RELATIONSHIPS BETWEEN BLOOD LIPID AND BLOOD PROTEIN LEVELS IN THE NEPHROTIC SYNDROME
E Thomas
Abstract
E Thomas
Abstract
THE BLOOD chemistry of the nephrotic syndrome is characterized by (1) lipemia, with elevation of all the plasma lipids, and (2) hypoproteinemia, with low albumin and gamma globulin fractions. The cause of the lipemia is obscure. The low protein level is probably not (as the coincidence of lipemia with hypoproteinemia and edema might suggest) the sole determining factor, for in malnutrition when the proteins are also low the lipids show no consistent elevation. In the dog they may be unaffected 1 or rise moderately 2 ; in man they tend to be decreased rather than elevated. 3 However, it is believed that the lipemia is related in some way to the abnormal plasma protein levels in nephrosis. This view receives support from demonstrations that in nephrotic blood the quantity of lipid chemically associated with specific plasma protein fractions (for example, beta globulin) may be increased above normal. 4 To investigate this
OpenAlex reports 18 citations for this work. Citation counts describe recorded attention and do not establish research quality.
A contribution statement is not available in the OpenAlex record.
Method details are not available in the OpenAlex metadata.
Findings are not separately available in the OpenAlex metadata.
Limitations are not available in the OpenAlex metadata.
Application details are not available in the OpenAlex metadata.
THE BLOOD chemistry of the nephrotic syndrome is characterized by (1) lipemia, with elevation of all the plasma lipids, and (2) hypoproteinemia, with low albumin and gamma globulin fractions. The cause of the lipemia is obscure. The low protein level is probably not (as the coincidence of lipemia with hypoproteinemia and edema might suggest) the sole determining factor, for in malnutrition when the proteins are also low the lipids show no consistent elevation. In the dog they may be unaffected 1 or rise moderately 2 ; in man they tend to be decreased rather than elevated. 3 However, it is believed that the lipemia is related in some way to the abnormal plasma protein levels in nephrosis. This view receives support from demonstrations that in nephrotic blood the quantity of lipid chemically associated with specific plasma protein fractions (for example, beta globulin) may be increased above normal. 4 To investigate this
Key concepts: Nephrotic syndrome, Blood proteins, Medicine, Blood lipids, Internal medicine, Physiology, Endocrinology, Cholesterol