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Thyroid function and PCSK9 in euthyroid subjects with coronary artery disease 冠状动脉疾病伴甲状腺功能正常者的甲状腺功能和PCSK9
Q Medicine Pub Date : 2015-06-01 DOI: 10.2217/clp.15.13
Sha Li, R. Xu, Yuan-Lin Guo, Yan Zhang, Cheng-gang Zhu, Jing Sun, Jian‐Jun Li
Abstract Thyroid function and PCSK9 in euthyroid subjects with coronary artery disease Background: Both thyroid hormone and PCSK9 are key regulators of lipid metabolism. Their respective impacts on dylipidemia and the development of associated coronary artery disease (CAD) have received continued interest. Aim: To examine whether plasma PCSK9 levels were correlated with thyroid hormones in euthyroid subjects with stable CAD. Materials & methods: A total of 447 euthyroid subjects with stable CAD were prospectively enrolled. Angiography and lipid-lowering therapy were parts of the screening process. Baseline clinical characteristics were collected. Fasting free triiodothyronine (FT3), free thyroxine (FT4), thyrotropin (TSH), glucose and lipid profiles were measured. Plasma PCSK9 levels were determined by ELISA. Results: Plasma PCSK9 levels exhibited an inverse correlation with FT3 (r = -0.182, p < 0.001) and a positive correlation with TSH (r = -0.100, p = 0.035). After adjustment for cardiometabolic risk factors, patients with higher levels of PCSK9 differed from those with lower levels of PCSK9 in FT3, FT4 and TSH levels (p < 0.05, all). When Logistic analysis was performed with PCSK9 tertiles as the dependent variable, FT3 (OR = 0.430, 95% CI: 0.206–0.897), FT4 (OR = 0.863, 95% CI: 0.708–0.995) and TSH (OR = 2.114, 95% CI: 1.003–4.457) exhibited independent associations with an elevated PCSK9 level (tertile 3). Finally, multiple linear analysis revealed that PCSK9 levels were related significantly and independently to FT3 (β = -0.110, p = 0.019) but not FT4 (β = -0.073, p = 0.110) or TSH (β = -0.087, p = 0.060). Conclusion: The study demonstrates a negative association between thyroid function and PCSK9 levels in euthyroid subjects with stable CAD, suggesting a potential interaction between PCSK9 and lower levels of thyroid hormones in patients with CAD.
背景:甲状腺激素和PCSK9都是脂质代谢的关键调节因子。它们各自对血脂和相关冠状动脉疾病(CAD)发展的影响一直受到关注。目的:探讨稳定型冠心病患者血浆PCSK9水平与甲状腺激素水平的相关性。材料与方法:前瞻性纳入447例甲状腺功能正常且病情稳定的冠心病患者。血管造影和降脂治疗是筛查过程的一部分。收集基线临床特征。测定空腹游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、促甲状腺素(TSH)、血糖和血脂水平。ELISA法检测血浆PCSK9水平。结果:血浆PCSK9水平与FT3呈负相关(r = -0.182, p < 0.001),与TSH呈正相关(r = -0.100, p = 0.035)。在调整心脏代谢危险因素后,PCSK9水平高的患者与PCSK9水平低的患者在FT3、FT4和TSH水平上存在差异(p < 0.05)。当物流分析与PCSK9 tertiles作为因变量,发生(或= 0.430,95% CI: 0.206—-0.897),FT4(或= 0.863,95% CI: 0.708—-0.995)和TSH(或= 2.114,95% CI: 1.003—-4.457)表现出独立的协会PCSK9水平升高(tertile 3)。最后,多元线性分析表明PCSK9水平显著相关,独立发生(β= -0.110,p = 0.019),但不是FT4(β= -0.073,p = 0.110)或TSH(β= -0.087,p = 0.060)。结论:本研究表明,在稳定型CAD患者中,甲状腺功能与PCSK9水平呈负相关,提示PCSK9与CAD患者甲状腺激素水平较低可能存在相互作用。
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引用次数: 2
The prevalence of dislipidemia and its relation to other risk factors: a nationwide survey of Lithuania 低脂血症的流行及其与其他危险因素的关系:立陶宛全国调查
Q Medicine Pub Date : 2015-06-01 DOI: 10.2217/clp.15.16
E. Rinkūnienė, A. Laucevičius, Ž. Petrulionienė, V. Dženkevičiūtė, S. Kutkiene, Agnė Skujaitė, V. Kasiulevičius
Abstract Aim: The aim of this study was to assess the prevalence of dyslipidemia and its relation to other cardiovascular risk factors in Lithuania. Design & methods: The Lithuanian High Cardiovascular Risk Primary Prevention program recruited men and women without overt cardiovascular disease. This report describes the group of 23,204 subjects. Results: Dyslipidemia was diagnosed in 89.7% of subjects. All the main cardiovascular risk factors except for smoking were present more often among patients with dyslipidemia. The average number of risk factors (arterial hypertension, abdominal obesity, diabetes mellitus, metabolic syndrome, smoking, insufficient physical activity, unbalanced diet and family history of CVD) in subjects with dyslipidemia was 3.09 (compared with 2.42 in subjects without it). Conclusion: Dyslipidemia is a most frequent risk factor among middle-aged Lithuanian subjects without cardiovascular disease and has been diagnosed in nine out of ten subjects.
摘要目的:本研究的目的是评估立陶宛血脂异常的患病率及其与其他心血管危险因素的关系。设计与方法:立陶宛高危心血管初级预防项目招募无明显心血管疾病的男性和女性。这份报告描述了23204名受试者。结果:89.7%的受试者被诊断为血脂异常。除吸烟外,所有主要心血管危险因素在血脂异常患者中更常见。血脂异常组的危险因素(动脉高血压、腹型肥胖、糖尿病、代谢综合征、吸烟、运动不足、饮食不平衡和心血管疾病家族史)平均为3.09个(无血脂异常组为2.42个)。结论:血脂异常是立陶宛无心血管疾病的中年受试者中最常见的危险因素,十分之九的受试者被诊断出患有血脂异常。
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引用次数: 14
Metabolic and lipoprotein aspects of polycystic ovarian syndrome 多囊卵巢综合征的代谢和脂蛋白方面
Q Medicine Pub Date : 2015-06-01 DOI: 10.2217/clp.15.12
A. Pazderska, J. Gibney
Abstract Polycystic ovarian syndrome is a common endocrine disorder of women. It is associated with an adverse metabolic risk factor profile including hyperinsulinemia, abnormal glucose metabolism, dyslipidemia and chronic pro-atherogenic low grade inflammation. A large proportion of PCOS women are overweight or obese; these women have a high prevalence of insulin resistance and some studies suggest this also the case in lean women with PCOS. Impaired glucose tolerance and diabetes are more common in women with PCOS than in the general population. Besides conventional atherogenic dyslipidemia, PCOS women have additional abnormalities including elevations in small, dense LDL and dysfunctional HDL-particles. Despite a clear pro-atherogenic risk factor profile, it has not been clearly demonstrated that this translates into increased cardiovascular morbidity and mortality in this population.
摘要多囊卵巢综合征是一种常见的女性内分泌疾病。它与不良代谢危险因素相关,包括高胰岛素血症、糖代谢异常、血脂异常和慢性促动脉粥样硬化低度炎症。很大一部分多囊卵巢综合征女性超重或肥胖;这些女性胰岛素抵抗的患病率很高,一些研究表明,患有多囊卵巢综合征的瘦弱女性也是如此。糖耐量受损和糖尿病在多囊卵巢综合征女性中比在一般人群中更常见。除了常规的动脉粥样硬化性血脂异常外,PCOS女性还存在其他异常,包括小而致密的LDL升高和功能失调的hdl颗粒。尽管有明确的促动脉粥样硬化危险因素,但还没有明确证明这在这一人群中转化为心血管发病率和死亡率的增加。
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引用次数: 1
Effects of altered hepatic lipid metabolism on regulation of hepatic iNOS 肝脏脂质代谢改变对肝脏iNOS调节的影响
Q Medicine Pub Date : 2015-04-01 DOI: 10.2217/clp.15.8
J. Stanimirovic, M. Obradović, S. Zafirovic, I. Resanović, Nikola Bogdanović, Z. Gluvić, S. Mousa, E. Isenovic
Abstract An altered hepatic lipid metabolism involves multifactorial pathologies such as hepatic inflammation, insulin resistance and oxidative stress. Immunity has an essential role in the regulation of glucose and lipid metabolism in the liver. Inducible nitric oxide (NO) synthase (iNOS) has been proposed as an important factor that interplays between immunity and energy metabolism and also in the pathogenesis of obesity-linked insulin resistance. In the liver, locally produced NO plays a protective role during inflammation, and the balance of NO protective and cytotoxic effects is very important. This review is focused on understanding the molecular mechanisms of iNOS regulation in the state of altered hepatic lipid metabolism, which is critical for developing new strategies for treatment of hepatic disorders.
肝脏脂质代谢的改变涉及多因素病理,如肝脏炎症、胰岛素抵抗和氧化应激。免疫在肝脏糖脂代谢的调节中起着重要的作用。诱导型一氧化氮(NO)合成酶(iNOS)已被认为是免疫和能量代谢之间相互作用的重要因素,也是肥胖相关胰岛素抵抗的发病机制。在肝脏中,局部产生的NO在炎症过程中起保护作用,并且NO的保护作用和细胞毒性作用的平衡是非常重要的。本文综述了iNOS在肝脏脂质代谢改变状态下调控的分子机制,这对于开发治疗肝脏疾病的新策略至关重要。
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引用次数: 10
Serum lipids as markers of prostate cancer occurrence and prognosis? 血脂作为前列腺癌发生和预后的标志?
Q Medicine Pub Date : 2015-04-01 DOI: 10.2217/clp.14.69
R. Arthur, A. Rodríguez-Vida, G. Zadra, H. Møller, M. Hemelrijck
Abstract With the current epidemic of lipid-related disorders and prostate cancer (PCa) in western countries, there is growing interest in the potential causal relationship between lipids and PCa. PCa is a heterogeneous disease, which undermines researchers’ ability to determine the mechanistic pathways responsible for its development and progression. Currently, detection and progression of PCa is mainly determined by prostate specific antigen, but this biomarker lacks specificity and is unable to discriminate between indolent and aggressive cancer. Nonetheless, there is evidence to suggest that lipid markers might potentially be useful in conjunction with other markers such as prostate specific antigen in improving detection and management of this disease. This review aims to highlight findings from epidemiological studies which examined the role of serum lipids in PCa occurrence and prognosis.
随着目前脂质相关疾病和前列腺癌(PCa)在西方国家的流行,人们对脂质与前列腺癌之间潜在的因果关系越来越感兴趣。前列腺癌是一种异质性疾病,这削弱了研究人员确定其发展和进展的机制途径的能力。目前,前列腺癌的检测和进展主要由前列腺特异性抗原决定,但这种生物标志物缺乏特异性,无法区分惰性癌和侵袭性癌。尽管如此,有证据表明脂质标记物可能与其他标记物(如前列腺特异性抗原)联合使用,以改善这种疾病的检测和管理。这篇综述旨在强调流行病学研究的结果,这些研究检查了血脂在前列腺癌发生和预后中的作用。
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引用次数: 3
Dietary polyunsaturated fat intake in coronary heart disease risk 饮食中多不饱和脂肪摄入与冠心病风险
Q Medicine Pub Date : 2015-04-01 DOI: 10.2217/clp.15.5
J. Virtanen
Abstract “The current evidence indicates that the polyunsaturated fatty acids have cardioprotective benefits and that both n-3 and n-6 polyunsaturated fatty acids are beneficial.”
摘要“目前的证据表明,多不饱和脂肪酸具有保护心脏的作用,并且n-3和n-6多不饱和脂肪酸都是有益的。”
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引用次数: 8
Therapeutic inhibition of apoC-III for the treatment of hypertriglyceridemia 治疗性抑制apoC-III治疗高甘油三酯血症
Q Medicine Pub Date : 2015-04-01 DOI: 10.2217/clp.15.7
T. Bell, M. Graham, B. Baker, R. Crooke
Abstract Hypertriglyceridemia is a common feature of many metabolic disorders and has been identified as risk factor for cardiovascular disease. ApoC-III is commonly associated with triglyceride rich lipoproteins and has been identified as a potent modulator of plasma TG levels. The purpose of this review is to provide background on apoC-III and its role in the regulation of plasma TG and lipoprotein metabolism and to highlight preclinical and genetic evidence supporting apoC-III as a central target in cardiovascular disease progression. Finally, recent results from clinical trials evaluating a second generation antisense oligonucleotide (ASO) inhibitor of apoC-III will be summarized and the potential impact such a drug could have in the treatment of hypertriglyceridemia and associated comorbidities will be highlighted.
高甘油三酯血症是许多代谢性疾病的共同特征,已被确定为心血管疾病的危险因素。ApoC-III通常与富含甘油三酯的脂蛋白有关,并已被确定为血浆TG水平的有效调节剂。本综述的目的是提供apoC-III的背景及其在调节血浆TG和脂蛋白代谢中的作用,并强调支持apoC-III作为心血管疾病进展的中心靶点的临床前和遗传证据。最后,总结了第二代apoC-III反义寡核苷酸(ASO)抑制剂的近期临床试验结果,并强调了该药物在治疗高甘油三酯血症及相关合并症中的潜在影响。
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引用次数: 9
The role of apoB measurement in Type 2 diabetic patients 载脂蛋白ob测定在2型糖尿病患者中的作用
Q Medicine Pub Date : 2015-04-01 DOI: 10.2217/clp.15.6
Brian Lee, Busadee Pratumvinit, N. Thongtang
Abstract Aims: ApoB and non-HDL-C more accurately quantify cardiovascular risk than LDL-C; however, controversies exist over which is more clinically useful. We determined how well non-HDL-C targets predicted the attainment of apoB goals. Materials & Methods: In this cross-sectional study of Type 2 diabetic patients who achieved LDL-C <100 mg/dl, apoB and non-HDL-C concentrations, and the accuracy of non-HDL-C targets against apoB goals were determined. Results: Positive predictive values of non-HDL-C goals in predicting attainment of apoB goals were 90.3%, but were reduced in patients with hypertriglyceridemia or coronary heart disease (CHD). Conclusion: ApoB measurement could be useful in evaluating cardiovascular risk in diabetic subjects with hypertriglyceridemia or CHD who have already achieved LDL-C and non-HDL-C targets.
目的:ApoB和非hdl - c比LDL-C更准确地量化心血管风险;然而,关于哪一种在临床上更有用存在争议。我们确定了非hdl - c指标对apoB目标实现的预测程度。材料与方法:对LDL-C <100 mg/dl的2型糖尿病患者进行横断面研究,确定载脂蛋白ob和非hdl - c浓度,并确定非hdl - c靶对载脂蛋白ob靶的准确性。结果:非hdl - c目标预测载脂蛋白目标实现的阳性预测值为90.3%,但在高甘油三酯血症或冠心病(CHD)患者中,阳性预测值降低。结论:载脂蛋白ob检测可用于评估已达到LDL-C和非hdl - c目标的伴有高甘油三酯血症或冠心病的糖尿病患者的心血管风险。
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引用次数: 3
Associations between anthropometric parameters and serum lipids in preadolescent and adolescent girls and boys 青春期前和青春期女孩和男孩的人体测量参数与血脂之间的关系
Q Medicine Pub Date : 2015-04-01 DOI: 10.2217/clp.15.2
A. Ninić, V. Spasojević-Kalimanovska, N. Bogavac-Stanojević, J. Kotur-Stevuljević, Danijela Kornic-Ristovski, A. Stefanović, S. Spasić, M. Deanović, S. Babka, B. Aleksic, Z. Jelić-Ivanović
Abstract Aim: The purpose of this study was to investigate the relationship between anthropometric parameters and serum lipid concentrations in both preadolescent and adolescent girls and boys. Materials & Methods: Basic lipid status parameters were determined in fasting venous blood from 186 preadolescents and adolescents. Atherogenic indices were calculated. Results: Two-way analysis of variance showed significant interactions between age and BMI subgroups in girls at the level of HDL-cholesterol (HDL-C), LDL-cholesterol (LDL-C), non-HDL-C, total cholesterol/HDL-C and LDL-C/HDL-C. Ordinal regression analysis showed that increasing age in both genders reduced the probability of higher HDL-C concentrations. Conclusion: Age was an independent predictor for lower HDL-C concentration in both genders. BMI was the most significant independent predictor for most lipid parameters in girls.
摘要目的:探讨青春期前和青春期男女的人体测量参数与血脂浓度的关系。材料与方法:测定186例青春期前和青少年空腹静脉血的基本血脂状态参数。计算动脉粥样硬化指数。结果:双向方差分析显示,在女孩的hdl -胆固醇(HDL-C)、ldl -胆固醇(LDL-C)、非HDL-C、总胆固醇/HDL-C和LDL-C/HDL-C水平上,年龄和BMI亚组之间存在显著的相互作用。有序回归分析显示,男女年龄的增加降低了高密度脂蛋白c浓度升高的可能性。结论:年龄是男女低HDL-C浓度的独立预测因子。BMI是女孩中大多数脂质参数最重要的独立预测因子。
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引用次数: 4
Translational research on autotaxin-LPA-LPA receptors and drug discovery 自噬素- lpa - lpa受体的转化研究及药物发现
Q Medicine Pub Date : 2015-04-01 DOI: 10.2217/clp.15.4
D. Im
Abstract The discovery that lysophosphatidic acid (LPA) acts as a signaling molecule via its G protein-coupled receptors motivated studies on the signaling and pathophysiology of LPA. Furthermore, the subsequent identification of the LPA-producing plasma phosphodiesterase, autotaxin, led to structural and mouse genetic studies of this lysophospholipase D. Recently, translational studies using LPA receptor-deficient or autotaxin-deficient mice, as well as receptor specific antagonists and autotaxin inhibitors, have been reported. These reports suggest that autotaxin and LPA receptors are potential drug targets, and have attracted the attention of researchers involved in drug discovery in a variety of pathologies including cancer, fibrosis, inflammation, pain and cardiovascular diseases. In this review, the state of the art regarding translational research and the status of drug discovery efforts targeting LPA synthesis (autotaxin) and LPA signaling (LPA receptors) are discussed with an emphasis on potential clinical applications.
溶血磷脂酸(lysophosphatidic acid, LPA)通过其G蛋白偶联受体作为信号分子,这一发现推动了对LPA信号传导和病理生理的研究。此外,随后对产生LPA的血浆磷酸二酯酶autotaxin的鉴定导致了这种溶血磷脂酶d的结构和小鼠遗传学研究。最近,利用LPA受体缺陷或autotaxin缺陷小鼠以及受体特异性拮抗剂和autotaxin抑制剂进行的翻译研究已被报道。这些报道表明autotaxin和LPA受体是潜在的药物靶点,并引起了包括癌症、纤维化、炎症、疼痛和心血管疾病在内的各种疾病的药物发现研究人员的注意。本文综述了针对LPA合成(autotaxin)和LPA信号传导(LPA受体)的转化研究现状和药物发现工作的现状,并重点讨论了潜在的临床应用。
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引用次数: 1
期刊
Clinical Lipidology
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