Features of serum beta-lipoprotein electrophoretogram in patients with coronary heart disease

Yun-qin Chen1, Jia Yin, Min Zhang

  • 1Electrocardiology Research Center, Department of Basic Science, First Military Medical University, Guangzhou 510515, China. SLPG@fimmu.edu.cn

Di 1 Jun Yi Da Xue Xue Bao = Academic Journal of the First Medical College of PLA
|July 17, 2003
PubMed

Insights

Elevated beta-lipoprotein (beta Lp) subfraction beta Lp1 is a key indicator in patients with coronary heart disease (CHD). This finding aids in understanding CHD biomarkers and diagnosis.

Area of Science:

  • Cardiovascular Research
  • Biochemistry
  • Clinical Diagnostics

Background:

  • Coronary heart disease (CHD) is a significant global health concern.
  • Lipoprotein profiles are crucial in assessing cardiovascular risk.
  • Specific alterations in beta-lipoprotein (beta Lp) subfractions may serve as diagnostic markers for CHD.

Purpose of the Study:

  • To investigate alterations in the serum beta-lipoprotein (beta Lp) electrophoretogram of patients diagnosed with coronary heart disease (CHD).
  • To identify specific beta Lp subfractions that are indicative of CHD.

Main Methods:

  • Serum samples were analyzed from 36 CHD patients, 28 non-CHD patients, and 8 healthy controls.
  • Beta-lipoproteins were isolated using double-gradient polyacrylamide gel electrophoresis (DGPAGE).
  • Quantitative analysis of four beta Lp subfractions (beta Lp1-4) was performed, alongside serum low-density lipoprotein cholesterol (LDLc) measurements.

Main Results:

  • A significant elevation in the relative amount of beta Lp1 was observed in CHD patients (53.4+/-10.0%) compared to normal subjects (39.3+/-6.7%) and non-CHD patients (42.8+/-6.8%).
  • This increase in beta Lp1 was independent of serum LDLc concentrations.
  • No significant difference in beta Lp1 content was found between normal and non-CHD patient groups.

Conclusions:

  • An imbalance in serum beta Lp subfractions, specifically an increased level of beta Lp1, characterizes patients with CHD.
  • Elevated beta Lp1 may serve as a potential biomarker for the diagnosis of coronary heart disease.
Abstract

Related Concept Videos

Asymmetric Lipid Bilayer01:35

Asymmetric Lipid Bilayer

Biological membranes show uneven distribution of different types of lipids in the inner and outer layers, resulting in transverse asymmetric membranes. The treatment of the erythrocyte membrane with the enzyme phospholipase confirmed the asymmetric nature of the lipid bilayer. The enzyme hydrolyzes lipids into fatty acids and hydrophilic groups. The phospholipase acts only on the outer layer of the membrane, while the inner layer remains intact. The phospholipase treatment resulted in 80%...
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers01:19

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers

Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Blood Studies for Cardiovascular System III: Serum Lipid Profile01:25

Blood Studies for Cardiovascular System III: Serum Lipid Profile

Understanding serum lipids is crucial for maintaining cardiovascular health and preventing heart disease and stroke.
Serum lipids are fats and fatty substances in the blood and are crucial for various bodily functions, including energy storage, cellular structure, and hormone production. Serum lipids consist of cholesterol, triglycerides, and phospholipids.
Cholesterol is a soft, fat-like substance found in all body cells. It is crucial for producing hormones, vitamin D, and substances that aid...
Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...