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.

IUBMB Life
|November 11, 2018
PubMed

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.

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