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Plasma Ceramides in Cardiovascular Disease Risk Stratification
Débora L M Junqueira1,2, Alline Stach2, Adriano Caixeta1
1Universidade Federal de São Paulo - Escola Paulista de Medicina, São Paulo, SP - Brasil.
Ceramides, altered in diabetes and dyslipidemia, are key biomarkers for cardiovascular diseases. Elevated plasma ceramides predict atherosclerotic plaque instability and adverse events, aiding disease stratification.
Area of Science:
- Biochemistry
- Cardiology
- Metabolic Diseases
Background:
- Ceramides are vital lipids for normal physiology, but their levels change in diseases like diabetes and dyslipidemia.
- Ceramide production is linked to atherosclerotic plaque instability.
- Increased plasma ceramides, particularly C16, C18, and C24:1, are observed in unstable coronary artery disease (CAD).
Purpose of the Study:
- To review and discuss the role of ceramides as biomarkers in cardiovascular disease (CVD) stratification.
- To contextualize the importance of ceramides in current cardiology practice.
Main Methods:
- Narrative review of recent studies on ceramide metabolism and cardiovascular implications.
- Analysis of ceramide levels in patients with coronary artery disease (CAD).
Main Results:
- Plasma ceramide levels are elevated in patients with unstable CAD.
- Specific ceramides (C16, C18, C24:1) are particularly increased.
- Ceramides serve as emerging biomarkers for CVD risk prediction.
Conclusions:
- Ceramides are emerging biomarkers for cardiovascular diseases (CVD).
- They predict atherosclerotic plaque instability and adverse cardiovascular events independently of traditional risk factors.
- Ceramides are valuable for stratifying cardiovascular disease risk.
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