Tocopherol in lipoproteins and blood cells after cardiac surgery
M Hacquebard1, A Ducart, D Schmartz
1Laboratory for Experimental Surgery L. Deloyers. Université Libre de Bruxelles, Avenue J. Wybran 40, 1070 Brussels, Belgium. Mirjam.Hacquebard@ulb.ac.be
Insights
Cardiac surgery significantly reduced LDL and HDL particles, impacting alpha-tocopherol transport. This led to lower alpha-tocopherol in white blood cells, with increased LDL and HDL hydroperoxides post-surgery.
Area of Science:
- Biochemistry
- Cardiovascular Science
- Lipid Metabolism
Background:
- Cardiac surgery is a major physiological stressor.
- Lipoprotein metabolism plays a crucial role in nutrient transport, including antioxidants like alpha-tocopherol.
- Understanding post-surgical changes in lipid profiles is vital for patient recovery.
Purpose of the Study:
- To investigate the impact of cardiac surgery on circulating lipoproteins.
- To assess alterations in alpha-tocopherol (vitamin E) transport and levels post-cardiac surgery.
- To evaluate changes in lipoprotein oxidative status after cardiac surgery.
Main Methods:
- Analysis of LDL and HDL particle concentrations before and after cardiac surgery.
- Measurement of alpha-tocopherol levels in various blood components (WBCs, PLTs, RBCs).
- Assessment of hydroperoxide content in LDL and HDL particles.
Main Results:
- A significant reduction in circulating low-density lipoprotein (LDL) and high-density lipoprotein (HDL) particles was observed.
- Alpha-tocopherol levels decreased in white blood cells (WBCs) but remained unchanged in platelets (PLTs) and red blood cells (RBCs).
- Increased hydroperoxide content was detected in LDL and potentially in HDL post-surgery.
Conclusions:
- Cardiac surgery profoundly affects lipoprotein metabolism and antioxidant transport.
- Reduced lipoprotein levels and increased oxidative stress may impair alpha-tocopherol delivery to cells.
- Further research is needed to understand the clinical implications of these biochemical changes.
Abstract:
Cardiac surgery was associated with a marked reduction in circulating LDL and HDL particles, which in turn largely affectd alpha-toc transport. alpha-toc was decreased in WBCs but not in PLTs and RBCs. An increased hydroperoxide content was observed in LDL and possibly in HDL after cardiac surgery.
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