Sherer Y, Tenenbaum A, Blank M, Shemesh J, Harats D, Fisman E Z, Praprotnik S, Motro M, Shoenfeld Y
Department of Medicine B, Sheba Medical Center, Tel-Hashomer, Israel.
Am J Hypertens. 2001 Feb;14(2):149-54. doi: 10.1016/s0895-7061(00)01242-5.
The significance of antioxidized low-density lipoprotein (oxLDL) antibodies in atherogenesis is not yet clear, and there are conflicting data regarding anti-oxLDL levels in early hypertension.
The levels of anti-oxLDL antibodies were studied in coronary artery disease patients with (n = 82) or without (n = 36) hypertension, in association to other risk factors for coronary artery disease.
The levels of anti-oxLDL antibodies did not differ significantly between coronary artery disease patients with or without hypertension. (0.132 +/- 0.146 v 0.153 +/- 0.158 optical density at 405 nm, respectively; P = .48). No significant differences in anti-oxLDL antibodies were found between men and women with and without hypertension, between hypertensive patients with normal and abnormal blood pressure measurements, and between medicated and nonmedicated hypertensive patients. The presence of diabetes mellitus, smoking, and hypercholesterolemia, either solely or in combination, did not result in significant differences in antibody levels in the hypertensive or normotensive patients.
Although the levels of oxLDL antibodies might be modified in early hypertension, once advanced coronary artery disease has developed the presence of hypertension does not affect anti-oxLDL levels.
抗氧化低密度脂蛋白(oxLDL)抗体在动脉粥样硬化形成中的意义尚不清楚,且关于早期高血压患者抗oxLDL水平的数据存在矛盾。
研究了患有(n = 82)或未患有(n = 36)高血压的冠心病患者的抗oxLDL抗体水平,并将其与其他冠心病危险因素相关联。
患有或未患有高血压的冠心病患者之间,抗oxLDL抗体水平无显著差异。(405nm处的光密度分别为0.132±0.146和0.153±0.158;P = 0.48)。在患有和未患有高血压的男性和女性之间、血压测量正常和异常的高血压患者之间以及接受药物治疗和未接受药物治疗的高血压患者之间,抗oxLDL抗体均未发现显著差异。糖尿病、吸烟和高胆固醇血症单独或联合存在时,高血压或血压正常患者的抗体水平均无显著差异。
尽管早期高血压可能会改变oxLDL抗体水平,但一旦发展为晚期冠心病,高血压的存在并不影响抗oxLDL水平。