Correlation Between the Levels of ANGPTL3, ANGPTL4, ANGPTL8 and Postprandial Triglyceride-Rich Lipoprotein (TRL)

Tingxue Zhang; Yilin Hou; Min Liu; Xiaoyu Hou; Yong Tang; Luping Ren; Guangyao Song

doi:10.2147/DMSO.S438757

Correlation Between the Levels of ANGPTL3, ANGPTL4, ANGPTL8 and Postprandial Triglyceride-Rich Lipoprotein (TRL)

Diabetes Metab Syndr Obes. 2023 Dec 6:16:3979-3993. doi: 10.2147/DMSO.S438757. eCollection 2023.

Authors

Tingxue Zhang^{1

2}, Yilin Hou^{1

2}, Min Liu², Xiaoyu Hou^{1

2}, Yong Tang², Luping Ren², Guangyao Song^{1

2}

Affiliations

¹ Department of Internal Medicine, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
² Department of Endocrinology, Hebei General Hospital, Shijiazhuang, People's Republic of China.

Abstract

Purpose: To investigate the effects of different angiopoietin-like proteins (ANGPTLs) on postprandial hypertriglyceridemia (PPT) by analyzing changes in serum lipid, ANGPTL3, ANGPTL4, and ANGPTL8 levels before and after a high-fat diet in individuals with normal fasting lipid and oral glucose tolerance test results.

Patients and methods: Exactly 103 volunteers were recruited for an oral fat tolerance test (OFTT). Blood samples were obtained at 0, 2, and 4 h after eating to detect relevant indicators. PPT was defined as triglyceride (TG) levels ≥ 2.5 mmol/L. According to the test results, the participants were divided into two groups: postprandial normal triglycerides (PNT) and PPT. The levels of blood lipids and ANGPTL3, ANGPTL4, and ANGPTL8 were compared between the two groups.

Results: There were differences in the body mass index (BMI), waist circumference (WC), fasting total cholesterol (TC), TG, low-density lipoprotein cholesterol (LDL-C), triglyceride-rich lipoprotein cholesterol (TRL-C), non-high-density lipoprotein cholesterol (non-HDL-C), apolipoprotein B (ApoB), ApoA1/ApoB, fasting blood glucose (FBG), fasting insulin (FINS), ANGPTL4, and ANGPTL8 between the two groups. In the PNT group, the TG level increased from baseline at 2 and 4 h, TRL-C increased from baseline at 4 h, and ANGPTL8 decreased from baseline at 2 and 4 h. After OFTT, the levels of TG, TRL-C, ANGPTL3, and ANGPTL4 in the PPT group gradually increased; ANGPTL8 gradually decreased. Fasting ANGPTL3 was positively associated with age, TC, HDL-C, TRL-C, and ApoA1, and negatively associated with systolic blood pressure. Fasting ANGPTL4 was positively correlated with weight, WC, BMI, TC, TG, LDL-C, TRL-C, non-HDL-C, ApoB, FBG, and FINS, and negatively correlated with ApoA1/ApoB and fasting ANGPTL8. Binary logistic regression analysis indicated that ANGPTL4 and ANGPTL8 were significant predictors of PPT.

Conclusion: PPT occurrence is closely associated with changes in ANGPTL4 and ANGPTL8 levels.

Keywords: ANGPTL proteins; dyslipidemia; oral fat tolerance test; postprandial normal triglyceride; serum lipid.

Grants and funding

This study was supported by the Research Fund of Hebei Provincial Government.