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Updated: Jun 9, 2026

Pulse Wave Velocity Testing in the Baltimore Longitudinal Study of Aging
Published on: February 7, 2014
Association of LDL protein cargo with segmental pulse wave velocity in older adults in the atherosclerosis risk in
Binchong An1, Pamela L Lutsey2, Michelle M Mielke3
1Department of Lab Medicine Pathology, University of Minnesota, Minneapolis, MN, United States.
Insights
Low-density lipoprotein (LDL) protein cargo, specifically apolipoprotein B (apoB) and complement component 3 (C3), show distinct associations with arterial stiffness measures like brachial-ankle pulse wave velocity (baPWV) and carotid-femoral PWV (cfPWV) in aging adults.
Area of Science:
- Cardiovascular Science
- Proteomics
- Aging Research
Background:
- Low-density lipoprotein cholesterol (LDL-C) is linked to brachial-ankle pulse wave velocity (baPWV), but associations with other pulse wave velocity (PWV) measures are inconsistent.
- Low-density lipoprotein (LDL) particles contain not only lipids but also protein cargo, which may influence vascular health.
Purpose of the Study:
- To investigate and compare the cross-sectional associations between LDL protein cargo and LDL-C with segment-specific PWV measures in an aging population.
- To determine if LDL protein components offer different insights into arterial stiffness compared to LDL-C.
Main Methods:
- Utilized data from 65 participants without dementia from the Atherosclerosis Risk in Communities (ARIC) study.
- Quantified LDL cargo proteins using mass spectrometry-based proteomics.
- Employed linear regression analysis, adjusting for covariates, to assess associations between LDL components (apoB, C3) and LDL-C with baPWV, femoral-ankle PWV (faPWV), and cfPWV.
Main Results:
- Each SD increment of LDL apolipoprotein B (apoB) was associated with increased baPWV (103.0 cm/s, p=0.001).
- Each SD increment of LDL complement component 3 (C3) was associated with increased cfPWV (80.9 cm/s, p=0.02).
- LDL-C showed a positive association with baPWV (54.3 cm/s, p=0.08) and a negative association with cfPWV (-62.4 cm/s, p=0.04).
Conclusions:
- LDL protein cargo, specifically apoB and C3, exhibit differential associations with arterial stiffness measures (baPWV and cfPWV).
- These findings suggest that LDL protein composition may play a distinct role in vascular aging and arterial stiffness beyond LDL-C levels.
Background:
Low-density lipoprotein cholesterol (LDL-C) is associated with brachial-ankle pulse wave velocity (baPWV). However, its relationship with femoral-ankle PWV (faPWV) or carotid-femoral PWV (cfPWV) is less consistent. In addition to its lipid cargo, LDL also has protein cargo. This study aims to examine and compare cross-sectional associations between LDL protein cargo or LDL-C and segment-specific PWV measures in an aging population.
Methods:
The study included 65 participants without dementia from the Atherosclerosis Risk in Communities (ARIC) study, with LDL separated from their plasma. LDL cargo proteins were quantified using a proteomic method based on mass spectrometry. Linear regression was utilized to evaluate the cross-sectional associations between LDL cargo protein or LDL-C and baPWV, faPWV, or cfPWV, after adjusting for covariates.
Results:
The 65 participants had a mean age of 76.3 years (SD = 5.4), 53.8% (35/65) were female, 30.8% (20/65) were Black. In the fully adjusted models, each SD increment of apolipoprotein B (apoB) in LDL and LDL-C was positively associated with an increase in baPWV of 103.0 cm/s (95% CI [43.3, 162.6]; p = 0.001) and 54.3 cm/s (95% CI [-5.9, 114.6]; p = 0.08), respectively. Each SD increment of complement component 3 (C3) in LDL was positively associated with an increase in cfPWV of 80.9 cm/s (95% CI [14.0, 147.7]; p = 0.02), but each SD increment of LDL-C was negatively associated with a decrease in cfPWV of 62.4 cm/s (95% CI [-123.1, -1.8]; p = 0.04).
Conclusion:
We identified differential associations of LDL cargo protein apoB and C3 as well as LDL-C with baPWV or cfPWV.
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