Abstract
We have heard convincing evidence this morning of the alterations in plasma lipids induced by a broad range of oral contraceptive preparations. Because of the epidemiological association between atherosclerotic cardiovascular disease and hyperlipoproteinemia, hypertriglyceridemia as well as hypercholesterolemia (1), and the possibility that progestational agents may therefore limit the relative immunity from atherosclerosis enjoyed by premenopausal women, we have begun to explore the mechanism of the hypertriglyceridemia of oral contraceptive therapy. These studies, then, evaluate the altered balance between triglyceride (TG) input and removal which result in a raised plasma TG concentration in women given oral progestational agents.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Albrink, M.J.: Triglycerides, lipoproteins, and coronary artery disease. Arch. Int. Med. 109:345–359 (1962).
Fabian, E., Stork, A., Kobilkova, J., and Sponarova, J.: The activity of the lipoprotein lipase and estrogens. Enzym. Biol. Clin. 8:45–455 (1967).
Sandhofer, F., Sailer, S., Braunsteiner, H. and Braitenberg, H.: Post-heparin lipoproteinlipase and Schwangerschaft. Wien. Klin. Wschr. 73:392–393 (1961).
Otway, W., and Robinson, D.S.: The significance of changes in tissue clearing-factor lipase activity in relation to the lipemia of pregnancy. Biochem. J. 106:677–682 (1968).
Bagdade, J.D., Porte, D., Jr., and Bierman, E.L.: Diabetic lipemia: a form of acquired fat-induced lipemia. New Eng. J. Med. 276:427–433 (1967).
Bagdade, J.D., Porte, D., Jr. and Bierman, E.L.: Acute insulin withdrawal and the regulation of plasma triglyceride removal in diabetic subjects. Diabetes 17:127–132 (1968).
Porte, D., Jr., O’Hara, D.D. and Williams, R.H.: The relation between postheparin lipolytic activity and plasma triglyceride in myxedema. Metabolism 15:107–113 (1966).
Fredrickson, D.S., Ono, K., and Davis, L.L.: Lipolytic activity of post-heparin plasma in hypertriglyceridemia. J. Lipid Res. 4:24–33 (1963).
Fredrickson, D.S., Levy, R.I. and Lees, R.S.: Fat transport in lipoproteins—an integrated approach to mechanisms and disorders. Part III. New Eng. J. Med. 276:148–156 (1967).
Harlan, W.R., Winesett, P.S. and Wasserman, A.J.: Tissue lipoprotein lipase in normal individuals and individuals with p exogenous hypertriglyceridemia and the relationship of this enzyme to assimilation of fat. J. Clin. Invest. 46:239–247 (1967).
Riggs, D.S.: The Mathematical Approach to Physiological, Problems, Williams and Wilkins Co., Baltimore, 1963, Chapter 11, pp 272–298.
Robinson, D.S.: The clearing factor lipase and its action in the transport of fatty acids between the blood and the tissues. Adv. Lipid Res. 11: 133–182 (1963).
Farquhar, J.W., Frank, A., Gross, R.C. and Reaven, G.M.: Glucose, insulin, and triglyceride responses to high and low carbohydrate diets in man. J. Clin. Invest. 45:1648–1656 (1966).
Bierman, E.L. and Porte, D., Jr.: Carbohydrate intolerance and lipemia. Ann. Int. Med. 68:926–933 (1968).
Bagdade, J.D., Porte, D., Jr. and Bierman, E.L.: Hypertriglyceridemia: a metabolic consequence of chronic renal failure. New Eng. J. Med. 279: 181–185 (1968).
Ford, S., Bozian, R.C. and Knowles, H.C.: Interactions of obesity, and glucose and insulin levels in hypertriglyceridemia. Amer. J. Clin Nutr. 21:904–910 (1968).
Spellacy, W.N., Carlson, K.L., Burk, S.A., and Schade, S.L.: Glucose and insulin alterations after one year of combination-type oral contraceptive treatment. Metabolism 17:496–501 (1968).
Bagdade, J.D.: Basal insulin and obesity. Lancet ii,: 630–631 (1968).
Spellacy, W.N., Carlson, K.L. and Schade, S.L.: Human growth hormone levels in normal subjects receiving an oral contraceptive. J. Amer. Med. Assoc. 2: 115–118 (1967).
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1969 Plenum Press, New York
About this chapter
Cite this chapter
Hazzard, W.R., Spiger, M.J., Bierman, E.L. (1969). Studies on the Mechanism of Hypertriglyceridemia Induced by Oral Contraceptives. In: Salhanick, H.A., Kipnis, D.M., Wiele, R.L.V. (eds) Metabolic Effects of Gonadal Hormones and Contraceptive Steroids. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-1782-1_17
Download citation
DOI: https://doi.org/10.1007/978-1-4684-1782-1_17
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4684-1784-5
Online ISBN: 978-1-4684-1782-1
eBook Packages: Springer Book Archive