In metabolic syndrome without diabetes the HDL2 and HDL3 sphingophospholipidome shows major changes.
The proportion of sphingomyelins, plasmalogens and d18:1-sphingosine-1-phosphate is decreased.
The proportion of lysophosphatidylcholines and phosphatidylinositols is increased.
These changes could contribute to the impaired functionality of HDL in metabolic syndrome.
C18:2 fatty acid-containing phospholipids are decreased and C20:4 fatty acid-containing ones are increased.