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Published on: June 11, 2019
Role of the spleen in lipid metabolism
M Fatouros1, K Bourantas, E Bairaktari
1Department of Surgery, University of Ioannina, University Hospital, Greece.
Insights
The spleen plays a role in lipid metabolism and may influence atherosclerosis. Splenectomy in rats led to altered triglyceride and HDL cholesterol levels, especially with a high-fat diet.
Area of Science:
- Cardiovascular Science
- Metabolic Research
- Surgical Pathology
Background:
- Observations suggest a link between splenectomy, low cholesterol, and ischemic heart disease.
- Hypersplenism is associated with low cholesterol levels.
- The spleen's role in lipid metabolism and atherosclerosis warrants investigation.
Purpose of the Study:
- To investigate the spleen's role in lipid metabolism in an experimental animal model.
- To determine the effect of splenectomy on serum lipid profiles.
- To assess the influence of diet on these effects.
Main Methods:
- 32 rats underwent either splenectomy (n=16) or sham operation (n=16).
- Rats were fed either normal chow or a high-fat diet.
- Serum lipid levels (total cholesterol, triglyceride, HDL cholesterol) were measured pre-operatively and at 3 and 6 months post-operatively.
Main Results:
- Splenectomy significantly increased serum triglyceride and decreased HDL cholesterol in rats on a normal diet compared to controls.
- Rats on a high-fat diet showed increased triglyceride and decreased HDL cholesterol, with more pronounced changes in splenectomized rats.
- These findings indicate the spleen influences lipid metabolism.
Conclusions:
- The spleen plays a significant role in regulating lipid metabolism in rats.
- Splenectomy can exacerbate dyslipidemia, particularly under a high-fat diet.
- These findings suggest a potential link between splenic function and atherosclerosis development.
Abstract:
The frequency of ischaemic heart disease observed after splenectomy for trauma and the low cholesterol levels found in patients with hypersplenism are observations that suggest a possible role for the spleen in lipid metabolism and in the aetiology of atherosclerosis. The present study was designed to examine this role in experimental animals. Serum levels of total cholesterol, triglyceride and high-density lipoprotein (HDL) cholesterol were determined in 32 rats. The spleen was removed in 16 rats and the remaining 16 were sham operated. Half of the splenectomized and half of the remaining rats were fed on a diet rich in fat and the two other subgroups were fed normal chow. Blood tests were performed before, and 3 and 6 months after operation. A significant increase in serum triglyceride and decrease in serum HDL cholesterol levels was observed after splenectomy in rats fed normal chow compared with sham-operated rats. An increase in serum triglyceride and a decrease in serum HDL cholesterol levels was observed in both groups of rats fed normal chow plus high-fat cheese. However, these changes were more pronounced in splenectomized rats. These findings suggest that the spleen has a role in lipid metabolism in rats and may therefore influence atherosclerosis.
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