十代の男性における血清グルタチオンは,親の冠動脈性心疾患を予測する
J A Morrison1, D W Jacobsen, D L Sprecher
1Division of Cardiology, Department of Pediatrics, University of Cincinnati College of Medicine and Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
Circulation
|December 1, 1999
まとめ
青少年少年における全血清グルタチオン (tGSH) の低値は,親の冠動脈性心疾患 (CHD) の有意な予測因子である. この発見は,コレステロールとホモシステインのレベルとともに,心臓血管リスクの潜在的な早期マーカーを強調しています.
科学分野:
- 心血管科学の研究について
- 酸化ストレスと病気
- 栄養バイオケミストリー
背景:
- 伝統的な冠動脈疾患 (CHD) のリスク要因は,罹病率と死亡率の半分しか説明できない.
- 酸化的傷害は動脈硬化プロセスに関与しており,抗酸化物質の役割を示唆しています.
- 細胞内抗酸化物質であるグルタチオンは,動脈硬化症に対する保護を提供することができる.
研究 の 目的:
- 血清グルタチオン総量 (tGSH) レベルと親の早発性冠動脈疾患 (CHD) の関連性を調査する.
- ティーンエイジングの男性におけるCHDリスクの潜在的な独立した予測因子としてtGSHを特定する.
主な方法:
- 早期発血性心血管疾患を患った親を持つ81人の男性青少年と78人の男性対照群を対象としたケース・コントロール研究.
- 症例群と対照群の合計血清グルタチオン (tGSH) 濃度の比較.
- マルチプルロジスティック回帰分析は,年齢,LDLコレステロール,tGSH,HDLコレステロール,および全血清ホモシステインを含む親のCHD状態の独立した予測要因を特定します.
主要な成果:
- 早期発症したCHDの親の子孫の青春期の子孫は,対照群と比較して,tGSH濃度が著しく低下した.
- 高濃度のLDLコレステロール (OR,2.15),低濃度のtGSH (OR,0.40),低濃度のHDLコレステロール (OR,0.42),および高濃度の血清ホモシステイン (OR,2.6) は,親のCHD状態の有意な独立した予測因子でした.
結論:
- 青少年における全血清グルタチオン (tGSH) の低値は,親の心血管疾患の有意な独立した予測因子である.
- tGSHレベルは,脂質プロファイルとホモシステインとともに,早期の心血管リスクを理解するのに役立ちます.
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