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Published on: October 12, 2017
Fasting apoprotein B-48 level and coronary artery disease in a population without frank fasting hypertriglyceridemia
René Valero1, Anne-Marie Lorec, Franck Paganelli
1Service de Nutrition-Maladies Métaboliques-Endocrinologie, AP-HM, Hôpital Ste Marguerite, Université de la Méditerranée, CHU Marseille, BP 29-13274 Marseille Cedex 09, France. rvalero@mail.ap-hm.fr
Insights
Fasting apoprotein B-48 levels do not predict coronary artery disease (CAD) risk in individuals with normal fasting lipid profiles. This marker, associated with postprandial lipemia, showed no correlation with CAD presence or severity in the study population.
Area of Science:
- Cardiovascular Disease Research
- Lipid Metabolism Studies
- Biomarker Discovery
Background:
- Coronary artery disease (CAD) risk assessment often relies on fasting lipid profiles.
- Postprandial lipemia is implicated in CAD pathogenesis but is challenging to assess routinely.
- Apolipoprotein B-48 (ApoB-48) is a key component of chylomicrons and linked to postprandial lipemia.
Purpose of the Study:
- To investigate if fasting apolipoprotein B-48 (ApoB-48) levels can serve as a surrogate marker for postprandial lipemia.
- To evaluate the association between fasting ApoB-48 and the presence and severity of coronary artery disease (CAD).
- To assess ApoB-48 as a predictor of CAD risk in individuals without overt fasting lipid abnormalities.
Main Methods:
- A cohort of 123 patients undergoing coronary angiography, excluding those on lipid-lowering drugs or with hypertriglyceridemia, were studied.
- Coronary artery disease (CAD) was defined by >50% vessel lumen narrowing; severity was graded by the number of affected arteries.
- Fasting apolipoprotein B-48 (ApoB-48) levels were quantified using a competitive enzyme-linked immunosorbent assay (ELISA).
Main Results:
- No significant difference in fasting apolipoprotein B-48 (ApoB-48) levels was observed between patients with and without coronary artery disease (CAD).
- Fasting ApoB-48 levels did not correlate with the presence or severity of CAD, nor with age, sex, BMI, or standard fasting lipids.
- ApoB-48 showed a correlation only with fasting triglyceride levels among metabolic syndrome features.
Conclusions:
- Fasting apolipoprotein B-48 (ApoB-48) does not appear to be a reliable surrogate marker for postprandial lipemia in predicting coronary artery disease (CAD) risk.
- In populations with normal fasting lipid profiles, fasting ApoB-48 levels do not predict CAD presence or severity.
- Further research may be needed to identify effective biomarkers for postprandial lipemia and CAD risk assessment.
Abstract:
The aim of this study was to test the hypothesis that fasting apoprotein B-48 level might be a surrogate marker of postprandial lipemia in evaluating the risk of coronary artery disease (CAD) in a population without frank abnormality in fasting lipid profile. One hundred twenty-three patients tested by coronary angiography were selected on the criteria of absence of treatment with hypolipidemic drugs, obvious hypertriglyceridemia (>2.85 mmol/L), or other conditions that may interfere with lipoprotein metabolism except diabetes. CAD was defined by more than 50% narrowing of vessel lumen, and its severity is determined by the number of arteries involved. Fasting apoprotein B-48 was measured by a competitive enzyme-linked immunosorbent assay method. There was no difference in fasting apoprotein B-48 levels between the groups with and without CAD (0.123+/-0.096 vs 0.136+/-0.125 microg/mL, respectively), whatever the sex or whether with or without diabetes. The apoprotein B-48 level was not related to the presence or the severity of CAD. There was also no correlation between fasting apoprotein B-48 levels and age, sex, body mass index, and usual fasting lipid parameters in both patients with and without angiographically proven CAD. Finally, among the features of metabolic syndrome, apoprotein B-48 was correlated with fasting triglyceride levels (r=0.357, P<.01) only. In conclusion, the present study shows that in the absence of any major fasting abnormality in plasma lipid parameters, fasting apoprotein B-48 level, which has been associated with postprandial hyperlipidemia, does not predict the risk of CAD.
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