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Isolation of High-density Lipoproteins for Non-coding Small RNA Quantification
Published on: November 28, 2016
Circulating Oxidized Low-Density Lipoprotein is a Strong Risk Factor for the Early Stage of Coronary Heart Disease
Qiang Zhang1, Yongshun Ai2, Huiqiu Dong3
1Department of Clinical Laboratory, The Second Hospital of Jilin University, Changchun, Jilin Province, China.
Insights
Circulating oxidized low-density lipoprotein (ox-LDL) is elevated in coronary heart disease (CHD). While ox-LDL is a risk factor in early CHD, its levels decrease in advanced stages like unstable angina pectoris and acute myocardial infarction.
Area of Science:
- Cardiovascular Research
- Biochemistry
- Clinical Diagnostics
Background:
- Coronary heart disease (CHD) involves complex pathological processes.
- Oxidized low-density lipoprotein (ox-LDL) is implicated in atherosclerosis.
- Understanding biomarkers for CHD severity is crucial for patient management.
Purpose of the Study:
- To measure circulating ox-LDL levels in controls and patients with varying CHD severity (stable angina pectoris [SAP], unstable angina pectoris [UAP], acute myocardial infarction [AMI]).
- To investigate the correlation between ox-LDL and CHD severity.
- To assess other biomarkers including malondialdehyde (MDA), high-sensitivity C-reactive protein (hs-CRP), and lipoprotein (a) (Lp(a)).
Main Methods:
- Plasma samples from 99 participants undergoing coronary angiography were analyzed.
- Levels of ox-LDL, MDA, hs-CRP, Lp(a), and lipid profiles were quantified.
- Statistical analysis was performed to compare groups and assess correlations.
Main Results:
- Plasma ox-LDL was significantly higher in patients with CHD compared to controls.
- Ox-LDL levels were lower in UAP and AMI groups than in the SAP group.
- MDA and hs-CRP were significantly elevated in CHD patients, with MDA and hs-CRP showing significant differences across all groups.
- Plasma ox-LDL correlated negatively with hs-CRP, while serum MDA correlated positively with hs-CRP in CHD patients.
Conclusions:
- Circulating ox-LDL is a significant risk factor in the early stages of CHD but not in advanced stages.
- Elevated MDA and hs-CRP are associated with CHD.
- Hs-CRP may play a role in the transfer of ox-LDL to macrophages, potentially influencing disease progression.
Abstract:
This study aimed to detect the circulating oxidized low-density lipoprotein (ox-LDL) levels of controls and patients with stable angina pectoris (SAP), unstable angina pectoris (UAP), and acute myocardial infarction (AMI) and also to investigate the correlation with the severity of coronary heart disease (CHD). Plasma levels of circulating ox-LDL-4E6, malondialdehyde (MDA), high-sensitivity C-reactive protein (hs-CRP), total cholesterol, high-density lipoprotein cholesterol, LDL cholesterol, apoprotein A, apoprotein B, and lipoprotein (a) (Lp(a)) were measured in 99 participants who underwent coronary angiography. The plasma ox-LDL level was significantly higher in patients with CHD than in controls (P = 0.000). However, it was lower in the UAP and AMI groups than in the SAP group (P = 0.000). The lipid peroxide level (MDA) showed a significant difference among all groups (P = 0.000). It increased significantly in patients with CHD. The Lp(a) and hs-CRP levels were significantly higher in patients with CHD (P = 0.000 and 0.000, respectively). No difference in Lp(a) was found among the SAP, UAP, and AMI groups (P = 0.296). In patients with CHD, the plasma ox-LDL correlated negatively with hs-CRP (P = 0.011), and serum MDA correlated positively with hs-CRP (P = 0.004). The plasma ox-LDL could be used as a strong risk factor for the early stage but not the advanced stage of CHD. Hs-CRP may bound and transfer ox-LDL to macrophages. © 2018 IUBMB Life, 71(1):277-282, 2019.
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