El ácido nicotínico aumenta el transporte celular de colesterol de las lipoproteínas de alta densidad en pacientes con hipoalfalipoproteinemia



Título del documento: El ácido nicotínico aumenta el transporte celular de colesterol de las lipoproteínas de alta densidad en pacientes con hipoalfalipoproteinemia
Revue: Revista médica de Chile
Base de datos: PERIÓDICA
Número de sistema: 000385281
ISSN: 0034-9887
Autores: 1
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Instituciones: 1Pontificia Universidad Católica de Chile, Santiago de Chile. Chile
Año:
Periodo: Sep
Volumen: 143
Número: 9
Paginación: 1097-1104
País: Chile
Idioma: Español
Tipo de documento: Artículo
Enfoque: Experimental, caso clínico
Resumen en inglés Plasma high density lipoproteins (HDL) are involved in reverse cholesterol transport mediated by the scavenger receptor class B type I (SR-BI). Nicotinic acid increases HDL cholesterol levels, even though its specific impact on SR-BI dependent-cellular cholesterol transport remains unknown. Aim: To determine the effect of nicotinic acid on HDL particle functionality in cholesterol efflux and uptake mediated by SR-BI in cultured cells in hypoalphalipoproteinemic patients. Material and Methods: In a pilot study, eight patients with low HDL (≤ 40 mg/dL) were treated with extended release nicotinic acid. HDL cholesterol and phospholipid levels, HDL2 and HDL3 fractions and HDL particle sizes were measured at baseline and post-therapy. Before and after nicotinic acid treatment, HDL particles were used for cholesterol transport studies in cells transfected with SR-BI. Results: Nicotinic acid treatment raised total HDL cholesterol and phospholipids, HDL2 levels as well as HDL particle size. Nicotinic acid significantly increased HDL cholesterol efflux and uptake capacity mediated by SR-BI in cultured cells. Conclusions: Nicotinic acid therapy increases SR-BI-dependent HDL cholesterol transport in cultured cells, establishing a new cellular mechanism by which this lipid-lowering drug appears to modulate HDL metabolism in patients with hypoalphalipoproteinemia
Disciplinas: Medicina
Palabras clave: Metabolismo y nutrición,
Biología celular,
Acido nicotínico,
Colesterol,
Lipoproteínas de alta densidad,
Niacina
Keyword: Medicine,
Metabolism and nutrition,
Cell biology,
Nicotinic acid,
Cholesterol,
High density lipoproteins,
Niacin
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