Association between carotid intima-media thickness and low-density lipoprotein size and susceptibility of low-density lipoprotein to oxidation in asymptomatic members of familial combined hyperlipidemia families

In addition to low-density lipoprotein (LDL) cholesterol, small, dense LDL particles and oxidative modification of LDL have been linked to the pathogenesis of atherosclerosis. The present study was aimed at investigating the association between carotid artery intima-media thickness (IMT) and LDL par...

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Veröffentlicht in:Stroke (1970) 2002-05, Vol.33 (5), p.1255-1260
Hauptverfasser: LIU, Ming-Lin, YLITALO, Kati, NUOTIO, Ilpo, SALONEN, Riitta, SALONEN, Jukka T, TASKINEN, Marja-Riitta
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container_end_page 1260
container_issue 5
container_start_page 1255
container_title Stroke (1970)
container_volume 33
creator LIU, Ming-Lin
YLITALO, Kati
NUOTIO, Ilpo
SALONEN, Riitta
SALONEN, Jukka T
TASKINEN, Marja-Riitta
description In addition to low-density lipoprotein (LDL) cholesterol, small, dense LDL particles and oxidative modification of LDL have been linked to the pathogenesis of atherosclerosis. The present study was aimed at investigating the association between carotid artery intima-media thickness (IMT) and LDL particle size and susceptibility of LDL to oxidation in vitro in asymptomatic members of familial combined hyperlipidemia (FCHL) families. LDL particle size, susceptibility of LDL to oxidation in vitro, and carotid IMT were measured in 148 asymptomatic FCHL family members. LDL particle size and lag time for LDL oxidation were reduced in hyperlipidemic compared with normolipidemic family members. LDL particle size, serum total cholesterol, and alpha-tocopherol in LDL were independently associated with lag time for LDL oxidation in multivariate analysis. LDL particle size was associated with carotid mean IMT independently of clinical, lipid, and antioxidant variables in multivariate analysis. Although the susceptibility of LDL to oxidation in vitro was correlated with mean IMT, it did not have a significant independent contribution to variation in mean IMT in the multivariate model. We conclude that LDL particle size but not susceptibility of LDL to oxidation in vitro is independently associated with carotid IMT in asymptomatic FCHL family members. These results imply that small, dense LDL as an inherent feature of FCHL is an important diagnostic indicator for coronary artery disease risk in FCHL.
doi_str_mv 10.1161/01.str.0000014924.29238.e1
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The present study was aimed at investigating the association between carotid artery intima-media thickness (IMT) and LDL particle size and susceptibility of LDL to oxidation in vitro in asymptomatic members of familial combined hyperlipidemia (FCHL) families. LDL particle size, susceptibility of LDL to oxidation in vitro, and carotid IMT were measured in 148 asymptomatic FCHL family members. LDL particle size and lag time for LDL oxidation were reduced in hyperlipidemic compared with normolipidemic family members. LDL particle size, serum total cholesterol, and alpha-tocopherol in LDL were independently associated with lag time for LDL oxidation in multivariate analysis. LDL particle size was associated with carotid mean IMT independently of clinical, lipid, and antioxidant variables in multivariate analysis. Although the susceptibility of LDL to oxidation in vitro was correlated with mean IMT, it did not have a significant independent contribution to variation in mean IMT in the multivariate model. We conclude that LDL particle size but not susceptibility of LDL to oxidation in vitro is independently associated with carotid IMT in asymptomatic FCHL family members. 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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection; Journals@Ovid Complete
subjects Adult
Aged
Antioxidants - analysis
Biological and medical sciences
Carotid Arteries - diagnostic imaging
Carotid Artery Diseases - blood
Carotid Artery Diseases - diagnostic imaging
Disorders of blood lipids. Hyperlipoproteinemia
Female
Finland
Humans
Hyperlipidemia, Familial Combined - blood
Lipoproteins, LDL - blood
Lipoproteins, LDL - chemistry
Male
Medical sciences
Metabolic diseases
Middle Aged
Multivariate Analysis
Oxidation-Reduction
Particle Size
Predictive Value of Tests
Risk
Tunica Intima - diagnostic imaging
Tunica Media - diagnostic imaging
Ultrasonography
title Association between carotid intima-media thickness and low-density lipoprotein size and susceptibility of low-density lipoprotein to oxidation in asymptomatic members of familial combined hyperlipidemia families
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