The Japanese Journal of Clinical Dialysis Vol.14 No.11(1-2)

Theme Pathophysiology and Treatment of Deranged Lipid Metabolism in Chronic Renal Failure
Title Serum lipid and lipoprotein profile of patients with diabetic-end-stage renal disease
Publish Date 1998/09
Author Toru Oka Takasago Municipal Hospital
Author Takeo Goto Takasago Municipal Hospital
[ Summary ] Patients with diabetic renal failure show hyperLDL-emia and hyperVLDL-emia in some stages of their condition, due to the excretion of protein in their urine (nephrotic syndrome). After long-term hemodialysis, however, the effects of the nephrotic syndrome disappear, and abnormal metabolism of lipoprotein, characterized by hyperVLDL-emia, hyperIDL-emia, and hypoHDL-emia become the characteristics seen in patients with non-diabetic renal failure. Failure of VLDL catabolism, based on decreased relative LPL activity, and decreased HTGL activity seems to be a cause as well, in patients with non-diabetic renal failure.
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