全球血脂速递(第003期)丨个体载脂蛋白B水平的异质性、颈动脉粥样硬化、2型糖尿病等

学术   2025-01-06 17:27   江苏  

截至01月03日15点59分,近期共有 180 本期刊发布了 338 篇文章,其中血脂相关的文章共 48 篇,覆盖 12 个领域的内容。其中影响因子最高的是刊登在 JAMA Cardiology (IF: 14.800) 期刊上标题为《居住在美国的西班牙裔或拉丁裔个体载脂蛋白B水平的异质性》的文章。
23Atherosclerosis(AS)动脉粥样硬化
12Triglycerides(TG)甘油三酯
5Hyperlipidemias高脂血症
5Total Cholesterol(TC)总胆固醇
2Non-high-density Lipoprotein Cholesterol(non-HDL-C)非高密度脂蛋白胆固醇
2Apolipoprotein B(ApoB)载脂蛋白B
2Statins他汀
2Hypercholesterolemia高胆固醇血症
1Hypertriglyceridemia(HTG)高甘油三酯血症
1Dyslipidemias血脂异常
1High Density Lipoprotein Cholesterol(HDL-C)高密度脂蛋白胆固醇
1Low-Density Lipoprotein Cholesterol(LDL-C)低密度脂蛋白胆固醇
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01

JAMA Cardiology IF: 14.800

居住在美国的西班牙裔或拉丁裔个体载脂蛋白B水平的异质性

Leandro Slipczuk, Toshiki Kuno, Santica Marcovina, Katrina Swett, Kate K Orroth, J Antonio G López, etc.
Importance
载脂蛋白B(apoB)的分布及其作为动脉粥样硬化性心血管疾病(ASCVD)风险增强因子在不同西班牙裔或拉丁裔背景的个体中的意义尚未被描述。
Objective
描述apoB在西班牙裔社区健康研究/拉丁裔研究(HCHS/SOL)队列中的分布,并描述基线社会人口统计学和临床变量与apoB和自我识别的西班牙裔或拉丁裔背景的关联。
Design, setting, and participants
HCHS/SOL是一项基于人群的前瞻性队列研究,研究对象是2008年3月至2011年6月期间招募和筛查的居住在美国的西班牙裔或拉丁裔成年人。抽样权重用于生成居住在美国4个大都市地区(纽约布朗克斯、伊利诺伊州芝加哥、佛罗里达州迈阿密和加利福尼亚州圣地亚哥)的18至74岁西班牙裔或拉丁裔参与者的基于人群的样本。在HCHS/SOL的参与者中测量了ApoB浓度,并比较了不同人口群体的ApoB三分位数,包括自我识别的西班牙裔或拉丁裔背景。在ApoB三分位数中比较了大陆遗传祖先(西非,美洲印第安人和欧洲人)的中位百分比。
Exposure
使用免疫比浊法从血清或血浆中以mg/dL测量ApoB。
Main outcomes and measures
测定ApoB三分位数,并在ApoB三分位数中评估传统脂质。ApoB和传统脂质测量在ASCVD风险类别中进行评估。此外,创建散点图以观察apoB与低密度脂蛋白胆固醇或非高密度脂蛋白胆固醇之间的相关性。
Results
总体平均(SD)apoB浓度为99.8(0.4)mg/dL,男性参与者的平均水平显著高于女性参与者(分别为102.4和97.4 mg/dL)。平均(SD)参与者年龄为41.1(0.8)岁,8376例参与者(51.9%)为女性。ApoB水平在老年组中较高。在自我识别的西班牙裔或拉丁裔背景组中,平均ApoB浓度存在显著的异质性,范围从多米尼加个体的95.1 mg/dL到古巴个体的104.8 mg/dL。在较高的预测ASCVD风险类别中,ApoB升高(≥130 mg/dL)的患病率更高。在10年预测ASCVD风险为7.5%或更高的参与者中,26.5%的ApoB升高。在ApoB的较高三分位数中,西非血统的中位数较低。
Conclusions and relevance
在这项针对HCHS/SOL参与者的队列研究中,在对处于中度或高度预测ASCVD风险的西班牙裔或拉丁裔个体进行的多种队列研究中,有四分之一的人存在ApoB升高。西班牙裔或拉丁裔个体中ApoB分布的差异可能对ApoB在ASCVD风险评估中的使用具有重要意义。
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JAMA Cardiology | Ahead of Print.
10.1001/jamacardio.2024.4789
02

Journal of lipid research IF: 05.000

与颈动脉粥样硬化相关的缺血性卒中后LDL和HDL的改变在1年后逆转

Núria Puig, Pol Camps-Renom, Martin Hermansson, Ana Aguilera-Simón, Rebeca Marín, Olga Bautista, etc.
大约20%的缺血性卒中归因于动脉粥样硬化的存在。脂蛋白在动脉粥样硬化的发展过程中起着至关重要的作用,低密度脂蛋白(LDL)会促进动脉粥样硬化的发生,而高密度脂蛋白(HDL)则会抑制动脉粥样硬化的发生。因此,脂蛋白的浓度及其生物特性是动脉粥样硬化过程中的决定性因素。在这项研究中,研究人员检查了颈动脉粥样硬化缺血性卒中患者脂蛋白的定性特征。在缺血性卒中后7天和1年,从健康对照(n=27)和颈动脉粥样硬化患者(n=64)的血液中分离脂蛋白。与对照组相比,卒中后7天患者的LDL显示载脂蛋白C III,三酰甘油和神经酰胺水平升高,胆固醇和磷脂含量降低。来自患者的LDL比来自对照的LDL在巨噬细胞中诱导更多的炎症。卒中后7天从患者中分离出的HDL显示载脂蛋白货物发生改变,与对照组相比,apoA-I水平降低,apoA II和apoC III水平升高。与对照组相比,患者的HDL还显示出更高的电负电荷,并且部分丧失了抵抗LDL修饰和修饰LDL的炎症作用的能力。卒中发作一年后,患者的LDL和HDL组成与对照组相似。同时,LDL和HDL获得正电荷,LDL不易氧化和聚集,HDL恢复了保护特性。总之,颈动脉粥样硬化缺血性卒中患者的LDL和HDL表现出组成和功能的改变,卒中后1年部分逆转。
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Journal of lipid research | Ahead of Print.
10.1016/j.jlr.2024.100739
03

Frontiers in pharmacology IF: 04.400

老年高血压患者外周动脉疾病的多种二级预防药物不持久

Martin Wawruch, Miriam Petrova, Denisa Celovska, Sofa D Alfian, Tomas Tesar, Jan Murin, etc.
Introduction
患有外周动脉疾病(PAD)的高血压患者的二级预防的益处是基于持续同时服用他汀类药物,抗血小板药物和抗高血压药物,优选血管紧张素转换酶抑制剂(ACEI)或血管紧张素受体阻滞剂(ARB)。研究旨在分析多种药物类别的非持续性程度,以及确定与非持续性可能性相关的因素。
Methods
在这项的队列研究中,对3401例年龄≥65岁的高血压患者(1853例女性和1548例男性)同时接受他汀类药物,抗血小板药物和ACEI/ARB治疗,并对2012年新诊断的PAD进行了分析。当患者在三种分析药物类别中至少有一种是非持续性的时,他/她被归类为非持续性。使用Cox回归确定了与非持久性概率相关的最重要特征。
Results
在随访期结束时(平均长度1.8年),1869例(55.0%)患者(包括1090例女性和779例男性)被归类为非持续性。在整个研究队列中,与非持续用药相关的因素有女性性别、心房颤动和新使用至少一种分析药物类别;在男性中,与非持续用药相关的因素有大学教育程度、心房颤动和癫痫;在女性中,与新使用药物相关。
Conclusion
识别与非持续性相关因素的性别差异,可以确定应特别注意通过联合用药改善其持续性的患者群体,以确保成功的PAD二级预防。
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Frontiers in pharmacology | Volumn 15, Issue
10.3389/fphar.2024.1464689
04

J Res Med Sci IF: 01.500

2型糖尿病患者一氧化氮水平和血脂水平与内皮功能障碍的关系

Hamza Algomizy, Amjad Khan, Osama Smettei, Mahmoud Elhabiby, Ayman Abu Mustafa, Abdelmarouf Mohieldein, etc.
Background
循证筛查对于检测高危糖尿病患者的心肌缺血至关重要。研究探讨了2型糖尿病合并冠状动脉疾病(CAD)患者一氧化氮(NO)水平,血脂指数和血浆致动脉粥样硬化指数(AIP)之间的关系,并确定其作为预后标志物的潜力。
Materials and methods
病例对照研究包括50例患有CAD的糖尿病患者(病例),30例无CAD的糖尿病患者(对照1)和23例健康对照(对照2)。使用标准方案确定生化参数;通过Griess反应测量血浆NO。
Results
病例的NO,空腹血糖,糖化血红蛋白(HbA1c)和甘油三酯水平最高,总胆固醇(TC),高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)水平最低。病例表现出最高的TC:HDL-C,LDL-C:HDL-C和AIP比率。NO与HbA1c呈显著正相关(r=0.328,P=0.020)。
Conclusion
慢性高血糖可以增强由诱导型同种型驱动的NO过量产生,表明慢性高血糖在糖尿病内皮功能障碍和血管并发症中的潜在作用。
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J Res Med Sci | Volumn 29, Issue
10.4103/jrms.jrms_686_23
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Volumn 41, Issue 1No.37Systematic review and meta-analysis on the association of metabolic syndrome in women with overactive bladder代谢综合征与膀胱过度活动症相关性的系统评价和荟萃分析DOI: 10.1080/09513590.2024.2445682

Cerebrovascular Diseases.  Extra IF: 02.000

Ahead of Print.No.38Correlation between Neuroimaging Scores and Carotid Artery Ultrasound Features in Cerebral Small Vessel Disease Patients脑小血管病患者神经影像学评分与颈动脉超声特征的相关性DOI: 10.1159/000543355

Viral immunology IF: 01.500

Ahead of Print.No.39Levels of Cytomegalovirus-Reactive Antibody and γδ T Cell Phenotypes Align with Vascular Changes in People Living With HIV巨细胞病毒反应性抗体和γδT细胞表型的水平与HIV感染者的血管变化一致DOI: 10.1089/vim.2024.0075

J Res Med Sci IF: 01.500

Volumn 29, Issue No.40The efficacy of curcumin-piperine supplementation in patients with nonproliferative diabetic retinopathy: An optical coherence tomography angiography-based randomized controlled trial姜黄素-胡椒碱补充剂对非增殖性糖尿病视网膜病变患者的疗效:基于光学相干断层扫描血管造影的随机对照试验DOI: 10.4103/jrms.jrms_174_24

AIDS care IF: 01.200

Ahead of Print.No.41Comparing Life's Simple Seven between newly diagnosed, ART-naive people living with HIV and HIV-uninfected adults in Tanzania: clues for cardiovascular disease prevention比较寿命';坦桑尼亚新诊断的未接受抗逆转录病毒治疗的艾滋病毒感染者和未感染艾滋病毒的成年人之间的简单七:预防心血管疾病的线索DOI: 10.1080/09540121.2024.2445198

Vascular IF: 01.000

Ahead of Print.No.42The relation between estimated pulse wave velocity and peripheral arterial disease: A study based on NHANES估计脉搏波速度与外周动脉疾病的关系:基于NHANES的研究DOI: 10.1177/17085381241312469

Curēus IF: 01.000

Volumn 16, Issue 12No.43A Complex Case of Acute Liver Failure Following Idiosyncratic Drug-Induced Liver Injury, Potentiated by Herpes Simplex Virus Infection单纯疱疹病毒感染加重的特异性药物性肝损伤后急性肝衰竭的复杂病例DOI: 10.7759/cureus.74955

Zhonghua ganzangbing zazhi

Ahead of Print.No.44[Statin for the prevention and treatment of hepatocellular carcinoma: use or wait?][他汀类药物预防和治疗肝细胞癌:使用还是等待?]DOI: 10.3760/cma.j.cn501113-20231207-00269
 
作者:天纳乾
排版:天纳坤
编辑:TIANNA
审校:Sissy

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