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Journal of Lipid Research, Vol 26, 755-760, Copyright © 1985 by Lipid Research, Inc.
CB Blum, PA Davis and TM Forte
The concentrations and lipoprotein distributions of apolipoprotein E (apoE)
in normal human umbilical cord blood plasma were determined. The mean
plasma apoE level of 95 neonates was considerably higher than that of 49
normal adults (58.1 vs 35.8 micrograms/ml). This elevation of apoE levels
was in striking contrast to the lower than adult levels of cholesterol (72
mg/dl vs 185 mg/dl), triglyceride (37.8 mg/dl vs 97.6 mg/dl), and LDL
cholesterol (25 mg/dl vs 110 mg/dl) in neonatal plasma. For the group of 95
neonates, the plasma apoE concentration correlated significantly with total
plasma cholesterol concentration (r = 0.60), with LDL cholesterol
concentration (r = 0.27) and with HDL cholesterol concentration (r = 0.50).
Among the neonates, 87% of plasma apoE was associated with a less dense
subfraction of high density lipoprotein compared to a mean of 58% for 30
normal adults. Thus, for neonates, despite hypolipidemia, the absolute
concentration of apoE in HDL (50 micrograms/ml) was 2.5 times that of
adults (20 micrograms/ml). We speculate that the very low level of neonatal
VLDL, providing limited substrate for lipolysis, may result in retarded
removal of apoE from plasma and the observed high level of apoE in neonatal
HDL. We hypothesize that in the fetus and neonate, as has been demonstrated
in abetalipoproteinemia, apoE-rich HDL may functionally substitute for LDL
in delivering cholesterol to cells.
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Elevated levels of apolipoprotein E in the high density lipoproteins of human cord blood plasma
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