首页 > 最新文献

Clinica e Investigacion en Arteriosclerosis最新文献

英文 中文
Impacto del tratamiento con rolipram sobre la homeostasis rédox y la señalización celular en un modelo experimental de aneurisma de aorta abdominal 罗利普仑对腹主动脉瘤实验模型中氧化还原稳态和细胞信号传导的影响
IF 1.6 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-05-01 DOI: 10.1016/j.arteri.2023.11.004
Lídia Puertas-Umbert , Judith Alonso , Elena Roselló-Díez , Alicia Santamaría-Orleans , José Martínez-González , Cristina Rodríguez

Introduction

Cyclic nucleotide phosphodiesterases (PDEs) of the PDE4 subfamily are responsible for the hydrolysis and subcellular compartmentalization of cAMP, a second messenger that modulates vascular functionality. We had shown that PDE4B is induced in abdominal aortic aneurysms (AAA) and that PDE4 inhibition by rolipram limits experimental aneurysms. In this study we have delved into the mechanisms underlying the beneficial effect of rolipram on AAA.

Methods

AAA were induced in ApoE-/− mice by angiotensin II (Ang II) infusion. Aneurysm formation was evaluated by ultrasonography. The expression of enzymes involved in rédox homeostasis was analyzed by real-time RT-PCR and the activation of signaling pathways by Western blot.

Results

Induction of PDE4B in human AAA has been confirmed in a second cohort of patients. In Ang II-infused ApoE-/− mice, rolipram increased the percentage of animals free of aneurysms without affecting the percentage of aortic ruptures. Quantitative analyses determined that this drug significantly attenuated aortic collagen deposition. Additionally, rolipram reduced the increased Nox2 expression triggered by Ang II, exacerbated Sod1 induction, and normalized Sod3 expression. Likewise, PDE4 inhibition decreased the activation of both ERK1/2 and the canonical Wnt pathway, while AKT activity was not altered.

Conclusions

The inhibition of PDE4 activity modulates the expression of enzymes involved in rédox homeostasis and affects cell signaling pathways involved in the development of AAA.

导言:PDE4 亚家族的环核苷酸磷酸二酯酶 (PDE) 负责 cAMP 的水解和亚细胞区划,cAMP 是调节血管功能的第二信使。我们已经证明,腹主动脉瘤(AAA)会诱发 PDE4B,而罗立普仑对 PDE4 的抑制可限制实验性动脉瘤的发生。在本研究中,我们深入探讨了罗利普兰对 AAA 有利影响的机制:方法:输注血管紧张素 II(Ang II)诱导载脂蛋白E-/-小鼠发生 AAA。通过超声波检查评估动脉瘤的形成。通过实时 RT-PCR 分析了参与 rédox 平衡的酶的表达,并通过 Western 印迹分析了信号通路的激活情况:结果:在第二批患者中证实了 PDE4B 在人类 AAA 中的诱导作用。在注入血管紧张素 II 的载脂蛋白E-/-小鼠中,罗利普仑增加了无动脉瘤动物的比例,但不影响主动脉破裂的比例。定量分析确定,这种药物能显著减少主动脉胶原沉积。此外,罗利普仑还能减少 Ang II 引发的 Nox2 表达增加,加剧 Sod1 诱导,并使 Sod3 表达正常化。同样,PDE4抑制也减少了ERK1/2和典型Wnt通路的激活,而AKT活性没有改变:结论:抑制PDE4的活性可调节参与rédox平衡的酶的表达,并影响参与AAA发生的细胞信号通路。
{"title":"Impacto del tratamiento con rolipram sobre la homeostasis rédox y la señalización celular en un modelo experimental de aneurisma de aorta abdominal","authors":"Lídia Puertas-Umbert ,&nbsp;Judith Alonso ,&nbsp;Elena Roselló-Díez ,&nbsp;Alicia Santamaría-Orleans ,&nbsp;José Martínez-González ,&nbsp;Cristina Rodríguez","doi":"10.1016/j.arteri.2023.11.004","DOIUrl":"10.1016/j.arteri.2023.11.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Cyclic nucleotide phosphodiesterases (PDEs) of the PDE4 subfamily are responsible for the hydrolysis and subcellular compartmentalization of cAMP, a second messenger that modulates vascular functionality. We had shown that PDE4B is induced in abdominal aortic aneurysms (AAA) and that PDE4 inhibition by rolipram limits experimental aneurysms. In this study we have delved into the mechanisms underlying the beneficial effect of rolipram on AAA.</p></div><div><h3>Methods</h3><p>AAA were induced in ApoE<sup>-/−</sup> mice by angiotensin II (Ang II) infusion. Aneurysm formation was evaluated by ultrasonography. The expression of enzymes involved in rédox homeostasis was analyzed by real-time RT-PCR and the activation of signaling pathways by Western blot.</p></div><div><h3>Results</h3><p>Induction of PDE4B in human AAA has been confirmed in a second cohort of patients. In Ang II-infused ApoE<sup>-/−</sup> mice, rolipram increased the percentage of animals free of aneurysms without affecting the percentage of aortic ruptures. Quantitative analyses determined that this drug significantly attenuated aortic collagen deposition. Additionally, rolipram reduced the increased <em>Nox2</em> expression triggered by Ang II, exacerbated Sod1 induction, and normalized Sod3 expression. Likewise, PDE4 inhibition decreased the activation of both ERK1/2 and the canonical Wnt pathway, while AKT activity was not altered.</p></div><div><h3>Conclusions</h3><p>The inhibition of PDE4 activity modulates the expression of enzymes involved in rédox homeostasis and affects cell signaling pathways involved in the development of AAA.</p></div>","PeriodicalId":45230,"journal":{"name":"Clinica e Investigacion en Arteriosclerosis","volume":"36 3","pages":"Pages 108-117"},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validation of the IberScore model in a primary care population 在初级保健人群中验证 IberScore 模型。
IF 1.6 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-05-01 DOI: 10.1016/j.arteri.2023.12.003
Carlos Fernández-Labandera Ramos , Irene Moral , Carlos Brotons , Luis Quevedo Aguado , Inmaculada Coca Prieto , Pedro Valdivielso , Miguel Ángel Sánchez Chaparro

Background

This study aimed to validate the IberScore cardiovascular risk model in a population attended in the primary care setting.

Methods

A cohort of patients with no history of cardiovascular disease visited in a primary care center during the years 2008 and/or 2009 and followed up until 2018 was selected.

Cardiovascular risk was calculated with the IberScore formula for all the subjects of the cohort and the model was calibrated, graphically represented by risk deciles the proportion of expected events and proportion of observed events at 10-year follow-up, stratified by sex. The area under the ROC curve was calculated to assess the discrimination of the model.

Results

A total of 10,085 patients visited during the years 2008 and/or 2009 were included in the study. Men showed a mean 10-year risk of suffering a fatal or non-fatal cardiovascular events according to IberScore of 17.07% (SD 20.13), with a mean estimated vascular age of more than 4 years higher than the biological age; while women had a mean 10-year risk of 7.91% (SD 9.03), with an estimated vascular age of more than 2 years above the biological age.

The area under the ROC curve showed a discrimination index of the model of 0.86 (95% CI 0.84–0.88) in men and 0.82 (95% CI 0.79–0.85) in women.

Conclusion

IberScore model discriminates well in the population attended in primary care but the model overestimates the risk.

背景本研究旨在验证 IberScore 心血管风险模型在基层医疗机构就诊人群中的有效性:方法:选取 2008 年和/或 2009 年期间在一家初级保健中心就诊的无心血管疾病史患者作为研究对象,随访至 2018 年。用伊伯分数公式计算了队列中所有受试者的心血管风险,并校准了模型,用图表表示了按性别分层的10年随访中预期事件的比例和观察到事件的比例。计算ROC曲线下面积以评估模型的区分度:研究共纳入了 10,085 名在 2008 年和/或 2009 年就诊的患者。根据 IberScore,男性发生致命或非致命心血管事件的 10 年平均风险为 17.07%(标准差为 20.13),估计的平均血管年龄比生理年龄高出 4 岁以上;而女性发生致命或非致命心血管事件的 10 年平均风险为 7.91%(标准差为 9.03),估计的血管年龄比生理年龄高出 2 岁以上。ROC曲线下面积显示,该模型对男性和女性的鉴别指数分别为0.86(95% CI 0.84-0.88)和0.82(95% CI 0.79-0.85):结论:IberScore 模型在初级保健人群中具有良好的区分度,但该模型高估了风险。
{"title":"Validation of the IberScore model in a primary care population","authors":"Carlos Fernández-Labandera Ramos ,&nbsp;Irene Moral ,&nbsp;Carlos Brotons ,&nbsp;Luis Quevedo Aguado ,&nbsp;Inmaculada Coca Prieto ,&nbsp;Pedro Valdivielso ,&nbsp;Miguel Ángel Sánchez Chaparro","doi":"10.1016/j.arteri.2023.12.003","DOIUrl":"10.1016/j.arteri.2023.12.003","url":null,"abstract":"<div><h3>Background</h3><p>This study aimed to validate the IberScore cardiovascular risk model in a population attended in the primary care setting.</p></div><div><h3>Methods</h3><p>A cohort of patients with no history of cardiovascular disease visited in a primary care center during the years 2008 and/or 2009 and followed up until 2018 was selected.</p><p>Cardiovascular risk was calculated with the IberScore formula for all the subjects of the cohort and the model was calibrated, graphically represented by risk deciles the proportion of expected events and proportion of observed events at 10-year follow-up, stratified by sex. The area under the ROC curve was calculated to assess the discrimination of the model.</p></div><div><h3>Results</h3><p>A total of 10,085 patients visited during the years 2008 and/or 2009 were included in the study. Men showed a mean 10-year risk of suffering a fatal or non-fatal cardiovascular events according to IberScore of 17.07% (SD 20.13), with a mean estimated vascular age of more than 4 years higher than the biological age; while women had a mean 10-year risk of 7.91% (SD 9.03), with an estimated vascular age of more than 2 years above the biological age.</p><p>The area under the ROC curve showed a discrimination index of the model of 0.86 (95% CI 0.84–0.88) in men and 0.82 (95% CI 0.79–0.85) in women.</p></div><div><h3>Conclusion</h3><p>IberScore model discriminates well in the population attended in primary care but the model overestimates the risk.</p></div>","PeriodicalId":45230,"journal":{"name":"Clinica e Investigacion en Arteriosclerosis","volume":"36 3","pages":"Pages 101-107"},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Detección de aterosclerosis subclínica mediante ecografía vascular como método de evaluación de riesgo vascular. Protocolo simplificado 通过血管超声检测亚临床动脉粥样硬化,作为血管风险评估的一种方法。简化方案
IF 1.6 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-05-01 DOI: 10.1016/j.arteri.2024.03.003
Manuel Frías Vargas , Estíbaliz Jarauta

Cardiovascular disease secondary to atherosclerosis is the main cause of morbidity and mortality in the world. Cardiovascular risk stratification has proven to be an insufficient approach to detect those subjects who are going to suffer a cardiovascular event, which is why for years other markers have been sought to help stratify each individual with greater precision. Two-dimensional vascular ultrasound is a excellent method for vascular risk assessment.

继发于动脉粥样硬化的心血管疾病是全球发病率和死亡率的主要原因。事实证明,心血管风险分层法不足以检测出那些即将发生心血管事件的受试者,因此多年来人们一直在寻找其他标记物来帮助更精确地对每个人进行分层。二维血管超声是血管风险评估的绝佳方法。
{"title":"Detección de aterosclerosis subclínica mediante ecografía vascular como método de evaluación de riesgo vascular. Protocolo simplificado","authors":"Manuel Frías Vargas ,&nbsp;Estíbaliz Jarauta","doi":"10.1016/j.arteri.2024.03.003","DOIUrl":"https://doi.org/10.1016/j.arteri.2024.03.003","url":null,"abstract":"<div><p>Cardiovascular disease secondary to atherosclerosis is the main cause of morbidity and mortality in the world. Cardiovascular risk stratification has proven to be an insufficient approach to detect those subjects who are going to suffer a cardiovascular event, which is why for years other markers have been sought to help stratify each individual with greater precision. Two-dimensional vascular ultrasound is a excellent method for vascular risk assessment.</p></div>","PeriodicalId":45230,"journal":{"name":"Clinica e Investigacion en Arteriosclerosis","volume":"36 3","pages":"Pages 195-199"},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S021491682400024X/pdfft?md5=917950dabec97cbd32281a780d5c2767&pid=1-s2.0-S021491682400024X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140824104","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
Prevención cardiovascular en la diabetes mellitus. ¿Es adecuado hablar de riesgo moderado o intermedio? 糖尿病的心血管预防。是说中度风险还是中度风险合适?
IF 1.6 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-03-01 DOI: 10.1016/j.arteri.2023.10.003
Sergio Martínez-Hervás , José T. Real , Rafael Carmena , Juan F. Ascaso

Diabetes, especially type 2, is considered a risk situation for atherosclerotic cardiovascular disease (ASCVD). Subjects with diabetes type 2 have a mortality rate due to ASCVD 3 times higher than that found in the general population, attributed to hyperglycemia and the frequent association of other cardiovascular risk factors, such as atherogenic dyslipidemia.

Numerous scientific societies have established a risk classification for ASCVD in diabetes based on 3 degrees (moderate, high and very high). The objectives of dyslipidemia control are clearly defined and accepted, and vary depending on the previously established cardiovascular risk.

In moderate or intermediate risk, the guidelines propose a less intensive intervention, maintaining LDL-C levels < 100 mg/dL and NO-HDL-C levels < 130 mg/dL, and waiting 10 years until reaching the high-risk category to initiate more intensive treatment. However, during the decade of follow-up recommended in the guidelines, cholesterol deposition in the arterial wall increases, facilitating the development of an unstable and inflammatory atheromatous plaque, and the development of ASCVD. Alternatively, diabetes could be considered from the outset to be a high-risk situation and the goal should be LDL-C < 70 mg/dL. Furthermore, maintaining LDL-C levels < 70 mg/dL contributes to reducing and stabilizing atheromatous plaque, avoiding or reducing mortality episodes due to ASCVD during those years of diabetes evolution.

Should we maintain the proposed objectives in subjects with diabetes and moderate risk for a decade until reaching the high cardiovascular risk phase or, on the contrary, should we adopt a more intensive stance from the beginning seeking to reduce cardiovascular risk in the majority of patients with diabetes? Is it better to wait or prevent with effective therapeutic measures from the first moment?

糖尿病,特别是2型糖尿病,被认为是动脉粥样硬化性心血管疾病(ASCVD)的危险情况。2型糖尿病患者ASCVD的死亡率比一般人群高3倍,这是由于高血糖和其他心血管危险因素(如动脉粥样硬化性血脂异常)的频繁关联。许多科学协会已经根据3度(中度、高和非常高)建立了糖尿病ASCVD的风险分类。血脂异常控制的目标是明确定义和公认的,并且根据先前确定的心血管风险而变化。对于中度或中度风险,指南建议进行低强度干预,维持LDL-C水平
{"title":"Prevención cardiovascular en la diabetes mellitus. ¿Es adecuado hablar de riesgo moderado o intermedio?","authors":"Sergio Martínez-Hervás ,&nbsp;José T. Real ,&nbsp;Rafael Carmena ,&nbsp;Juan F. Ascaso","doi":"10.1016/j.arteri.2023.10.003","DOIUrl":"10.1016/j.arteri.2023.10.003","url":null,"abstract":"<div><p>Diabetes, especially type 2, is considered a risk situation for atherosclerotic cardiovascular disease (ASCVD). Subjects with diabetes type 2 have a mortality rate due to ASCVD 3 times higher than that found in the general population, attributed to hyperglycemia and the frequent association of other cardiovascular risk factors, such as atherogenic dyslipidemia.</p><p>Numerous scientific societies have established a risk classification for ASCVD in diabetes based on 3 degrees (moderate, high and very high). The objectives of dyslipidemia control are clearly defined and accepted, and vary depending on the previously established cardiovascular risk.</p><p>In moderate or intermediate risk, the guidelines propose a less intensive intervention, maintaining LDL-C levels<!--> <!-->&lt;<!--> <!-->100<!--> <!-->mg/dL and NO-HDL-C levels<!--> <!-->&lt;<!--> <!-->130<!--> <!-->mg/dL, and waiting 10 years until reaching the high-risk category to initiate more intensive treatment. However, during the decade of follow-up recommended in the guidelines, cholesterol deposition in the arterial wall increases, facilitating the development of an unstable and inflammatory atheromatous plaque, and the development of ASCVD. Alternatively, diabetes could be considered from the outset to be a high-risk situation and the goal should be LDL-C<!--> <!-->&lt;<!--> <!-->70<!--> <!-->mg/dL. Furthermore, maintaining LDL-C levels<!--> <!-->&lt;<!--> <!-->70<!--> <!-->mg/dL contributes to reducing and stabilizing atheromatous plaque, avoiding or reducing mortality episodes due to ASCVD during those years of diabetes evolution.</p><p>Should we maintain the proposed objectives in subjects with diabetes and moderate risk for a decade until reaching the high cardiovascular risk phase or, on the contrary, should we adopt a more intensive stance from the beginning seeking to reduce cardiovascular risk in the majority of patients with diabetes? Is it better to wait or prevent with effective therapeutic measures from the first moment?</p></div>","PeriodicalId":45230,"journal":{"name":"Clinica e Investigacion en Arteriosclerosis","volume":"36 2","pages":"Pages 80-85"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0214916823000979/pdfft?md5=6e42c0294316edb14f35e06619bd47a5&pid=1-s2.0-S0214916823000979-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048164","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
Effectiveness and safety of injectable PCSK9 inhibitors in dyslipidaemias’ treatment and cardiovascular disease prevention: An overview of 86 systematic reviews and a network metaanalysis 注射PCSK9抑制剂治疗血脂异常和预防心血管疾病的有效性和安全性:86项系统综述和网络荟萃分析综述
IF 1.6 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-03-01 DOI: 10.1016/j.arteri.2023.11.003
Konstantinos Pamporis , Paschalis Karakasis , Spyridon Simantiris , Marios Sagris , Konstantinos I. Bougioukas , Nikolaos Fragakis , Dimitrios Tousoulis

Objective

Multiple systematic reviews (SR) have been performed on the effects of proprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9i), often providing conflicting findings. This overview and network meta-analysis (NMA) aimed to summarize SR findings on the efficacy and safety of PCSK9i and provide an updated NMA.

Materials and methods

MEDLINE (Pubmed), Scopus, Cochrane, Epistemonikos and Google Scholar were searched from inception to September 21, 2023 for SRs of randomized controlled trials (RCTs) and from January 1, 2020 to September 21, 2023 for additional RCTs. Double-independent study selection, data extraction and quality assessment were performed. Qualitative analysis was performed for SRs and a frequentist random-effects model NMA was performed for RCTs.

Results

Totally, 86 SRs and 76 RCTs were included. Alirocumab (77/86 [90%]) and evolocumab (73/86 [85%]) were mostly analyzed. Associations from SRs (35/42 [83%]) and the updated NMA indicated PCSK9i benefit on major adverse cardiovascular events (MACEs). Reductions were also noted for cerebrovascular events (47/66 [71%]), coronary revascularization (29/33 [88%]) and myocardial infarction (41/63 [65%]). Alirocumab was associated with reductions on all-cause mortality (RR = 0.82, 95%CI [0.72,0.94]). Data on any CV event reduction were conflicting (7/16 [44%]). Inclisiran appeared effective only on MACEs (RR = 0.76, 95%CI [0.61,0.94]). No reductions in heart failure were observed (0/16). No increases were identified between PCSK9i and any (0/35) or serious adverse events (0/52). However, PCSK9i were associated with injection-site reactions (20/28 [71%]).

Conclusion

PCSK9i appeared to be effective in CV outcomes and their clinical application was generally safe.

目的:关于蛋白转化酶枯草杆菌素/ keexin 9型抑制剂(PCSK9i)的作用进行了多次系统评价(SR),经常提供相互矛盾的发现。本综述和网络荟萃分析(NMA)旨在总结关于PCSK9i有效性和安全性的SR研究结果,并提供最新的NMA。材料和方法:检索MEDLINE (Pubmed)、Scopus、Cochrane、Epistemonikos和Google Scholar,检索自成立至2023年9月21日的随机对照试验(rct)的SRs,检索自2020年1月1日至2023年9月21日的其他rct。进行双独立研究选择、数据提取和质量评价。对SRs进行定性分析,对rct进行频率随机效应模型NMA。结果:共纳入86例SRs和76例rct。主要分析Alirocumab(77/86[90%])和evolocumab(73/86[85%])。来自SRs(35/42[83%])和更新的NMA的关联表明PCSK9i对主要不良心血管事件(mace)有益处。脑血管事件(47/66[71%])、冠状动脉血运重建术(29/33[88%])和心肌梗死(41/63[65%])的发生率也有所降低。Alirocumab与全因死亡率降低相关(RR=0.82, 95%CI[0.72,0.94])。任何CV事件减少的数据都是矛盾的(7/16[44%])。Inclisiran仅对mace有效(RR=0.76, 95%CI[0.61,0.94])。没有观察到心力衰竭的减少(0/16)。PCSK9i与任何(0/35)或严重不良事件(0/52)之间未发现增加。然而,PCSK9i与注射部位反应相关(20/28[71%])。结论:PCSK9i在心血管预后方面是有效的,其临床应用通常是安全的。
{"title":"Effectiveness and safety of injectable PCSK9 inhibitors in dyslipidaemias’ treatment and cardiovascular disease prevention: An overview of 86 systematic reviews and a network metaanalysis","authors":"Konstantinos Pamporis ,&nbsp;Paschalis Karakasis ,&nbsp;Spyridon Simantiris ,&nbsp;Marios Sagris ,&nbsp;Konstantinos I. Bougioukas ,&nbsp;Nikolaos Fragakis ,&nbsp;Dimitrios Tousoulis","doi":"10.1016/j.arteri.2023.11.003","DOIUrl":"10.1016/j.arteri.2023.11.003","url":null,"abstract":"<div><h3>Objective</h3><p>Multiple systematic reviews (SR) have been performed on the effects of proprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9i), often providing conflicting findings. This overview and network meta-analysis (NMA) aimed to summarize SR<span> findings on the efficacy and safety of PCSK9i and provide an updated NMA.</span></p></div><div><h3>Materials and methods</h3><p>MEDLINE (Pubmed), Scopus, Cochrane, Epistemonikos and Google Scholar were searched from inception to September 21, 2023 for SRs of randomized controlled trials (RCTs) and from January 1, 2020 to September 21, 2023 for additional RCTs. Double-independent study selection, data extraction and quality assessment were performed. Qualitative analysis was performed for SRs and a frequentist random-effects model NMA was performed for RCTs.</p></div><div><h3>Results</h3><p><span><span>Totally, 86 SRs and 76 RCTs were included. Alirocumab (77/86 [90%]) and </span>evolocumab<span> (73/86 [85%]) were mostly analyzed. Associations from SRs (35/42 [83%]) and the updated NMA indicated PCSK9i benefit on major adverse cardiovascular events (MACEs). Reductions were also noted for cerebrovascular events (47/66 [71%]), coronary revascularization (29/33 [88%]) and myocardial infarction (41/63 [65%]). Alirocumab was associated with reductions on all-cause mortality (RR</span></span> <!-->=<!--> <span>0.82, 95%CI [0.72,0.94]). Data on any CV event reduction were conflicting (7/16 [44%]). Inclisiran appeared effective only on MACEs (RR</span> <!-->=<!--> <span>0.76, 95%CI [0.61,0.94]). No reductions in heart failure were observed (0/16). No increases were identified between PCSK9i<span> and any (0/35) or serious adverse events (0/52). However, PCSK9i were associated with injection-site reactions (20/28 [71%]).</span></span></p></div><div><h3>Conclusion</h3><p>PCSK9i appeared to be effective in CV outcomes and their clinical application was generally safe.</p></div>","PeriodicalId":45230,"journal":{"name":"Clinica e Investigacion en Arteriosclerosis","volume":"36 2","pages":"Pages 86-100"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138470964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of the relationship between atherosclerosis and Helicobacter pylori infection with measurement of growth differentiation factor 15 and atherosclerosis indicators in adults with no comorbidity 在没有合并症的成年人中,通过测量生长分化因子15和动脉粥样硬化指标来评估动脉粥样硬化与幽门螺杆菌感染之间的关系。
IF 1.6 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-03-01 DOI: 10.1016/j.arteri.2023.09.002
Osman Başpinar , Ayça Elibol , Derya Koçer , Turgut Tursem Tokmak , Serkan Doğan , Oğuzhan Sıtkı Dizdar

Background

The aim of this study was to investigate presence of subclinical atherosclerosis by measuring carotid intima-media thickness (CIMT) in patients with Helicobacter pylori (HP) and to assess effects of HP on atherosclerosis by evaluating markers of atherosclerosis and blood growth differentiation factor (GDF-15) levels.

Materials and methods

This cross-sectional study included 59 patients without comorbid disease who had HP and 30 healthy controls without HP in upper endoscopic biopsy. In order to assess atherosclerosis, the CIMT measurement was performed by sonography. Serum GDF-15 level was measured by ELISA method. In all patients, atherosclerosis markers were recorded. Atherogenic indices were calculated, including Castelli risk index I and II (TG/HDL-c and LDL-c/HDL-c, respectively), plasma atherogenic index (PAI; log TG/HDL-c), non-HDL-c (TH-HDL-c) and atherogenic coefficient (AC; non-HDL-HDL-c).

Results

The GDF-15 level and CIMT were significantly higher in HP-positive group when compared to HP-negative group (p  0.001). There was a significant correlation between serum GDF-15 level and CIMT (r = 0.445; p  0.001). There was no correlation between other atherosclerosis markers and serum GDF-15 level or CIMT. The bacterial intensity on endoscopic specimen was only correlated with CIMT (p < 0.001). Vitamin B12 and D levels were comparable among groups.

Conclusion

This study suggested that there was a correlation between GDF-15 level and subclinical atherosclerosis development in patients with HP. However, GDF-15 level, which was found to be elevated while atherogenic indices were normal, can be an earlier marker for subclinical atherosclerosis.

背景:本研究的目的是通过测量幽门螺杆菌(HP)患者的颈动脉内膜-中膜厚度(CIMT)来研究亚临床动脉粥样硬化的存在,并通过评估动脉粥样硬化标志物和血液生长分化因子(GDF-15)水平来评估HP对动脉粥样硬化的影响。材料和方法:这项横断面研究包括59名患有HP的无合并症患者和30名未患有HP的健康对照者进行上内镜活检。为了评估动脉粥样硬化,通过超声进行CIMT测量。ELISA法测定血清GDF-15水平。所有患者均记录了动脉粥样硬化标志物。计算动脉粥样硬化指数,包括Castelli风险指数I和II(分别为TG/HDL-c和LDL-c/HDL-c)、血浆动脉粥样硬化指数(PAI;log-TG/HDL-c),结果:HP阳性组的GDF-15水平和CIMT显著高于HP阴性组(p≤0.001),血清GDF-15与CIMT之间存在显著相关性(r=0.445;p≤0.001;其他动脉粥样硬化标志物与血清GDF15水平或CIMT之间无相关性。内镜标本上的细菌强度仅与CIMT相关(P结论:本研究表明,HP患者的GDF-15水平与亚临床动脉粥样硬化发展之间存在相关性。然而,在动脉粥样硬化指数正常的情况下,GDF-15的水平升高,可能是亚临床动脉粥样硬化的早期标志。
{"title":"Evaluation of the relationship between atherosclerosis and Helicobacter pylori infection with measurement of growth differentiation factor 15 and atherosclerosis indicators in adults with no comorbidity","authors":"Osman Başpinar ,&nbsp;Ayça Elibol ,&nbsp;Derya Koçer ,&nbsp;Turgut Tursem Tokmak ,&nbsp;Serkan Doğan ,&nbsp;Oğuzhan Sıtkı Dizdar","doi":"10.1016/j.arteri.2023.09.002","DOIUrl":"10.1016/j.arteri.2023.09.002","url":null,"abstract":"<div><h3>Background</h3><p>The aim of this study was to investigate presence of subclinical atherosclerosis by measuring carotid intima-media thickness (CIMT) in patients with <span><span>Helicobacter pylori</span></span><span> (HP) and to assess effects of HP on atherosclerosis by evaluating markers of atherosclerosis and blood growth differentiation factor (GDF-15) levels.</span></p></div><div><h3>Materials and methods</h3><p>This cross-sectional study included 59 patients without comorbid disease who had HP and 30 healthy controls without HP in upper endoscopic biopsy. In order to assess atherosclerosis, the CIMT measurement was performed by sonography. Serum GDF-15 level was measured by ELISA method. In all patients, atherosclerosis markers were recorded. Atherogenic indices were calculated, including Castelli risk index I and II (TG/HDL-c and LDL-c/HDL-c, respectively), plasma atherogenic index (PAI; log TG/HDL-c), non-HDL-c (TH-HDL-c) and atherogenic coefficient (AC; non-HDL-HDL-c).</p></div><div><h3>Results</h3><p>The GDF-15 level and CIMT were significantly higher in HP-positive group when compared to HP-negative group (<em>p</em> <!-->≤<!--> <!-->0.001). There was a significant correlation between serum GDF-15 level and CIMT (<em>r</em> <!-->=<!--> <!-->0.445; <em>p</em> <!-->≤<!--> <!-->0.001). There was no correlation between other atherosclerosis markers and serum GDF-15 level or CIMT. The bacterial intensity on endoscopic specimen was only correlated with CIMT (<em>p</em> <!-->&lt;<!--> <!-->0.001). Vitamin B12 and D levels were comparable among groups.</p></div><div><h3>Conclusion</h3><p>This study suggested that there was a correlation between GDF-15 level and subclinical atherosclerosis development in patients with HP. However, GDF-15 level, which was found to be elevated while atherogenic indices were normal, can be an earlier marker for subclinical atherosclerosis.</p></div>","PeriodicalId":45230,"journal":{"name":"Clinica e Investigacion en Arteriosclerosis","volume":"36 2","pages":"Pages 51-59"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Influencia de la concentración de triglicéridos en la lipoproteína(a) en función de la dislipidemia 脂蛋白(a)中甘油三酯浓度对血脂异常的影响。
IF 1.6 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-03-01 DOI: 10.1016/j.arteri.2023.11.005
Victoria Marco-Benedí , Ana Cenarro , Martín Laclaustra , Pilar Calmarza , Ana M. Bea , Àlex Vila , Carlos Morillas-Ariño , José Puzo , Juan Diego Mediavilla Garcia , Amalia Inmaculada Fernández Alamán , Manuel Suárez Tembra , Fernando Civeira

Background

Recently, an inverse relationship between the blood concentration of lipoprotein(a) (Lp(a)) and triglycerides (TG) has been demonstrated. The larger the VLDL particle size, the greater the presence of VLDL rich in apoliprotein E and in subjects with the apoE2/E2 genotype, the lower Lp(a) concentration. The mechanism of this inverse association is unknown. The objective of this analysis was to evaluate the Lp(a)–TG association in patients treated at the lipid units included in the registry of the Spanish Society of Atherosclerosis (SEA) by comparing the different dyslipidemias.

Patients and methods

Five thousand two hundred and seventy-five subjects ≥18 years of age registered in the registry before March 31, 2023, with Lp(a) concentration data and complete lipid profile information without treatment were included.

Results

The mean age was 53.0 ± 14.0 years, with 48% women. The 9.5% of subjects (n = 502) had diabetes and the 22.4% (n = 1184) were obese. The median TG level was 130 mg/dL (IQR 88.0–210) and Lp(a) 55.0 nmol/L (IQR 17.9–156). Lp(a) concentration showed a negative association with TG concentration when TG values exceeded 300 mg/dL. Subjects with TG > 1000 mg/dL showed the lowest level of Lp(a), 17.9 nmol/L, and subjects with TG < 300 mg/dL had a mean Lp(a) concentration of 60.1 nmol/L. In subjects without diabetes or obesity, the inverse association of Lp(a)–TG was especially important (p < 0.001). The median Lp(a) was 58.3 nmol/L in those with TG < 300 mg/dL and 22.0 nmol/L if TG > 1000 mg/dL. No association was found between TG and Lp(a) in subjects with diabetes and obesity, nor in subjects with familial hypercholesterolemia. In subjects with multifactorial combined hyperlipemia with TG < 300 mg/dL, Lp(a) was 64.6 nmol/L; in the range of 300–399 mg/dL of TG, Lp(a) decreased to 38. 8 nmol/L, and up to 22.3 nmol/L when TG > 1000 mg/dL.

Conclusions

Our results show an inverse Lp(a)–TG relationship in TG concentrations > 300 mg/dL in subjects without diabetes, obesity and without familial hypercholesterolemia. Our results suggest that, in those hypertriglyceridemias due to hepatic overproduction of VLDL, the formation of Lp(a) is reduced, unlike those in which the peripheral catabolism of TG-rich lipoproteins is reduced.

背景:最近,血液中脂蛋白(a)(Lp(a))浓度与甘油三酯(TG)之间的反比关系已被证实。VLDL 粒径越大,富含脂蛋白 E 的 VLDL 就越多,而在具有 apoE2/E2 基因型的受试者中,脂蛋白(a)的浓度就越低。这种反向关联的机制尚不清楚。这项分析的目的是通过比较不同的血脂异常,评估在西班牙动脉粥样硬化协会(SEA)登记册中的血脂单位接受治疗的患者的脂蛋白(a)-TG 关联性:研究对象: 在2023年3月31日前登记在册的5275名年龄≥18岁的受试者,这些受试者具有脂蛋白(a)浓度数据和完整的血脂概况信息,且未接受过治疗:平均年龄为(53.0 ± 14.0)岁,女性占 48%。9.5%的受试者(502 人)患有糖尿病,22.4%的受试者(1184 人)肥胖。TG 水平中位数为 130 mg/dL (IQR 88.0-210),Lp(a) 为 55.0 nmol/L (IQR 17.9-156)。当 TG 值超过 300 mg/dL 时,脂蛋白(a)浓度与 TG 浓度呈负相关。TG > 1000 mg/dL 的受试者脂蛋白(a)水平最低,为 17.9 nmol/L,而 TG < 300 mg/dL 的受试者脂蛋白(a)平均浓度为 60.1 nmol/L。在没有糖尿病或肥胖症的受试者中,脂蛋白(a)与总胆固醇的反比关系尤为重要(p < 0.001)。TG < 300 mg/dL 的 Lp(a) 中位数为 58.3 nmol/L,TG > 1000 mg/dL 的 Lp(a) 中位数为 22.0 nmol/L。糖尿病和肥胖症患者以及家族性高胆固醇血症患者的总胆固醇和脂蛋白(a)之间没有关联。在 TG < 300 mg/dL 的多因素合并高脂血症受试者中,脂蛋白(a)为 64.6 nmol/L;在 TG 300-399 mg/dL 的范围内,脂蛋白(a)降至 38.8 nmol/L,当 TG > 1000 mg/dL 时,脂蛋白(a)降至 22.3 nmol/L:我们的研究结果表明,在没有糖尿病、肥胖症和家族性高胆固醇血症的受试者中,当 TG 浓度大于 300 mg/dL 时,Lp(a)-TG 呈反比关系。我们的研究结果表明,与富含 TG 的脂蛋白的外周分解代谢减少的情况不同,由于肝脏过度产生 VLDL 而导致的高甘油三酯血症中,Lp(a) 的形成会减少。
{"title":"Influencia de la concentración de triglicéridos en la lipoproteína(a) en función de la dislipidemia","authors":"Victoria Marco-Benedí ,&nbsp;Ana Cenarro ,&nbsp;Martín Laclaustra ,&nbsp;Pilar Calmarza ,&nbsp;Ana M. Bea ,&nbsp;Àlex Vila ,&nbsp;Carlos Morillas-Ariño ,&nbsp;José Puzo ,&nbsp;Juan Diego Mediavilla Garcia ,&nbsp;Amalia Inmaculada Fernández Alamán ,&nbsp;Manuel Suárez Tembra ,&nbsp;Fernando Civeira","doi":"10.1016/j.arteri.2023.11.005","DOIUrl":"10.1016/j.arteri.2023.11.005","url":null,"abstract":"<div><h3>Background</h3><p>Recently, an inverse relationship between the blood concentration of lipoprotein(a) (Lp(a)) and triglycerides (TG) has been demonstrated. The larger the VLDL particle size, the greater the presence of VLDL rich in apoliprotein E and in subjects with the apoE2/E2 genotype, the lower Lp(a) concentration. The mechanism of this inverse association is unknown. The objective of this analysis was to evaluate the Lp(a)–TG association in patients treated at the lipid units included in the registry of the Spanish Society of Atherosclerosis (SEA) by comparing the different dyslipidemias.</p></div><div><h3>Patients and methods</h3><p>Five thousand two hundred and seventy-five subjects ≥18 years of age registered in the registry before March 31, 2023, with Lp(a) concentration data and complete lipid profile information without treatment were included.</p></div><div><h3>Results</h3><p>The mean age was 53.0 ± 14.0 years, with 48% women. The 9.5% of subjects (<em>n</em> = 502) had diabetes and the 22.4% (<em>n</em> = 1184) were obese. The median TG level was 130 mg/dL (IQR 88.0–210) and Lp(a) 55.0 nmol/L (IQR 17.9–156). Lp(a) concentration showed a negative association with TG concentration when TG values exceeded 300 mg/dL. Subjects with TG &gt; 1000 mg/dL showed the lowest level of Lp(a), 17.9 nmol/L, and subjects with TG &lt; 300 mg/dL had a mean Lp(a) concentration of 60.1 nmol/L. In subjects without diabetes or obesity, the inverse association of Lp(a)–TG was especially important (<em>p</em> &lt; 0.001). The median Lp(a) was 58.3 nmol/L in those with TG &lt; 300 mg/dL and 22.0 nmol/L if TG &gt; 1000 mg/dL. No association was found between TG and Lp(a) in subjects with diabetes and obesity, nor in subjects with familial hypercholesterolemia. In subjects with multifactorial combined hyperlipemia with TG &lt; 300 mg/dL, Lp(a) was 64.6 nmol/L; in the range of 300–399 mg/dL of TG, Lp(a) decreased to 38. 8 nmol/L, and up to 22.3 nmol/L when TG &gt; 1000 mg/dL.</p></div><div><h3>Conclusions</h3><p>Our results show an inverse Lp(a)–TG relationship in TG concentrations &gt; 300 mg/dL in subjects without diabetes, obesity and without familial hypercholesterolemia. Our results suggest that, in those hypertriglyceridemias due to hepatic overproduction of VLDL, the formation of Lp(a) is reduced, unlike those in which the peripheral catabolism of TG-rich lipoproteins is reduced.</p></div>","PeriodicalId":45230,"journal":{"name":"Clinica e Investigacion en Arteriosclerosis","volume":"36 2","pages":"Pages 71-77"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is Helicobacter pylori a new kid on the block? 幽门螺杆菌是新来的吗?
IF 1.6 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-03-01 DOI: 10.1016/j.arteri.2024.02.002
Manuel Vázquez-Carrera
{"title":"Is Helicobacter pylori a new kid on the block?","authors":"Manuel Vázquez-Carrera","doi":"10.1016/j.arteri.2024.02.002","DOIUrl":"10.1016/j.arteri.2024.02.002","url":null,"abstract":"","PeriodicalId":45230,"journal":{"name":"Clinica e Investigacion en Arteriosclerosis","volume":"36 2","pages":"Pages 78-79"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0214916824000184/pdfft?md5=b84713e5c43be2a88e62f50a1aa2b3e1&pid=1-s2.0-S0214916824000184-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139944537","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
High-fat diet promotes coagulation and endothelial activation in Sprague Dawley rats: Short-term effects of combined oral contraceptives 高脂饮食促进Sprague-Dawley大鼠凝血和内皮细胞活化:联合口服避孕药的短期效果。
IF 1.6 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-03-01 DOI: 10.1016/j.arteri.2023.10.001
Oyesanmi A. Fabunmi , Phiwayinkosi V. Dludla , Bongani B. Nkambule

Background

Combined oral contraceptives (COCs), use in individuals are associated with increased risk of thrombotic events. This highlights the significance of assessing the impact of COC on promoting coagulation and endothelial activation in high-fat diet (HFD)-fed Sprague Dawley rats.

Methods

Twenty (20) five-weeks-old female Sprague Dawley rats weighing between 150 and 200 g were subjected to both LFD and HFD-feeding for 8-weeks to determine its influence on basic metabolic status, hemostatic profile, hemodynamic parameters (blood pressure and heart rate), as well as selected biomarkers of coagulation (tissue factor and D-dimer) and endothelial activation (Von Willebrand factor and nitric oxide). Thereafter HFD-fed animals were treated with receive high dose combined oral contraceptive (HCOC) and low dose combine oral contraceptive (LCOC) for 6 weeks.

Results

Our results showed that beyond weight gain, HFD-feeding was associated with hyperglycemia, increased mean arterial pressure, and reduced nitric oxide levels when compared with LFD group (p < 0.05). Interestingly, treatment with high dose of COC for 6-weeks did not significantly alter atherothrombotic markers (p > 0.05). However, this study is not without limitation as regulation of these markers remains to be confirmed within the cardiac tissues or endothelial cells of these animals.

Conclusion

HFD-feeding orchestrate the concomitant release of pro-coagulants and endothelial activation markers in rats leading to haemostatic imbalance and endothelial dysfunction. Short-term treatment with COC shows no detrimental effects in these HFD-fed rats. Although in terms of clinical relevance, our findings depict the notion that the risk of CVD in association with COC may depend on the dosage and duration of use among other factors especially in certain conditions. However, additional studies are required to confirm these findings, especially long-term effects of this treatment within the cardiac tissues or endothelial cells of these animals in certain conditions relating to postmenopausal state.

背景:联合口服避孕药(COCs)在个体中的使用与血栓形成事件的风险增加有关。这突出了评估COC对高脂肪饮食(HFD)喂养的Sprague-Dawley大鼠促进凝血和内皮激活的影响的重要性。方法:20只体重在150至200g之间的5周龄雌性Sprague-Dawley大鼠同时接受LFD和HFD喂养8周,以确定其对基础代谢状态、止血特性、血液动力学参数(血压和心率)的影响,以及凝血(组织因子和D-二聚体)和内皮激活(Von Willebrand因子和一氧化氮)的选定生物标志物。此后,HFD喂养的动物接受高剂量联合口服避孕药(HCOC)和低剂量联合口服避孕药具(LCOC)治疗6周。结果:与LFD组相比,除了体重增加外,HFD喂养还与高血糖、平均动脉压升高和一氧化氮水平降低有关(p0.05)。然而,本研究并非没有限制,因为这些标志物在这些动物的心脏组织或内皮细胞中的调节仍有待证实。结论:HFD喂养协调了大鼠促凝血因子和内皮激活标志物的同时释放,导致止血失衡和内皮功能障碍。COC的短期治疗在这些HFD喂养的大鼠中没有显示出有害影响。尽管就临床相关性而言,我们的研究结果表明,CVD与COC相关的风险可能取决于剂量和使用持续时间以及其他因素,尤其是在某些情况下。然而,还需要更多的研究来证实这些发现,特别是在与绝经后状态相关的某些条件下,这种治疗对这些动物的心脏组织或内皮细胞的长期影响。
{"title":"High-fat diet promotes coagulation and endothelial activation in Sprague Dawley rats: Short-term effects of combined oral contraceptives","authors":"Oyesanmi A. Fabunmi ,&nbsp;Phiwayinkosi V. Dludla ,&nbsp;Bongani B. Nkambule","doi":"10.1016/j.arteri.2023.10.001","DOIUrl":"10.1016/j.arteri.2023.10.001","url":null,"abstract":"<div><h3>Background</h3><p>Combined oral contraceptives (COCs), use in individuals are associated with increased risk of thrombotic events. This highlights the significance of assessing the impact of COC on promoting coagulation and endothelial activation in high-fat diet (HFD)-fed Sprague Dawley rats.</p></div><div><h3>Methods</h3><p>Twenty (20) five-weeks-old female Sprague Dawley rats weighing between 150 and 200<!--> <!-->g were subjected to both LFD and HFD-feeding for 8-weeks to determine its influence on basic metabolic status, hemostatic profile, hemodynamic parameters (blood pressure and heart rate), as well as selected biomarkers of coagulation (tissue factor and D-dimer) and endothelial activation (Von Willebrand factor and nitric oxide). Thereafter HFD-fed animals were treated with receive high dose combined oral contraceptive (HCOC) and low dose combine oral contraceptive (LCOC) for 6 weeks.</p></div><div><h3>Results</h3><p>Our results showed that beyond weight gain, HFD-feeding was associated with hyperglycemia, increased mean arterial pressure, and reduced nitric oxide levels when compared with LFD group (<em>p</em> <!-->&lt;<!--> <!-->0.05). Interestingly, treatment with high dose of COC for 6-weeks did not significantly alter atherothrombotic markers (<em>p</em> <!-->&gt;<!--> <!-->0.05). However, this study is not without limitation as regulation of these markers remains to be confirmed within the cardiac tissues or endothelial cells of these animals.</p></div><div><h3>Conclusion</h3><p>HFD-feeding orchestrate the concomitant release of pro-coagulants and endothelial activation markers in rats leading to haemostatic imbalance and endothelial dysfunction. Short-term treatment with COC shows no detrimental effects in these HFD-fed rats. Although in terms of clinical relevance, our findings depict the notion that the risk of CVD in association with COC may depend on the dosage and duration of use among other factors especially in certain conditions. However, additional studies are required to confirm these findings, especially long-term effects of this treatment within the cardiac tissues or endothelial cells of these animals in certain conditions relating to postmenopausal state.</p></div>","PeriodicalId":45230,"journal":{"name":"Clinica e Investigacion en Arteriosclerosis","volume":"36 2","pages":"Pages 60-70"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72211170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multizonal observational study conducted by clinical practitioners on Repatha® use in patients with hyperlipidemia (ZERBINI): Colombian results 由临床医师开展的关于高脂血症患者使用 Repatha® 的多区域观察研究(ZERBINI):哥伦比亚的结果
IF 1.6 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-01-01 DOI: 10.1016/j.arteri.2023.06.001
Heidy M. Roncancio , Julián R. Lugo-Peña , Ángel A. García , Janeth Leal , Carlos A. Hoyos , Johnny A. Beltrán , César L. Cruz , Carol Paez-Cano , Mariana Pineda-Posada , Eduardo Contreras

Background

Cardiovascular disease (CVD) represents the primary cause of death and disability globally, with elevated cholesterol as one of the leading risk factors for CVD. We describe the clinical characteristics, treatment patterns, and effectiveness of evolocumab in treating hyperlipidemia.

Methods

Observational study conducted through a chart review of patients with hyperlipidemia receiving evolocumab as part of clinical management in Colombia.

Results

This study included 115 patients treated with evolocumab. A total of 101 patients (87.8%) had a history of CVD, 13 (11.3%) familial hypercholesterolemia (FH), and 23 (20%) type 2 diabetes. Thirty-nine patients reported intolerance to any statin (33.9%). The median value of LDL-C before initiation of evolocumab was 147 mg/dL (IQR: 122.5–183.7 mg/dL). Within the first 3 months of treatment, LDL-C value dropped to a median value of 53 mg/dL (IQR: 34.0–95.5 mg/dL), showing a reduction of 63.9%. The median LDL-C values remained below 45 mg/dL until the end of follow-up. Among the patients with available data, up to 61% achieved an LDL-C level below 55 mg/dL at the 10–12-month follow-up. A total of 72% of patients were persistent with treatment. Safety results showed a low frequency of hospitalizations (≤2%) and treatment-emergent adverse drug reactions (5.2%). No serious adverse events were reported.

Conclusions

Evolocumab was associated with reductions in LDL-C levels, with a relative decrease of 63.9% within the first 3 months of treatment. Low rates of interruptions due to adverse events and adequate medication persistence was reported.

背景心血管疾病(CVD)是导致全球死亡和残疾的主要原因,而胆固醇升高是导致心血管疾病的主要危险因素之一。我们描述了 evolocumab 治疗高脂血症的临床特征、治疗模式和有效性。方法通过对哥伦比亚接受 evolocumab 作为临床治疗一部分的高脂血症患者进行病历回顾,开展了一项观察性研究。共有 101 名患者(87.8%)有心血管疾病史,13 名患者(11.3%)有家族性高胆固醇血症(FH),23 名患者(20%)有 2 型糖尿病。39名患者(33.9%)表示对任何他汀类药物不耐受。开始使用 evolocumab 前,低密度脂蛋白胆固醇的中位值为 147 mg/dL(IQR:122.5-183.7 mg/dL)。在治疗的前 3 个月,低密度脂蛋白胆固醇的中位值降至 53 毫克/分升(IQR:34.0-95.5 毫克/分升),降幅达 63.9%。直到随访结束,低密度脂蛋白胆固醇的中位值一直保持在 45 毫克/分升以下。在有数据可查的患者中,高达61%的患者在10-12个月的随访中将低密度脂蛋白胆固醇水平降至55毫克/分升以下。共有72%的患者坚持治疗。安全性结果显示,住院率(≤2%)和治疗引发的药物不良反应发生率(5.2%)较低。结论Evolocumab可降低LDL-C水平,在治疗的前3个月内相对降幅达63.9%。因不良事件而中断治疗的比例较低,且有足够的用药持续性。
{"title":"Multizonal observational study conducted by clinical practitioners on Repatha® use in patients with hyperlipidemia (ZERBINI): Colombian results","authors":"Heidy M. Roncancio ,&nbsp;Julián R. Lugo-Peña ,&nbsp;Ángel A. García ,&nbsp;Janeth Leal ,&nbsp;Carlos A. Hoyos ,&nbsp;Johnny A. Beltrán ,&nbsp;César L. Cruz ,&nbsp;Carol Paez-Cano ,&nbsp;Mariana Pineda-Posada ,&nbsp;Eduardo Contreras","doi":"10.1016/j.arteri.2023.06.001","DOIUrl":"10.1016/j.arteri.2023.06.001","url":null,"abstract":"<div><h3>Background</h3><p>Cardiovascular disease (CVD) represents the primary cause of death and disability globally, with elevated cholesterol as one of the leading risk factors for CVD. We describe the clinical characteristics, treatment patterns, and effectiveness of evolocumab in treating hyperlipidemia.</p></div><div><h3>Methods</h3><p>Observational study conducted through a chart review of patients with hyperlipidemia receiving evolocumab as part of clinical management in Colombia.</p></div><div><h3>Results</h3><p>This study included 115 patients treated with evolocumab. A total of 101 patients (87.8%) had a history of CVD, 13 (11.3%) familial hypercholesterolemia (FH), and 23 (20%) type 2 diabetes. Thirty-nine patients reported intolerance to any statin (33.9%). The median value of LDL-C before initiation of evolocumab was 147<!--> <!-->mg/dL (IQR: 122.5–183.7<!--> <!-->mg/dL). Within the first 3 months of treatment, LDL-C value dropped to a median value of 53<!--> <!-->mg/dL (IQR: 34.0–95.5<!--> <!-->mg/dL), showing a reduction of 63.9%. The median LDL-C values remained below 45<!--> <!-->mg/dL until the end of follow-up. Among the patients with available data, up to 61% achieved an LDL-C level below 55<!--> <!-->mg/dL at the 10–12-month follow-up. A total of 72% of patients were persistent with treatment. Safety results showed a low frequency of hospitalizations (≤2%) and treatment-emergent adverse drug reactions (5.2%). No serious adverse events were reported.</p></div><div><h3>Conclusions</h3><p>Evolocumab was associated with reductions in LDL-C levels, with a relative decrease of 63.9% within the first 3 months of treatment. Low rates of interruptions due to adverse events and adequate medication persistence was reported.</p></div>","PeriodicalId":45230,"journal":{"name":"Clinica e Investigacion en Arteriosclerosis","volume":"36 1","pages":"Pages 22-32"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0214916823000517/pdfft?md5=6ea6bc5dc42de8e64538f70e91a0cee9&pid=1-s2.0-S0214916823000517-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9776691","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
期刊
Clinica e Investigacion en Arteriosclerosis
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1