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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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VI. Lipoproteins<br />

91<br />

TABLE 4-1 Composition <strong>of</strong> Lipoproteins <strong>of</strong> <strong>Domestic</strong> <strong>Animals</strong> a<br />

Triacylglycerol<br />

(% by weight)<br />

Cholesterol<br />

(% by weight)<br />

Free Cholesterol<br />

Esters (% by<br />

weight)<br />

Phospholipid<br />

(% by weight)<br />

Cattle<br />

Chylomicrons 87 4 2 4 3<br />

VLDL 60 5 4 25 6<br />

LDL 1 5 35 36 23<br />

HDL 4 4 30 20 42<br />

Dogs<br />

VLDL 68 6 2 10 14<br />

LDL 27 5 25 22 21<br />

HDL 1 5 23 33 38<br />

Horses<br />

VLDL 57 5 6 18 14<br />

LDL 6 8 36 23 27<br />

HDL 0 2 20 28 50<br />

Protein<br />

(% by weight)<br />

a<br />

Cattle: From Ferreri and Elbein (1982) (chylomicrons) and Stead and Welch (1975) (other lipoproteins). Dogs: From Blomh<strong>of</strong>f et al . (1978) and Mahley and<br />

Weisgraber (1974). Horses: From Le G<strong>of</strong>f et al . (1989) and Watson et al . (1993).<br />

highest ratio and, on the other end <strong>of</strong> the spectrum, the<br />

HDL having the lowest ratio ( Table 4-1 ). More than onehalf<br />

<strong>of</strong> the lipid in chylomicrons and VLDL is triacylglycerol,<br />

whereas in LDL and HDL the majority <strong>of</strong> the lipids<br />

are not triacylglycerol ( Table 4-2 ). In domestic species,<br />

HDL is normally the most abundant plasma lipoprotein in<br />

the fasting state.<br />

Chylomicrons and VLDL particles are large enough<br />

to refract light significantly, so they make plasma appear<br />

turbid or creamy if in high enough concentration (lipemic<br />

plasma). The chylomicrons have a low enough density<br />

that they will rise to the top <strong>of</strong> an undisturbed refrigerated<br />

plasma sample in 6 to 12 hours. This phenomenon is the<br />

basis <strong>of</strong> the “ chylomicron test, ” in which a milky plasma<br />

sample is placed in the refrigerator overnight. If a “ cream<br />

layer ” has formed at the top, then hyperchylomicronemia<br />

is present, and if the bottom portion <strong>of</strong> the plasma is turbid,<br />

then elevated levels <strong>of</strong> VLDL are present.<br />

Because <strong>of</strong> the expense, time, and complexity involved<br />

with ultracentrifugation, electrophoresis in an alkaline<br />

medium has been used as an alternate method <strong>of</strong> lipoprotein<br />

classification. A variety <strong>of</strong> electrophoretic supports,<br />

ranging from paper to acrylamide gels, have been used.<br />

The sample is applied at the cathode end <strong>of</strong> the support,<br />

voltage is applied for a variable time, and the proteins are<br />

fixed and stained with a lipid stain such as oil red O. A<br />

densitometer is used to quantify the lipoprotein fractions<br />

on the stained electrophoretogram.<br />

Typically, three to five bands <strong>of</strong> lipoproteins can be discerned;<br />

however, additional bands may be present depending<br />

on the species <strong>of</strong> animal, electrophoretic technique, and<br />

presence <strong>of</strong> abnormal lipoproteins. The fastest moving<br />

band is HDL, which is designated as α -lipoprotein. The<br />

next fastest moving band is VLDL, which is designated<br />

pre-β-lipoprotein followed by the LDL band, which is<br />

designated as β-lipoprotein. The slowest moving band,<br />

which is still at the origin and seen primarily in the postprandial<br />

period, is composed <strong>of</strong> chylomicrons. With some<br />

electrophoresis systems, a separate IDL band, designated<br />

as slow pre-β-lipoproteins, can be discerned between the<br />

VLDL and LDL bands, and sometimes subbands <strong>of</strong> the<br />

HDL can be discerned. The correlation <strong>of</strong> electrophoretic<br />

and ultracentrifuge fractions established for humans does<br />

not always apply to animals. For example, bovine LDL<br />

can appear as α - or β-bands on electrophoresis ( Puppione,<br />

1983 ). Usually, two HDL bands can be discerned for dog<br />

plasma ( Rogers, 1977 ). Figure 4-5 illustrates the distribution<br />

<strong>of</strong> lipoproteins in dog plasma.<br />

Although easier and cheaper to perform than ultracentrifugation,<br />

lipoprotein electrophoresis still requires considerable<br />

time and expense. Consequently, methods have<br />

been developed that involve precipitation <strong>of</strong> one or more<br />

lipoprotein classes followed by analysis <strong>of</strong> a particular<br />

lipid, usually cholesterol, in the remaining supernatant. For<br />

example, chylomicrons can be removed by low-speed centrifugation<br />

(they rise to the top), and then precipitation <strong>of</strong><br />

VLDL and LDL in human plasma can be accomplished by<br />

treatment with magnesium and dextran sulfate. The main<br />

lipoprotein remaining in the supernatant will be HDL,<br />

and if cholesterol is determined, it will mostly be HDL

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