Postprandial hyperglycemia is well established as a major risk factor for prediabetes and type 2 diabetes. However, for postprandial hyperlipidemia, no definitive criteria exist, and fasting values of lipids and lipoproteins had limited efficacy for estimating postprandial lipidemia. In the present study, we performed a fat-ingestion test and aimed to propose indices for estimating postprandial lipoprotein metabolism. Methods: Healthy young Japanese women (n=54, age 21.1 ± 1.0 y) with apolipoprotein E phenotype 3/3 were enrolled. They ingested fat cream (OFTT cream™, Jomo, Japan; 1 g/kg as cream, 0.35 g/kg as fat). Venous blood samples were taken before (0 h) and at 0.5, 1, 2, 4, and 6 h after ingestion. Results: The serum triglyceride (TG) level peaked at 2 h and returned to below baseline at 6 h. The remnant-like particle-TG (RP-TG) level increased at 1 h, peaked at 2 h, and returned to baseline at 6 h. The remnant lipoprotein-cholesterol (RLP-C) level increased at 2 h, peaked at 4 h, and returned to baseline at 6 h. The apolipoprotein B48 level increased at 1 h, peaked at 4 h, and did not return to baseline at 6 h. The apolipoprotein B100 concentration slightly decreased at 2 h and increased at 6 h. TG−RP-TG did not change during 6 h, but RP-TG/TG rose at 2–6 h compared to the fasting value. RP-TG/RLP-C increased at 2–4 h and returned to baseline at 6 h. Conclusion: After fat ingestion, while the concentration of non-remnant TG was stable, remnant TG increased. The content of TG per remnant particle increased up to 2 h and decreased from 2 h to 6 h, and the size became smaller. The remnant indices, RP-TG/TG and RP-TG/RLP-C, may be useful for estimating postprandial lipidemia.
Published in | International Journal of Nutrition and Food Sciences (Volume 12, Issue 1) |
DOI | 10.11648/j.ijnfs.20231201.13 |
Page(s) | 21-28 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Fat-Ingestion Test, Postprandial Lipidemia, Remnant, Index, Women, Apolipoprotein B48, Triglyceride
[1] | Brunzell JD, Hazzard WR, Porte JR, Berman EL: Evidence for a common, saturable, triglyceride removal mechanism for chylomicrons and very low density lipoproteins in man. J Clin Invest 1973; 52: 1578–1585. |
[2] | Bansal S, Buring JE, Rifai N, Mora S, Sacks FM, Risker PM: Fasting compared with nonfasting triglycerides and risk of cardiovascular events in women. JAMA 2007; 298: 309–316. |
[3] | Jackson KG, Poppitt SD, Minihane AM: Postprandial lipemia and cardiovascular disease risk: Interrelationships between dietary, physiological and genetic determinants. Atherosclerosis 2012; 220: 22–33. |
[4] | Meyer E, Westerveld HT, de Ruyter-Meijstek FC, van Greevenbroek MMJ, etal: Abnormal postprandial apolipoprotein B-48 and triglyceride responses in normolipidemic women with greater than 70% stenotic coronary artery disease: a case-control study. Atherosclerosis 1996; 124: 221–235. |
[5] | Havel RJ: Postprandial hyperlipldemia and remnant lipoproteins. Curr Opin Lipidol 1994; 5: 102–109. |
[6] | Patsch JR, Miesenbock G, Hopferwieser T, Muhlberger V, Knapp E, Dunn JK, Gotto AM Jr, Patsch W: Relation of triglyceride metabolism and coronary artery disease. Studies in the postprandial state. Arterioscler Thromb 1992; 12: 1336–1345. |
[7] | Nordestgaard BG, Benn M, Schnohr P, Tybjærg-Hansen A: Nonfasting triglycerides and risk of myocardial infarction, ischemic heart disease, and death in men and women. JAMA 2007; 298: 299–308. |
[8] | Langsted A, Freiberg JJ, Tybjærg-Hansen A, Schnohr P, Jensen GB, Nordestgaard BG: Nonfasting cholesterol and triglycerides and association with risk of myocardial infarction and total mortality: the Copenhagen City Heart Study with 31 years of follow-up. J Intern Med 2011; 270: 65–75. |
[9] | Nakajima K, Tokita Y, Sakamaki K, Shimomura Y, Kobayashi J, Kamachie K, Tanaka A, Stanhope KL, Havel PJ, Wang T, Machida T, Murakami M: Triglyceride content in remnant lipoproteins is significantly increased after food intake and is associated with plasma lipoprotein lipase. Clin Chim Acta 2017; 465: 45–52. |
[10] | Ferrari R, Aguiar C, Alegria E, Bonadonna RC, Cosentino F, Elisaf M, Farnier M, Ferrières J, Filardi PP, Hancu N, Kayikcioglu M, e Silva AM, Millan J, Reiner Z, Tokgozoglu L, Valensi P, Viigimaa M, Vrablik M, Zambon A, Zamorano JL, Catapano AL: Current practice in identifying and treating cardiovascular risk, with a focus on residual risk associated with atherogenic dyslipidaemia. Eur Heart J Suppl 2016; 18: C2–C12. |
[11] | Aguiar C, Alegria E, Bonadonna RC, Catapano AL, Cosentino F, Elisaf M, Farnier M, Ferrières J, Pasquale Filardi PP, Hancu N, Kayikcioglu M, Mello A, e Silva, Millan J, Reiner Ž, Tokgozoglu L, Valensi P, Viigimaa M, Vrablik M, Zambon A, Zamorano JL, Ferrari R: A review of the evidence on reducing macrovascular risk in patients with atherogenic dyslipidaemia: A report from an expert consensus meeting on the role of fenofibrate–statin combination therapy. Atheroscler Suppl 2015; 19: 1–12. |
[12] | Taskinen MR: Diabetic dyslipidaemia: from basic research to clinical practice. Diabetologia 2003; 46: 733–749. |
[13] | Ginsberg HN, Zhang YL, Hernandez-Ono A: Metabolic syndrome: focus on dyslipidemia. Obesity 2006; 14: 41S–49S. |
[14] | Adiels M, Olofsson SO, Taskinen MR, Borén J: Overproduction of very low–density lipoproteins is the hallmark of the dyslipidemia in the metabolic syndrome. Arterioscler Thromb Vasc Biol 2008; 28: 1225–1236. |
[15] | Duez H, Lamarche B, Uffelman KD, Valero R, Cohn JS, Lewis GF: Hyperinsulinemia is associated with increased production rate of intestinal apolipoprotein B-48 –containing lipoproteins in humans. Arterioscler Thromb Vasc Biol 2006; 26: 1357–1363. |
[16] | Lopez-Miranda J, Williams C, Lairon D: Dietary, physiological, genetic and pathological influences on postprandial lipid metabolism. Br J Nutr 2007; 98: 458–473. |
[17] | Asano M, Fukakura N, Odachi J, Kawaraya C, Nanba A, Yasuda N, Yamamoto E: Use of fast foods among young people. Jpn J Nutr Diet 2003; 61: 47–54. (In Japanese). |
[18] | Ichikawa N, Morita Y, Ootani K, Naito M: Effects of co-ingestion of amino acids with fat on postchallenge glycemia and lipidemia in healthy young women. Int J Nutr Food Sci 2022; 11: 177–186. |
[19] | Matthews DR, Hosker JR, Rudenski AS, Naylor BA, Treacher DF, Turner RC: Homeostasis model assessment: insulin resistance and β -cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 1985; 28: 412–419. |
[20] | Friedewald W, Levy R, Fredrickson D: Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 1972; 18: 499–502. |
[21] | Nakajima K, Saito T, Tamura A, Suzuki M, Nakano T, Adachi M, Tanaka A, Tada N, Nakamura H, Campos E, Havel RJ: Cholesterol in remnant-like lipoproteins in human serum using monoclonal anti apo B-100 and anti apo A-I immunoaffinity mixed gels. Clin Chim Acta 1993; 223: 53–71. |
[22] | Miyauchi K, Kayahara N, Ishigami M, Kuwata H, Mori H, Sugiuchi H, Irie T, Tanaka A, Yamashita S, Yamamura T: Development of a homogeneous assay to measure remnant lipoprotein cholesterol. Clin Chem 2007; 53: 2128–35. |
[23] | Nakatani K, Sugimoto T, Masuda D, Okano R, Oya T, Monden Y, Yamashita T, Kawase R, Nakaoka H, Inagaki M, Yuasa-Kawase M, Tsubakio-Yamamoto K, Ohama T, Nishida M, Ishigami M, Komuro I, Yamashita S: Serum apolipoprotein B-48 levels are correlated with carotid intima-media thickness in subjects with normal serum triglyceride levels. Atherosclerosis 2011; 218: 226–232. |
[24] | The National Health and Nutrition Survey in Japan, 2019 https://www.mhlw.go.jp/content/000710991.pdf |
[25] | Campos E, Nakajima K, Tanaka A, Havel RJ: Properties of an apolipoprotein E-enriched fraction of triglyceride-rich lipoproteins isolated from human blood plasma with a monoclonal antibody to apolipoprotein B-100. J Lipid Res 1992; 33: 369–380. |
[26] | Choi TC, Nordestgaard BG: Methods to study postprandial lipidemia. Curr Vasc Pharmacol 2011; 9: 302–308. |
[27] | Saito H, Kagaya M, Suzuki M, Yoshida A, Naito M: Simultaneous ingestion of fructose and fat exacerbates postprandial exogenous lipidemia in young healthy Japanese women. J Atheroscler Thromb 2013; 20: 591–600. |
[28] | Sato I, Ishikawa Y, Ishimoto A, Katsura S, Toyokawa A, Hayashi F, Kawano S, Fujioka Y, Yamashita S, Kumagai S: Significance of measuring serum concentrations of remnant lipoproteins and apolipoprotein B-48 in fasting period. J Atheroscler Thromb 2009; 16: 12–20. |
[29] | Yoshida H, Kurosawa H, Hirowatari Y, Ogura Y, Ikewaki K, Abe I, Saikawa S, Domitsu K, Ito K, Yanai H, Tada N: Characteristic comparison of triglyceride-rich remnant lipoprotein measurement between a new homogenous assay (RemL-C) and a conventional immunoseparation method (RLP-C). Lipids Health Dis 2008; 7: 18. |
[30] | Hashimoto S, Ootani K, Hayashi S, Naito M: Acute effects of shortly pre- versus postprandial aerobic exercise on postprandial lipoprotein metabolism in healthy but sedentary young women. J Atheroscler Thromb 2011; 18: 891–900. |
[31] | Hashimoto S, Mizutani E, Suzuki M, Yoshida A, Naito M: Effects of aerobic exercise on postprandial carbohydrate and lipoprotein metabolism following cookie ingestion in healthy young women. J Nutr Sci Vitaminol 2015; 61: 299–305. |
[32] | Iijima C, Kuzawa K, Mizutani E, Naito M: Effects of pre- vs. postchallenge aerobic exercise on lipidemia induced by the ingestion of fructose with fat, in healthy young women. Int J Nutr Diet 2022; 8: 1–14. |
[33] | Hsieh J, Hayashi AA, Webb J, Adeli K: Postprandial dyslipidemia in insulin resistance: mechanisms and role of intestinal insulin sensitivity. Atheroscler Suppl 2008; 9: 7–13. |
[34] | Hultin M, Savonen R, Olivecrona T: Chylomicron metabolism in rats: lipolysis, recirculation of triglyceride-derived fatty acids in plasma FFA, and fate of core lipids as analyzed by compartmental modelling. J Lipid Res 1996; 37: 1022–1036. |
[35] | Welty FK, Lichtenstein AH, Barrett HR, Dolnikowski GG, Schaefer EJ: Human apolipoprotein (Apo) B-48 and ApoB-100 kinetics with stable isotopes. Arterioscler Thromb Vasc Biol 1999; 19: 2966–2974. |
[36] | LaRosa JC: Triglycerides and coronary risk in women and the elderly. Arch Intern Med. 1997; 157: 961–968. |
[37] | McNamara JR, Shah PK, Nakajima K, Cupples LA, Wilson PWF, Ordovasc JM, Schaefer EJ: Remnant-like particle (RLP) cholesterol is an independent cardiovascular disease risk factor in women: results from the Framingham Heart Study. Atherosclerosis 2001; 154: 229–236. |
[38] | Mekki N, Christofilis MA, Charbonnier M, Atlan-Gepner C, Defoort C, Borel CJP, Portugal H, Pauli AM, Vialettes B, Lairon D: Influence of obesity and body fat distribution on postprandial lipemia and triglyceride-rich lipoproteins in adult women. J Clin Endocrinol Metab 1999; 84: 184–191. |
[39] | Ryu JE, Craven TE, MacArthur RD, Hinson WH, Bond MG, Hagaman AP, J R Crouse JR III: Relationship of intraabdominal fat as measured by magnetic resonance imaging to postprandial lipemia in middle-aged subjects. Am J Clin Nutr 1994; 60: 586–591. |
[40] | Couillard C, Bergeron N, Prud’homme D, Bergeron J, Tremblay A, Bouchard C, Mauriège P, Després JP; Postprandial triglyceride response in visceral obesity in men. Diabetes 1998; 47: 953–960. |
[41] | Halkes, CJM; Cabezas MC; van Wijk JPH; Erkelens DW: Gender differences in diurnal triglyceridemia in lean and overweight subjects. Int J Obes 2001; 25-1767–1774. |
[42] | Dubois C, Beaumier G, Juhel C, Armand M, Portugal H, Pauli AM, Borel P, Latgé C, Lairon D: Effects of graded amounts (0–50 g) of dietary fat on postprandial lipemia and lipoproteins in normolipidemic adults. Am J Clin Nutr 1998; 67: 31–38. |
[43] | Fullerton SM, Clark AG, Weiss KM, Nickerson DA, Taylor SL, Stengård JH, Salomaa V, Vartiainen E, Perola M, Boerwinkle E, Sing CF: Apolipoprotein E variation at the sequence haplotype level: implications for the origin and maintenance of a major human polymorphism. Am J Hum Genet 2000; 67: 881–900. |
[44] | Sano R, Abe R, Oikawa S, Fujii Y, Hori S, Suzuki N, Toyota T, Goto Y: Apolipoprotein E phenotypes of normo- and hyperlipoproteinemia in Japanese. Tohoku J Exp Med 1988; 154: 297–303. |
APA Style
Erika Mizutani-Watanabe, Michitaka Naito. (2023). Remnant Indices for Estimating Postprandial Lipidemia in Young Women. International Journal of Nutrition and Food Sciences, 12(1), 21-28. https://doi.org/10.11648/j.ijnfs.20231201.13
ACS Style
Erika Mizutani-Watanabe; Michitaka Naito. Remnant Indices for Estimating Postprandial Lipidemia in Young Women. Int. J. Nutr. Food Sci. 2023, 12(1), 21-28. doi: 10.11648/j.ijnfs.20231201.13
AMA Style
Erika Mizutani-Watanabe, Michitaka Naito. Remnant Indices for Estimating Postprandial Lipidemia in Young Women. Int J Nutr Food Sci. 2023;12(1):21-28. doi: 10.11648/j.ijnfs.20231201.13
@article{10.11648/j.ijnfs.20231201.13, author = {Erika Mizutani-Watanabe and Michitaka Naito}, title = {Remnant Indices for Estimating Postprandial Lipidemia in Young Women}, journal = {International Journal of Nutrition and Food Sciences}, volume = {12}, number = {1}, pages = {21-28}, doi = {10.11648/j.ijnfs.20231201.13}, url = {https://doi.org/10.11648/j.ijnfs.20231201.13}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnfs.20231201.13}, abstract = {Postprandial hyperglycemia is well established as a major risk factor for prediabetes and type 2 diabetes. However, for postprandial hyperlipidemia, no definitive criteria exist, and fasting values of lipids and lipoproteins had limited efficacy for estimating postprandial lipidemia. In the present study, we performed a fat-ingestion test and aimed to propose indices for estimating postprandial lipoprotein metabolism. Methods: Healthy young Japanese women (n=54, age 21.1 ± 1.0 y) with apolipoprotein E phenotype 3/3 were enrolled. They ingested fat cream (OFTT cream™, Jomo, Japan; 1 g/kg as cream, 0.35 g/kg as fat). Venous blood samples were taken before (0 h) and at 0.5, 1, 2, 4, and 6 h after ingestion. Results: The serum triglyceride (TG) level peaked at 2 h and returned to below baseline at 6 h. The remnant-like particle-TG (RP-TG) level increased at 1 h, peaked at 2 h, and returned to baseline at 6 h. The remnant lipoprotein-cholesterol (RLP-C) level increased at 2 h, peaked at 4 h, and returned to baseline at 6 h. The apolipoprotein B48 level increased at 1 h, peaked at 4 h, and did not return to baseline at 6 h. The apolipoprotein B100 concentration slightly decreased at 2 h and increased at 6 h. TG−RP-TG did not change during 6 h, but RP-TG/TG rose at 2–6 h compared to the fasting value. RP-TG/RLP-C increased at 2–4 h and returned to baseline at 6 h. Conclusion: After fat ingestion, while the concentration of non-remnant TG was stable, remnant TG increased. The content of TG per remnant particle increased up to 2 h and decreased from 2 h to 6 h, and the size became smaller. The remnant indices, RP-TG/TG and RP-TG/RLP-C, may be useful for estimating postprandial lipidemia.}, year = {2023} }
TY - JOUR T1 - Remnant Indices for Estimating Postprandial Lipidemia in Young Women AU - Erika Mizutani-Watanabe AU - Michitaka Naito Y1 - 2023/02/24 PY - 2023 N1 - https://doi.org/10.11648/j.ijnfs.20231201.13 DO - 10.11648/j.ijnfs.20231201.13 T2 - International Journal of Nutrition and Food Sciences JF - International Journal of Nutrition and Food Sciences JO - International Journal of Nutrition and Food Sciences SP - 21 EP - 28 PB - Science Publishing Group SN - 2327-2716 UR - https://doi.org/10.11648/j.ijnfs.20231201.13 AB - Postprandial hyperglycemia is well established as a major risk factor for prediabetes and type 2 diabetes. However, for postprandial hyperlipidemia, no definitive criteria exist, and fasting values of lipids and lipoproteins had limited efficacy for estimating postprandial lipidemia. In the present study, we performed a fat-ingestion test and aimed to propose indices for estimating postprandial lipoprotein metabolism. Methods: Healthy young Japanese women (n=54, age 21.1 ± 1.0 y) with apolipoprotein E phenotype 3/3 were enrolled. They ingested fat cream (OFTT cream™, Jomo, Japan; 1 g/kg as cream, 0.35 g/kg as fat). Venous blood samples were taken before (0 h) and at 0.5, 1, 2, 4, and 6 h after ingestion. Results: The serum triglyceride (TG) level peaked at 2 h and returned to below baseline at 6 h. The remnant-like particle-TG (RP-TG) level increased at 1 h, peaked at 2 h, and returned to baseline at 6 h. The remnant lipoprotein-cholesterol (RLP-C) level increased at 2 h, peaked at 4 h, and returned to baseline at 6 h. The apolipoprotein B48 level increased at 1 h, peaked at 4 h, and did not return to baseline at 6 h. The apolipoprotein B100 concentration slightly decreased at 2 h and increased at 6 h. TG−RP-TG did not change during 6 h, but RP-TG/TG rose at 2–6 h compared to the fasting value. RP-TG/RLP-C increased at 2–4 h and returned to baseline at 6 h. Conclusion: After fat ingestion, while the concentration of non-remnant TG was stable, remnant TG increased. The content of TG per remnant particle increased up to 2 h and decreased from 2 h to 6 h, and the size became smaller. The remnant indices, RP-TG/TG and RP-TG/RLP-C, may be useful for estimating postprandial lipidemia. VL - 12 IS - 1 ER -