神经性厌食症的失脂症与血中tauroursodeoxycholic酸的减少以及特定的脂肪酸模式有关
Aleš Žák1, Marek Vecka1,2, Peter Szitanyi3
14th Department of Medicine, 1st Faculty of Medicine, Charles University in Prague and the General University Hospital in Prague, 128 08 Prague, Czech Republic.
神经性厌食症 (AN) 患者表现出改变的脂质样本,包括更高的HDL-C和特定脂肪酸变化. 降低的tauroursodeoxycholic acid (TUDCA) 水平可能成为AN的潜在生物标志物.
科学领域:
- 生物化学 生物化学
- 代谢障碍 代谢障碍 代谢障碍
- 人体生理学 人体生理学
背景情况:
- 神经性厌食症 (AN) 与脂质不良症和脂肪酸 (FA) 代谢的改变有关.
- 肠道微生物群和胆汁酸 (BAs) 参与了AN的发病.
- 胆酸具有不同的代谢功能,除了通过特定受体激活来消化.
研究的目的:
- 与健康对照组相比,研究AN患者的生物化学标志物 (CON).
- 专注于血脂质,脂肪酸模式和胆酸概况.
- 评估高密度脂蛋白胆固醇 (HDL-C) 预测因素的差异.
主要方法:
- 血脂脂肪酸 (FA) 和胆酸 (BA) 概况的分析.
- 研究包括39名具有限制性AN (AN-R) 的女性和35名CON女性.
- 生物化学测量包括脂蛋白,FA模式和血BA.
主要成果:
- 患者呈现HDL-C和棕酸的增加,利诺基酸的比例降低.
- 在AN中观察到多不和脂肪酸 (PUFA) n-6的水平降低和酸的delta 9脱酶 (D9D) 活性增加.
- 患者的血中tauroursodeoxycholic acid (TUDCA) 的水平较低.
结论:
- 限制性AN的特点是HDL-C升高,PUFA n-6降低,并且增强了酸的D9D活性.
- 在AN患者中,血TUDCA水平显著下降.
- 较低的TUDCA度可能成为神经性厌食症的潜在诊断标志物.
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