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Published on: September 27, 2024
Association between small dense low-density lipoprotein and carotid intima-media thickness
Mohsen Khosravi1, Farhad Sheikhnia2,3, Mohammad Reza Pashaei4
1Department of Biochemistry, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Insights
Small dense low-density lipoprotein (sdLDL) concentration positively correlates with carotid intima-media thickness (cIMT). Combining sdLDL and cIMT offers a more precise assessment for cardiovascular disease and atherosclerosis.
Area of Science:
- Cardiovascular research
- Biomarker analysis
- Atherosclerosis studies
Background:
- Cardiovascular disease (CVD) and atherosclerosis are leading global causes of mortality.
- Early diagnosis via predictive markers can reduce CVD-related deaths.
- Low-density lipoprotein (LDL) cholesterol is a key biomarker, with small dense LDL (sdLDL) being more atherogenic than standard LDL.
Purpose of the Study:
- To review the relationship between small dense LDL (sdLDL) concentration and carotid intima-media thickness (cIMT).
- To evaluate the combined utility of sdLDL and cIMT as markers for cardiovascular disease and atherosclerosis.
- To highlight the potential of these markers for early and accurate diagnosis.
Main Methods:
- Literature review synthesizing existing studies on sdLDL and cIMT.
- Analysis of correlations between sdLDL levels and cIMT measurements.
- Examination of sdLDL as a superior CVD marker compared to standard LDL.
Main Results:
- A positive correlation was observed between sdLDL concentration and cIMT.
- sdLDL is identified as a more atherogenic LDL subclass.
- Carotid intima-media thickness (cIMT) is a reliable marker for early CVD detection.
Conclusions:
- sdLDL concentration is positively associated with cIMT.
- The combined assessment of sdLDL and cIMT enhances the precision of disease evaluation.
- This combined approach is particularly beneficial for assessing atherosclerosis and facilitating early diagnosis of cardiovascular disease.
Abstract:
Cardiovascular disease (CVD) and atherosclerosis are major causes of mortality worldwide. Early and accurate diagnosis of vascular thickening by predictive markers can help reduce the death rate of these diseases. Low-density lipoprotein (LDL) particles, which are rich in cholesterol, are regarded as key biomarkers for CVD and atherosclerosis. Numerous studies have demonstrated that pattern B (small dense LDL, sdLDL) is more atherogenic than LDL and can serve as a superior quantitative marker for CVD than LDL. Furthermore, several studies have indicated that carotid intima-media thickness (cIMT) is a reliable marker for the early detection of CVD and atherosclerosis in various populations. This review examines the relationship between sdLDL concentration and cIMT. It is concluded that sdLDL concentration has a positive correlation with cIMT, and their combined use can facilitate a more precise assessment of the diseases, especially atherosclerosis.
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