Hepatic lipase activity during oral and parenteral 17 beta-estradiol replacement therapy: high-density lipoprotein increase may not be antiatherogenic.

Abstract:

OBJECTIVE:Hepatic lipase activity is involved in the removal of cholesterol and phospholipid from plasma high-density lipoprotein (HDL) to the liver. Changes in hepatic lipase are responsible for some lipoprotein modifications observed during estrogen administration (i.e., increased HDL levels). The aim of this study was to compare the effects of alternative routes of administration of estrogen on hepatic lipase activity and lipoprotein metabolism. DESIGN, PATIENTS:The effects of oral and parenteral estradiol (E2) replacement therapy on post-heparin hepatic lipase were studied in the short-term (6 weeks) in postmenopausal women. INTERVENTIONS:Ten patients received 2 mg/d or oral micronized E2 and 10 patients 3 mg/d of percutaneous E2. RESULTS:Both treatments significantly increased plasma E2 levels. Hepatic lipase decreased (-33%) significantly (P less than 0.05), and the phospholipids and free cholesterol content of HDL and HDL3 increased significantly (P less than 0.05) during oral but not during parenteral treatment. CONCLUSIONS:The short-term pharmacological effect of E2 on hepatic lipase depends on the route of administration. The inhibition of this enzyme may reduce the removal of HDL-cholesterol by the liver. The expected vascular benefits of such a pharmacological increase in HDL are questionable.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Basdevant A,de Lignieres B,Simon P,Blache D,Ponsin G,Guy-Grand B

doi

10.1016/s0015-0282(16)54361-1

subject

Has Abstract

pub_date

1991-06-01 00:00:00

pages

1112-7

issue

6

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)54361-1

journal_volume

55

pub_type

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    doi:

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    pub_type: 杂志文章,meta分析,评审

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    更新日期:2016-02-01 00:00:00

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    更新日期:1991-04-01 00:00:00

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    pub_type: 杂志文章

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    authors: Dmowski WP,Radwanska E,Binor Z,Tummon I,Pepping P

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