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Systemic Inflammatory Markers Are Closely Associated with Atherogenic Lipoprotein Subfractions in Patients Undergoing
Yan Zhang1, Sha Li1, Rui-Xia Xu1
1Division of Dyslipidemia, State Key Laboratory of Cardiovascular Disease, Fu Wai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College, Chinese Academy of Medical Sciences, BeiLiShi Road 167, Beijing 100037, China.
Insights
Systemic inflammatory markers correlate with atherogenic lipoprotein subfractions, including small LDL cholesterol and LDL score, and inversely with large HDL cholesterol. This highlights their role in cardiovascular risk.
Area of Science:
- Cardiovascular Science
- Lipid Metabolism
- Inflammation Biology
Background:
- Atherosclerosis is a leading cause of cardiovascular disease.
- Inflammation and lipoprotein metabolism are key contributors to atherogenesis.
- Understanding the interplay between inflammatory markers and specific lipoprotein subfractions is crucial for risk assessment.
Purpose of the Study:
- To investigate the relationship between systemic inflammatory markers and atherogenic lipoprotein subfractions.
- To determine if inflammatory markers correlate with specific low-density lipoprotein (LDL) and high-density lipoprotein (HDL) particle characteristics.
Main Methods:
- Studied 520 subjects not on lipid-lowering therapy.
- Measured inflammatory markers: white blood cell (WBC) count, high-sensitivity C-reactive protein (hs-CRP), fibrinogen, erythrocyte sedimentation rate (ESR), and D-dimer.
- Utilized the Lipoprint System for LDL and HDL subfraction analysis.
Main Results:
- Inflammatory markers (WBC, hs-CRP, fibrinogen, ESR) positively correlated with non-HDL cholesterol, remnant cholesterol, very low-density lipoprotein cholesterol, small LDL cholesterol, and LDL score.
- A negative association was found between inflammatory markers and mean LDL particle size and large HDL cholesterol.
- These associations were more pronounced in patients with coronary artery disease (CAD).
Conclusions:
- Systemic inflammation is linked to atherogenic lipoprotein profiles.
- Positive correlations exist with small LDL cholesterol and LDL score.
- Negative correlations observed with mean LDL particle size and large HDL cholesterol, suggesting increased cardiovascular risk.
Objective:
To investigate the relationship between inflammatory markers and atherogenic lipoprotein subfractions.
Methods:
We studied 520 eligible subjects who were not receiving any lipid-lowering therapy. The inflammatory markers including white blood cell (WBC) count, high-sensitivity C-reactive protein (hs-CRP), fibrinogen, erythrocyte sedimentation rate (ESR), and D-dimer were measured. A multimarker inflammatory index was developed. Low-density lipoprotein (LDL) and high-density lipoprotein (HDL) separation processes were performed using Lipoprint System.
Results:
In age- and sex-adjusted analysis, several inflammatory markers (WBC count, hs-CRP, fibrinogen, and ESR) were positively related to circulating non-HDL cholesterol and remnant cholesterol (p < 0.05, all). Among lipoprotein subfractions, we observed a positive association of inflammatory markers with very low-density lipoprotein cholesterol, small LDL cholesterol, and LDL score (p < 0.05, all). Meanwhile, a negative association was detected between inflammatory markers and mean LDL particle size (p < 0.05) or large HDL cholesterol (p < 0.05). Moreover, we found that the relationships between multimarker index quartiles and small LDL cholesterol, LDL score, and mean LDL particle size were slightly stronger in patients with CAD.
Conclusions:
Systemic inflammatory markers are positively correlated with small LDL cholesterol and LDL score while being negatively linked with mean LDL particle size and large HDL cholesterol, highlighting the potential contribution to increased cardiovascular risk.
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