Plant sources of acid stable lipases: potential therapy for cystic
fibrosis.
Lipoprotein lipase: structure, function, regulation, and role in
disease.
Pancreatic enzyme replacement therapy.
Plant sources of acid stable lipases: potential therapy for
cystic fibrosis.
Tursi JM, Phair PG, Barnes GL.
Department of Gastroenterology, Royal Children's Hospital, Parkville, Victoria,
Australia.
Exogenous lipase used in the treatment of pancreatic insufficiency may be destroyed by stomach acid. This study was undertaken to
search for a readily availa ble source of acid stable lipase. Eleven plant sources (avocado, walnut, pinenut,
coconut, lupin, lentils, chickpea, mungbean, oats, castor beans and eggplant) were screened for lipolytic activity
using a newly developed radio-isotopic labelled substrate method. The results obtained by this method were
confirmed by thin layer chromatography. Two of the sources (castor bean and dehulled oats) showed significant
lipolytic activity at pH 5.6, castor beans containing 1.5 U/mg of extracted solid and oats 400-1200 U/mg of
extracted solid. Castor beans are difficult to obtain and so may be an impractical commercial source of lipase;
however, oats are abundant. If simple methods of enzyme purification and concentration can be developed, oats may
prove to be a practical source of acid stable lipase for use in the treatment of patients with pancreatic
insufficiency, especially those who have cystic fibrosis.
Lipoprotein lipase: structure, function, regulation, androle
in disease.
Mead JR, Irvine SA, Ramji DP.
Cardiff School of Biosciences, Cardiff University, Museum Avenue, P.O. Box 911,
Cardiff CF10 3US, Wales, UK.
Lipoprotein lipase (LPL) catalyses the hydrolysis of the triacylglycerol component
of circulating chylomicrons and very low density lipoproteins, thereby providing non-esterified fatty acids and
2-monoacylglycerol for tissue utilisation. Research carried out over the past two decades have not only established
a central role for LPL in the overall lipid metabolism and transport but have also identified additional,
non-catalytic functions of the enzyme. Furthermore, abnormalities in LPL function have been found to be associated
with a number of pathophysiological conditions, including atherosclerosis, chylomicronaemia, obesity, Alzheimer's
disease, and dyslipidaemia associated with diabetes, insulin resistance, and infection. Advances have also been
made in relating the various domains in the protein to different functions, and in understanding the mechanisms
that are responsible for the changes in LPL expression seen in response to nutritional and other physiological
changes, and during disease. This review summarises recent findings in relation to the structure, function, and
regulation of LPL along with its important role in disease.
Department of Medicine, Israelitic Hospital, Orchideenstieg 14, D-22297 Hamburg,
Germany. layer@ik-h.de
Malabsorption due to severe pancreatic exocrine insufficiency is one of the most
important late features of chronic pancreatitis. Generally, steatorrhea is more severe and occurs several years
prior to malabsorption of other nutrients because synthesis and secretion of lipase are impaired more rapidly, its
intraluminal survival is shorter, and the lack of pancreatic lipase activity is not compensated for by
nonpancreatic mechanisms. Patients suffer not only from nutritional deficiencies but also from increased nutrient
delivery to distal intestinal sites, causing symptoms by profound alteration of upper gastrointestinal secretory
and motor functions. Adequate nutrient absorption requires delivery of sufficient enzymatic activity into the
duodenal lumen simultaneously with meal nutrients. The following recommendations are based on modern therapeutic
concepts: 25,000 to 40,000 units of lipase per meal using pH-sensitive pancreatin microspheres, with dosage
increases, compliance checks, and differential diagnosis in case of treatment failure. Still, in most patients,
lipid digestion cannot be completely normalized by current standard therapy, and future developments are needed to
optimize treatment. See:Betaine HCL