Abstract
Changes in lipoprotein metabolism after liver transplantation from living related donors were investigated in nine pediatric patients by means of biochemical and proton nuclear magnetic resonance (NMR) analyses of lipoprotein. NMR offers rapid and nondestructive measurement of lipoprotein. The ratio of esterified cholesterol to total cholesterol, expected to be a prognostic indicator after liver transplantation, was low before the operation (0.44) and recovered to over 0.6 at 3 weeks. The half line width of the methylene peak of lipoprotein, as measured by proton NMR, was correlated with the ratio of esterified cholesterol to total cholesterol. It is suggested that proton NMR analysis can provide information about the biophysical changes in lipoprotein associated with liver transplantation.
Similar content being viewed by others
References
Alpers DH, Isselbacher KJ (1974) Derangements of hepatic metabolism. In: Wintrobe M, Thorn GW, Adams RD, Braunwald E, Isselbacher KJ, Peterdorf RG (eds) Principles of internal medicine. McGraw-Hill/Kogakusha. Tokyo, pp 1513–1517
Bock JL (1982) Analysis of serum by high-field proton nuclear magnetic resonance Clin Chem 28:1873–1877
Brown MS, Goldstein JL (1976) Receptor-mediated control of cholesterol metabolism. Science 191:150–154
Fossel ER, Carr JM, McDonagh J (1986) Detection of malignant tumors. N Engl J Med 315:1369–1376
Gadian DG (1982) Nuclear magnetic resonance and its applications to living systems. Oxford University Press, Oxford, pp 99–132
Gjone E, Orning OM (1966) Plasma phospholipids in patients with liver disease. Scand J Clin Lab Invest 18:209–216
Kostner GM (1983) Apolipoproteins and lipoproteins of human plasma Significance in health and disease. Adv Lipid Res 20:1–43
Mims MP, Morrisett JD, Mattiol CA, Gotto AM (1989) Effect of triglyceride levels on methyl and methylene envelope line widths in proton nuclear magnetic resonance spectroscopy of human plasma. N Engl J Med 320:1452–1457
Mountford CE, Wright LC, Holmes KT, Mackinnon WB, Gregory P, Fox RM (1984) High resolution proton nuclear magnetic resonance analysis of metastatic cancer cells. Science 226:1415–1418
Ono S, Moriyasu F, Nabeshima M, Kajimura K, Yamashita Y, Kimura T, Someda H, Hamato N, Okuma M, Ozawa K (1992) Use of proton nuclear magnetic spectroscopy of plasma in screening for malignant disease. Cancer 70:1638–1646
Ozawa K (1994) Living related donor liver transplantation: assessment of graft viability based on the redox theory. Karger, Basel
Palombo JD, Lopes SM, Zeisel SH, Jenkins RL, Albers JJ, Blackburn GL, Bistrian BR (1987) Effectiveness of orthotopic liver transplantation on the restoration of cholesterol metabolism in patients with end-stage liver disease. Gastroenterology 93:1170–1177
Sano K, Tanaka A, Uemoto S, Honda K, Tanaka K, Ozawa K (1993) Lipid metabolism after liver transplantation from a living related donor. Clin Sci 85:83–88
Stokke KT, Norum KR (1971) Determination of lecithin cholesterol acyltransferase in human blood plasma. Scand J Clin Lab Invest 27:21–27
Tanaka A, Sano K, Tanaka K., Honda K, Uemoto S, Takada Y, Yamaoka Y, Inamoto T, Shimahara Y, Mori K, Morimoto T, Ozawa K (1993) Short-term changes in lipid and protein metabolism in liver transplants from living related donors Am J Surg 166:32–38
Turley SD, Dietschy JM (1985) The metabolism and excretion of cholesterol by the liver. In: Arias IM, Jakoby WB, Popper H, Schachter D, Shafritz DA (eds) The liver; biology and pathobiology, Raven Press, New York, pp 617–641
Wieland H, Seidel D (1983) A simple specific method for precipitation of low-density lipoproteins. J Lipid Res 81:904–909
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Iwata, S., Tanaka, A., Inubushi, T. et al. Biochemical and biophysical alterations of lipoprotein after liver transplantation from a living related donor. Res. Exp. Med. 194, 313–320 (1994). https://doi.org/10.1007/BF02576393
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02576393