[Lipoprotein metabolism in patients with disordered thyroid gland function before and following therapy].

F Rassoul, V Richter, E Kuhlmann, H J Heberling, M Homann, U Zuck, W Rotzsch, D Lohmann
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Abstract

Clinical manifest hypothyreosis leads to changes of plasma lipoproteins, which are characterized by elevated LDL levels, an increase of the relation LDL cholesterol/HDL cholesterol, an elevation of the quotient cholesterol/triglycerides within the VLDL and an increase of the relation HDL2/HDL3. Both these changes and the diminished activities of post-heparin lipase of hepatic and extrahepatic origin are reversible after substitution therapy. On the contrary, patients with hyperthyreosis M. Basedow show low lipoprotein levels, high activities of post-heparin lipase and an elevation of the relation of the apolipoproteins apo C II/apo C III within the VLDL fraction.

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[治疗前后甲状腺功能紊乱患者的脂蛋白代谢]。
临床表现为甲状腺功能减退导致血浆脂蛋白改变,其特征为LDL水平升高,LDL胆固醇/HDL胆固醇关系升高,VLDL内胆固醇/甘油三酯商升高,HDL2/HDL3关系升高。这两种变化和肝和肝外源肝素后脂肪酶活性降低在替代治疗后是可逆的。相反,甲亢患者的脂蛋白水平低,肝素后脂肪酶活性高,VLDL分数内载脂蛋白apo C II/apo C III的关系升高。
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