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Correlation between high density lipoprotein and monocyte subpopulations among stable coronary atherosclerotic heart
Rong-Hai Yang1, Ying-Feng Liu2, Xue-Jun Wang3
1Department of Cardiology, Zhujiang Hospital of Southern Medical University Guangzhou 510280, China ; Department of Emergency, Sanshui Hosipital Foshan 528100, China.
Insights
Small high-density lipoprotein (HDL) levels correlate with increased proinflammatory non-classical monocytes and decreased classical monocytes in coronary artery disease (CAD) patients, suggesting a link to atherosclerosis development.
Area of Science:
- Cardiovascular Research
- Immunology
- Lipid Metabolism
Background:
- High-density lipoprotein (HDL) is heterogeneous, and its role in atherosclerosis is not fully understood.
- Small HDL particles may be imbalanced in patients with Coronary Atherosclerotic Heart Disease (CAD).
- Monocytes, crucial in atherosclerosis, are classified into three subpopulations based on CD14 and CD16 expression.
Purpose of the Study:
- To investigate the relationship between HDL levels and monocyte subpopulations in CAD patients.
- To determine if HDL particle size correlates with specific monocyte subsets in stable CAD.
Main Methods:
- Studied 90 stable CAD patients.
- Defined monocyte subpopulations: classical (CM), intermediate (IM), and non-classical (NCM) based on CD14/CD16.
- Measured HDL levels using polyacrylamide gel electrophoresis.
Main Results:
- Small HDL in serum correlated with proinflammatory NCM.
- Small HDL showed a negative correlation with CM.
- No relationship was found with diabetes, HbA1c, hypertension, smoking, statin dose, or disease severity.
Conclusions:
- Micromolecule HDL levels correlate with increased NCM and decreased CM.
- This suggests a proinflammatory link between small HDL and innate immunity in stable atherosclerosis.
Abstract:
High density lipoprotein (HDL) is a structurally and functionally heterogeneous molecular particle whose function is unclear in atherosclerosis at present. Studies show that small HDL functional imbalance may exist in Coronary Atherosclerotic Heart Disease (CAD) patients. Monocyte is considered to play an important role in atherosclerosis, in accordance with the expression of superficial CD14 and CD16, it can be divided into three subpopulations. The purpose of this study was to explore the relation between HDL and monocyte subpopulations among CAD patients. We report 90 cases of stable CAD patients and define the monocyte subpopulations as classical monocyte (CD14++CD16-; CM), intermediate monocyte (CD14+CD16+; IM), and non-classical monocyte (CD14+CD16++; NCM); HDL group is measured by polyacrylamide gel electrophoresis. The results indicated that the small HDL in blood serum has a correlation with proinflammatory NCM in circulation but a negative correction with CM and no relationship with diabetes, saccharify hemoglobin, hypertension, smoking history and taking dose of statins drugs and severity of disease. In conclusion, this study primarily confirms that micromolecule HDL level correlates with the increase of non-classical monocyte subpopulations and decrease of classical monocyte quantity. Thus demonstrates the proinflammatory correlation between micromolecule HDL and internal immunity in the development of stable atherosclerosis.
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