Skip to main content
Log in

Increased high density lipoproteins in diabetic children

  • Original Investigations
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Serum lipoprotein lipid and apolipoprotein concentrations were determined in 27 diabetic children (5–18 years old) and 13 matched healthy controls. The serum cholesterol concentrations in the diabetics were slightly higher than in the controls (P<0.05) due to a significantly higher level of the high density lipoprotein cholesterol (P<0.01). Also the serum concentration of apolipoprotein A-I, the major protein constituent of the high density lipoprotein fraction, was higher in the diabetic children (P=0.05). There were no significant differences between the groups with regard to the serum triglyceride concentrations or the apolipoprotein C-II and C-III concentrations. Neither the lipoprotein lipid nor the apolipoprotein levels were significantly correlated with variables related to the degree of regulation of the diabetic disease. No obvious explantation, based on the present data, can be given for the increased high density lipoprotein cholesterol concentrations in insulin-treated diabetics in comparison with the healthy children. It is possible, however, that the increased high density lipoprotein cholesterol concentration may be caused by an increased level of insulin in the circulation of insulin-treated diabetic children.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Brown WV, Baginsky ML (1972) Inhibition of lipoprotein lipase by an apoprotein of human very low density lipoprotein. Biochem Biophys Res Commun 46:375–382

    Google Scholar 

  2. Brown WV, Levy RI, Fredrickson DS (1969) Studies of the proteins in human plasma very low density lipoproteins. I Biol Chem 244:5687–5694

    Google Scholar 

  3. Burstein M, Samaille J (1960) Sur un dosage rapide du cholésterol lié auxet-lipoprotéins du sérum. Clin Chim Acta 5:609

    Google Scholar 

  4. Ewald U, Tuvemo T, Vessby B, Wålinder O (1982) Serum apolipoproteins A-I, A-II and B in diabetic children and matched healthy controls. Acta Paediatr Scand 71:15–18

    Google Scholar 

  5. Ewald U, Gebre-Medhin M, Tuvemo T (1983) Hypomagnesemia in diabetic children. Acta Paediatr Scand 72:367–371

    Google Scholar 

  6. Gustafson S, Östlund-Lindqvist A-M, Vessby B (1984) An improved radioimmuno-assay for apolipoproteins C-II and C-III. Scand J Clin Lab Invest (in press)

  7. Karlberg P, Taranger J, Engström I, Karlberg T, Landström T, Lichtenstein H, Lindström B, Svennberg-Redegren I (1976) The somatic development of children in a Swedish urban community. Acta Paediatr Scand [Suppl] 258:7–82

    Google Scholar 

  8. Klubjer L, Molnár D, Kardos M, Jászai V, Soltész G, Mestyán J (1979) Metabolic control, glycosylated haemoglobin and high density lipoprotein cholesterol in diabetic children. Eur J Pediatr 132:284–297

    Google Scholar 

  9. LaRosa IC, Levy RI, Herbert P, Lux SE, Fredrickson DS (1970) A specific apoprotein activator for lipoprotein lipase. Biochem Biophys Res Commun 41:57–62

    Google Scholar 

  10. Lopes-Virella MF, Wohltmann HJ (1979) Plasma high density lipoprotein cholesterol (HDL-CHOL) increases with control in insulin-dependent young male diabetics. Diabetes 28:348

    Google Scholar 

  11. Munksgaard Rasmussen S, Heding LG, Parbst E (1975) Serum IRI in insulin-treated diabetics during a 24-hour period. Diabetologia 11:151–158

    Google Scholar 

  12. Nikkilä EA (1981) Impact of diabetes on atherosclerosis why?, in Recent trends in diabetes research. In: Boström H, Ljungstedt N (eds) Skandia International Symposia. Almqvisto Wiksell International, Stockholm, pp 197–205

    Google Scholar 

  13. Nikkilä EA, Hormila P (1978) Serum lipids and lipoproteins in insulintreated diabetics. Demonstration of increased high density lipoprotein concentrations. Diabetes 27:1078–1086

    Google Scholar 

  14. Rush RL, Leon L, Thurell J (1971) Automated simultaneous cholesterol and triglyceride determination on Auto-Analyser®II instrument. Advances in Automated Analyses, Thurman Associated, vol 1, pp 503–507

    Google Scholar 

  15. Schonfeld G, Weidman SW, Witztum JL, Brown RM (1976) Alterations in levels and interrelations of plasma apolipoproteins induced by diet. Metabolism. 25:261–275

    Google Scholar 

  16. Schonfeld G, George PK, Miller J, Reilly P, Witztum J (1979) Apolipoprotein C-II levels in hyperlipoproteinnemia. Metabolism 28:1001–1010

    Google Scholar 

  17. Stout RW, Bierman EL, Brunzell JD (1975) Atherosclerosis and disorders of lipid metabolism in diabetes. In: Wallance Owen J (ed) Diabetes: Its Physiological and Biochemical Basis, MTP Press, Lancaster, pp 125–169

    Google Scholar 

  18. Vessby B, Lithell H, Hellsing K, Östlund-Lindqvist A-M, Gustafsson I-B, Boberg J, Ledermann H (1980) Effects of bezafibrate on the serum lipoprotein lipid and apolipoprotein composition, lipoprotein triglyceride removal capacity and the fatty acid composition of the plasma lipid esters. Atherosclerosis 37:257–269

    Google Scholar 

  19. Warnick GR, Albers JJ (1978) A comprehensive evaluation of the heparin-manganese precipitation procedure for estimating high density lipoprotein cholesterol. J Lipid Res 19:65–76

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ewald, U., Gustafson, S., Tuvemo, T. et al. Increased high density lipoproteins in diabetic children. Eur J Pediatr 142, 154–156 (1984). https://doi.org/10.1007/BF00442440

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00442440

Key words

Navigation