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Related Experiment Videos

Hypertriglyceridemic hyperapoB in type 2 diabetes.

Allan D Sniderman1, Benoit Lamarche, Jessica Tilley

  • 1Mike Rosenbloom Laboratory for Cardiovascular Research, McGill University Health Centre, McGill University, Montreal, Canada. allan.sniderman@muhc.mcgill.ca

Diabetes Care
|March 5, 2002
PubMed
Summary
This summary is machine-generated.

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In type 2 diabetes, using apolipoprotein B (apoB) to define dyslipidemia reveals more patients with elevated LDL particle number than LDL cholesterol alone. This highlights a more accurate method for identifying high-risk patients for intensive therapy.

Area of Science:

  • Cardiovascular Medicine
  • Metabolic Disorders
  • Lipidology

Background:

  • Type 2 diabetes is often associated with dyslipidemia, but LDL characteristics receive less focus than VLDL or HDL.
  • Limited data exist on apolipoprotein B (apoB) levels and dyslipidemic phenotypes in type 2 diabetes patients.
  • Most studies focus on mean lipoprotein levels, neglecting the frequency of different dyslipidemic patterns.

Purpose of the Study:

  • To investigate the prevalence of various dyslipidemic phenotypes in patients with type 2 diabetes.
  • To compare the diagnostic utility of LDL cholesterol versus apoB in classifying dyslipidemia.
  • To characterize the lipid profile associated with hypertriglyceridemic hyperapoB.

Main Methods:

  • Standardized measurement of plasma lipids, apoB, and apoA1.

Related Experiment Videos

  • Determination of LDL particle size using PAGE.
  • Phenotyping based on triglycerides and LDL cholesterol, and alternatively, triglycerides and apoB.
  • Main Results:

    • Elevated triglycerides and reduced LDL particle size were common; total and LDL cholesterol were generally normal.
    • Using LDL cholesterol, only 23% of patients showed abnormal LDL; using apoB, 40% had elevated LDL particle number.
    • The triglyceride-apoB-based approach identified nearly one-third of patients with hypertriglyceridemic hyperapoB, a group with severe dyslipoproteinemia.

    Conclusions:

    • The dyslipidemic profile in type 2 diabetes is heterogeneous, with some patients having normal lipid levels and LDL particle characteristics.
    • Defining dyslipidemia by triglycerides and apoB identifies a larger proportion of patients with abnormal LDL particle number compared to using LDL cholesterol.
    • Hypertriglyceridemic hyperapoB, characterized by high triglycerides, elevated LDL particle number, small dense LDL, and low HDL, is prevalent and associated with accelerated atherosclerosis, warranting aggressive treatment.