Triglycerides and remnant particles as risk factors for coronary artery disease

被引:36
作者
Nakamura T. [1 ]
Kugiyama K. [1 ]
机构
[1] Department of Internal Medicine, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Yamanashi 409-3898, 1110 Shimokato, Nakakoma-gun
关键词
Coronary Artery Disease; Metabolic Syndrome; Arterioscler Thromb Vasc Biol; Familial Hypercholesterolemia; Remnant Lipoprotein;
D O I
10.1007/s11883-006-0047-3
中图分类号
学科分类号
摘要
Coronary artery disease (CAD) is the largest cause of morbidity and mortality in the world. A relationship between CAD and elevated levels of low-density lipoprotein cholesterol has been established. However, risk assessment limited to low-density lipoprotein fails to identify a significant portion of patients at risk for CAD. Remnant lipoproteins, derived from very low-density lipoprotein and chylomicrons, have been considered atherogenic. Recently, a simple and reliable immunoaffinity separation method for the isolation of remnant-like particles (RLP) has been developed. It has been shown that RLP cholesterol levels are significantly correlated with CAD, and thus cellular mechanisms have been determined by which RLP cholesterol causes progression of atherosclerosis. Measurement of RLP cholesterol is useful for the assessment of risk and the evaluation of therapy in patients at risk for CAD. Copyright © 2006 by Current Science Inc.
引用
收藏
页码:107 / 110
页数:3
相关论文
共 19 条
[1]  
Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults. Executive Summary of the third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III ), JAMA, 285, pp. 2486-2497, (2001)
[2]  
Philippe O., Szapary R., Rader D.J., The triglyceride-high-density lipoprotein axis: An important target of therapy?, Am Heart J, 148, pp. 211-221, (2004)
[3]  
Hokanson J.E., Austin M.A., Plasma triglyceride is a risk factor for cardiovascular disease independent of high density lipoprotein cholesterol, J Cardiovasc Res, 3, pp. 213-219, (1996)
[4]  
Austin M.A., McKnight B., Edwards K.L., Et al., Cardiovascular disease mortality in familial forms of hyper-triglyceridemia. A 20-year prospective study, Circulation, 101, pp. 2777-2782, (2000)
[5]  
Cohn J.S., Marcoux C., Davigon J., Detection, quantification, and characterization of potentially atherogenic triglycerode-rich remnant lipoproteins, Arterioscler Thromb Vasc Biol, 19, pp. 2474-2486, (1999)
[6]  
Nakajima K., Saito T., Tamura A., Et al., Cholesterol in remnant-like lipoproteins in human serum using monoclonal anti apo B-100 and anti apo A-1 immunoaffinity mixed gel, Clin Chim Acta, 45, pp. 53-71, (1993)
[7]  
Devaraj S., Vega G.L., Lange R., Et al., Remnant-like particles cholesterol levels in patients with dysbetalipoproteinemia or coronary artery disease, Am J Med, 104, pp. 445-450, (1998)
[8]  
Kugiyama K., Doi H., Motoyama T., Et al., Association of remnant lipoprotein levels with impairment of endothelium-dependent vasomotor function in human coronary arteries, Circulation, 97, pp. 2519-2526, (1998)
[9]  
Doi H., Kugiyama K., Oka H., Et al., Remnant lipoproteins induce proatherothrobogenic molecules in endotheliai cells through a redox-sensitive mechanism, Circulation, 102, pp. 670-676, (2000)
[10]  
McNamara J.R., Shah P.K., Nakajima K., Et al., Remnant lipoprotein cholesterol and triglyceride reference ranges from the Framingham Heart Study, Clin Chem, 44, pp. 1224-1232, (1998)