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Published on: October 12, 2017
Anti-oxidized low-density lipoprotein antibodies in chronic heart failure
Gideon Charach1, Alexander Rabinovich, Ori Argov
1Gideon Charach, Alexander Rabinovich, Ori Argov, Moshe Weintraub, Lior Charach, Departments of Internal Medicine "C", Tel Aviv Sourasky Medical Center, 6 Weizman Street, Tel Aviv 64239, Israel.
Insights
Antibodies to oxidized LDL (oxLDL Abs) indicate long-term oxidative stress and predict mortality in heart failure (HF) patients. Measuring oxLDL Abs may improve HF management and inform antioxidant therapies.
Area of Science:
- Cardiology
- Immunology
- Oxidative Stress Research
Background:
- Oxidative stress is implicated in heart failure (HF) pathogenesis.
- Antibodies to oxidized low-density lipoprotein (oxLDL Abs) reflect prolonged oxidative stress.
- Traditional risk factors for coronary heart disease (CHD) leading to HF are insufficient to explain all cases.
Purpose of the Study:
- To review the role of oxLDL Abs as predictors of morbidity and mortality in HF patients.
- To explore the potential of oxLDL Abs measurement for improved HF patient management.
- To discuss the implications of antioxidant therapies in managing CHD and HF.
Main Methods:
- Review of existing literature on oxLDL Abs and HF.
- Analysis of correlations between oxLDL Abs levels and HF severity (NYHA score).
- Evaluation of oxLDL Abs as a prognostic marker in HF.
Main Results:
- Oxidized LDL (oxLDL) plasma levels are significant predictors of mortality in HF patients.
- oxLDL Abs levels correlate significantly with the New York Heart Association (NYHA) score.
- Antioxidant nutrients may reduce LDL oxidation susceptibility, potentially benefiting CHD and HF patients.
Conclusions:
- oxLDL Abs serve as valuable biomarkers for assessing long-term oxidative stress in HF.
- Measurement of oxLDL Abs may enhance clinical management strategies for HF.
- Antioxidant therapy presents a potential adjunct treatment for cardiovascular diseases, including HF.
Abstract:
Oxidative stress may play a significant role in the pathogenesis of heart failure (HF). Antibodies to oxidized low-density lipoprotein (oxLDL Abs) reflect an immune response to LDL over a prolonged period and may represent long-term oxidative stress in HF. The oxLDL plasma level is a useful predictor of mortality in HF patients, and measurement of the oxLDL Abs level may allow better management of those patients. Antibodies to oxLDL also significantly correlate with the New York Heart Association score. Hypercholesterolemia, smoking, hypertension, and obesity are risk factors for atherosclerotic coronary heart disease (CHD) leading to HF, but these factors account for only one-half of all cases, and understanding of the pathologic process underlying HF remains incomplete. Nutrients with antioxidant properties can reduce the susceptibility of LDL to oxidation. Antioxidant therapy may be an adjunct to lipid-lowering, angiotensin converting enzyme inhibition and metformin (in diabetes) therapy for the greatest impact on CHD and HF. Observational data suggest a protective effect of antioxidant supplementation on the incidence of HD. This review summarizes the data on oxLDL Abs as a predictor of morbidity and mortality in HF patients.
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