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Increased plasma monocyte chemoattractant protein-1 levels in patients with isolated low high-density lipoprotein
Mustafa Karabacak1, Fatih Kahraman, Mehmet Sert
1Department of Cardiology, Isparta State Hospital , Isparta.
Insights
Low high-density lipoprotein cholesterol (HDL-C) is linked to higher monocyte chemoattractant protein-1 (MCP-1) levels and inflammation, indicating increased cardiovascular risk in patients without cardiovascular disease (CVD).
Area of Science:
- Cardiovascular research
- Inflammation and immunity
- Lipid metabolism
Background:
- High-density lipoprotein cholesterol (HDL-C) plays a role in inhibiting inflammation during atherosclerotic plaque development.
- Monocyte chemoattractant protein-1 (MCP-1) is implicated in the pathogenesis of atherosclerosis.
Purpose of the Study:
- To investigate the association between plasma MCP-1 levels and low HDL-C in individuals without pre-existing cardiovascular disease (CVD).
Main Methods:
- The study compared 55 patients with low HDL-C (≤ 35 mg/dL) to 33 age- and sex-matched controls with normal HDL-C (> 35 mg/dL).
- Evaluated plasma MCP-1, neutrophil-lymphocyte ratio (NLR), uric acid, and high-sensitivity C-reactive protein (hs-CRP) levels.
Main Results:
- Patients with low HDL-C exhibited significantly lower HDL-C levels compared to controls (p < 0.001).
- Elevated MCP-1 levels were observed in the low HDL-C group versus controls (p < 0.01).
- Increased NLR, uric acid, and hs-CRP levels were also noted in patients with low HDL-C.
Conclusions:
- Elevated plasma MCP-1 and heightened inflammation markers are potentially associated with increased cardiovascular risk in individuals with low HDL-C.
- These findings highlight a potential link between low HDL-C, inflammation, and cardiovascular risk in a non-CVD population.
Background:
High-density lipoprotein cholesterol (HDL-C) inhibits inflammation associated with the development of atherosclerotic plaques. Monocyte chemoattractant protein-1 (MCP-1) contributes to the pathogenesis of atherosclerosis. The aim of this study was to evaluate the relationship between plasma MCP-1 levels and low HDL-C levels in patients without cardiovascular disease (CVD).
Methods:
This study included 55 patients with low HDL-C (≤ 35 mg/dL) and 33 age- and sex-matched control subjects with normal HDL-C (˃ 35 mg/dL). In addition to MCP-1 levels, laboratory parameters associated with inflammation such as neutrophil-lymphocyte ratio (NLR), uric acid and high sensitivity C-reactive protein (hs-CRP) were also evaluated.
Results:
HDL-C levels was significantly lower in study group compared to that of the control group (p < 0.001). MCP-1 were prominently higher in the low HDL-C group compared with those of the control group (p < 0.01). NLR, uric acid and hs-CRP levels were also higher in patients with low HDL-C than controls.
Conclusion:
These findings suggest that elevated plasma MCP-1 levels and inflammation status might be associated with the increased cardiovascular risk in patients with low HDL-C.
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