Apolipoprotein L-I is positively associated with hyperglycemia and plasma triglycerides in CAD patients with low HDL

Timothy S E Albert1, Philippe N Duchateau, Samir S Deeb

  • 1Department of Medicine, University of Washington, Seattle, WA, USA.

Journal of Lipid Research
|December 18, 2004
PubMed

Insights

Plasma triglycerides and hyperglycemia significantly predict apolipoprotein L-I (apoL-I) levels in coronary artery disease patients. Antioxidant vitamins increased apoL-I, while statin therapy did not affect it.

Area of Science:

  • Biochemistry
  • Cardiovascular Disease Research
  • Lipid Metabolism

Background:

  • Apolipoprotein L-I (apoL-I) is associated with high-density lipoprotein (HDL) particles and plasma triglycerides (TGs).
  • Understanding apoL-I determinants is crucial in dyslipidemic populations, particularly those with coronary artery disease (CAD).

Purpose of the Study:

  • To identify biological determinants of plasma apoL-I levels in patients with coronary artery disease and low HDL.
  • To investigate the impact of hyperglycemia and lipid parameters on apoL-I levels.

Main Methods:

  • Plasma apoL-I levels were measured in 136 CAD subjects enrolled in a prevention trial.
  • Multivariate analysis was used to identify predictors of apoL-I, including VLDL-TG and hyperglycemia (HG).
  • The effect of simvastatin-niacin therapy and antioxidant vitamins on apoL-I levels was assessed.

Main Results:

  • Plasma apoL-I levels were positively correlated with VLDL-TG and hyperglycemia (HG).
  • Hyperglycemic patients exhibited over 50% higher mean apoL-I levels compared to normoglycemic subjects.
  • Antioxidant vitamins significantly increased apoL-I levels, whereas simvastatin-niacin therapy did not.

Conclusions:

  • Triglycerides (TG) and hyperglycemia (HG) are the primary predictors of apoL-I in dyslipidemic CAD patients.
  • These findings contribute to characterizing the novel HDL-associated apoL-I and its relationship with metabolic factors.

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