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© 1992 Medical Council on Alcohol


research-article

SERUM TRYPSIN-LIKE ACTIVITY IN CHRONIC ALCOHOLIZED MEN: POSSIBLE RELATIONSHIP WITH LIPIDS, apoA-1 AND apoB LIPOPROTEINS

J. P. JOLY*,{dagger}, R. SESBOÜÉ{ddagger}, B. HILLEMAND{dagger} and J. P. MARTIN{ddagger}

{dagger}Centre d'Hygiène Alimentaire, C.H.U. Rouen Bois-Guillaume, France
{ddagger}Institut National de la Santé et de la Recherche Médicale Unité 295, Saint-Etienne du Rouvray, France

* Author to whom correspondence should be addressed, at: CHR, La Colombière, Avenue Maréchal Juin, 76230 Bois-Guillaume, France.

Received 18 May 1992; accepted 9 June 1992

Chronic alcoholization is known to increase plasma trypsin levels. One-hundred and forty-six male chronic alcohol users were tested for serum trypsin-like activity (STA), total cholesterol (TC), LDL-cholesterol (LDL-C), HDL-/cholesterol (HDL-C), triglycerides (TG), apoA-1 and apoB lipoproteins. STA was positively correlated to LDL-C, TG and apoB rates and the CT/HDL-C index and negatively correlated to HDL-C and apoA-1 rates and the apoA-1/ apoB index. Eighty-four patients with high STA (group B) compared to 62 patients with normal STA (group A) showed significantly higher LDL-C, TG, apoB rates and TC/HDL-C index contrasting with significantly lower HDL-C and apoA-1 rates and the apoA-1/apoB index. The two groups were matched for age, overweight, cigarette smoking and glycemia. Hepatic dysfunction does not explain the differences in the lipoproteic parameters. Such results would suggest that there may be a tryptic alteration of apoproteins in vivo as already demonstrated in vitro and experimentally suspected in vivo in some other studies. Competition by the trypsinactivated {alpha}2 macroglobulin for the chylomicron-remnant LDL receptor-related protein may be evoked.


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