Abstract
Serum lipid fractions were studied in ten patients with chronic renal failure (CRF) associated with long-standing spinal cord injury (SCI). A group of age-and-sex-matched patients with long-standing SCI but normal renal function were included for comparison. Serum triglycerides were markedly elevated in SCI-CRF patients. Both SCI groups exhibited moderate hypocholesterolemia. High density lipoprotein (HDL) cholesterol was severely reduced in the SCI-CRF group and moderately reduced in the SCI-control group. Chronic renal failure, reduced physical activity and several other factors may be operative in the genesis of hypertriglyceridemia and reduced HDL-cholesterol levels in this condition. Further investigations are necessary to examine the possible effect of these lipid abnormalities on the cardiovascular system in these patients.
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References
Albers, J J, Wahl, P W, Cabana, V C et al (1976). Quantitation of apolipoprotein A-1 of human plasma high density lipoprotein. Metabolism, 25, 633–644.
Bagdade, J D & Albers, J J (1977). Plasma high density lipoprotein concentrations in chronic hemodialysis and renal transplant patients. N. Engl. J. Med., 296, 1436–1439.
Bagdade, J D, Casaretto, A & Albers, J (1976). Effects of chronic uremia, hemodialysis, and renal transplantation on plasma lipids and lipoproteins in man. J. Lab. Clin. Med., 87, 37–48.
Bagdade, J D, Porte, D, Jr & Bierman, E L (1968). Hypertriglyceridemia: A metabolic consequence of chronic renal failure. N. Engl. J. Med., 269, 181–185.
Bagdade, J D, Porte, D, Jr, Curtis, F D et al. (1968). Uremic lipemia: An unrecognized abnormality in triglyceride synthesis and removal. Trans. Assoc. Am. Phys., 81, 190–202.
Bierman, E L & Brunzell, J D (1978). Interrelation of atherosclerosis, abnormal lipid metabolism, and diabetes mellitus. Adv. Mod. Nutr., 2, 187–210.
Brons, M, Christensen, N C & Hordes, M (1972). Hyperlipoproteinemia in patients with chronic renal failure. Acta Med. Scand., 192, 119–123.
Brunzell, J D, Albers, J J, Hass, L B, Goldberg, A P, Agadoa, L & Sherrard, D (1977). Prevalence of serum lipid abnormalities in chronic hemodialysis. Metabolism, 26, 903–910.
Castelli, W P, Doyle, J T, Gordon, T, Hames, C G, Hjortland, M D, Hulley, S B, Kagan, A & Zukel, W J (1977). HDL cholesterol and other lipids in coronary heart disease. The cooperative lipoprotein phenotyping study. Circulation, 55, 767–772.
Daubresse, J C, Lerson, G, Plomteux, G et al. (1976). Lipids and lipoproteins in chronic uremia: A study of the influence of regular hemodialysis. Eur. J. Clin. Invest. 6, 159–166.
Erklens, D W, Albers, J J, Hazzard, W R, Fredrick, R C & Bierman, E L (1978). Moderate exercise increases high density lipoprotein cholesterol in myocardial infarction. Clin. Res., 26, 158A.
Goldberg, A P, Hagberg, M, Delmez, J A, Heath, G W & Harter, H R (1979). Exercise training improves abnormal lipid and carbohydrate metabolism in hemodialysis patients. Trans. Am. Soc. Artif. Intern. Organs, 25, 431–436.
Goldstein, J L, Hazzard, W R, Schrott, H G et al. (1973). Hyperlipidemia in coronary heart disease. I. Lipid levels in 500 survivors of myocardial infarction. J. Clin. Invest., 52, 1533–1543.
Gordon, T, Castelli, W P, Hjortland, M C, Kannel, W B & Dawber, T R (1977). High density lipoprotein as a protective factor against coronary heart disease. The Framingham Study. Am. J. Med., 62, 707–714.
Gyntelberg, F, Brennan, R, Holloszy, J O, Schonfeld, G, Rennie, M J & Weid- Man, S W (1977). Plasma triglyceride lowering by exercise despite increased food intake in patients with type IV hyperlipoproteinemia. Am. J. Clin. Nutr., 30, 716–725.
Helber, A, Wambach, G, Böttcher, W, Weller, P & Schmidt, R (1980). Hypercholesterolemia and hypertriglyceridaemia in patients with analgesic nephropathy. Nephron, 26, 111–115.
Holloszy, J O, Skinner, J S, Toro, G & Cureton, T K (1964). Effects of a six-month program of endurance exercise on the serum lipids of middle-aged men. Am. J. Cardio., 14, 753–760.
Ibels, L S, Simons, L A, King, J O et al. (1975). Studies on the nature and causes of hyperlipidaemia in uraemia, maintenance dialysis and renal transplantation. Q.J. Med., 44, 601–614.
Kokot, F, Kuska, J & Pakula, E (1971). Effect of fat load on serum lipids in patients with renal disease. Nephron, 8, 549–558.
Lewis, L A, Zuehlke, V, Nakamoto, S et al. (1966). Renal regulation of serum-lipoproteins. N. Engl. J. Med., 275, 1097–1100.
Lindner, A, Charra, B, Sherrard, D J, & Scribner, B H (1974). Accelerated atherosclerosis in prolonged maintenance hemodialysis. N. Engl. J. Med., 297, 697–701.
Lopez-S, A, Vial, R, Balart, L & Arroyave, G (1974). Effect of exercise and physical fitness on serum lipids and lipoproteins. Atherosclerosis, 20, 1–9.
Losowsky, M S & Kenward, D H (1968). Lipid metabolism in acute and chronic renal failure. J. Lab. Clin. Med., 71, 736–743.
Lowrie, E G, Lazarus, J M, Hampers, C L & Merrill, J P (1974). Editorial. Cardiovascular disease in dialysis patients. N. Engl. J. Med., 290, 737–738.
Miller, G J & Miller, N E (1975). Plasma-high-density-lipoprotein concentration and development of ischaemic heart disease. Lancet, 1, 16–19.
Vaziri, N D, Risk, C, Martin, D & Novey, H (1980). Comparison of hyperlipidemia in dialysis patients, renal transplant recipients and steroid treated nonrenal patients. J. Dialysis, 4, 63–71.
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Vaziri, N., Gordon, S. & Nikakhtar, B. Lipid abnormalities in chronic renal failure associated with spinal cord injury. Spinal Cord 20, 183–189 (1982). https://doi.org/10.1038/sc.1982.34
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DOI: https://doi.org/10.1038/sc.1982.34