Arteriosclerosis|*ET/PA; Atherosclerosis|*ET/PA
- MeSH Heading
- Animal; Arteries|GD/ME/PA; Cell Membrane Permeability; Child;
Cholesterol|ME; Cholesterol Esters|ME; Human; Infant; Muscle, Smooth|PA; Rabbits
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0032-5473
- Country of Publication
- ENGLAND
Record 50 from database: MEDLINE
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- Title
- George Lyman Duff Memorial Lecture. Lifestyles, major risk factors, proof
and public policy.
- Author
- Stamler J
- Address
-
- Source
- Circulation, 1978 Jul, 58:1, 3-19
- Abstract
- In this report major risk factors in coronary heart disease (CHD) are
reviewed, with particular emphasis on the role of nutrition. International and
national epidemiologic data indicate that reducing or eliminating certain risk
factors (e.g., a diet high in cholesterol and saturated fats) may reduce the
risk of premature CHD. Most trends indicate that many Americans are more
concerned about diet for health reasons. Preventive measures for CHD are also
discussed.
- Language of Publication
- English
- Unique Identifier
- 78167681
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- MeSH Heading (Major)
- Coronary Disease|*EP/ET/PC; Life Style|*; Public Policy|*
- MeSH Heading
- Cholesterol|BL; Diet|AE; Disease Models, Animal; Human; Risk; Support, U.S.
Gov't, Non-P.H.S.; Support, U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0009-7322
- Country of Publication
- UNITED STATES
Record 51 from database: MEDLINE
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- Title
- Transient monocular blindness.
- Author
- Ross RT
- Address
-
- Source
- Can J Neurol Sci, 1977 Aug, 4:3, 143-50
- Abstract
- This paper is a review of the causes of intermittent monocular blindness.
The nature of cholesterol and platelet retinal emboli is discussed. Their
sources, the frequency with which they may cause transient or fixed blindness
and the association between these emboli and pathology of the major cerebral
vessels and other organs is discussed. Consideration is given to the equally
important abnormalities of platelet behavior and to some of the physiology of
retinal blood flow and non-embolic blindness. The current treatment of this
symptom may be anticoagulation, surgical correction of a stenotic artery or
both. The effect of treatment is unpredictable and in some situations the
rationale is suspect. This review may provide a summary on which to base future
studies of the effectiveness of various therapeutic agents.
- Language of Publication
- English
- Unique Identifier
- 77243760
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- MeSH Heading (Major)
- Blindness|BL/*ET
- MeSH Heading
- Adult; Aged; Animal; Arteriosclerosis|CO; Blood Platelets; Carotid Artery
Diseases|CO; Carotid Artery, Internal; Cholesterol; Choroid|BS; Embolism|CO;
Eye|BS; Female; Human; Ischemia|CO; Male; Middle Age; Platelet Aggregation;
Postoperative Complications; Posture; Regional Blood Flow; Retinal Diseases|CO;
Retinal Vessels|PP
- Publication Type
- JOURNAL ARTICLE; REVIEW
- Country of Publication
- CANADA
Record 52 from database: MEDLINE
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- Title
- Pigment gallstones.
- Author
- Soloway RD; Trotman BW; Ostrow JD
- Address
-
- Source
- Gastroenterology, 1977 Jan, 72:1, 167-82
- Abstract
- Pigment gallstones are defined as any dark brown-to-black stone, consisting
of calcium salts of bilirubin, phosphate, carbonate and other anions, and can be
separated into carbonate- and noncarbonate-containing groups. Pigment stones
predominate in the rural Orient, in cirrhosis, and in elderly United States
patients undergoing cholecystectomy. Clinical associations include bile duct
obstruction, stasis, and possibly hemolysis. Of pigment stones, 50% are
radioopaque and account for two-thirds of all opaque stones. The concentrations
of bile salts, phospholipids,, cholesterol, and total bilirubin in bile are
similar to normal levels, but the concentration of unconjugated bilirubin is
increased in the bile of some patients. Increased unconjugated bilirubin in bile
may be caused by increased hydrolysis of excreted conjugated bilirubin.
Unconjugated bilirubin is solubilized by bile salts, but the interaction is
primarily nonmicellar. Ionized calcium and pH are important determinants of
solubility. Sulfated glycoproteins, excreted in increased amounts in patients
with cholelithiasis, may be the site of pigment stone precipitation because
these compounds bind calcium salts tightly. E coli is frequently cultured from
pigment stones in Japan but not in the United States; thus, bacterial
beta-glucuronidase may be important in stone formation in Japan but probably not
in the West. Stasis leads to increased calcium secretion and to increases in the
concentration of sparingly soluble compounds that may then precipitate.
Incomplete emptying of the gallbladder may result in the same concentration
process. Unsaturated fats and chronic vagal stimulation cause pigment stone
formation in animals. At present, surgery is the only treatment for pigment
lithiasis.
- Language of Publication
- English
- Unique Identifier
- 77049521
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- MeSH Heading (Major)
- Cholelithiasis|*/ET/ME/TH; Pigments|*/AN
- MeSH Heading
- Adolescence; Adult; Age Factors; Aged; Animal; Bacterial Infections|CO;
Bilirubin|AN/BI/PH; Child; Cholesterol|PH; Disease Models, Animal; Female;
Hamsters; Human; Japan; Male; Middle Age; Support, U.S. Gov't, P.H.S.; United
States
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0016-5085
- Country of Publication
- UNITED STATES
Record 53 from database: MEDLINE
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- Title
- Gardner's syndrome. Recent developments in research and management.
- Author
- Naylor EW; Lebenthal E
- Address
-
- Source
- Dig Dis Sci, 1980 Dec, 25:12, 945-59
- Abstract
- In recent years, a number of comprehensive reviews have been written on
inherited intestinal polyposis syndromes (1-7), but none has dealt specifically
with Gardner's syndrome and none has focused on basic research being carried out
in an attempt to understand this syndrome and to improve the medical management
of affected patients. A better understanding of this rare genetic disorder is
essential for surgeons, gastroenterologists, cancer researchers, and geneticists
alike. To the clinician, it poses difficult challenges in management; to the
cancer researcher, it presents a rare opportunity to study very early
premalignant transformations; and to the geneticist, it poses exciting questions
at the cellular, chromosomal, and molecular levels.
- Language of Publication
- English
- Unique Identifier
- 81089873
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- MeSH Heading (Major)
- Gardner Syndrome|*ET/GE/SU
- MeSH Heading
- Adult; Bile Acids and Salts|ME; Carcinogens; Cell Transformation,
Neoplastic|PA; Child; Cholesterol|ME; Colon|UL; Colonic Neoplasms|ET; Female;
Fibroma|ET; Human; Ileal Neoplasms|ET; Intestinal Polyps|ET; Jejunal
Neoplasms|ET; Male; Microscopy, Electron; Neoplasms, Multiple Primary|ET; Rectal
Neoplasms|ET; Research; Skin Neoplasms|ET; Support, Non-U.S. Gov't
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0163-2116
- Country of Publication
- UNITED STATES
- CAS Registry/EC Number
- 0 (Bile Acids and Salts); 0 (Carcinogens); 57-88-5 (Cholesterol)
Record 54 from database: MEDLINE
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- Title
- Cause and course of acute myocardial infarction.
- Author
- Willerson JT; Buja LM
- Address
-
- Source
- Am J Med, 1980 Dec, 69:6, 903-14
- Abstract
- A complete discussion of factors involved in causing acute myocardial
infarcts is contained in this review, and a detailed discussion of various
complications of acute myocardial infarction is also provided. Interventions
that are capable of reducing infarct size in animal models with experimentally
produced acute myocardial infarcts are discussed, and factors that might alter
infarct size in patients are reviewed. Prognostic factors that allow one to
identify high risk patients with acute myocardial infarction following their
hospital admission and in the follow-up period after hospital discharge are
identified. The need to develop more accurate measurements of the extent of
myocardial infarction and myocardial ischemia, and to develop additional
prognostic markers that allow one to separate patients most at risk for sudden
death and new myocardial infarction from those with ongoing chronic ischemic
heart disease and those without additional complications from their ischemic
heart disease is also emphasized in this review.
- Language of Publication
- English
- Unique Identifier
- 81083277
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- MeSH Heading (Major)
- Myocardial Infarction|CO/*ET/TH
- MeSH Heading
- Acute Disease; Arrhythmia|ET; Atherosclerosis|CO; Cholesterol|ME; Coronary
Disease|CO; Heart Block|ET; Human; Prognosis; Risk; Support, U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0002-9343
- Country of Publication
- UNITED STATES
- CAS Registry/EC Number
- 57-88-5 (Cholesterol)
Record 55 from database: MEDLINE
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- Title
- Fat embolism syndrome: traumatic coagulopathy with respiratory distress.
- Author
- Shier MR; Wilson RF
- Address
-
- Source
- Surg Annu, 1980, 12:, 139-68
- Abstract
- Fractures and other types of trauma can cause severe metabolic, platelet,
coagulative, and pulmonary changes. These changes are variable but tend to
increase with the severity of the trauma and may result in the clinical findings
often referred to as the fat embolism syndrome. The role in pathogenesis of
increased liberation of lipids into the bloodstream, either from the marrow at
the fracture site or because of physiochemical changes in the blood and
mobilization of fat stores, has received a great deal of attention. These
changes, however, may not be as important as the platelet activation and
intravascular coagulation that occurs simultaneously. All of these phenomena
appear to impair pulmonary function and cause hypoxemia. The results of
treatment of the fat embolism syndrome should improve if there is a realization
that even relatively uncomplicated fractures of the extremities cause
significant metabolic, platelet, coagulation and pulmonary changes. These
asymptomatic or subclinical forms of fat embolism are far more frequent than
generally appreciated. Evidence of increasing platelet, coagulation or blood gas
changes should alert the physician to begin aggressive therapy. Particular
emphasis must be placed on maintaining optimal ventilation, using ventilatory
assistance early if needed. Aspirin or massive steroids may also be quite
helpful, particularly if they are given before the fat embolism syndrome has
become fully established.
- Language of Publication
- English
- Unique Identifier
- 80259502
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- MeSH Heading (Major)
- Blood Coagulation Disorders|*ET; Embolism, Fat|*/DI/ET/TH; Respiratory
Distress Syndrome, Adult|*ET
- MeSH Heading
- Adrenal Cortex Hormones|TU; Aspirin|TU; Blood Platelets|PH; Cholesterol|BL;
Fatty Acids|BL; Fluid Therapy; Hemoglobins|AN; Human; Lung|BS; Pulmonary
Embolism|ET; Syndrome
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0081-9638
- Country of Publication
- UNITED STATES
- CAS Registry/EC Number
- 0 (Adrenal Cortex Hormones); 0 (Fatty Acids); 50-78-2 (Aspirin); 57-88-5
(Cholesterol)
Record 56 from database: MEDLINE
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- Title
- Angina pectoris among 10,000 men. II. Psychosocial and other risk factors as
evidenced by a multivariate analysis of a five year incidence study.
- Author
- Medalie JH; Goldbourt U
- Address
-
- Source
- Am J Med, 1976 May 31, 60:6, 910-21
- Abstract
- The major independent role played by anxiety and severe psychosocial
problems (especially family ones) is demonstrated by this multivariate analysis
of a five year prospective study of the development of new angina pectoris among
almost 10,000 adult men (average annual incidence = 5.7/1,000). The independent
effect of these two variables is considerably augmented by the other significant
risk factors of age, total serum cholesterol, systolic or diastolic blood
pressure, certain electrocardiographic abnormalities and diabetes mellitus. The
presence of all seven risk factors (at a high level) increases the probability
of angina pectoris developing within five years to 289/1,000 from 14/1,000, when
these factors are low or absent. The wife's love and support is an important
balancing factor, which apparently reduces the risk of angina pectoris even in
the presence of high risk factors. The implications of these findings to the
pathophysiology and prevention of angina are stressed.
- Language of Publication
- English
- Unique Identifier
- 77131835
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- MeSH Heading (Major)
- Angina Pectoris|*EP/GE/PC; Stress, Psychological|*
- MeSH Heading
- Adult; Age Factors; Aged; Anxiety|CO; Blood Pressure; Cholesterol|BL;
Diabetes Mellitus|CO; Electrocardiography; Family Characteristics; Human; Male;
Middle Age; Prospective Studies; Questionnaires; Risk; Support, U.S. Gov't,
P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0002-9343
- Country of Publication
- UNITED STATES
Record 57 from database: MEDLINE
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- Title
- Bile salts and gallstone disease.
- Author
- Mackay C
- Address
-
- Source
- Br J Surg, 1975 Jul, 62:7, 505-12
- Abstract
- Bile salts play an important role in maintaining cholesterol in aqueous
solution in bile. There is evidence that in some patients at least gallstones
arise as a result of bile salt deficiency. The evidence to date suggests that
although oral bile salts may be of use in treating some gallstone patients they
are unlikely to replace cholecystectomy in the foreseeable future. The
instillation of bile salts via an indwelling T-tube may well be of great use in
the management of stones retained in the common duct after choledocholithotomy.
There is no doubt that in this branch of medicine as in all others prevention is
better than cure and our aim should be to perfect our technique so that we do
not leave stones behind. However, should the situation occur we may soon have
safe effective physiological solvents to dissolve our mistakes.
- Language of Publication
- English
- Unique Identifier
- 76019727
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- MeSH Heading (Major)
- Bile Acids and Salts|AD/*ME/TU; Cholelithiasis|*DT/ET/ME
- MeSH Heading
- Cholesterol|ME; Human; Phosphatidylcholines|ME; Phospholipids|ME; Time
Factors
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0007-1323
- Country of Publication
- ENGLAND
Record 58 from database: MEDLINE
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- Title
- Cardiovascular disease in uremic patients on hemodialysis.
- Author
- Lazarus JM; Lowrie EG; Hampers CL; Merrill JP
- Address
-
- Source
- Kidney Int Suppl, 1975 Jan, :2, 167-75
- Abstract
- In conclusion, patients on chronic maintenance dialysis have an increased
incidence of death from cardiovascular disease. Hypertension plays a major role,
and these patients must be carefully monitored for complete control of blood
pressure. Adequacy of ultrafiltration to maintain normal extracellular volume is
an essential part of the dialytic treatment. Hypertensive patients should be
screened for excessive renin secretion because of its possible role in
unresponsive hypertension in patients on dialysis. Nephrectomy should be used
when necessary, where dialysis and antihypertensive medication have not
adequately controlled blood pressure. Patients must be monitored for the
presence of pericardial disease to avoid subsequent pericardial effusion and the
development of constrictive pericarditis with its adverse effect on myocardial
function. When constrictive pericarditis is present, it obviously should be
relieved by appropriate surgery. Efforts should be made to minimize cardiac
output in hemodialysis patients. Whether or not routine transfusions to maintain
a higher hematocrit are indicated is a question that cannot yet be answered.
However, patients with marginal cardiovascular function who are accepted on
hemodialysis and must have an arteriovenous shunt should be supported in any
manner to minimize an increase in cardiac output. Early and aggressive treatment
of known episodes of sepsis is important in the elimination of valvular
endocarditis in this patient population. Perhaps one of the finer indicators of
adequacy of hemodialysis will be K rate and peak immunoreactive insulin levels.
Continued abnormality of these parameters may contribute to cardiovascular
disease. Clearly, further study of the effect of abnormal carbohydrate
metabolism on lipid metabolism is in order. Serum triglyceride, serum
cholesterol and lipid electrophoretic pattern should be followed to evaluate the
beneficial effects of drug therapy and changes in dialytic technique on the
development of cardiovascular disease. Careful monitoring of calcium,
phosphorus, bone films and parathyroid hormone levels is indicated to assess
parathyroid status. The use of aluminum binders and parathyroidectomy to prevent
vascular and myocardial calcification is important in the therapy of these
patients. The use of cardiac catheterization, coronary artery arteriography, and
possibly cardiac vascular repair, should be considered in the chronic
hemodialysis patient with coronary artery disease if he is otherwise well.
Adequacy of hemodialysis perhaps can be evaluated through its effect on all of
the above parameters. Whether or not changes in artificial kidney treatments can
correct the final vascular disease remains to be seen.
- Language of Publication
- English
- Unique Identifier
- 76008637
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- MeSH Heading (Major)
- Cardiovascular Diseases|BL/*ET/MO; Hemodialysis|*; Uremia|BL/*CO/PP
- MeSH Heading
- Antigens; Carbohydrates|ME; Cardiac Output; Cholesterol|BL; Endocarditis,
Bacterial|ET; Human; Hyperlipidemia|ET; Hyperparathyroidism, Secondary|ET;
Hypertension|ET; Insulin|BL/IM; Kidney|TR; Kidney Transplantation; Pericarditis,
Constrictive|ET; Transplantation, Homologous; United States
- Publication Type
- JOURNAL ARTICLE; REVIEW
- Country of Publication
- UNITED STATES
Record 59 from database: MEDLINE
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- Title
- Primary prevention of atherosclerosis: nutritional aspects.
- Author
- Steinbaugh M; Strong WB
- Address
-
- Source
- South Med J, 1975 Mar, 68:3, 328-34
- Abstract
- The changes suggested for reducing consumption of calories, cholesterol, and
sodium are not radical but sensible. These modifications are nutritionally sound
suggestions which will lead to the development of good dietary habits which may
be continued throughout life. Hopefully, this will prevent the child from
entering adulthood with habits inappropriate for longevity and subsequently
having to face the extremely difficult task of changing well-established habits.
- Language of Publication
- English
- Unique Identifier
- 75121960
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- MeSH Heading (Major)
- Arteriosclerosis|*PC; Atherosclerosis|CI/ET/*PC; Child Nutrition|*
- MeSH Heading
- Cholesterol|BL; Coronary Disease|ET/PC; Dietary Fats|AE; Female; Human;
Hypertension|CO; Infant; Infant Nutrition; Infant, Newborn; Male; Myocardial
Infarction|ET; Obesity|CO; Sodium|AE; Sodium Chloride|AE
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0038-4348
- Country of Publication
- UNITED STATES
Record 60 from database: MEDLINE
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- Title
- Androgens.
- Author
- Brooks RV
- Address
-
- Source
- Clin Endocrinol Metab, 1975 Nov, 4:3, 503-20
- Abstract
- Testosterone is synthesised mainly if not entirely by the leydig cells and
secreted episodically with a slight circadian variation. Only the free,
nonprotein-bound fraction of the testosterone in the circulation is biologically
active. This free testosterone passes into the target cells and is taken up by
specific receptors in the muscle. In some other target tissues, testosterone is
first reduced to 5alpha-dihydrotestosterone which is then taken up by specific
receptors in the cytoplasm and transferred to the nucleus. Anti-androgens appear
to act principally by inhibiting this uptake.
- Language of Publication
- English
- Unique Identifier
- 76208888
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- MeSH Heading (Major)
- Androgens|AI/*ME/PD
- MeSH Heading
- Acetates|ME; Animal; Beta-Globulins|ME; Blood Proteins|ME; Child, Preschool;
Cholesterol|ME; Female; Hair|GD; Human; Hydroxylation; Infant; Male;
Microsomes|EN; Mitochondria|EN; Pregnancy; Pregnenolone|ME; Protein Binding;
Testosterone|BI/ME/SE
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0300-595X
- Country of Publication
- ENGLAND
Record 61 from database: MEDLINE
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- Title
- Oral contraceptive hypertension and thromboembolism.
- Author
- Kannel WB
- Address
-
- Source
- Int J Gynaecol Obstet, 1978-79, 16:6, 466-72
- Abstract
- Oral contraceptives (OCs) are a highly effective and widely accepted means
of avoiding pregnancy, but they also worsen the major atherogenic cardiovascular
risk factors to some degree in all women. Some OC users may suffer severe
hypertensive episodes or massive hypertriglyceridemia with pancreatitis. Mild or
severe adverse effects could eventually have serious consequences beyond the
childbearing years. OC use would appear imprudent for women with a history of
hypertension, gestational hypertension and a family history of hypertension.
Special care is needed with blacks, diabetics and women with renal disease. OCs
may also affect blood clotting, fibrinolysis and platelet adhesiveness. Also,
histochemical and anatomical changes in blood vessels have been noted. Both may
precipitate thromboembolic events while the OC user is still at the childbearing
age and may also contribute to accelerated atherogenesis in subsequent years.
There is a need for more specific guidelines for monitoring women on OCs for a
worsening of their cardiovascular risk profile and changes in blood coagulation.
Indications and contraindications for OC use in relation to the hazard of
thromboembolic sequelae need to be more explicitly defined.
- Language of Publication
- English
- Unique Identifier
- 80025127
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- MeSH Heading (Major)
- Contraceptives, Oral|*AE; Contraceptives, Oral, Synthetic|*AE;
Hypertension|*CI/EP; Thromboembolism|*CI
- MeSH Heading
- Adult; Atherosclerosis|CI; Blood Coagulation|DE; Cerebrovascular
Disorders|CI; Cholesterol|BL; Diabetes Mellitus|CI; Female; Fibrinolysis|DE;
Human; Lipoproteins, HDL|BL; Lipoproteins, LDL|BL; Lipoproteins, VLDL|BL; Male;
Platelet Adhesiveness|DE; Pregnancy; Time Factors; Triglycerides|BL; Vascular
Diseases|CI
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0020-7292
- Country of Publication
- UNITED STATES
Record 62 from database: MEDLINE
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- Title
- Interventions in atherosclerosis: a review for surgeons.
- Author
- DePalma RG; Clowes AW
- Address
-
- Source
- Surgery, 1978 Aug, 84:2, 175-89
- Abstract
- For the surgeon, atherosclerosis is defined by a variety of aneurysmal,
occlusive, or ulcerated lesions in major arteries. These end-stage lesions often
require operative treatment. However, just as advanced atherosclerosis presents
complex clinical phenomena, so its earlier stages display many underlying
mechanisms promoting lesions. To arrest or control atherosclerosis, the disease
must be approached with knowledge about diverse biological processes. These
include ceullar and systemic aspects of lipoprotein metabolism, reactions and
metabolism of endothelium and smooth muscle cells of the arterial wall, and
interaction of platelets with the arterial intima. The chronic nature of this
process is such that surgeons are involved intimately with overall management as
well as with surgical procedures. We will review underlying biological processes
of atherosclerosis as related to interventions in patients with clinically
apparent disease.
- Language of Publication
- English
- Unique Identifier
- 78250738
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- MeSH Heading (Major)
- Arteriosclerosis|*PC; Atherosclerosis|DH/ET/ME/*PC/SU
- MeSH Heading
- Arteries|IN/ME/PA; Cell Membrane; Cholesterol|ME; Human;
Hydroxymethylglutaryl CoA Reductases|ME; Lipoproteins, LDL|BL; Risk; Support,
U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0039-6060
- Country of Publication
- UNITED STATES
Record 63 from database: MEDLINE
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- Title
- Biochemical anomalies of the nephrotic syndrome.
- Author
- Lewith G; Gabriel R
- Address
-
- Source
- Curr Med Res Opin, 1975, 3:4, 199-202
- Abstract
- The nephrotic syndrome is the only hypoalbuminaemic state frequently
associated with hyperlipidaemia. In the presence of a negative nitrogen balance,
hyperlipidaemia is metabolically inappropriate and reflects the result of
persistent breakaway from free fatty acid control. This lipid abnormality may
result in the premature development of ischaemic heart disease in patients in
whom it is not possible to control the primary renal abnormality. The authors
suggest that future work should be directed towards thyroxine and insulin
metabolism in nephrotic states.
- Language of Publication
- English
- Unique Identifier
- 75208354
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- MeSH Heading (Major)
- Hyperlipidemia|*ET/ME/PC; Nephrotic Syndrome|*CO/ME/PC
- MeSH Heading
- Animal; Carbohydrates|ME; Cholesterol|BL; Fatty Acids, Nonesterified|BL;
Human; Insulin|ME; Lipoproteins, LDL|BL; Lipoproteins, VLDL|BL; Nitrogen|ME;
Proteins|BI; Serum Albumin|AN; Steroids|ME; Thyroxine|ME; Triglycerides|BL
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0300-7995
- Country of Publication
- ENGLAND
Record 64 from database: MEDLINE
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- Title
- Pericardial heart disease.
- Author
- Roberts WC; Spray TL
- Address
-
- Source
- Curr Probl Cardiol, 1977 Jun, 2:3, 1-71
- Abstract
- This report reviews morphologic aspects of pericardial heart disease. A
morphologic classification for this condition is presented. An ideal
classification of pericardial heart disease obviously would take into account
clinical, etiologic and morphologic features of this condition but a single
classification combining these 3 components is lacking. Pericardial heart
disease is relatively uncommon clinically and when present at necropsy it
usually had not been recognized during life. The term "pericarditis"
is inaccurate because most pericardial diseases are noninflammatory in nature.
Morphologically chronic pericardial heart disease may present clinically as an
acut eillness. Even when clinical symptoms are present, however, fewpatients
develop evidence of cardiac dysfunction (constriction). When pericardial
"constriction" occurs, it is the result of increased pericardial fluid
or increased pericardial tissue or both. Increased fluid is treated by drainage;
increased tissue is treated by excision. In most patients with chronic
constrictive "pericarditis," the etiology is not apparent even after
histologic examination of pericardia.
- Language of Publication
- English
- Unique Identifier
- 77245250
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- MeSH Heading (Major)
- Pericarditis|*/ET/PA
- MeSH Heading
- Acute Disease; Adult; Aged; Cardiac Tamponade|ET; Child; Cholesterol;
Chronic Disease; Diagnosis, Differential; Female; Heart Hypertrophy|CO; Heart
Neoplasms|CO; Human; Infant, Newborn; Male; Middle Age; Myocardial
Infarction|CO; Pericardial Effusion|ET; Pericarditis, Constrictive|DI/ET;
Pericarditis, Tuberculous|ET
- Publication Type
- JOURNAL ARTICLE; REVIEW
- Country of Publication
- UNITED STATES
Record 65 from database: MEDLINE
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- Title
- The applications of steroid hormone radioimmunoassays to clinical
obstetrics.
- Author
- Buster JE; Abraham GE
- Address
-
- Source
- Obstet Gynecol, 1975 Oct, 46:4, 489-99
- Abstract
- This is a selective survey of recent publications dealing with theoretical
and established applications of steroid hormone radioimmunoassay procedures
applied to clinical obstetric investigation. This subject is reviewed in three
sections: first, basic principles of steroid hormone radioimmunoassay
methodology; second, steroidogenesis in normal pregnancy and its relation to
patterns of steroid hormones measured in maternal and fetal circulations; third,
applied steroid radioimmunoassay technology as it is being used in established
and potential clinical applications. It is concluded that steroid hormone
radioimmunoassay procedures have been and will continue to be a highly
productive technology applied to clinical obstetric investigation.
- Language of Publication
- English
- Unique Identifier
- 76030738
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- MeSH Heading (Major)
- Adrenal Cortex Hormones|BI/*BL; Radioimmunoassay|*; Sex Hormones|BI/*BL
- MeSH Heading
- Cholesterol|BI; Estetrol|BL; Estradiol|BL; Estriol|BL; Estrone|BL; Female;
Fetal Blood|AN; Fetus|ME; Human; Hydroxyprogesterones|BL; Liver|ME; Placenta|ME;
Prasterone|BL; Pregnancy; Pregnancy Trimester, First; Pregnancy Trimester,
Second; Pregnancy Trimester, Third
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0029-7844
- Country of Publication
- UNITED STATES
Record 66 from database: MEDLINE
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- Title
- The effect of 5,8,11,14-eicosatetraynoic acid on lipid metabolism.
- Author
- Tobias LD; Hamilton JG
- Address
-
- Source
- Lipids, 1979 Feb, 14:2, 181-93
- Abstract
- The purpose of this presentation is to review the current state of knowledge
regarding 5,8,11,14-eicosatetraynoic acid (ETYA, Ro 3-1428) and its effects on
lipid metabolism. Accordingly, the topics discussed include hypocholesterolemic
and dermatological studies involving ETYA in both animals and man, as well as
the effects of ETYA on desaturase enzymes. Metabolic studies involving ETYA are
also noted. Primary interest is focused on the effects of ETYA on selected
processes of arachidonate metabolism, and the effect of ETYA on inflammation,
platelet aggregation and tumor growth are discussed, keeping in mind the
relevance of arachidonate metabolism to these processes.
- Language of Publication
- English
- Unique Identifier
- 79134127
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- MeSH Heading (Major)
- Fatty Acids, Unsaturated|*PD; Lipids|*ME; 5,8,11,14-Eicosatetraynoic
Acid|*PD/TU
- MeSH Heading
- Animal; Arachidonic Acids|ME; Cholesterol|ME; Dietary Fats|ME;
Epoprostenol|BI; Fatty Acid Desaturases|ME; Human; Indomethacin|PD;
Inflammation|DT; Linoleic Acids|ME; Lipoxygenase|ME; Liver|ME; Liver Neoplasms,
Experimental|ME; Male; Papilloma|ME; Platelet Aggregation|DE;
Prostaglandin-Endoperoxide Synthase|ME; Prostaglandins|BI; Sebaceous Glands|DE;
Sebum|SE; Seminal Vesicles|ME; Thromboxane Synthetase|ME
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0024-4201
- Country of Publication
- UNITED STATES
- CAS Registry/EC Number
- 35121-78-9 (Epoprostenol)
Record 67 from database: MEDLINE
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- Title
- Cholelithiasis. Review of advances in research.
- Author
- Redinger RN
- Address
-
- Source
- Postgrad Med, 1979 Jun, 65:6, 56-62, 66-71
- Abstract
- Cholelithiasis is now known to result from multiple causes and to have
distinct clinical correlates. New knowledge about its pathophysiology and
relationship to altered hepatic metabolism, the enterohepatic circulation, and
gallbladder function has led to theories of prevention and to medical methods of
treatment, including dissolution of stones by bile acid therapy.
- Language of Publication
- English
- Unique Identifier
- 79201507
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- MeSH Heading (Major)
- Cholelithiasis|DI/*ME/TH
- MeSH Heading
- Adult; Animal; Bile Acids and Salts|ME; Bilirubin; Cholesterol|SE; Drug
Therapy|AE; Female; Human; Hydroxymethylglutaryl CoA Reductases|ME; Male; Middle
Age; Obesity|CO; Pregnancy
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0032-5481
- Country of Publication
- UNITED STATES
Record 68 from database: MEDLINE
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- Title
- American Academy of Pediatrics. Nutrition Committee of the Canadian
Paediatric Society and the Committee on Nutrition of the American Academy of
Pediatrics. Breast-feeding. A commentary in celebration of the International
Year of the Child, 1979.
- Author
- Anonymous
- Address
-
- Source
- Pediatrics, 1978 Oct, 62:4, 591-601
- Abstract
- 1. Full-term newborn infants should be breastfed, except if there are
specific contraindications or when breast-feeding is unsuccessful. 2. Education
about breast-feeding should be provided in schools for all children, and better
education about breast-feeding and infant nutrition should be provided in the
curriculum of physicians and nurses. Information about breast-feeding should
also be presented in public communications media. 3. Prenatal instruction should
include both theoretical and practical information about breast-feeding. 4.
Attitudes and practices in prenatal clinics and in maternity wards should
encourage a climate which favors breast-feeding. The staff should include nurses
and other personnel who are not only favorably disposed toward breast-feeding
but also knowledgeable and skilled in the art. 5. Consultation between maternity
services and agencies committed to breast-feeding should be strengthened. 6.
Studies should be conducted on the feasibility of breast-feeding infants at day
nurseries adjacent to places of work subsequent to an appropriate leave of
absence following the birth of an infant.
- Language of Publication
- English
- Unique Identifier
- 79054352
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- MeSH Heading (Major)
- Breast Feeding|*; Infant Nutrition|*; Pediatrics|*; Societies, Medical|*
- MeSH Heading
- Canada; Cholesterol|ME; Dietary Proteins|ME; Human; Infant Food; Infant,
Newborn; Iron|ME; Lipids|ME; Milk, Human|IM/ME/PH; Obesity|ET; United States
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0031-4005
- Country of Publication
- UNITED STATES
Record 69 from database: MEDLINE
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- Title
- Vessel injury and atherosclerosis.
- Author
- Moore S; Ihnatowycz TO
- Address
-
- Source
- Adv Exp Med Biol, 1978, 102:, 145-61
- Abstract
- Repeated endothelial injury causes lipid-rich lesion in animals on a normal
diet. In severely thrombocytopenic animals these lesions do not form or are
markedly inhibited. The occurrence of lipid in some experimental designs is
related to continued or repeated deposition of thrombus. Lipid deposition occurs
in areas where endothelium is repeatedly removed and regrows. Repeated
deposition of thrombus may bring about changes in the metabolism of the
neo-intima which favor lipid deposition.
- Language of Publication
- English
- Unique Identifier
- 78253677
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- MeSH Heading (Major)
- Arteries|*IN; Arteriosclerosis|*PP; Atherosclerosis|ET/*PP
- MeSH Heading
- Animal; Blood Platelets|DE; Cholesterol|BL; Diet; Human;
Hypercholesterolemia|ET; Lipids|ME; Rabbits; Sulfinpyrazone|PD; Time Factors
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0065-2598
- Country of Publication
- UNITED STATES
Record 70 from database: MEDLINE
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- Title
- Essential fatty acids and the vulnerability of the artery during growth.
- Author
- Ball KP; Cranford MA; Hassam AG; Rivers JP
- Address
-
- Source
- Postgrad Med J, 1978 Mar, 54:629, 149-55
- Abstract
- Essential fatty acids not only control blood lipid levels, but are the
precursors of prostaglandins responsible for regulation of platelet aggregation.
Dietary deficiency of essential fatty acids may play an important role in the
development of coronary heart disease, particularly during the early growth
period.
- Language of Publication
- English
- Unique Identifier
- 78178774
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- MeSH Heading (Major)
- Arteries|GD/*ME; Coronary Disease|*ET; Fatty Acids, Essential|DF/*ME/PH
- MeSH Heading
- Adolescence; Adult; Animal; Cattle; Child; Child, Preschool; Cholesterol|BL;
Human; Infant; Infant, Newborn; Kinetics; Male; Milk, Human; Platelet
Aggregation; Prostaglandins|ME/PH; Triglycerides|BL
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0032-5473
- Country of Publication
- ENGLAND
Record 71 from database: MEDLINE
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- Title
- A review of research examining the coronary-prone behavior pattern.
- Author
- Rowland KF; Sokol B
- Address
-
- Source
- J Human Stress, 1977 Sep, 3:3, 26-33
- Abstract
- With the increasing incidence of coronary heart disease (CHD) and the
subsequent interest in factors which contribute to its development, the idea of
a coronary-prone (Type A) behavior pattern has attracted much attention in
recent years. In this paper, research on the coronary-prone behavior pattern is
reviewed. Type A behavior is found to be fairly accurate in predicting the
likelihood and severity of CHD, at least in large groups of people. Problems in
measuring and in more clearly defining the components of Type A behavior are
discussed. Future investigations are urged, focusing on how the behavior pattern
develops and on strategies for intervention.
- Language of Publication
- English
- Unique Identifier
- 78006687
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- MeSH Heading (Major)
- Coronary Disease|BL/PC/*PX; Personality|*
- MeSH Heading
- Adult; Angina Pectoris|PX; Behavior; Behavior Therapy; Cholesterol|BL;
Comparative Study; Human; Interview, Psychological; Male; Middle Age; Myocardial
Infarction|PX; Personality Tests; Psychophysiology; Risk; Social Perception;
Voice
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0097-840X
- Country of Publication
- UNITED STATES
Record 72 from database: MEDLINE
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- Title
- The enterohepatic circulation of conjugated bile acids in healthy man:
quantitative description and functions.
- Author
- Hofmann AF
- Address
-
- Source
- Expos Annu Biochim Med, 1977, 33:, 69-86
- Abstract
- A multicompartmental model describing the enterohepatic circulation of
conjugated bile acids in man under steady-state conditions is proposed. The
model encompasses conjugation; deconjugation and reconjugation; dehydroxylation;
sulfation, desulfation and resulfation; dehydrogenation; and stereoselective
rehydrogenation. A dynamic description of the enterohepatic circulation and a
brief description of bile acid functions in health and dysfunctions in disease
are also discussed.
- Language of Publication
- English
- Unique Identifier
- 77246631
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- MeSH Heading (Major)
- Bile Acids and Salts|*ME; Enterohepatic Circulation|*
- MeSH Heading
- Bile|ME; Binding Sites; Cholelithiasis|ME; Cholesterol|ME; Cholic Acids|ME;
Circadian Rhythm; Comparative Study; Deoxycholic Acid|ME; Feces|AN; Glycine|ME;
Human; Lithocholic Acid|ME; Models, Biological; Phospholipids|ME; Support, U.S.
Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0300-9076
- Country of Publication
- FRANCE
Record 73 from database: MEDLINE
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- Title
- The enterohepatic circulation of bile acids in man.
- Author
- Hofmann AF
- Address
-
- Source
- Clin Gastroenterol, 1977 Jan, 6:1, 3-24
- Abstract
- The enterohepatic circulation of bile acids may now be described in its
broad outlines. Methodology presently available appears sufficient for overall
characterization in health and disease. The challenge of the future is to gain
insight into the control of the enterohepatic circulation so that new
therapeutic approaches to liver, biliary and intestinal disease may be
developed.
- Language of Publication
- English
- Unique Identifier
- 77244737
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- MeSH Heading (Major)
- Bile Acids and Salts|BI/BL/*ME/PH; Enterohepatic Circulation|*
- MeSH Heading
- Amino Acids|ME; Animal; Cholesterol|SE; Cholic Acids|ME; Digestion; Human;
Liver|ME; Support, U.S. Gov't, P.H.S.; Taurocholic Acid|ME
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0300-5089
- Country of Publication
- ENGLAND
Record 74 from database: MEDLINE
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- Title
- Diabetes and the heart: coronary heart disease.
- Author
- Jarrett J
- Address
-
- Source
- Clin Endocrinol Metab, 1977 Jul, 6:2, 389-402
- Abstract
- 1. Diabetics have a greater risk of experiencing and of dying from a CHD
event than age matched non-diabetics. 2. The excess risk is particularly notable
in insulin dependent female diabetics who seem to lose the usual 'protection'
accorded to women. 3. The cause or causes of the excess risk are not known.
There are a variety of 'risk factors' observed in diabetics which, in sum, may
contribute. 4. At least in insulin-dependent diabetics some cardiac morbidity
and mortality may also be due, not to coronary heart disease, but to a
cardiomyopathy secondary to intramural obstructive vascular disease and/or
disordered myocardial metabolism. 5. No therapy has yet been convincingly proved
to reduce (or to increase) the risk of cardiac morbidity or mortality.
Nevertheless, in treating diabetics there is an a priori case for using diets
designed to lower plasma lipid levels as well as the blood sugar, for early
treatment of hypertension and for discouraging cigarette smoking.
- Language of Publication
- English
- Unique Identifier
- 77244722
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- MeSH Heading (Major)
- Coronary Disease|*/BL/CO/EP/MO; Diabetic Angiopathies|*/BL/CO/EP/MO
- MeSH Heading
- Adolescence; Adult; Age Factors; Cholesterol|BL; Female; Human;
Hypertension|CO/EP; Male; Middle Age; Obesity|CO; Risk; Sex Factors; Smoking;
Triglycerides|BL
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0300-595X
- Country of Publication
- ENGLAND
Record 75 from database: MEDLINE
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- Title
- Bile acids, diarrhea, and antibiotics: data, speculation, and a unifying
hypothesis
- Author
- Hofmann AF
- Address
-
- Source
- J Infect Dis, 1977 Mar, 135 Suppl:, S126-32
- Abstract
- The primary bile acid, chenodeoxycholic acid, and the secondary bile acid,
deoxycholic acid, when present at a concentration of greater than 3 mM, induce
salt and water secretion from the human colon and cause a marked increase in the
permeability of the human colon to molecules of a molecular weight of 200-500
daltons. Scanning electron microscopy indicates that this action may be
associated with tissue damage in some species. In the healthy individual, the
primary bile acids, cholic and chenodeoxycholic acid, are dehydroxylated in the
colon and are simultaneously precipitated from solution; at pH less than 7,
deoxycholic and lithocholic acid are insoluble. In patients with bile acid
diarrhea resulting from bile acid malabsorption, dehydroxylation is decreased,
and the concentration of bile acids in the colon is markedly elevated. The major
secretory bile acid in solution is chenodeoxycholic acid. Administration of
cholestyramine, a resin that binds bile acid, reduces the elevated concentration
of chenodeoxycholic acid and abolishes the diarrhea. These facts can be used to
develop a unifying hypothesis which proposes that elevated concentrations of
primary bile acids in the colon play a role in diarrhea and pseudomembranous
colitis induced by clindamycin.
- Language of Publication
- English
- Unique Identifier
- 77142701
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- MeSH Heading (Major)
- Antibiotics|*/AE/PD; Bile Acids and Salts|*/BI/ME/PH; Diarrhea|*/ET/ME
- MeSH Heading
- Bacteria|ME; Chemistry; Cholesterol|ME; Clindamycin|AE/PD; Colon|ME;
Enterocolitis, Pseudomembranous|CI; Human; Intestines|MI; Liver|ME; Support,
U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0022-1899
- Country of Publication
- UNITED STATES
Record 76 from database: MEDLINE
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- Title
- Hyperlipoproteinemia in renal insufficiency.
- Author
- Heuck CC; Ritz E
- Address
-
- Source
- Nephron, 1980, 25:1, 1-7
- Abstract
- In uremic patients, hyperlipoproteinemia is common, but its role as a risk
factor in atherogenesis remains controversial. The main abnormality appears to
be diminished catabolism of lipoproteins in the face of unchanged or low hepatic
synthesis. The relation of diminished catabolism to reduced postheparinlipolytic
activity and selective deficiency of hepatic triglyceride lipase remains to be
established. Hyperlipoproteinemia in uremic patients, most commonly of the type
IV variety, responds to dietary methods (reduction of carbohydrate content,
increase in P/S ratio) or pharmacological intervention. Guidelines for therapy
remain controversial in view of the uncertainty about the pathogenic role of
hyperlipoproteinemia in atherogenesis.
- Language of Publication
- English
- Unique Identifier
- 80099759
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- MeSH Heading (Major)
- Hyperlipoproteinemia|*ET/TH; Kidney Diseases|*CO
- MeSH Heading
- Animal; Cholesterol|BL; Fatty Acids, Nonesterified|BL; Hemodialysis; Human;
Hyperinsulinism|CO; Kidney Failure, Chronic|CO; Lipoproteins, HDL|BL;
Lipoproteins, LDL|BL; Lipoproteins, VLDL|BL; Triglycerides|BL; Uremia|CO/ME/TH
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0028-2766
- Country of Publication
- SWITZERLAND
Record 77 from database: MEDLINE
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- Title
- The lipid metabolism of the arterial wall and its abnormalities in diabetes.
- Author
- Stout RW
- Address
-
- Source
- Acta Diabetol Lat, 1976 May-Aug, 13:3-4, 87-92
- Abstract
- Arteries are not simply conduits for the transport of blood, but consist of
metabolically active tissue which has the capacity to synthesize all the
components of the atherosclerotic lesion. The smooth muscle cell appears to be
the most important metabolically active cell in the arterial wall. There is
little information on arterial metabolism in human diabetes. Experimental
diabetes depressed all aspects of arterial lipid metabolism and this effect is
reversed by insulin. Insulin promotes changes in arterial metabolism which are
similar to those an atherosclerosis. Thus the relationship of human diabetes to
the metabolism of the arterial wall is complex and little understood.
- Language of Publication
- English
- Unique Identifier
- 77130925
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- MeSH Heading (Major)
- Diabetes Mellitus|*ME; Lipids|*ME; Muscle, Smooth|*ME
- MeSH Heading
- Animal; Arteries|ME; Atherosclerosis|ME; Cholesterol|ME; Fatty Acids|ME;
Human; Insulin|ME; Phospholipids|ME; Triglycerides|ME
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0001-5563
- Country of Publication
- ITALY
Record 78 from database: MEDLINE
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- Title
- Diet, nutrition, and cancer.
- Author
- Alcantara EN; Speckmann EW
- Address
-
- Source
- Am J Clin Nutr, 1976 Sep, 29:9, 1035-47
- Abstract
- As the second leading cause of death in the United States, cancer is a major
public health problem today. Cancer incidence varies worldwide and tends to
change with migration. These epidemiological observations have led to the
concept that environmental factors may be important in carcinogenesis. Diet and
nutrition are receiving increased attention and the National Cancer Institute,
as mandated by the Nation Cancer Act Amendments of 1974, is playing a major
leadership role in expanding research efforts in the areas of environmental
carcinogenesis, and nutrition in relation to cancer. The subject of diet,
nutrition, and cancer is complex. Different types of cancer are not necessarily
affected by dietary components in the same manner. Although the development of
certain neoplasms may be repressed by specific dietary deficiencies, other
types, particularly those of the liver and upper gastrointestinal tract, are
actually augmented or potentiated by such deficiencies. In extrapolating results
from animal experiments to humans, caution must be exercised because of possible
differences in species response to the same dietary stimulus and because
spontaneous tumors may react differently from experimentally-induced tumors.
Diet and nutrition are viewed more appropriately as modifiers, rather than
initiators, of tumorigenesis. Caloric intake, type and amount of fat, protein,
amino acids, vitamins, minerals, fiber, and other dietary constituents have been
studied in regard to their influence on the development of neoplasms. Dietary
components may have opposing effects on tumorigenesis, i.e., protective and
predisposing, and the consequence to the host will depend on the balance between
these opposing forces. Studies conducted to date indicate that the modifying
effect of diet and nutrition may be exerted through specific effects on 1)
intestinal bacteria and substrates for bacterial metabolism, 2) microsomal
mixed-function oxidase system, 3) endocrine system, 4) immunological system, 5)
availability of metabolites for cell proliferations, and 6) rate of carcinogen
transfer and duration of exposure to the carcinogen. More research is needed to
elucidate the interaction between diet and each of these factors and to test the
validity of the mechanisms proposed to explain such interactions. These studies
will lead not only to a better understanding of carcinogenesis itself but also
to a new understanding of the influence of diet on human physiology and
metabolism.
- Language of Publication
- English
- Unique Identifier
- 76274982
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- MeSH Heading (Major)
- Diet|*/AE; Neoplasms|DT/*ET; Nutrition|*
- MeSH Heading
- Animal; Ascorbic Acid|AE/TU; Bile Acids and Salts|ME; Cholesterol; Dietary
Fats|AE; Energy Metabolism; Forecasting; Gastrointestinal System|PA; Human;
Hypercholesterolemia|CO; Intestines|MI; Nutrition Disorders; Polysaccharides|TU;
Vitamin A|AE; Vitamin A Deficiency|CO; Vitamin B Complex|AE; Vitamin B
Deficiency|CO
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0002-9165
- Country of Publication
- UNITED STATES
Record 79 from database: MEDLINE
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- Title
- The management of hyperlipidemia: whether, rather than how.
- Author
- Ahrens EH Jr
- Address
-
- Source
- Ann Intern Med, 1976 Jul, 85:1, 87-93
- Abstract
- The premise that measures used to lower the plasma lipids in patients with
hyperlipidemia will lead to reductions in new events of coronary heart disease
(the Lipid Hypothesis) should be reconsidered today as a result of several
recent reports of large-scale double-blind drug trials in the United Kingdom and
in the United States. To that end, the published evidence that bears on tests of
the hypothesis by dietary and drug interventions is reviewed, and the conclusion
reached that the hypothesis has not yet been adequately tested. A phased program
is described that will prepare the ground for a fuller and more definitive trial
of the premise in the future: the first steps must be to establish that a
combined diet/drug regimen in large numbers of adult male hyperlipidemic
patients is acceptable and essentially harmless and that during an observation
period of several years a high rate of adherence to the regimen can be attained.
Any advice to the general public to make large dietary changes now is considered
premature.
- Language of Publication
- English
- Unique Identifier
- 76229943
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- MeSH Heading (Major)
- Antilipemic Agents|*TU; Coronary Disease|BL/*PC; Hyperlipidemia|*TH
- MeSH Heading
- Cholesterol|BL; Clinical Trials; Clofibrate|TU; Dietary Fats; Drug
Evaluation; Great Britain; Health Education; Human;
Hypercholesterolemia|DH/DT/ET; Male; Mass Screening; Nicotinic Acids|TU;
Research Design; Risk; Support, U.S. Gov't, P.H.S.; Triglycerides|BL; United
States
- Publication Type
- CLINICAL TRIAL; JOURNAL ARTICLE; REVIEW
- ISSN
- 0003-4819
- Country of Publication
- UNITED STATES
Record 80 from database: MEDLINE
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- Title
- The enterohepatic circulation of bile acids in man.
- Author
- Hofmann AF
- Address
-
- Source
- Adv Intern Med, 1976, 21:, 501-34
- Abstract
- It is clear that a truly spectacular increase in our understanding of the
biliary circulation has occurred during the past 5 years. A steady-state
situation has now become dynamic. In a sense, we have clarified the anatomy and
physiology of the biliary circulation, and the challenge now is to describe its
biochemistry. Specifically, we remain totally ignorant of the mechanism of cell
transport of bile acids, the regulation of their synthesis and the action of
bile acids in bile formation. When we understand the biliary circulation, we can
then clarify its diseases. That, in turn, should lead to the development of a
new specialty of biliary therapy.
- Language of Publication
- English
- Unique Identifier
- 76133635
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- MeSH Heading (Major)
- Bile Acids and Salts|*ME/PH/SE; Enterohepatic Circulation|*
- MeSH Heading
- Amino Acids|ME; Biological Transport; Biotransformation; Chemistry;
Cholesterol|PH; Human; Intestinal Absorption; Intestine, Small|ME;
Intestines|MI/SE; Lipids; Liver|ME; Micelles|PD; Portal System|ME; Support, U.S.
Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0065-2822
- Country of Publication
- UNITED STATES
Record 81 from database: MEDLINE
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- Title
- Primary prevention of atherosclerosis: a challenge to the physician caring
for children.
- Author
- Strong WB; Rao PS; Steinbaugh M
- Address
-
- Source
- South Med J, 1975 Mar, 68:3, 319-27
- Abstract
- This review article stresses the importance of prevention in the reduction
of the incidence of artherosclerotic disease, especially coronary heart disease.
Evidence accumulated from autopsy studies, animal experimentation, and long-term
epidemiologic studies supports the concept that atherosclerosis has its
inception in childhood. Adult programs designed to change life styles and
attitudes or reverse morphologic changes appear doomed to failure. Therefore, if
nutritional, physical activity, and smoking habits are to be altered, it is
essential to begin these efforts in infancy and childhood.
- Language of Publication
- English
- Unique Identifier
- 75121959
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- MeSH Heading (Major)
- Arteriosclerosis|*PC; Atherosclerosis|ET/*PC; Pediatrics|*
- MeSH Heading
- Adolescence; Adult; Aged; Animal; Autopsy; Child; Child, Preschool;
Cholesterol|BL; Coronary Disease|ET; Diet, Atherogenic; Human; Hypertension|CO;
Infant; Life Style; Male; Middle Age; Myocardial Infarction|ET; Obesity|CO;
Stress, Psychological
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0038-4348
- Country of Publication
- UNITED STATES
Record 82 from database: MEDLINE
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- Title
- Corneal arcus and hyperlipoproteinaemia.
- Author
- Rifkind BM
- Address
-
- Source
- Surv Ophthalmol, 1972 Mar-Apr, 16:5, 295-304
- Abstract
- A corneal arcus is a lipid deposition mainly consisting of cholesterol and
phospholipid. Its prevalence varies in different populations and races,
increases with age and is greater in the male. Earlier studies related the
presence and severity of a corneal arcus to plasma lipid levels and linked it
with certain familial hyperlipidaemias. The recent reclassification of such
disorders in terms of hyperlipoproteinaemia now links the premature occurrence
of an arcus with familial Type II and III hyperlipoproteinaemia. Other rare
plasma lipid disorders in which corneal opacities occur are Tangier Disease and
lecithin:cholesterol acyl transferase deficiency.
- Language of Publication
- English
- Unique Identifier
- 89203690
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- MeSH Heading (Major)
- Corneal Opacity|*ET; Hyperlipoproteinemia|*CO/DH
- MeSH Heading
- Adult; Aged; Female; Human; Hypercholesterolemia, Familial|CO;
Hyperlipoproteinemia Type III|CO; Lipoproteins|BL; Male; Middle Age
- Publication Type
- JOURNAL ARTICLE; REVIEW; REVIEW, TUTORIAL
- ISSN
- 0039-6257
- Country of Publication
- UNITED STATES
Record 83 from database: MEDLINE
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- Title
- HDL cholesterol and coronary heart disease.
- Author
- Francis KT
- Address
-
- Source
- South Med J, 1980 Feb, 73:2, 169-73
- Abstract
- Of the risk factors related to coronary heart disease, three clearly stand
out: elevated blood pressure, cigarette smoking, and elevated levels of serum
cholesterol. Recently, considerable evidence has accumulated indicating that, in
addition to concentration of total blood cholesterol, the manner in which
cholesterol is distributed or transported in the blood may be associated with
the risk of developing coronary heart disease. Specifically, the level of one
particular lipoprotein called high density lipoprotein (HDL) appears to be an
important predictor of the possibility of developing heart disease. The higher
the proportion of HDL the lower the risk of developing heart disease. In
general, the blood concentrations of HDL cholesterol are high in children,
decrease with age, and are the lowest in sufferers of coronary heart disease.
This observation is true in both blacks and whites. The relationship between
physical activity and blood cholesterol have not been definitely established.
Preliminary reports indicate that exercise does, in fact, raise blood levels of
HDL cholesterol and may thus provide some protective effect to coronary heart
disease. Data are only now emerging as to the specific effects of diet, stress,
or diabetes on the proportion changes of serum HDL cholesterol and their
possible interaction in CHD. New and exciting relationships appear to be close
at hand.
- Language of Publication
- English
- Unique Identifier
- 80124256
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- MeSH Heading (Major)
- Coronary Disease|*BL/PX; Lipoproteins, HDL|*BL
- MeSH Heading
- Age Factors; Behavior; Cholesterol, Dietary|AD; Diabetes Mellitus|BL;
Exertion; Human; Lipoproteins, LDL|BL; Myocardial Infarction|BL; Negroid Race
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0038-4348
- Country of Publication
- UNITED STATES
Record 84 from database: MEDLINE
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- Title
- Relative atherogenicity of different plasma lipoproteins.
- Author
- Zilversmit DB
- Address
-
- Source
- Adv Exp Med Biol, 1978, 109:, 45-59
- Abstract
- Originally, data from the Framingham study appeared to show that serum
lipoprotein fractions were no better in predicting coronary heart disease than
the total serum cholesterol. More recently, the concentration of high density
lipoprotein has been shown to exhibit a strong negative correlation with
coronary heart disease, especially in the older age groups in which total serum
cholesterol shows little or no correlation with clinical events. Biochemical
mechanisms that might clarify the role of high density lipoprotein in
atherogenesis are forthcoming. Another aspect of the lipoprotein-atherogenesis
question pertains to the possible role of chylomicrons. Animal experiments show
that cholesterol feeding is frequently accompanied by an increase in
beta-migrating, very low density lipoproteins which appear to be chylomicron
remnants. The atherogenic effect of serum low- and very low-density
lipoproteins, including chylomicron remnants, appears to depend more on their
contribution to the total cholesterol concentration than to their origin in
liver versus intestines.
- Language of Publication
- English
- Unique Identifier
- 79079850
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- MeSH Heading (Major)
- Arteriosclerosis|*ET; Atherosclerosis|BL/*ET; Lipoproteins|*BL
- MeSH Heading
- Animal; Cholesterol, Dietary|PD; Chylomicrons|BL; Comparative Study; Human;
Lipoproteins, HDL|BL; Lipoproteins, LDL|BL; Lipoproteins, VLDL|BL; Support, U.S.
Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0065-2598
- Country of Publication
- UNITED STATES
Record 85 from database: MEDLINE
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- Title
- Animal models of human cholesterol gallstone disease: a review.
- Author
- Gurll N; DenBesten L
- Address
-
- Source
- Lab Anim Sci, 1978 Aug, 28:4, 428-32
- Abstract
- Human cholesterol gallstone disease has been a frequent and serious problem.
A number of animal models have been reviewed for comparative study of
cholesterol lithogenesis. These models in general have involved (1) decreasing
bile salt excretion, (2) increasing dietary cholesterol, or (3) inducing
gallbladder infection or stasis.
- Language of Publication
- English
- Unique Identifier
- 79030757
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- MeSH Heading (Major)
- Cholelithiasis|*/ET; Cholesterol, Dietary|*AE; Disease Models, Animal|*
- MeSH Heading
- Animal; Cats; Cholestasis|CO; Cholestyramine; Dogs; Female; Guinea Pigs;
Hamsters; Haplorhini; Human; Lithocholic Acid; Male; Rabbits; Rats; Rodentia;
Saimiri; Sciuridae
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0023-6764
- Country of Publication
- UNITED STATES
Record 86 from database: MEDLINE
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- Title
- Fiber and gastrointestinal microecology.
- Author
- Floch MH; Wolfman M; Doyle R
- Address
-
- Source
- J Clin Gastroenterol, 1980 Jun, 2:2, 175-84
- Abstract
- The gastrointestinal tract contains a unique microecology. Microorganisms
living in the mouth, stomach, and most importantly in the small and large
intestines produce enzymes which help metabolize certain ingested foods, as well
as maintain important body homeostatic mechanisms such as the bile salt
enterohepatic circulation. Recent awareness of the importance of poorly digested
foods such as cellulose, hemicellulose, pectins, and lignins, as well as
selectively absorbed long-chain polysaccharides, has stressed the importance of
the relationship of food to the microflora. This intestinal microecology has
definite effects on the human host in cholesterol metabolism, glucose tolerance,
and may explain such diseases as carcinoma. The exacting details of the
intestinal microecology need further elaboration.
- Language of Publication
- English
- Unique Identifier
- 81070608
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- MeSH Heading (Major)
- Cellulose|*ME; Dietary Fiber|AN/CL/*ME; Gastrointestinal System|*MI
- MeSH Heading
- Bile Acids and Salts|SE; Body Water|AN; Calcium|DF/ME; Cholesterol,
Dietary|ME; Colon|MI; Colonic Neoplasms|EP/ET; Diabetes Mellitus|DH; Food
Analysis; Gastric Acid|ME; Homeostasis; Human; Iron|DF; Japan|EH; Pectins|ME;
Zinc|DF
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0192-0790
- Country of Publication
- UNITED STATES
- CAS Registry/EC Number
- 0 (Bile Acids and Salts); 0 (Cholesterol, Dietary); 0 (Pectins); 7439-89-6
(Iron); 7440-66-6 (Zinc); 7440-70-2 (Calcium); 9004-34-6 (Cellulose)
Record 87 from database: MEDLINE
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- Title
- Is atheroma a reversible lesion?
- Author
- Gresham GA
- Address
-
- Source
- Atherosclerosis, 1976 May-Jun, 23:3, 379-91
- Abstract
- In this review atherogenic factors are discussed in relation to the
possibility of regression. Evidence for regression of human lesions comes mainly
from postwar studies and observations on persons with chronic wasting diseases.
The entry, exit and effects of lipids in the arterial wass are considered as
important factors which might determine regression. A variety of experiments in
different animals which have been done in order to study regression are
described. Some involve cholesterol feeding and withdrawal, others are concerned
with the effects of hyperoxia and drugs. It is concluded that certain forms of
atheroma can be induced to regress.
- Language of Publication
- English
- Unique Identifier
- 76184267
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- MeSH Heading (Major)
- Arteriosclerosis|*DH; Atherosclerosis|*DH/ME/PA
- MeSH Heading
- Animal; Aorta|ME/PA; Capillary Permeability; Cholesterol Esters|ME;
Cholesterol, Dietary|ME; Collagen|ME; Diet, Atherogenic; Food Habits; Human;
Hyperbaric Oxygenation; Lipoproteins, HDL|PD; Organ Weight; Remission,
Spontaneous
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0021-9150
- Country of Publication
- NETHERLANDS
Record 88 from database: MEDLINE
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- Title
- Lipids of human milk and infant formulas: a review.
- Author
- Jensen RG; Hagerty MM; McMahon KE
- Address
-
- Source
- Am J Clin Nutr, 1978 Jun, 31:6, 990-1016
- Abstract
- The amount of human milk ingested by the nursing infant is about 600 ml per
day. The average lipid content of the mature ranges from 3.2 to 3.5% and the
amount does not appear to be influenced by diet. About 98% of the lipid is
triacylglycerol in which most of the secondary ester is palmitic acid, a unique
structure possibly responsible for the relatively high absorbability of the fat.
Small quantities of other lipids are present. Amounts of cholesterol reported,
range from 200 to 564 mg per 100 g of lipid. While 167 fatty acids have been
positively and tentatively identified as being present in human milk lipids, the
major fatty acids are palmitic, stearic, oleic, and linoleic. The composition
can be changed by diet, which linoleic acid contents of from 1.0 to 45.0% having
been found. The "average" linoleic acid is about 10% and this amount
is apparently adequate for the essential fatty acid requirements of the infant.
The quantity of vitamin E also appears to be satisfactory. The hypothesis that a
cholesterol challenge to the breast fed infant would enable the adult to more
efficiently metabolize the sterol does not seem to be supported by available
evidence, primarily, because the cholesterol content of human milks varies so
markedly; 26 to 52 mg per 8 ounces. The compositions of most infant formulas
currently in use in the United States are presented for comparison and
convenience and a few possible problems associated with their consumption are
discussed. We have suggested several areas where, in our opinion, additional
research would provide useful information.
- Language of Publication
- English
- Unique Identifier
- 78208223
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- MeSH Heading (Major)
- Dietary Fats|*AN; Infant Food|*AN; Milk, Human|*AN/ME
- MeSH Heading
- Animal; Appetite Regulation; Calcium|ME; Cattle; Central Nervous System|GD;
Chemistry; Fatty Acids|AN; Female; Human; Infant; Infant, Newborn; Intestinal
Absorption; Lactation; Lipids|ME; Milk|AN; Phospholipids|AN; Pregnancy; Species
Specificity; Triglycerides|AN; Vitamin E
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0002-9165
- Country of Publication
- UNITED STATES
Record 89 from database: MEDLINE
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- Title
- Lipoprotein metabolism in liver disease.
- Author
- Sabesin SM; Bertram PD; Freeman MR
- Address
-
- Source
- Adv Intern Med, 1980, 25:, 117-46
- Abstract
- In this review we have endeavored to emphasize the central role of the liver
in normal lipoprotein metabolism and to demonstrate how derangements in these
metabolic processes can lead to abnormalities characteristic of liver disease.
Since changes in the concentration and composition of plasma lipids and
lipoproteins occur frequently in liver disease, these findings may be useful in
following the clinical course of patients with liver disease of various causes.
It should be emphasized that elevated plasma triglycerides and cholesterol are
due to underlying defects in lipoprotein metabolism and should not be confused
with primary hyperlipidemia. Impaired cholesterol esterification, abnormal
lipoprotein electrophoretic patterns and lipoprotein compositional changes, all
reflect abnormalities of lipoprotein metabolism that are secondary to
hepatocellular injury or cholestasis. These abnormalities are very sensitive
indicators of fundamental metabolic defects that are related in part to LCAT and
apoprotein activator deficiencies, impaired H-TGL and LPL activity and, perhaps,
defective remnant lipoprotein clearance by the liver. Since these abnormalities
tend to improve with clinical recovery they have proved to be reliable and
sensitive indicators of hepatic function and thus, are useful in the assessment
of liver disease.
- Language of Publication
- English
- Unique Identifier
- 80150458
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- MeSH Heading (Major)
- Lipoproteins|BI/*ME; Liver Diseases|*ME
- MeSH Heading
- Cholestasis|ME; Cholesterol Esters|ME; Chylomicrons|BL; Hepatitis,
Alcoholic|ME; Human; Hyperlipoproteinemia Type IV|ME; Lecithin
Acyltransferase|ME; Lipoprotein Lipase|ME; Lipoproteins, HDL|BL; Lipoproteins,
LDL|BL; Lipoproteins, VLDL|BL; Liver|ME; Support, U.S. Gov't, Non-P.H.S.;
Support, U.S. Gov't, P.H.S.
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0065-2822
- Country of Publication
- UNITED STATES
- CAS Registry/EC Number
- EC 2.3.1.43 (Lecithin Acyltransferase); EC 3.1.1.34 (Lipoprotein Lipase)
Record 90 from database: MEDLINE
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- Title
- Importance of apolipoproteins in lipid metabolism.
- Author
- Cham BE
- Address
-
- Source
- Chem Biol Interact, 1978 Mar, 20:3, 263-77
- Abstract
- Lipids, which serve as a source of energy and are an important constituent
of cell membrane structure, are readily stored in the body. By definition they
are insoluble in water. Specific proteins called apolipoproteins interact with
lipids to form soluble lipid-protein complexes called lipoproteins. It is in
this form that the major lipids--cholesterol, triglyceride and
phospholipid--circulate in plasma. Unesterified fatty acids, another major lipid
group, are bound to albumin in the circulation. The plasma lipoproteins are
complex macromolecules composed of lipids, apolipoproteins and carbohydrates.
The relative proportions of these components differ markedly between lipoprotein
classes. Hyperlipidemia is a term used for increased concentrations of plasma
cholesterol and/or triglycerides. Any one plasma lipid is present in several
types of lipoproteins. Thus, hyperlipidemia implies the presence of
hyperlipoproteinemia. The latter has important therapeutic implications. Most of
the recent attempts at classification have been directed at the lipoprotein
level of plasma lipid organization. Decreased concentrations of lipids in plasma
can be achieved by altering the rates of metabolism of lipoproteins. Decrease in
lipoprotein synthesis, increased catabolism or impaired release from cells into
the blood stream may all result in a decrease of plasma lipids. Drugs which
affect one or more of these factors are used to treat hyperlipoproteinemia. In
order to elucidate the mechanism of action of hypolipidemic drugs it is
necessary to understand the lipoprotein defect at the molecular level. This
requires a more detailed knowledge of lipoprotein metabolism than is presently
available for most of the hyperlipoproteinemias. This paper will review some of
the generally accepted properties of the plasma lipoproteins, describe some
difficulties which hamper the understanding of lipoprotein metabolism, and
identify possible mechanisms by which drugs may affect lipoprotein metabolism.
- Language of Publication
- English
- Unique Identifier
- 78189164
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- MeSH Heading (Major)
- Apolipoproteins|*ME; Lipids|*ME
- MeSH Heading
- Chylomicrons|ME; Human; Intestines|ME; Lipoproteins, HDL|ME; Lipoproteins,
LDL|ME; Lipoproteins, VLDL|ME; Liver|ME
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0009-2797
- Country of Publication
- NETHERLANDS
Record 91 from database: MEDLINE
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- Title
- Diet and coronary heart disease.
- Author
- Walker AR
- Address
-
- Source
- S Afr Med J, 1978 Apr 15, 53:15, 587-90
- Abstract
- Coronary heart disease (CHD) is rare in South African Blacks, even in urban
dwellers, but very common in Whites. The disease is multifactorial in causation.
Habitual pattern of diet undoubtedly is strongly involved. Epidemiological and
other evidence suggests that for the primary and secondary dietary prevention of
CHD, intake of fat (also cholesterol) should be reduced, with an increase in the
polyunsaturated moiety, and obesity should be controlled. Less specific general
recommendations are increased consumptions of unrefined or partially refined
grain products, and fruit and vegetables. Controversies over interpretations of
evidence, over dietary recommendations, and also over the changes of their
adoption, are discussed.
- Language of Publication
- English
- Unique Identifier
- 78228914
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- MeSH Heading (Major)
- Coronary Disease|EP/*PC; Diet|*
- MeSH Heading
- Cholesterol, Dietary; Diet, Sodium-Restricted; Dietary Carbohydrates;
Dietary Fats; Dietary Fiber; Dietary Proteins; Ethnic Groups; Food Habits;
Human; South Africa
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0038-2469
- Country of Publication
- SOUTH AFRICA
Record 92 from database: MEDLINE
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- Title
- Perspectives in coronary prevention.
- Author
- Turner RW
- Address
-
- Source
- Postgrad Med J, 1978 Mar, 54:629, 141-8
- Abstract
- The seeds of premature coronary heart disease are often sown in childhood
and it is the developing arteries of children which are the most susceptible.
Paediatricians and all who work with them have the earliest and most promising
opportunities for prevention. Coronary protection can be added to the potential
advantages of breast feeding and to ensure appropriate fatty acid balance
throughout weaning. It is reasonable to accept the strong consensus of opinion
on diet reflected in the reports of the eighteen national committees. They are:
to reduce total fat intake to 30-35% of the energy, to restrict consumption of
saturated fat, cholesterol, sugar, and salt, to increase unrefined carbohydrate
and polyunsaturated fat, and to maintain a P/S balance of 1.0-1.5:1. Food is the
fundamental coronary risk factor, but others may add insult to injury. Smoking,
hypertension, obesity, lack of exercise, and stress, each of which is related to
behaviour, may start in childhood. Smoking doubles the overall risk CHD and
increases it ten times in males under 45 years old. Good habits, including food
preferences and eating patterns learned early, are those most likely to be
continued. School meals require and should match revised nutritional education.
The co-operation of the food industry is essential and can be anticipated, but
it requires a clear lead by paediatricians. The nutritional advice should come
from the medical profession. Every contact with children and their parents
provides an opportunity for enquiry and giving advice.
- Language of Publication
- English
- Unique Identifier
- 78178773
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- MeSH Heading (Major)
- Coronary Disease|GE/MO/*PC; Diet|*
- MeSH Heading
- Atherosclerosis|PC; Child; Cholesterol, Dietary|AD; Dietary Fats|AD;
Exertion; Food Habits; Human; Hypertension|PC; Obesity|PC; Risk
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0032-5473
- Country of Publication
- ENGLAND
Record 93 from database: MEDLINE
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- Title
- Fiber, intestinal sterols, and colon cancer.
- Author
- Huang CT; Gopalakrishna GS; Nichols BL
- Address
-
- Source
- Am J Clin Nutr, 1978 Mar, 31:3, 516-26
- Abstract
- It has been postulated that dietary fiber's protective effect against the
development of colon cancer, diverticular disease, and atherosclerosis may be
due to the adsorption and/or dilution of intestinal sterols such as bile acids
and neural sterols and their bacterial metabolites by component(s) of fiber.
Dietary fiber is made up of four major components-cellulose, hemicellulose,
lignin, and pectin. There is evidence that hemicellulose and pectin may induce
an increase in fecal bile acid excretion in man which may be accompanied by a
decrease in serum cholesterol. Natural fibers, such as rolled oats, alfalfa,
guar gum, and Bengal gram have been shown to have hypocholesterolemic properties
of alfalfa, wheat straw, and some other fibers found considerable amounts of
bile acids in vitro. On the other hand, wheat bran, oat hulls, and all the
synthetic fibers tested bound only negligible amounts of bile acids under the
same conditions. Vegetarians in the United States have lower plasma lipids and
different plasma lipoprotein patterns than those of comparable control
populations on regular mixed diet. They also have smaller daily fractional
turnover rates of cholic acid and deoxycholic acid pool size. In addition,
populations on a mixed Western diet, where the rate of large bowel cancer is
high (North American, English, Scottish, etc.) degraded and excreted cholesterol
and bile acid metabolites to a greater degree than populations where the rate of
colon cancer is comparatively low (Ugandan, Japanese, etc). It cannot be denied
that the fiber theory linking fiber deficiency with the development of colon
cancer and other diseases, is simple, attractive and appears to be firmly based
in common sense. When subjected to research studies, however, the situation
appears much more complex than expected. Although some progress is being made,
the data are often contradictory and confusing, probably due to lack of adequate
documentation of fiber intake (e.g., use of dietary fiber instead of crude
fiber) and/or the absence of detailed information on the chemistry of the fiber
itself.
- Language of Publication
- English
- Unique Identifier
- 78121103
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- MeSH Heading (Major)
- Cellulose|*/PD; Colonic Neoplasms|*PC; Dietary Fiber|*; Intestines|*PH
- MeSH Heading
- Adult; Bile Acids and Salts|ME; Digestion; Feces|MI; Human; Lignin|PD; Male;
Pectins|PD; Polysaccharides|PD; Support, U.S. Gov't, Non-P.H.S.; Support, U.S.
Gov't, P.H.S.; Vegetarianism
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0002-9165
- Country of Publication
- UNITED STATES
Record 94 from database: MEDLINE
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- Title
- Are atherosclerotic lesions reversible or not?
- Author
- Velican D
- Address
-
- Source
- Med Interne, 1977 Oct-Dec, 15:4, 297-309
- Abstract
- A review is presented on the recent data which try to answer whether or not
atherosclerotic lesions are reversible. Several examples are given on the
regression induced by return to cholesterol-free diets and by certain
hypolipidemic agents. Emphasis is also placed on the intimate mechanisms leading
to lipid depletion from atherosclerotic lesions.
- Language of Publication
- English
- Unique Identifier
- 78074677
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- MeSH Heading (Major)
- Arteriosclerosis|DH/PA/*TH
- MeSH Heading
- Animal; Anticholesteremic Agents|TU; Antilipemic Agents|TU; Cholesterol,
Dietary|AE; English Abstract; Human; Hyperbaric Oxygenation; Prognosis
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0377-1202
- Country of Publication
- ROMANIA
Record 95 from database: MEDLINE
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- Title
- Hematologic aberrations in metabolic diseases.
- Author
- Buehler BA
- Address
-
- Source
- Ann Clin Lab Sci, 1980 Nov-Dec, 10:6, 500-7
- Abstract
- This study of enzyme deficiencies and hematologic aberrations in metabolic
diseases includes disorders of amino acidopathies, lipid disease, albinism,
carbohydrates, and mucopolysaccharidosis.
- Language of Publication
- English
- Unique Identifier
- 81084820
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- MeSH Heading (Major)
- Hematologic Diseases|*CO; Metabolism, Inborn Errors|*CO
- MeSH Heading
- Albinism|CO; Amino Acid Metabolism, Inborn Errors|CO; Carbohydrate
Metabolism, Inborn Errors|CO; Cholesterol Esters|ME; Human; Lipid Metabolism,
Inborn Errors|CO; Lipoidosis|CO; Mucopolysaccharidoses|CO
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0091-7370
- Country of Publication
- UNITED STATES
- CAS Registry/EC Number
- 0 (Cholesterol Esters)
Record 96 from database: MEDLINE
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- Title
- Colestipol: a review of its pharmacological properties and therapeutic
efficacy in patients with hypercholesterolaemia.
- Author
- Heel RC; Brogden RN; Pakes GE; Speight TM; Avery GS
- Address
-
- Source
- Drugs, 1980 Mar, 19:3, 161-80
- Abstract
- Colestipol is an anion exchange resin with bile acid sequestering properties
resembling those of cholestyramine, another lipid-lowering binding resin. In
daily doses of 15 to 30g colestipol reduces total plasma cholesterol
concentrations (primarily low density lipoprotein cholesterol) by about 15 to
30%, but plasma triglyceride concentrations may be unchanged or in some patients
increased. Thus, like cholestyramine, colestipol is of benefit in patients with
primary hypercholesterolaemia without associated hypertriglyceridaemia (type IIa
hyperlipoproteinaemia). Colestipol is odourless and tasteless, and is said by
some to be more readily tolerated by patients than cholestyramine, leading to
improved compliance, but such data has not been documented in most studies. Side
effects of colestipol treatment are primarily gastrointestinal in nature since
the drug is essentially unabsorbed. As with cholestyramine, colestipol may bind
with other concomitantly administered drugs reducing their absorption or
enterohepatic recirculation; dosage intervals of other concurrent medications
should be adjusted to minimise the potential for such an interaction.
- Language of Publication
- English
- Unique Identifier
- 80156475
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- MeSH Heading (Major)
- Colestipol|AD/AE/ME/*PD/TO/TU; Hypercholesterolemia|*DT; Polyamines|*PD
- MeSH Heading
- Drug Interactions; Drug Therapy, Combination; Human; Kinetics; Protein
Binding
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0012-6667
- Country of Publication
- SWITZERLAND
- CAS Registry/EC Number
- 0 (Polyamines); 50925-79-6 (Colestipol)
Record 97 from database: MEDLINE
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- Title
- Beneficial physiologic action of beans.
- Author
- Hellendoorn EW
- Address
-
- Source
- J Am Diet Assoc, 1976 Sep, 69:3, 248-53
- Abstract
- The author reviews the literature indicating the beneficial effects of a
diet high in fiber and the detrimental effects of highly refined carbohydrate
intake, which characterizes the present Western diet. Reduction in serum
cholesterol and stimulation of peristalsis can be demonstrated by incorporating
beans in the diet. In studies with male volunteers, serum cholesterol has been
lowered, despite a high-fat or sucrose diet, and an investigation with rats is
cited in which substitution of beans for wheat starch decreased intestinal
transit time. The author points out the difference between "crude
fiber," figures for which are available in food composition tables, and
"indigestible food residue"; he urges that the latter phrase replace
the terms "fiber" and "rough-age."
- Language of Publication
- English
- Unique Identifier
- 76238197
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- MeSH Heading (Major)
- Hypercholesterolemia|*DH; Intestines|DE/*PH; Polysaccharides|*/AN/PD;
Vegetables|*/AN/SD
- MeSH Heading
- Animal; Cereals|AN; Cookery; Dietary Carbohydrates|TU; Digestion;
Gastrointestinal Motility; Human; Male; Rats; Time Factors
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0002-8223
- Country of Publication
- UNITED STATES
Record 98 from database: MEDLINE
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- Title
- Hormone-sensitive lipase of adipose tissue.
- Author
- Steinberg D; Khoo JC
- Address
-
- Source
- Fed Proc, 1977 Jun, 36:7, 1986-90
- Abstract
- Some physiologic aspects of the mobilization and fate of free fatty acids
are reviewed. The molecular mechanism of the activation of hormone-sensitive
lipase in adipose tissue is then discussed. Recent evidence established that
hormone-sensitive lipase, concerned with fat mobilization, is both functionally
and immunochemically distinct from lipoprotein lipase, concerned with uptake of
plasma triglycerides. Lipoprotein lipase activity is not altered by cyclic
AMP-dependent protein kinase. The latter enzyme enhances not only triglyceride
hydrolase but also monoglyceride, diglyceride and cholesterol ester hydrolase
activities in chicken adipose tissue. Finally, it is shown that the activation
of all four acyl hydrolases is reversible, the deactivation being
magnesium-dependent. Protein phosphatase fractions from heart and liver active
against phosphorylase a can reversibly deactivate adipose tissue
hormone-sensitive lipase, implying a low degree of substrate specificity for
lipase phosphatase.
- Language of Publication
- English
- Unique Identifier
- 77185698
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- MeSH Heading (Major)
- Adipose Tissue|*EN/ME; Hormones|*PD; Lipase|IM/*ME; Lipoprotein
Lipase|*IM/ME
- MeSH Heading
- Animal; Cyclic AMP|ME; Enzyme Activation; Epitopes; Fatty Acids,
Nonesterified|BL/ME; Human; Insulin|PD; Lipoproteins, VLDL|ME; Liver|ME;
Monoacylglycerol Lipases|ME; Phosphoproteins; Phosphoric Monoester
Hydrolases|ME; Protein Kinases|ME; Receptors, Cell Surface|ME
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0014-9446
- Country of Publication
- UNITED STATES
Record 99 from database: MEDLINE
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- Title
- Hormone production in ovarian carcinomas. Histochemical approach in stroma
reaction.
- Author
- Pfeiderer A Jr; Teufel G
- Address
-
- Source
- Osterr Kneipp Mag, 1976, 3:4, 83-90
- Abstract
- Enzymatically active stromal cells (EASC) in different ovarian tumors are
concerned with hormon production. 198 cases of ovarian tumors were investigated
by different histochemical methods. Distribution of lactate-and
glucose-6-phosphate-dehydrogenase was investigated by plaimetric
measurement.--EASC were found in benign ovarian tumors in 48%, in malignant in
30%. They are found exclusively in ovarian tumors and are completely absent in
metastases. Incidence is dependent on histological type of tumor. With regard to
untreated ovarian carcinoma containing EASC, these cells cover an aerea of 1.9%
(0.5-5.9%). EASC occur in a very high percentage after menopause and are reduced
by chemotherapy or radioation. Incidence of EASC in ovarian tumors is in
relation with postmenopausal bleeding. Glandular-cystic endometrium is noticed
only in connection with EASC. There is a positive relation between the quantity
of EASC and the incidence of bleeding.--EASC are characterized by a strong
NADP-dependent-dehydrogenase-reaction and reactions for lactate-,
malate-dehydrogenases and alcaline phosphatases. Apart from that these cells are
not all uniform. It seems that the enzymatically active fibrocytes are the first
step of theca-like cells which are then luteinized and finally filled up with
cholesterol. Histochemistry of EASC in comparison with other steroid-producing
tissues make possible, that these cells have an estrogenic and more seldomly
also an androgenic activity.
- Language of Publication
- English
- Unique Identifier
- 77101484
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- MeSH Heading (Major)
- Ovarian Neoplasms|EN/PA/*SE
- MeSH Heading
- Adolescence; Alkaline Phosphatase|AN; Androgens|SE; English Abstract;
Estrogens|SE; Female; Histocytochemistry; Human; Lactate Dehydrogenase|AN;
Malate Dehydrogenase|AN; NADP; Progesterone|SE
- Publication Type
- JOURNAL ARTICLE; REVIEW
- Country of Publication
- AUSTRIA
Record 100 from database: MEDLINE
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- Title
- Pathophysiology of lipoprotein transport.
- Author
- Brunzell JD; Chait A; Bierman EL
- Address
-
- Source
- Metabolism, 1978 Sep, 27:9, 1109-27
- Abstract
- A system for classification of genetic and acquired forms of hyperlipidemia
in humans based on lipoprotein physiology is described. Most hyperlipidemia can
be accounted for by defects in one of four sites of physiologic regulation: (1)
triglyceride-rich lipoprotein production, (2) lipoprotein lipase-mediated
triglyceride catabolism, (3) remnant lipoprotein catabolism, and (4)
extrahepatic cholesterol-rich lipoprotein catabolism.
- Language of Publication
- English
- Unique Identifier
- 78246263
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- MeSH Heading (Major)
- Hyperlipidemia|CL/GE/*ME; Lipoproteins|*ME
- MeSH Heading
- Apolipoproteins|ME; Atherosclerosis|PP; Biological Transport;
Chylomicrons|ME; Human; Hypercholesterolemia|GE; Lipoprotein Lipase|DF/ME;
Lipoproteins, HDL|BL; Lipoproteins, LDL|BL; Lipoproteins, VLDL|BL; Liver
Diseases|PP; Phenotype; Support, U.S. Gov't, P.H.S.; Triglycerides|BL;
Xanthomatosis|PP
- Publication Type
- JOURNAL ARTICLE; REVIEW
- ISSN
- 0026-0495
- Country of Publication
- UNITED STATES
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100 Different Cholesterol Studies
From 1960 to 1969
HealthGate Documents
Record 101 from database: MEDLINE
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- Title
- On the stratification of human bile and its importance for the solubility of
cholesterol.
- Author
- Thureborn E
- Address
-
- Source
- Gastroenterology, 1966 Jun, 50:6, 775-80
- Abstract
- Stratification (layer formation) is noted in vitro in hepatic bile collected
after interruption of the enterohepatic circulation. Hepatic bile is still
layered after more than 12 hr when collected in this way (continuously or in
fractions) in a bag made of a semipermeable membrane (simulating an atonic gall
bladder) and concentrated. Cholesterol solubility is very slight in the upper
layer. This phenomenon may be important for precipitation of cholesterol and the
formation of gallstones, since the enterohepatic circulation is interrupted when
bile is stored and concentrated in the gall bladder. This condition may be
prolonged by temporary stasis, which has always been considered one of the main
factors in the formation of gallstones.
- Language of Publication
- English
- Unique Identifier
- 87005780
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- MeSH Heading (Major)
- Bile|*PH; Cholesterol|*
- MeSH Heading
- Human; In Vitro; Solubility
- Publication Type
- JOURNAL ARTICLE
- ISSN
- 0016-5085
- Country of Publication
- UNITED STATES
Record 102 from database: MEDLINE
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- Title
- Tropical sprue in expatriates from the tropics living in the continental
United States.
- Author
- Klipstein FA; Falaiye JM
- Address
- Department of Medicine, University of Rochester School of Medicine and
Dentistry, New York.
- Source
- Medicine (Baltimore), 1969 Nov, 48:6, 475-91
- Abstract
- The results of clinical, laboratory and therapeutic observations conducted
over a seven year period in 40 expatriates from the tropics who presented in New
York City with overt tropical sprue have been described. The majority of
subjects presented with symptoms referable to the gastrointestinal tract, weight
loss and weakness. Only nine were symptomatic at the time of arrival; the
remainder developed symptoms within several months to 14 years after arrival.
Thirty-five subjects had a megaloblastic anemia; this was a secondary to a
combined deficiency of folate and vitamin B12 in 25 and to deficiency of only
one of these vitamins in the other ten. Serum concentrations of albumin,
calcium, and cholesterol were subnormal in approximately one-half and the serum
carotene concentrations were low in all but two subjects. Serum values of one or
more immunoglobulin were reduced in 19. All 40 subjects had malabsorption of
xylose; 12 of 19 tested had malabsorption of a pharmacologic dose of folic acid;
27 of 28 tested had malabsorption of vitamin B12; and 23 of 27 persons tested
had steatorrhea. Jejunal morphology was abnormal in 34 of 35 subjects biopsied
prior to treatment; villi were completely absent in four and showed changes of
moderate severity in 30. Treatment with pharmacologic doses of folic acid or
vitamin B12 produced a clinical remission in 18 of 21 patients. This remission
was sustained in all 14 subjects who were followed for periods of from one to
four years and reevaluation of intestinal morphology and function in nine showed
improvement in all, but return to normal in less than one-half. Treatment with
oral tetracycline for three weeks resulted in clinical improvement in 11 of 12
subjects, a hematologic response in nine of the ten cases who had a
megaloblastic anemia, increased absorption of xylose and cessation of
steatorrhea in all, and improved jejunal morphology in 11. Vitamin B12
absorption remained subnormal in nine. Continued antibiotic therapy for six
months in eight patients was associated with additional weight gain, further
improvement in jejunal morphology and xylose absorption in all, and return of
vitamin B12 absorption to normal in all except one. Fifty asymptomatic
expatriates from the West Indies were surveyed for abnormalities of intestinal
function. The absorption of xylose was reduced in six (24%) of 25 subjects who
had been resident in a temperate climate for less than one year but in only one
(4%) of 25 persons who had been away from the tropics for more than a
year.(ABSTRACT TRUNCATED AT 400 WORDS)
- Language of Publication
- English
- Unique Identifier
- 89111935
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- MeSH Heading (Major)
- Sprue, Tropical|DT/*EH/PA
- MeSH Heading
- Adult; Aged; Asia|EH; Case Report; Central America|EH; Climate; Female;
Folic Acid|TU; Human; Male; Middle Age; New York City; North America;
Recurrence; Tetracycline|TU; West Indies|EH
- Publication Type
- JOURNAL ARTICLE; REVIEW; REVIEW, TUTORIAL
- ISSN
- 0025-7974
- Country of Publication
- UNITED STATES
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