Effect of estrogen on post heparin lipolytic activity. Selective decline in hepatic triglyceride lipase

Abstract

The rise in plasma triglyceride (TG) levels associated with estrogen administration has been thought to arise from impaired clearance because of the uniform suppression of post heparin lipolytic activity (PHLA). Recently PHLA has been shown to consist of 2 activities: hepatic TG lipase and extrahepatic lipoprotein lipase (LPL). To determine whether estrogen might induce a selective decline in one of these activities, both hepatic TG lipase and extrahepatic LPL were measured in post heparin plasma from 13 normal women before and after 2 wk of treatment with ethinyl estradiol (1 μg/kg per day). Estrogen uniformly depressed hepatic TG lipase as measured by affinity column (-68±12%, mean ±SD, P<0.001) or antibody inhibition (-63±11%, P<0.001). Extrahepatic LPL was not significantly changed by affinity column (-22±40%) or antibody inhibition (-3±42%). Direct measurement of adipose tissue LPL from buttock fat biopsies also showed no systematic change in the activated form of LPL measured as heparin elutable LPL (±64±164%) or in the tissue form of LPL measured in extracts of acetone ether powders (+21±77%). The change in hepatic TG lipase correlated with the change in PHLA (r=0.969, P<0.01). However, neither the change in PHLA nor hepatic TG lipase correlated with the increase in TG during estrogen. The decrease in PHLA during estrogen thus results from a selective decline in hepatic TG lipase.