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GPR30 Selective Agonist G1 Exhibits Antiobesity Effects and Promotes Insulin Resistance and Gluconeogenesis in Postmenopausal Mice Fed a High-Fat Diet. GPR30 选择性激动剂 G1 具有抗肥胖作用,并能促进绝经后高脂饮食小鼠的胰岛素抵抗和糖代谢。
IF 5.9 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-11-08 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5513473
Da Liu, Mingqi Zheng, Congcong Lu, Mengdan Miao, Yinge Zhan, Fangfang Ma, Yajuan Yin, Mei Wei, Wei Wang, Wenyao Wang, Xiangbin Meng, Jing Li, Yaohua Zhang, Gang Liu, Yi-Da Tang

Background: G1, a specific agonist targeting the G protein-coupled receptor 30 (GPR30), has demonstrated significant involvement in combating obesity and regulating glucose homeostasis. Nevertheless, the beneficial effects of G1 treatment have solely been investigated in animal models under normal feeding conditions, leaving its therapeutic potential in high-fat feeding scenarios unexplored. Material and Methods: To address this gap, our study employed an ovariectomized high-fat diet mouse model to assess the therapeutic effects of G1 in combating obesity and metabolic dysfunction. Results: The findings revealed that G1 treatment resulted in weight loss, but concurrently led to increased blood glucose levels and insulin resistance. Treatment with G1 resulted in an amplification of fat mobilization and an enhancement of pyruvate carboxylase activity in mice fed a high-fat diet. Moreover, the combined impact of G1 treatment and a high-fat diet on pyruvate metabolism, as well as the regulation of crucial gluconeogenesis enzymes such as pyruvate dehydrogenase kinase 4 (PDK4), phosphoenolpyruvate carboxykinase (PEPCK), and glucose transporter 2 (GLUT2), expedites the elevation of blood glucose and the progression of insulin resistance. Conclusions: These findings indicate that G1 treatment is influenced by a high-fat diet, potentially disrupting glucolipid metabolism and promoting insulin resistance alongside its antiobesity effects. Consequently, further investigation is imperative to thoroughly explore this potential toxic side effect of G1 therapy.

背景:G1 是一种以 G 蛋白偶联受体 30(GPR30)为靶点的特异性激动剂,已被证明在对抗肥胖和调节葡萄糖稳态方面具有重要作用。然而,G1 治疗的有益效果仅在正常喂养条件下的动物模型中进行了研究,其在高脂肪喂养情况下的治疗潜力尚未得到探索。材料和方法:为了填补这一空白,我们的研究采用了卵巢切除的高脂饮食小鼠模型来评估 G1 在对抗肥胖和代谢功能障碍方面的治疗效果。结果研究结果表明,G1 治疗能减轻体重,但同时会导致血糖水平升高和胰岛素抵抗。用 G1 治疗后,以高脂肪饮食喂养的小鼠的脂肪动员能力增强,丙酮酸羧化酶活性提高。此外,G1 处理和高脂饮食对丙酮酸代谢以及丙酮酸脱氢酶激酶 4 (PDK4)、磷酸烯醇丙酮酸羧激酶 (PEPCK) 和葡萄糖转运体 2 (GLUT2) 等关键糖元生成酶的调控产生了联合影响,加速了血糖升高和胰岛素抵抗的发展。结论这些研究结果表明,G1 治疗受高脂肪饮食的影响,可能会扰乱糖脂代谢,在发挥抗肥胖作用的同时促进胰岛素抵抗。因此,必须进行进一步研究,以彻底探讨 G1 疗法的这一潜在毒副作用。
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引用次数: 0
miR-33a Expression Attenuates ABCA1-Dependent Cholesterol Efflux and Promotes Macrophage-Like Cell Transdifferentiation in Cultured Vascular Smooth Muscle Cells. miR-33a 的表达可减少培养血管平滑肌细胞中 ABCA1 依赖性胆固醇外流并促进巨噬细胞样细胞的转分化。
IF 5.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-06-16 eCollection Date: 2023-01-01 DOI: 10.1155/2023/8241899
Ikechukwu C Esobi, Olanrewaju Oladosu, Jing Echesabal-Chen, Rhonda R Powell, Terri Bruce, Alexis Stamatikos

Recent evidence suggests that the majority of cholesterol-laden cells found in atherosclerotic lesions are vascular smooth muscle cells (VSMC) that have transdifferentiated into macrophage-like cells (MLC). Furthermore, cholesterol-laden MLC of VSMC origin have demonstrated impaired ABCA1-dependent cholesterol efflux, but it is poorly understood why this occurs. A possible mechanism which may at least partially be attributed to cholesterol-laden MLC demonstrating attenuated ABCA1-dependent cholesterol efflux is a miR-33a expression, as a primary function of this microRNA is to silence ABCA1 expression, but this has yet to be rigorously investigated. Therefore, the VSMC line MOVAS cells were used to generate miR-33a knockout (KO) MOVAS cells, and we used KO and wild-type (WT) MOVAS cells to delineate any possible proatherogenic role of miR-33a expression in VSMC. When WT and KO MOVAS cells were cholesterol-loaded to convert into MLC, this resulted in the WT MOVAS cells to exhibit impaired ABCA1-dependent cholesterol efflux. In the cholesterol-loaded WT MOVAS MLC, we also observed a delayed restoration of the VSMC phenotype when these cells were exposed to the ABCA1 cholesterol acceptor, apoAI. These results imply that miR-33a expression in VSMC drives atherosclerosis by triggering MLC transdifferentiation via attenuated ABCA1-dependent cholesterol efflux.

最近的证据表明,在动脉粥样硬化病变中发现的大多数胆固醇载量细胞是血管平滑肌细胞(VSMC),它们已转分化为巨噬细胞样细胞(MLC)。此外,来自血管平滑肌细胞(VSMC)的富含胆固醇的类巨噬细胞(MLC)已被证实ABCA1依赖性胆固醇外流功能受损,但人们对这种情况的原因还不甚了解。一个可能的机制是 miR-33a 的表达,因为这种微RNA的主要功能是抑制 ABCA1 的表达,而这至少可以部分归因于富含胆固醇的 MLC 显示出 ABCA1 依赖性胆固醇外流的减弱,但这一机制还有待严格研究。因此,我们用 VSMC 系 MOVAS 细胞产生了 miR-33a 基因敲除(KO)的 MOVAS 细胞,并用 KO 和野生型(WT)MOVAS 细胞来确定 miR-33a 表达在 VSMC 中任何可能的致动脉粥样硬化作用。当 WT 和 KO MOVAS 细胞负载胆固醇以转化为 MLC 时,WT MOVAS 细胞表现出 ABCA1 依赖性胆固醇外流受损。在胆固醇负载的 WT MOVAS MLC 中,当这些细胞暴露于 ABCA1 胆固醇接受者 apoAI 时,我们还观察到 VSMC 表型的延迟恢复。这些结果表明,VSMC 中 miR-33a 的表达通过减弱 ABCA1 依赖性胆固醇外流引发 MLC 转分化,从而导致动脉粥样硬化。
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引用次数: 0
Genetics, Safety, Cost-Effectiveness, and Accessibility of Injectable Lipid-Lowering Agents: A Narrative Review. 注射用降血脂药物的遗传学、安全性、成本效益和可及性:叙述性综述。
IF 5.9 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-03-08 eCollection Date: 2023-01-01 DOI: 10.1155/2023/2025490
Abdulmajeed Abdulghani A Sindi

Cardiovascular disease causes significant personal, financial, and societal burden and is a major cause of mortality and morbidity globally. Dyslipidemia has proven to be a major factor that contributes to its increased incidence; thus, since a long time, low-density lipoprotein cholesterol-lowering therapies have been employed to reduce coronary artery disease-associated mortality. The first-line therapy for hyperlipidemia and dyslipidemia is statins. Evidence showed that statins decrease the level of LDL-C resulting in a lower risk of CVD (20-25% for every decrease of 1 mmol/L). However, due to statin intolerance in some patients and despite using maximal doses, they have not been successful in lowering cardiovascular-associated mortality. Moreover, bococizumab was recently suspended due to its higher immunogenicity with time, resulting in less efficacy with long-term use. Alternatives to statins are PCSK9 inhibitors which are administered subcutaneously every two or four weeks. They are injectables with considerable lipid-lowering properties. This narrative review discusses their genetics, safety, tolerability, and cost-effectiveness. It also quantifies their benefit in certain subgroups by analyzing the findings from recent randomized clinical trials. Current data from phase 2 and 3 trials (ORION, ODYSSEY, and FOURIER) suggest a favorable profile for evolocumab, alirocumab, and inclisiran with minimal tolerable side effects and superior efficacy in statin-intolerant patients. Their cost-effectiveness has not yet been established clearly, but future outcomes seem promising.

心血管疾病给个人、经济和社会带来沉重负担,是全球死亡和发病的主要原因。血脂异常已被证明是导致其发病率增加的一个主要因素;因此,长期以来,人们一直采用降低低密度脂蛋白胆固醇的疗法来降低与冠心病相关的死亡率。他汀类药物是治疗高脂血症和血脂异常的一线疗法。证据显示,他汀类药物可降低低密度脂蛋白胆固醇水平,从而降低心血管疾病风险(每降低 1 毫摩尔/升,风险降低 20%-25%)。然而,由于一些患者对他汀类药物不耐受,尽管使用了最大剂量,但在降低心血管相关死亡率方面并不成功。此外,由于随着时间的推移,免疫原性增加,导致长期使用的疗效降低,博西珠单抗最近被暂停使用。他汀类药物的替代品是 PCSK9 抑制剂,每两周或四周皮下注射一次。它们是可注射的药物,具有显著的降脂作用。这篇叙述性综述讨论了它们的遗传学、安全性、耐受性和成本效益。它还通过分析近期随机临床试验的结果,量化了这些药物在某些亚群体中的益处。目前的 2 期和 3 期试验(ORION、ODYSSEY 和 FOURIER)数据表明,evolocumab、alirocumab 和 inclisiran 具有良好的特征,可耐受的副作用最小,对他汀类药物不耐受的患者疗效更佳。它们的成本效益尚未明确确定,但未来的结果似乎很有希望。
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引用次数: 0
Physiological and Pathological Functions of TMEM30A: An Essential Subunit of P4-ATPase Phospholipid Flippases. TMEM30A的生理和病理功能:p4 - atp酶磷脂翻转酶的重要亚基。
IF 5.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-01-01 DOI: 10.1155/2023/4625567
Jingyi Li, Yue Zhao, Na Wang

Phospholipids are asymmetrically distributed across mammalian plasma membrane. The function of P4-ATPases is to maintain the abundance of phosphatidylserine (PS) and phosphatidylethanolamine (PE) in the inner leaflet as lipid flippases. Transmembrane protein 30A (TMEM30A, also named CDC50A), as an essential β subunit of most P4-ATPases, facilitates their transport and functions. With TMEM30A knockout mice or cell lines, it is found that the loss of TMEM30A has huge influences on the survival of mice and cells because of PS exposure-triggered apoptosis signaling. TMEM30A is a promising target for drug discovery due to its significant roles in various systems and diseases. In this review, we summarize the functions of TMEM30A in different systems, present current understanding of the protein structures and mechanisms of TMEM30A-P4-ATPase complexes, and discuss how these fundamental aspects of TMEM30A may be applied to disease treatment.

磷脂不对称地分布在哺乳动物的质膜上。p4 - atp酶的功能是维持磷脂酰丝氨酸(PS)和磷脂酰乙醇胺(PE)在内小叶中的丰度作为脂质翻转酶。跨膜蛋白30A (TMEM30A,也被称为CDC50A)是大多数p4 - atp酶的重要β亚基,促进它们的运输和功能。通过TMEM30A敲除小鼠或细胞系,我们发现TMEM30A的缺失对小鼠和细胞的存活有巨大的影响,因为PS暴露会触发凋亡信号。由于TMEM30A在各种系统和疾病中具有重要作用,因此它是一个有希望的药物发现靶点。在这篇综述中,我们总结了TMEM30A在不同系统中的功能,目前对TMEM30A- p4 - atp酶复合物的蛋白质结构和机制的了解,并讨论了TMEM30A的这些基本方面如何应用于疾病治疗。
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引用次数: 1
Role of Lipid Profile and Its Relative Ratios (Cholesterol/HDL-C, Triglyceride/HDL-C, LDL-C/HDL-C, WBC/HDL-C, and FBG/HDL-C) on Admission Predicts In-Hospital Mortality COVID-19. 血脂及其相对比值(胆固醇/HDL-C、甘油三酯/HDL-C、LDL-C/HDL-C、WBC/HDL-C和FBG/HDL-C)在入院时预测住院死亡率中的作用
IF 5.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-01-01 DOI: 10.1155/2023/6329873
Jafar Mohammadshahi, Hassan Ghobadi, Golchin Matinfar, Mohammad Hossein Boskabady, Mohammad Reza Aslani
Background Lipid profile and its related ratios such as total cholesterol (TC), low-density lipoprotein-cholesterol (LDL-C), triglyceride (TG), high-density lipoprotein-cholesterol (HDL-C), TG/HDL-C ratio, TC/HDL-C ratio, LDL-C/HDL-C ratio, white blood cell (WBC)/HDL-C ratio, and fasting blood glucose (FBG)/HDL-C ratio are valuable indicators that have been studied in various disorders to predict mortality. The present study was conducted with the aim of investigating the role of lipid profile ratios in predicting mortality in COVID-19 patients. Methods At the beginning of hospitalization, laboratory tests were taken from all patients (n = 300). The ability of lipid profile ratios to determine the COVID-19 severity was evaluated using receiver-operating characteristic (ROC). In addition, survival probability was determined with the average of Kaplan-Meier curves, so that the end point was death. Results In deceased patients, TG, TC, LDL-C, HDL-C, TC/HDL-C, TG/HDL-C, and LDL-C/HDL-C parameters were significantly lower than those of surviving patients, while WBC/HDL-C and FBG/HDL-C were significantly higher. TC (HR = 3.178, 95%CI = 1.064 to 9.491, P < 0.05), TG (HR = 3.276, 95%CI = 1.111 to 9.655, P < 0.05), LDL-C (HR = 3.207, 95%CI = 1.104 to 9.316, P < 0.05), and HDL-C (HR = 3.690, 95%CI = 1.290 to 10.554, P < 0.05), as well as TC/HDL-C (HR = 3.860, 95%CI = 1.289 to 11.558, P < 0.05), TG/HDL-C (HR = 3.860, 95%CI = 1.289 to 11.558, P < 0.05), LDL-C/HDL-C (HR = 3.915, 95%CI = 1.305 to 11.739, P < 0.05), WBC/HDL-C (HR = 3.232, 95%CI = 1.176 to 8.885, P < 0.05), and FBG/HDL-C ratios (HR = 4.474, 95%CI = 1.567 to 12.777, P < 0.01), were detectably related to survival. The multivariate Cox regression models showed that only FBG/HDL-C ratio (HR = 5.477, 95%CI = 1.488 to 20.153, P < 0.01) was significantly related to survival. Conclusion The results suggested that FBG/HDL-C ratio in hospital-admitted COVID-19 patients was a reliable predictor of mortality.
背景:脂质谱及其相关比值,如总胆固醇(TC)、低密度脂蛋白-胆固醇(LDL-C)、甘油三酯(TG)、高密度脂蛋白-胆固醇(HDL-C)、TG/HDL-C比值、TC/HDL-C比值、LDL-C/HDL-C比值、白细胞(WBC)/HDL-C比值、空腹血糖(FBG)/HDL-C比值,是各种疾病预测死亡率的重要指标。本研究旨在探讨血脂比例在预测COVID-19患者死亡率中的作用。方法:所有患者入院时进行实验室检查(n = 300)。使用受试者工作特征(ROC)评估脂质谱比值确定COVID-19严重程度的能力。并以Kaplan-Meier曲线的平均值确定生存概率,终点为死亡。结果:死亡患者TG、TC、LDL-C、HDL-C、TC/HDL-C、TG/HDL-C、LDL-C/HDL-C参数均显著低于存活患者,而WBC/HDL-C、FBG/HDL-C均显著高于存活患者。TC (HR = 3.178, 95% ci = 1.064 ~ 9.491, P < 0.05), TG (HR = 3.276, 95% ci = 1.111 ~ 9.655, P < 0.05),低密度脂蛋白(HR = 3.207, 95% ci = 1.104 ~ 9.316, P < 0.05),高密度脂蛋白胆固醇(HR = 3.690, 95% ci = 1.290 ~ 10.554, P < 0.05),以及TC / hdl - c (HR = 3.860, 95% ci = 1.289 ~ 11.558, P < 0.05), TG /高密度脂蛋白胆固醇(HR = 3.860, 95% ci = 1.289 ~ 11.558, P < 0.05),低密度脂蛋白胆固醇/高密度脂蛋白胆固醇(HR = 3.915, 95% ci = 1.305 ~ 11.739, P < 0.05),白细胞/高密度脂蛋白胆固醇(HR = 3.232, 95% ci = 1.176 ~ 8.885, P < 0.05),与光纤光栅/高密度脂蛋白胆固醇比率(HR = 4.474,95%CI = 1.567 ~ 12.777, P < 0.01),与生存率有显著相关性。多因素Cox回归模型显示,只有FBG/HDL-C比值(HR = 5.477, 95%CI = 1.488 ~ 20.153, P < 0.01)与生存率显著相关。结论:结果提示住院COVID-19患者的FBG/HDL-C比值是预测死亡率的可靠指标。
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引用次数: 5
Age- and Diet-Dependent Changes in Hepatic Lipidomic Profiles of Phospholipids in Male Mice: Age Acceleration in Cyp2b-Null Mice 雄性小鼠肝磷脂脂质组学谱的年龄和饮食依赖性变化:cyp2b缺失小鼠的年龄加速
IF 5.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2022-03-29 DOI: 10.1155/2022/7122738
M. Heintz, Ramiya Kumar, Kristal M. Maner-Smith, E. Ortlund, W. S. Baldwin
Increases in traditional serum lipid profiles are associated with obesity, cancer, and cardiovascular disease. Recent lipidomic analysis has indicated changes in serum lipidome profiles, especially in regard to specific phosphatidylcholines, associated with obesity. However, little work has evaluated murine hepatic liver lipidomic profiles nor compared these profiles across age, high-fat diet, or specific genotypes, in this case the lack of hepatic Cyp2b enzymes. In this study, the effects of age (9 months old), high-fat diet (4.5 months old), and the loss of three primarily hepatic xeno- and endobiotic metabolizing cytochrome P450 (Cyp) enzymes, Cyp2b9, Cyp2b10, and Cyp2b13 (Cyp2b-null mice), on the male murine hepatic lipidome were compared. Hierarchical clustering and principal component analysis show that age perturbs hepatic phospholipid profiles and serum lipid markers the most compared to young mice, followed by a high-fat diet and then loss of Cyp2b. Several lipid biomarkers such as PC/PE ratios, PE 38 : 6, and LPC concentrations indicate greater potential for NAFLD and hypertension with mixed effects in Cyp2b-null mice(less NAFLD and greater hypertension-associated markers). Lipid profiles from older mice contain greater total and n-6 fatty acids than normal diet (ND)-fed young mice; however, surprisingly, young Cyp2b-null mice contain high n-6 : n-3 ratios. Overall, the lack of Cyp2b typically enhanced adverse physiological parameters observed in the older (9 mo) mice with increased weight gain combined with a deteriorating cholesterol profile, but not necessarily all phospholipid profiles were adversely perturbed.
传统的血脂升高与肥胖、癌症和心血管疾病有关。最近的脂质组学分析表明,血清脂质组谱的变化,特别是关于特定磷脂酰胆碱,与肥胖有关。然而,很少有研究评估小鼠的肝脏脂质组学特征,也没有将这些特征与年龄、高脂肪饮食或特定基因型(在这种情况下,缺乏肝脏Cyp2b酶)进行比较。在这项研究中,比较了年龄(9个月大)、高脂肪饮食(4.5个月大)和三种主要肝脏外源性和内源性代谢细胞色素P450 (Cyp)酶Cyp2b9、Cyp2b10和Cyp2b13 (cyp2b缺失小鼠)的缺失对雄性小鼠肝脏脂质组的影响。分层聚类和主成分分析表明,与年轻小鼠相比,年龄对肝脏磷脂谱和血清脂质标志物的干扰最大,其次是高脂肪饮食,然后是Cyp2b的缺失。一些脂质生物标志物,如PC/PE比率、PE 38.6和LPC浓度表明,在cyp2b缺失的小鼠中,NAFLD和高血压的混合效应更大(NAFLD更少,高血压相关标志物更大)。老年小鼠的脂质谱比正常饮食(ND)喂养的年轻小鼠含有更多的总脂肪酸和n-6脂肪酸;然而,令人惊讶的是,年轻的cyp2b缺失小鼠含有高n-6: n-3比率。总的来说,缺乏Cyp2b通常会增加年龄较大(9个月)的小鼠的不利生理参数,体重增加并伴有胆固醇谱恶化,但并非所有磷脂谱都受到不利干扰。
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引用次数: 4
Lipoproteins as Markers for Monitoring Cancer Progression. 脂蛋白作为监测癌症进展的标志物。
IF 5.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2021-09-13 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8180424
Logeswaran Maran, Auni Hamid, Shahrul Bariyah Sahul Hamid

Lipoproteins are among the contributors of energy for the survival of cancer cells. Studies indicate there are complex functions and metabolism of lipoproteins in cancer. The current review is aimed at providing updates from studies related to the monitoring of lipoproteins in different types of cancer. This had led to numerous clinical and experimental studies. The review covers the major lipoproteins such as LDL cholesterol (LDL-C), oxidized low-density lipoprotein cholesterol (oxLDL-C), very low-density lipoprotein cholesterol (VLDL-C), and high-density lipoprotein cholesterol (HDL-C). This is mainly due to increasing evidence from clinical and experimental studies that relate association of lipoproteins with cancer. Generally, a significant association exists between LDL-C with carcinogenesis and high oxLDL with metastasis. This warrants further investigations to include Mendelian randomization design and to be conducted in a larger population to confirm the significance of LDL-C and its oxidized form as prognostic markers of cancer.

脂蛋白是癌细胞存活所需能量的来源之一。研究表明,脂蛋白在癌症中具有复杂的功能和代谢。目前的综述旨在提供不同类型癌症中脂蛋白监测相关研究的最新进展。这导致了大量的临床和实验研究。综述了低密度脂蛋白胆固醇(LDL- c)、氧化低密度脂蛋白胆固醇(oxLDL-C)、极低密度脂蛋白胆固醇(VLDL-C)和高密度脂蛋白胆固醇(HDL-C)等主要脂蛋白。这主要是由于越来越多的临床和实验研究表明脂蛋白与癌症有关。一般来说,LDL-C与癌变和高oxLDL与转移之间存在显著关联。这需要进一步的研究,包括孟德尔随机化设计,并在更大的人群中进行,以确认LDL-C及其氧化形式作为癌症预后标志物的重要性。
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引用次数: 6
Current Management Guidelines on Hyperlipidemia: The Silent Killer. 高脂血症的现行管理指南:沉默的杀手。
IF 5.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2021-07-31 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9883352
Lilly Su, Rea Mittal, Devyani Ramgobin, Rahul Jain, Rohit Jain
Given the high incidence of cardiovascular events in the United States, strict control of modifiable risk factors is important. Pharmacotherapy is helpful in maintaining control of modifiable risk factors such as elevated lipids or hypercholesterolemia. Hypercholesterolemia can lead to atherosclerotic disease which may increase the risk of acute coronary events. Statin therapy has long been a mainstay in the treatment of hypercholesterolemia, but while highly regarded, statin therapy also has side effects that may lead to patient noncompliance. Therefore, various medicines are being developed to manage hypercholesterolemia. This paper will discuss the role that lipids play in the pathophysiology of atherosclerotic disease, review the current lipid management guidelines, and discuss new treatment options that are alternatives to statin therapy.
鉴于美国心血管事件的高发病率,严格控制可改变的危险因素是很重要的。药物治疗有助于控制可改变的危险因素,如血脂升高或高胆固醇血症。高胆固醇血症可导致动脉粥样硬化性疾病,这可能增加急性冠状动脉事件的风险。他汀类药物治疗长期以来一直是治疗高胆固醇血症的主要方法,但尽管受到高度重视,他汀类药物治疗也有可能导致患者不遵医嘱的副作用。因此,人们正在开发各种药物来控制高胆固醇血症。本文将讨论脂质在动脉粥样硬化疾病病理生理中的作用,回顾当前的脂质管理指南,并讨论他汀类药物治疗的新治疗方案。
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引用次数: 21
Familial Hypercholesterolemia (FH) in Iran: Findings from the Four-Year FH Registry. 伊朗的家族性高胆固醇血症(FH):伊朗家族性高胆固醇血症(FH):四年 FH 登记结果。
IF 5.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2021-06-11 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9913969
Golnaz Vaseghi, Marzieh Taheri, Kiyan Heshmat-Ghahdarijani, Mohammad Rayati, Sonia Zarfeshani, Ali Pourmoghaddas, Alireza Khosravi, Ehsan Zarepour, Parsa Keshavarzrad, Sina Arabi, Mohammadreza Azizi, Shaghayegh Haghjooy Javanmard, Jamshid Najafian, Nizal Sarrafzadegan

Background: Familial hypercholesterolemia (FH) is a common autosomal dominant disease. Its diagnosis in Iran was uncommon. Iran registry of FH (IRFH) has been started from 2017 from Isfahan. In this study, we report the four-year FH registry.

Methods: The Iran FH registry is an ongoing study which is followed by a dynamic cohort. It has been started from 2017. The patients are selected from laboratories due to high cholesterol level and who have history of premature cardiovascular disease. The Dutch Lipid Clinic Network (DLCN) criteria are used for the detection of FH. Cascade screening is performed for detection of first-degree relative of patients.

Results: Among the 997 individuals included in this registry, they were 522 (mean age 51.41 ± 12.91 year), 141 (mean age 51.66 ± 8.3 year), and 129 (mean age 41 ± 16.5 year) patients from laboratories, premature cardiovascular disease, and relatives, respectively. In total, 263 patients were diagnosed with probable or definite FH, and others were in the possible group. Low-density lipoprotein cholesterol (LDL) level was 141.42 ± 45.27 mg/dl in the laboratory group and 54.9% of patients were on LLT treatment. In patients with premature cardiovascular disease and FH, the LDL level was 91.93 ± 32.58 and was on LLT treatment. The LDL concentration in the first relative of FH patients was 152.88 ± 70.77 and 45.7% of them are on LLT therapy.

Conclusions: Most of FH patients were underdiagnosed and undertreated before their inclusion in the IRFH. Cascade screening helps in the improvement of diagnosis.

背景:家族性高胆固醇血症(FH)是一种常见的常染色体显性遗传病:家族性高胆固醇血症(FH)是一种常见的常染色体显性遗传病。其诊断在伊朗并不常见。伊朗家族性高胆固醇血症登记处(IRFH)于 2017 年在伊斯法罕启动。在本研究中,我们报告了四年来的 FH 登记情况:伊朗先天性心脏病登记是一项持续性研究,由动态队列跟踪。该研究始于 2017 年。患者都是因胆固醇水平过高和有过早患心血管疾病史而从实验室中挑选出来的。荷兰血脂临床网络(DLCN)标准用于检测 FH。对患者的一级亲属进行逐级筛查:在登记的 997 人中,分别有 522 人(平均年龄为 51.41 ± 12.91 岁)、141 人(平均年龄为 51.66 ± 8.3 岁)和 129 人(平均年龄为 41 ± 16.5 岁)来自实验室、早发心血管疾病和亲属。共有 263 名患者被诊断为可能或明确的 FH,其他患者属于可能组。实验室组患者的低密度脂蛋白胆固醇(LDL)水平为(141.42 ± 45.27)毫克/分升,54.9%的患者正在接受低密度脂蛋白胆固醇治疗。在早发心血管疾病和 FH 患者中,低密度脂蛋白水平为 91.93 ± 32.58,并且正在接受 LLT 治疗。FH患者第一亲属的低密度脂蛋白浓度为(152.88 ± 70.77),其中45.7%的患者正在接受LLT治疗:结论:大多数高脂血症患者在被纳入IRFH之前诊断不足、治疗不足。串联筛查有助于提高诊断率。
{"title":"Familial Hypercholesterolemia (FH) in Iran: Findings from the Four-Year FH Registry.","authors":"Golnaz Vaseghi, Marzieh Taheri, Kiyan Heshmat-Ghahdarijani, Mohammad Rayati, Sonia Zarfeshani, Ali Pourmoghaddas, Alireza Khosravi, Ehsan Zarepour, Parsa Keshavarzrad, Sina Arabi, Mohammadreza Azizi, Shaghayegh Haghjooy Javanmard, Jamshid Najafian, Nizal Sarrafzadegan","doi":"10.1155/2021/9913969","DOIUrl":"10.1155/2021/9913969","url":null,"abstract":"<p><strong>Background: </strong>Familial hypercholesterolemia (FH) is a common autosomal dominant disease. Its diagnosis in Iran was uncommon. Iran registry of FH (IRFH) has been started from 2017 from Isfahan. In this study, we report the four-year FH registry.</p><p><strong>Methods: </strong>The Iran FH registry is an ongoing study which is followed by a dynamic cohort. It has been started from 2017. The patients are selected from laboratories due to high cholesterol level and who have history of premature cardiovascular disease. The Dutch Lipid Clinic Network (DLCN) criteria are used for the detection of FH. Cascade screening is performed for detection of first-degree relative of patients.</p><p><strong>Results: </strong>Among the 997 individuals included in this registry, they were 522 (mean age 51.41 ± 12.91 year), 141 (mean age 51.66 ± 8.3 year), and 129 (mean age 41 ± 16.5 year) patients from laboratories, premature cardiovascular disease, and relatives, respectively. In total, 263 patients were diagnosed with probable or definite FH, and others were in the possible group. Low-density lipoprotein cholesterol (LDL) level was 141.42 ± 45.27 mg/dl in the laboratory group and 54.9% of patients were on LLT treatment. In patients with premature cardiovascular disease and FH, the LDL level was 91.93 ± 32.58 and was on LLT treatment. The LDL concentration in the first relative of FH patients was 152.88 ± 70.77 and 45.7% of them are on LLT therapy.</p><p><strong>Conclusions: </strong>Most of FH patients were underdiagnosed and undertreated before their inclusion in the IRFH. Cascade screening helps in the improvement of diagnosis.</p>","PeriodicalId":16274,"journal":{"name":"Journal of Lipids","volume":"2021 ","pages":"9913969"},"PeriodicalIF":5.3,"publicationDate":"2021-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8213494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39147773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ipomea batatas Leaf Powder from Cameroon: Antioxidant Activity and Antihyperlipidemic Effect in Rats Fed with a High-Fat Diet. 来自喀麦隆的巴塔塔叶粉:高脂肪饮食大鼠的抗氧化活性和降血脂作用。
IF 5.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2021-06-10 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5539878
Marcéline Joëlle Mbouche Fanmoe, Léopold Tatsadjieu Ngoune, Robert Ndjouenkeu

The present study consists of analyzing the phytochemical composition of Ipomoea batatas leaf powders and evaluating their antihyperlipidemic effect on rats receiving a high-fat diet. Ipomoea batatas leaves were collected from four agroecological areas of Cameroon, and powders were obtained after washing, drying, grinding, and sieving. Standard analytical methods were used to determine the phytochemical composition of two varieties (IRAD-tib1yellow-V1 and IRAD-1112white-V2) from North Z1, Adamawa Z2, West Z3, Center Z4. The effect of I. batatas leaf powder on lipid metabolism was assessed in vivo by feeding different groups of rats with a high-fat diet supplemented with 5 and 10% of I. batatas leaf powder during 30 days. At the end of the experimentation, total cholesterols, triglycerides, LDL- (low-density lipoprotein-) cholesterol, HDL- (High-density lipoprotein-) cholesterol, ASAT (aspartate aminotransferase), ALAT (alanine aminotransferase), and creatinine were measured using commercial enzymatic kits (Spinreact, Spain). The results of phytochemical analysis of I. batatas leaf powders revealed that the total phenol content ranged from 660.173 mg GAE/100 gDW (Z1V2) to 657.76 mg GAE/100 gDW (Z3V2), the flavonoids content ranged from 282.25 mgEC/100 gDW (Z3V1) to 325.05 mgEC/100 gDW (Z4V2), and the anthraquinone content ranged from 324.05 mg/100 gDW (Z3V2) to 326.72 mg/100 gDW (Z4V2). The total antioxidant capacity ranged from 19.00 (Z1V1) to 23.48 mg AAE/gDW (Z3V2), while the IC50 ranged from 1.58 mg/mL (Z1V1) to 3.08 mg/mL (Z3V2). Rats fed a high-fat diet and supplemented with 5 and 10% of I. batatas leaf powder showed a significant (p < 0.05) reduction in body weight compared to the control with a reduction rate ranging from 6 to 10%. The consumption of I. batatas leaf powder for 30 days significantly (p < 0.05) reduced serum total cholesterol, LDL-cholesterol, triglycerides, ALAT, and creatinine level. These results suggest the use of I. batatas leaves as a phytomedicine in the treatment of cardiovascular diseases.

本研究分析了山楂叶粉的植物化学成分,并评价了其对高脂饮食大鼠的降血脂作用。从喀麦隆的四个农业生态区收集了巴塔塔斯的叶子,经过洗涤、干燥、研磨和筛分得到粉末。采用标准分析方法测定了北Z1、阿达马瓦Z2、西Z3、中Z4 2个品种IRAD-tib1yellow-V1和IRAD-1112white-V2的植物化学成分。通过在高脂饲料中添加5%和10%巴塔塔叶粉30 d,观察各组大鼠体内巴塔塔叶粉对脂质代谢的影响。实验结束时,使用商业酶试剂盒(Spinreact,西班牙)测量总胆固醇、甘油三酯、LDL-(低密度脂蛋白-)胆固醇、HDL-(高密度脂蛋白-)胆固醇、ASAT(天冬氨酸转氨酶)、ALAT(丙氨酸转氨酶)和肌酐。植物化学分析结果表明,叶粉总酚含量为660.173 mg GAE/100 gDW (Z1V2) ~ 657.76 mg GAE/100 gDW (Z3V2),总黄酮含量为282.25 mgEC/100 gDW (Z3V1) ~ 325.05 mgEC/100 gDW (Z4V2),蒽醌含量为324.05 mg/100 gDW (Z3V2) ~ 326.72 mg/100 gDW (Z4V2)。总抗氧化能力为19.00 ~ 23.48 mg AAE/gDW (Z3V2), IC50为1.58 ~ 3.08 mg/mL (Z3V2)。在高脂肪饲粮中添加5%和10%巴塔塔叶粉的大鼠体重显著低于对照组(p < 0.05),降低率为6% ~ 10%。枸杞子叶粉饲喂30 d显著(p < 0.05)降低了血清总胆固醇、低密度脂蛋白胆固醇、甘油三酯、ALAT和肌酐水平。这些结果提示batatata叶可作为一种植物药用于治疗心血管疾病。
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引用次数: 1
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Journal of Lipids
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