多发性硬化症中的脱脂症
Taylor R Wicks1, Nasim Nehzat1, Anna Wolska2
1Departments of Pharmaceutical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, USA.
多发性硬化症 (MS) 患者和健康对照人群之间的失脂症频率没有差异. 然而,更高的高密度脂蛋白颗粒 (HDLP) 度与渐进性多发性硬化症 (PMS) 的残疾减少有关.
科学领域:
- 生物化学 生化学
- 神经免疫学 神经免疫学
- 心血管科学 心血管科学
背景情况:
- 多发性硬化症 (MS) 是中枢神经系统的一种慢性炎症性疾病.
- 脱脂症,以异常的脂质水平为特征,是一种常见的并发症,可能对MS的发病和进展产生潜在影响.
- 了解MS中的脂质谱和脂蛋白颗粒特征对于评估疾病关联和潜在治疗点至关重要.
研究的目的:
- 确定与健康对照组 (HC) 相比,复发性缓解性多发性硬化症 (RRMS) 和渐进性多发性硬化症 (PMS) 个体中各种失脂症表型的患病率.
- 研究MS中脱脂症表型和脂蛋白颗粒大小分布之间的关系.
- 探索脂蛋白样本,残疾分数 (EDSS) 和多样性多样性中PCSK9水平之间的关联.
主要方法:
- 一项涉及203名高血压,221名RRMS和126名PMS参与者的横截面研究.
- 测量了脂质特征 (总胆固醇,HDL-C,甘油三,apoB),并计算了LDL-C亚型.
- 使用质子NMR分析分析了脂蛋白颗粒大小和度 (TRLP,LDLP,HDLP);PCSK9水平通过免疫测试进行评估.
主要成果:
- 在HC,RRMS和PMS组中,正常脂血症和失脂血症表型的频率相似.
- 富含三糖蛋白脂蛋白颗粒 (TRLP) 和小低密度脂蛋白颗粒 (LDLP) 的度显示出从HC到RRMS到PMS的下降趋势.
- 在PMS患者中,高密度脂蛋白颗粒 (HDLP) 和小密度脂蛋白颗粒 (HDLP) 的较高度与扩大残疾状态量表 (EDSS) 的较低得分有关.
结论:
- 脱脂症表型的流行在MS患者和健康对照人群之间是可比的.
- 高密度脂蛋白颗粒度的增加与渐进性多发性硬化症中较不严重的残疾有关.
- PCSK9的水平与高密度脂质素粒子度相关,特别是小密度脂质素粒子.
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