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Associations of adipokines with coronary heart disease in young and middle-aged people 脂肪因子与中青年冠心病的关系
Pub Date : 2023-12-15 DOI: 10.52727/2078-256x-2023-19-4-444-456
E. V. Garbuzova, A. D. Khudiakova, S. E. Alekseev
The purpose of this review was to find an answer to the question: “Is there an association of adipokines (adiponectin, adipsin, interleukin-6, lipocalin-2, PAI-1, resistin, MCP-1, leptin, TNF-α, visfatin, omentin-1) with coronary artery disease and abdominal obesity in people under 65 years of age?”. Articles investigating patients aged 18 to 65 years with coronary heart disease were included. The analysis included only publications of the last 10 years (2013–2023). As a result of the analyzed literature, most of the publications of the last 10 years are devoted to studies conducted on persons over 65 years of age. At the same time, the available large studies and meta-analyses indicate a large contribution of adipocytokines to the development and course of coronary heart disease. Based on this, it is very relevant to study the adipocytokine profile in young and middle-aged people with coronary heart disease, especially against the background of AO.
本综述旨在寻找问题的答案:"脂肪因子(脂肪连通素、脂肪素、白细胞介素-6、脂钙素-2、PAI-1、抵抗素、MCP-1、瘦素、TNF-α、粘蛋白、网织蛋白-1)与 65 岁以下人群的冠状动脉疾病和腹部肥胖是否存在关联?研究对象为 18 至 65 岁的冠心病患者。分析仅包括过去 10 年(2013-2023 年)发表的文献。从分析的文献来看,最近 10 年的大部分出版物都是针对 65 岁以上人群的研究。同时,现有的大型研究和荟萃分析表明,脂肪细胞因子对冠心病的发展和病程有很大影响。有鉴于此,研究中青年冠心病患者的脂肪细胞因子谱,尤其是以 AO 为背景的脂肪细胞因子谱是非常有意义的。
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引用次数: 0
Association of CSK, MTHFR, ACE, ADRA2B, TCF7L2 gene polymorphisms with dyslipidemia among indigenous and non-indigenous people of Khanty-Mansy Autonomous Okrug – Yugra 汉特-曼西民族自治区-尤格拉原住民和非原住民中 CSK、MTHFR、ACE、ADRA2B、TCF7L2 基因多态性与血脂异常的关系
Pub Date : 2023-12-15 DOI: 10.52727/2078-256x-2023-19-4-369-377
E. V. Korneeva, M. L. Voevoda, S. Semaev, V. Maksimov
The increase in cardiovascular diseases and their complications, diabetes mellitus and metabolic syndrome determines the relevance of early diagnosis and prevention of lipid metabolism disorders by identifying and studying genetic markers of predisposition to dyslipidemia in various populations depending on gender, age and ethnicity.Aim of the study was to investigate the associations of candidate genes CSK, MTHFR, ACE, ADRA2B and TCF7L2 with dyslipidemia in the young indigenous and non-indigenous population living in the Khanty-Mansy autonomous Okrug – Ugra.Material and methods. 863 young people aged 18–44 years were examined, clinical population included nonindigenous and indigenous men and women with metabolic syndrome (n = 344), the comparison group included non-indigenous and indigenous men and women without metabolic syndrome (n = 519). A study of the lipid profile and molecular genetic study was carried out using the polymerase chain reaction method for single nucleotide polymorphisms (SNPs): rs1378942 of the gene CSK, rs1801133 (C677T) of the gene MTHFR, gene ADRA2B, rs7903146 of the gene TCF7L2, rs1799752 of the gene ACE.Results. A high frequency of hypercholesterolemia (79.0 %) and hypertriglyceridemia (65.8 %) was found in the examined men and women. Statistically significant differences were established in the frequency of dyslipidemia in patients with metabolic syndrome by ethnicity and gender (p < 0.001). In the general cohort of men with metabolic syndrome hypercholesterolemia is associated with the TT genotype of SNP rs1801133 (C677T) of the gene MTHFR (p = 0.039), in the women – with the DD genotype of the gene ADRA2B (p = 0.010). In indigenous men of the clinical group an association of hypercholesterolemia with the minor T allele of the gene MTHFR (p = 0.005), of hypertriglyceridemia – with the minor T allele of the gene MTHFR (p = 0.031) and the T allele of the gene TCF7L2 (p = 0.031) was revealed. Among indigenous women of the clinical group hypercholesterolemia is associated with carriage of the minor T allele of the gene CSK (p < 0.001) and hypertriglyceridemia – with the D allele of the gene ADRA2B (p = 0.046).Conclusions. Carriage of minor alleles T of the MTHFR gene and D of the ADRA2B gene is associated with hypercholesterolemia among the examined young people and is statistically significantly higher in the group of patients with metabolic syndrome, as well as among indigenous residents of the KhantyMansiysk Autonomous Okrug – Ugra.
心血管疾病及其并发症、糖尿病和代谢综合征的增加,决定了在不同性别、年龄和种族的人群中通过识别和研究血脂异常易感性的遗传标记来早期诊断和预防血脂代谢紊乱的重要性。本研究旨在调查汉特-曼西民族自治区-尤格拉地区年轻土著和非土著居民中候选基因 CSK、MTHFR、ACE、ADRA2B 和 TCF7L2 与血脂异常的关系。研究对象为 863 名 18-44 岁的年轻人,临床人群包括患有代谢综合征的非土著和土著男女(n = 344),对比组包括没有代谢综合征的非土著和土著男女(n = 519)。采用聚合酶链式反应方法对以下单核苷酸多态性(SNPs)进行了血脂谱研究和分子遗传学研究:CSK 基因 rs1378942、MTHFR 基因 rs1801133 (C677T)、ADRA2B 基因、TCF7L2 基因 rs7903146、ACE 基因 rs1799752。在受检的男性和女性中,高胆固醇血症(79.0%)和高甘油三酯血症(65.8%)的发病率很高。不同种族和性别的代谢综合征患者血脂异常的发生率存在明显的统计学差异(P < 0.001)。在患有代谢综合征的一般男性人群中,高胆固醇血症与 MTHFR 基因的 SNP rs1801133 (C677T) 的 TT 基因型有关(p = 0.039),而在女性人群中,则与 ADRA2B 基因的 DD 基因型有关(p = 0.010)。在临床组的原住民男性中,高胆固醇血症与 MTHFR 基因的小 T 等位基因有关(p = 0.005),高甘油三酯血症与 MTHFR 基因的小 T 等位基因有关(p = 0.031),与 TCF7L2 基因的 T 等位基因有关(p = 0.031)。在临床组的原住民妇女中,高胆固醇血症与携带 CSK 基因的小等位基因 T 有关(p < 0.001),高甘油三酯血症与携带 ADRA2B 基因的等位基因 D 有关(p = 0.046)。MTHFR基因的小等位基因T和ADRA2B基因的小等位基因D与受检年轻人的高胆固醇血症有关,而且在代谢综合征患者群体和汉特-曼西民族自治区-尤格拉原住民中,高胆固醇血症患者的比例明显更高。
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引用次数: 0
The effect of elevated low-density lipoprotein cholesterol on surfactant proteins SP-A and SP-D content as a new mechanism of atherogenesis 低密度脂蛋白胆固醇升高对表面活性蛋白 SP-A 和 SP-D 含量的影响是动脉粥样硬化发生的一种新机制
Pub Date : 2023-12-15 DOI: 10.52727/2078-256x-2023-19-4-378-384
K. Y. Nikolaev, Ya. K. Lapitskaya, I. A. Kosarev, N. F. Dadashova
Aim of the study was to evaluate the effect of elevated level of low-density lipoprotein cholesterol (LDL-C) on surfactant protein SP-A and SP-D content in blood, as a new factor of atherogenesis, in men and women in Novosibirsk.Materials and methods. The study included 174 people (87 men and 87 women), residents of Novosibirsk, aged 45 to 69 years. An anthropometric examination, measurement of blood pressure, determination of the lipid spectrum, blood glucose and surfactant proteins SP-A and SP-D content (enzyme immunoassay).Results. According to the results of the examination, 82 examined persons (47.1 %) were included in the group with LDL-C content > 3.0 mmol/l(main group), 92 – in the group with LDL-C content ≤ 3.0 mmol/l (comparison group) (52.9 %). The value of high SP-A and SP-D content (upper quartile) was determined, which amounted to ≥ 1413 pg/ml SP-A in men and ≥ 1649 pg/ml in women, and ≥ 1772 ng/ml SP-D in men and ≥ 1626 ng/ml in women. It was found that in the main group, the body weight of the examined persons was lower than in the comparison group, and high SP-A level was more common (p = 0.033). In the total sample a direct association of upper quartile SP-A level with LDL-C content > 3.0 mmol/l was revealed (p = 0.021). Using multivariate analysis, it was found that LDL-C concentration > 3.0 mmol/l is an independent factor that directly affects the dependent variable the presence of high SP-A level in general totality of examined individuals (odds ratio 2.20, 95 % confidence interval 1.05–4.62, p = 0.036).Conclusions. In men and women of Novosibirsk, aged 45–69 years, high blood SP-A level (≥ 1413 pg/ml in men and ≥ 1649 pg/ml in women) occurs more often at LDL-C content > 3.0 mmol/l than at LDL-C level ≤ 3.0 mmol/l. In the total sample of the examined persons, a direct association of high SP-A with LDL-C content > 3.0 mmol/l was revealed, and using multivariate analysis it was found that LDL-C concentration > 3.0 mmol/l directly affects the presence of high blood SP-A level and increases the probability of this event by 2.2 times.
该研究旨在评估低密度脂蛋白胆固醇(LDL-C)水平升高对新西伯利亚男性和女性血液中表面活性蛋白 SP-A 和 SP-D 含量的影响。研究对象包括 174 名新西伯利亚居民(87 名男性和 87 名女性),年龄在 45 岁至 69 岁之间。他们接受了人体测量学检查、血压测量、血脂谱、血糖和表面活性蛋白 SP-A 和 SP-D 含量测定(酶免疫测定法)。根据检查结果,82 名受检者(47.1%)属于低密度脂蛋白胆固醇含量大于 3.0 毫摩尔/升组(主要组),92 名受检者属于低密度脂蛋白胆固醇含量小于 3.0 毫摩尔/升组(对比组)(52.9%)。SP-A和SP-D的高含量(上四分位数)已确定,男性SP-A含量≥1413 pg/ml,女性≥1649 pg/ml;男性SP-D含量≥1772 ng/ml,女性≥1626 ng/ml。研究发现,在主要群体中,受检者的体重低于对比群体,SP-A 含量高的情况更为普遍(p = 0.033)。在所有样本中,SP-A 水平的上四分位数与低密度脂蛋白胆固醇含量大于 3.0 毫摩尔/升直接相关(p = 0.021)。通过多变量分析发现,低密度脂蛋白胆固醇(LDL-C)浓度大于 3.0 毫摩尔/升是一个独立因素,直接影响因变量,即在所有受检者中是否存在高 SP-A 水平(几率比 2.20,95 % 置信区间 1.05-4.62,p = 0.036)。在新西伯利亚 45-69 岁的男性和女性中,低密度脂蛋白胆固醇含量大于 3.0 毫摩尔/升时比低密度脂蛋白胆固醇含量小于 3.0 毫摩尔/升时更容易出现高血 SP-A 水平(男性≥ 1413 pg/ml,女性≥ 1649 pg/ml)。通过多变量分析发现,低密度脂蛋白胆固醇(LDL-C)浓度大于 3.0 毫摩尔/升会直接影响血液中 SP-A 含量,并使发生这种情况的概率增加 2.2 倍。
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