Postprandial Fatty Acid Metabolism in Subjects With Lipoprotein Lipase Deficiency
Słowa kluczowe
Abstrakcyjny
Opis
The study protocol includes 3 visits: the screening visit and 2 postprandial metabolic studies performed in random order at an interval of 7 to 14 days, and performed with (A1) and without (A0) an intravenous (i.v.) heparin bolus followed by 250 IU/h i.v during 6 hours. Each metabolic study will last 9 hours (with 6 hours postprandial) and will include PET and stable isotopic tracer methods. At time 0, a low fat liquid meal will be ingested over 20 minutes.
Daktyle
Ostatnia weryfikacja: | 12/31/2019 |
Pierwsze przesłane: | 01/06/2020 |
Szacowana liczba przesłanych rejestracji: | 01/08/2020 |
Wysłany pierwszy: | 01/13/2020 |
Ostatnia aktualizacja przesłana: | 01/12/2020 |
Ostatnia opublikowana aktualizacja: | 01/17/2020 |
Rzeczywista data rozpoczęcia badania: | 12/08/2019 |
Szacowana data zakończenia podstawowej działalności: | 02/28/2021 |
Szacowana data zakończenia badania: | 05/31/2021 |
Stan lub choroba
Interwencja / leczenie
Drug: Heparin
Dietary Supplement: liquid meal
Faza
Grupy ramion
Ramię | Interwencja / leczenie |
---|---|
Other: Control group- A0 Control group: Healthy subjects with fasting glucose < 5.6, 2-hour post 75g Oral Glucose Tolerance Test (OGTT) glucose < 7.8 mmol/l and HbA1c < 5.8%; fasting TG < 1.5 mmol/l);
A0: without heparin administered | |
Other: LPLD group-A0 LPLD group: LPL deficient subjects with history of fasting TG > 5 mmol/l and homozygote or compound heterozygote for a LPL-gene mutation;
A0: without heparin administered | |
Other: Control group-A1 Control group: Healthy subjects with fasting glucose < 5.6, 2-hour post 75g OGTT glucose < 7.8 mmol/l and HbA1c < 5.8%; fasting TG < 1.5 mmol/l);
A1: with an intravenous (i.v.) heparin bolus (50 IU/kg i.v.) followed by 250 IU/h i.v. during 6 hours starting 15 minutes before ingestion of liquid meal. | |
Other: LPLD group-A1 LPLD group: LPL deficient subjects with history of fasting TG > 5 mmol/l and homozygote or compound heterozygote for a LPL-gene mutation;
A1: with an intravenous (i.v.) heparin bolus (50 IU/kg i.v.) followed by 250 IU/h i.v. during 6 hours starting 15 minutes before ingestion of liquid meal. |
Kryteria kwalifikacji
Wiek kwalifikujący się do nauki | 18 Years Do 18 Years |
Płeć kwalifikująca się do nauki | All |
Przyjmuje zdrowych wolontariuszy | tak |
Kryteria | Inclusion Criteria: - 8 healthy LPL-deficient individuals (LPLD subjects) with history of fasting TG > 5 mmol/l and homozygote or compound heterozygote for a LPL-gene mutation; - 8 control subjects (fasting glucose < 5.6, 2-hour post 75g OGTT glucose < 7.8 mmol/l and HbA1c < 5.8%; fasting TG < 1.5 mmol/l); - age 18 to 75 yo; - To be willing and able to adhere to the specifications of the protocol; - To have signed an informed consent document indicating that they understood the purpose Exclusion Criteria: - age < 18 yo; - overt cardiovascular disease as assessed by medical history, physical exam, and abnormal ECG - Treatment with a fibrate, thiazolidinedione, beta-blocker or other drug known to affect lipid or carbohydrate metabolism (except statins, metformin, and other antihypertensive agents that can be safely interrupted); - Treatment with anti-hypertensive medication (only for LPL-deficient individuals); - presence of liver or renal disease; uncontrolled thyroid disorder; - previous diagnosis of heparin-induced thrombocytopenia; - Treatment with oral anticoagulation medication or platelet aggregation inhibiting drugs; - A history of major hemorrhagic event; - smoking (>1 cigarette/day) and/or consumption of >2 alcoholic beverages per day;; - Female of child-bearing potential who is pregnant, breast feeding or intends to become pregnant or pre-menopausal female with a positive serum pregnancy test at the time of enrollment. |
Wynik
Podstawowe miary wyników
1. Organ-specific Dietary Fatty Acid (DFA) partitioning [2 months]
2. Myocardial DFA uptake [2 months]
Miary wyników wtórnych
1. Myocardial nonesterified fatty acids (NEFA) metabolism [2 months]
2. Dietary fatty acid oxidation rate [6 months]
3. Total oxidation rate [2 months]
4. postprandial plasma NEFA turnover [6 months]
5. postprandial plasma glucose turnover [6 months]
6. Left ventricular function by Positron Emitting Positron (PET) ventriculography [2 months]
7. Myocardial oxidative metabolism [2 months]
8. Insulin sensitivity [6 months]
9. Liver nonesterified fatty acids (NEFA) metabolism [2 months]
10. Metabolites distribution in plasma [2 months]