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Yıl:1963; Cilt: 2; Sayı: 2>> Özet
Symposium; 1963;2(2):75-92
Plâzmanın lipoprotein lipaz aktivitesi yardımıyla tavşanların kolesterol aterosklerozuna istidatlarının önceden tayini hakkında bir araştırma
E Aktin
İstanbul Üniv. Nöroloji Kliniği
Bu çalışmada 5 erkek, 9 dişi olmak üzere 14 tavşanlık bir seride plazmanın lipoprotein lipaz aktivitesi yardımıyla kolesterol aterosklerozuna istidatlarının önceden tâyini imkânı incelenmiştir. Kolesterollü rejime başlamadan önce Baker'in in vitro clearing aktivite testiyle 3 def a plazmanın lipoprotein lipaz. aktivitesi tâyin edilmiştir. Sonra kolesterollü diyete geçilmiştir. Bu diyette ilk 6 haftalık devrede, pazar hariç, hergün 300 mg. kolesterol pamuk yağında ezilerek yedirilmiştir. 2. ve 3. alti haftalik devrelerde günlük koles­terol miktari 500 mg.'a çıkarılmıştır. Çalışma, böylece 18 hafta devam etmiştir. Her alti haftalık peryodun sonunda lipid tetkikleri için kan alınmış ve i. v. yoldan vücut ağırlığına göre hesaplanmak tizere değişik miktarlarda heparin zerkedilmiş, 1 saat beklendikten sonra yeniden kan alinarak lipid tetkikleri tekrarlanmıştır. Böylece, hepa­rin zerkinin kan lipidlerinde yaptığı değişiklik tesbit edilmiştir. 18. haftanm sonunda tavşanlar sakrifiye edilerek aortalarmdaki aterom plâklarının derecesi tâyin edilmiştir.
Plazma kolesterol ortalamalari % 500-800 nig. arasmda değişen 8 tavşanın teşkil ettiği grubun lipoprotein lipaz aktivitesi ortalaması 1.13 ± 0.12, heparinden sonra lipidlerdeki azalma total lipidde % 8.9, total kolesterolde % 4.2'dir. Total kolesterol ortalaması % 800 - 1100 rag. arasında olan 6 tavşanlık grupta ise bu değerler sırasıyla 1.20 ± 0.18, % — 7.4 ve % — 1.3'tür. Bu duruma göre, tavşanların plazma lipoprotein lipaz aktivite değerleriyle heparin zerklerine verdikleri cevap arasmda bir münasebet mevcut değildir.
îkinci bir gruplandırma aort lezyonlarınm şiddetine göre yapılmıştır. Aort lezyonu hafif olan 6 tavşanlık grupta plazmanın lipo­protein lipaz aktivitesi ortalaması 1.17 ± 0.12'dir. Bu grupta hepa­rin zerkiyle, ortalama olarak total lipidde % 12.2, total kolesterol­de de % 6.1'lik bir düşme olmuştur. Aort lezyonlan daha ağır olan 8 tavşanlık grupta ise bu değerler sırasıyla 1.15 ± 0.17 % — 5.3 ve % — 0.6'dır. îlk çalışmamızda, bu gruba uyan grupta elde edilen sonuçların farklı oluşu karşısında bu son neticelerin derhâl ve tereddütsüz olarak kabul edilemiyeceği belirtilmiştir.
Aynı konuda yaptığımız ikinci çalışma olan bu araştırmanın sonuçlan ilk yazımızdakilerle karşılaştırılmış ve kullandığımız metodlarla tavşanlann ateroskleroza istidat derecelerini önceden kestirebilmenin mümkün görünmediği ileri sürülmüştür.
A study on the possibility of prediction of cholesterol-induced atherosclerosis susceptibility of rabbit depending upon lipoprotein lipase activity
In this paper, the possibility of predicting the suspectibility of cholesterol - induced atherosclerosis, depending upon plasma lipo-protein lipase activity is investigated in a group of rabbits consis­ting of 5 males and 9 females. Before cholesterol feeding period, plasma lipoprotein lipase activity was determined 3 times, using Baker's in vitro clearing activity test. Then, cholesterol containing diet took place for 18 weeks. For the first 6 weeks period of time, 300 mg. of cholesterol, mixed with cottonseed oil was given daily, except Sundays. On the following second and third 6 weeks periods of time, daily amount of cholesterol was increased to 500 mg. At the end of each 6 weeks period, blood lipids determinations are carried out before and after i.v. heparin injections, calculated ac­cording to the body weight. Thus, individual reaction of rabbits against heparin is studied. At the end of eighteenth week, the rab­bits were sacrified and the intensity of aortic lesions evaluated.
The group consisting of 8 rabbits and presenting a blood cho­lesterol level ranging between 500 to 800 mg % showed a mean li­poprotein lipase activity of 1.13 ± 0.12. In the same group, intrave­nous heparin injection caused a mean fall of 8.9 % and 4.2 -%i in the plasma total lipid and total cholesterol levels, respectively. In the second group consisting of 6 rabbits, the mean plasma total cholesterol level was in the ranges of 800-1100 mg % and the average plasma lipoprotein lipase activity 1.20 ± 0.18. The mean fall in the plasma total lipid and cholesterol levels due to heparin averaged to 7.4 and 1.3 %. Under these circumstances, it can be derived that there is no relationship between lipoprotein lipase activity values and the response to heparin injection.

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