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Updated: May 21, 2026

Cell-free Biochemical Fluorometric Enzymatic Assay for High-throughput Measurement of Lipid Peroxidation in High Density Lipoprotein
Published on: October 12, 2017
Low serum glutathione peroxidase activity is associated with increased cardiovascular mortality in individuals with
Brian Buijsse1, Duk-Hee Lee, Lyn Steffen
1Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, United States of America.
Insights
High glutathione peroxidase 3 (GPx3) activity may reduce cardiovascular disease (CVD) mortality. Low GPx3 and low HDL cholesterol significantly increase the risk of death from CVD.
Area of Science:
- Biochemistry
- Cardiovascular Science
- Epidemiology
Background:
- Oxidized low-density lipoprotein (LDL) is a key initiator of atherosclerosis.
- Serum glutathione peroxidase 3 (GPx3) plays a role in reducing oxidized lipids.
- The relationship between GPx3 activity and cardiovascular disease (CVD) mortality requires further investigation.
Purpose of the Study:
- To investigate the association between serum GPx3 activity and CVD mortality.
- To determine if higher GPx3 activity is protective against CVD death.
- To explore potential interactions between GPx3 activity and other risk factors like HDL cholesterol.
Main Methods:
- A nested case-control study was conducted using samples from the Minnesota Heart Survey.
- 130 participants who died of CVD and 240 controls were analyzed for GPx3 activity.
- Logistic regression models were used to calculate adjusted odds ratios (ORs) for CVD mortality across GPx3 quartiles.
Main Results:
- An inverse correlation was observed between GPx3 activity and CVD mortality (P for trend = 0.02).
- This protective association was significant in individuals with below-median HDL cholesterol levels (P for interaction = 0.006).
- In participants with low HDL cholesterol, increasing GPx3 quartiles showed a significant trend of reduced CVD mortality (P for trend = 0.002).
Conclusions:
- Individuals with both low HDL cholesterol and low GPx3 activity face a substantially elevated risk of death from CVD.
- GPx3 activity may be a significant biomarker for cardiovascular risk, particularly in specific patient subgroups.
- These findings highlight the complex interplay between lipid metabolism and antioxidant defense in cardiovascular health.
Background:
Since oxidized LDL is thought to initiate atherosclerosis and the serum glutathione peroxidase (GPx3) reduces oxidized lipids, we investigated whether high GPx3 activity reduces cardiovascular disease (CVD) mortality.
Methods:
We determined GPx3 in stored samples from the Minnesota Heart Survey of 130 participants who after 5 to 12 years of follow-up had died of CVD and 240 controls. Participants were 26 to 85 years old and predominantly white. In a nested case-control, study we performed logistic regressions to calculate odds ratios (OR) adjusted for age, sex, baseline year, body mass index, smoking, alcohol intake, physical activity, total and HDL cholesterols, systolic blood pressure, serum glucose and gamma glutamyltransferase (GTT) activity. The referent was the quartile with the highest GPx3 activity (quartile 4).
Results:
OR's for CVD mortality for increasing quartiles of GPx3 were 2.37, 2.14, 1.83 and 1.00 (P for trend 0.02). This inverse correlation was confined to those with HDLc's below the median (P for interaction, 0.006). The OR's for increasing quartiles of GPx3 in this group were 6.08, 5.00, 3.64 and 1.00 (P for trend, 0.002).
Conclusions:
Individuals with both low HDLc and GPx3 activity are at markedly increased risk for death from CVD.
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