他汀类药物治疗对脂蛋白相关磷脂酶 A2 质量和活性的影响:随机安慰剂对照试验的系统回顾和元分析》。

IF 3.1 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Cardiovascular Drugs and Therapy Pub Date : 2024-10-28 DOI:10.1007/s10557-024-07634-5
Amirhossein Sahebkar, Željko Reiner, Wael Almahmeed, Tannaz Jamialahmadi, Luis E Simental-Mendía
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引用次数: 0

摘要

目的:本荟萃分析旨在确定他汀类药物治疗是否能降低脂蛋白-PLA2 的质量浓度和/或活性:使用 MESH 术语和关键词检索了 PubMed、Scopus、Web of Science、ClinicalTrials.gov 和 Google Scholar 数据库。荟萃分析纳入了采用平行或交叉设计、研究他汀类药物对 Lp-PLA2 质量和/或活性影响的随机对照试验(RCT):在256篇文章中,有10项RCT被选中进行荟萃分析。他汀类药物治疗可明显降低Lp-PLA2的质量(WMD -44.46 ng/mL;95%CI -59.01,-29.90;p < 0.001;I2 = 93%)和活性(WMD -39.37 nmol/min/mL;95%CI -69.99,-8.75;p = 0.01;I2 = 100%)。对脂蛋白磷酸化酶质量的敏感性分析是稳健的,对两项有关脂蛋白磷酸化酶活性的研究也是积极的:结论:他汀类药物治疗可明显降低脂蛋白-PLA2的质量和活性。
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Effect of Statin Treatment on Lipoprotein-Associated Phospholipase A2 Mass and Activity: A Systematic Review and Meta-analysis of Randomized Placebo-Controlled Trials.

Purpose: The goal of this meta-analysis was to establish whether statin treatment reduces Lp-PLA2 mass concentration and/or activity.

Methods: PubMed, Scopus, Web of Science, ClinicalTrials.gov, and Google Scholar databases were searched using MESH terms and keywords. Randomized controlled trials (RCT) with either parallel or cross-over design examining the effect of statins on Lp-PLA2 mass and/or activity were included in meta-analysis.

Results: Out of 256 articles, 10 RCT were selected for meta-analysis. Statin therapy significantly reduced both Lp-PLA2 mass (WMD -44.46 ng/mL; 95%CI -59.01, -29.90; p < 0.001; I2 = 93%) and activity (WMD -39.37 nmol/min/mL; 95%CI -69.99, -8.75; p = 0.01; I2 = 100%). The sensitivity analysis was robust for Lp-PLA2 mass and was also positive for two studies concerning Lp-PLA2 activity.

Conclusion: Statin therapy significantly reduced both Lp-PLA2 mass and activity.

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来源期刊
Cardiovascular Drugs and Therapy
Cardiovascular Drugs and Therapy 医学-心血管系统
CiteScore
8.30
自引率
0.00%
发文量
110
审稿时长
4.5 months
期刊介绍: Designed to objectively cover the process of bench to bedside development of cardiovascular drug, device and cell therapy, and to bring you the information you need most in a timely and useful format, Cardiovascular Drugs and Therapy takes a fresh and energetic look at advances in this dynamic field. Homing in on the most exciting work being done on new therapeutic agents, Cardiovascular Drugs and Therapy focusses on developments in atherosclerosis, hyperlipidemia, diabetes, ischemic syndromes and arrhythmias. The Journal is an authoritative source of current and relevant information that is indispensable for basic and clinical investigators aiming for novel, breakthrough research as well as for cardiologists seeking to best serve their patients. Providing you with a single, concise reference tool acknowledged to be among the finest in the world, Cardiovascular Drugs and Therapy is listed in Web of Science and PubMed/Medline among other abstracting and indexing services. The regular articles and frequent special topical issues equip you with an up-to-date source defined by the need for accurate information on an ever-evolving field. Cardiovascular Drugs and Therapy is a careful and accurate guide through the maze of new products and therapies which furnishes you with the details on cardiovascular pharmacology that you will refer to time and time again.
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