高密度脂蛋白抗炎能力和发生心血管事件
Congzhuo Jia1,2, Josephine L C Anderson1, Eke G Gruppen3,4
1Department of Pediatrics (C.J., J.L.C.A., U.J.F.T.), University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Circulation
|April 12, 2021
概括
高密度脂蛋白 (HDL) 抗炎能力的降低与心血管事件的增加有关. 测量这种HDL功能可以比传统因素更好地预测心血管疾病的风险.
科学领域:
- 心血管科学
- 脂肪新陈代谢
- 炎症生物学
背景情况:
- 高密度脂蛋白 (HDL) 功能是心血管疾病 (CVD) 的新兴因素.
- 这项研究探讨了HDL抗炎能力与一般人群中首次心血管疾病事件之间的潜在关联.
研究的目的:
- 调查HDL抗炎能力是否预测发生的心血管事件.
- 要确定HDL抗炎能力是否独立于HDL胆固醇和胆固醇排泄能力.
- 评估HDL的抗炎能力是否增强了现有的心血管疾病风险预测模型.
主要方法:
- 在PREVEND研究中的嵌套病例控制设计.
- 在体外通过抑制TNFα诱导的VCAM- 1mRNA表达来测量HDL的抗炎能力.
- 369例首次心血管疾病事件与369例对照病例相匹配,随访时间中位数为10. 5年.
主要成果:
- 与对照组相比,HDL的抗炎能力显著降低 (P< 0. 001).
- 较低的HDL抗炎能力与发生的CVD相反相关 (OR每1SD,0. 74;P=0. 002).
- 提高了Framingham风险评分的预测能力 (P=0. 002).
结论:
- 在一般人群中,HDL的抗炎能力与发生的心血管事件相反.
- 这种关联是独立于HDL胆固醇和胆固醇排放能力.
- 将HDL的抗炎能力纳入风险得分可以提高心血管事件的预测.
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