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孤立性低高密度脂蛋白胆固醇患者血浆单核细胞趋化蛋白-1水平升高。

Increased plasma monocyte chemoattractant protein-1 levels in patients with isolated low high-density lipoprotein cholesterol.

作者信息

Karabacak Mustafa, Kahraman Fatih, Sert Mehmet, Celik Erdal, Adali Mehmet Koray, Varol Ercan

机构信息

Department of Cardiology, Isparta State Hospital , Isparta.

出版信息

Scand J Clin Lab Invest. 2015 Jul;75(4):327-32. doi: 10.3109/00365513.2014.1003595. Epub 2015 Mar 23.

Abstract

BACKGROUND

High-density lipoprotein cholesterol (HDL-C) inhibits inflammation associated with the development of atherosclerotic plaques. Monocyte chemoattractant protein-1 (MCP-1) contributes to the pathogenesis of atherosclerosis. The aim of this study was to evaluate the relationship between plasma MCP-1 levels and low HDL-C levels in patients without cardiovascular disease (CVD).

METHODS

This study included 55 patients with low HDL-C (≤ 35 mg/dL) and 33 age- and sex-matched control subjects with normal HDL-C (˃ 35 mg/dL). In addition to MCP-1 levels, laboratory parameters associated with inflammation such as neutrophil-lymphocyte ratio (NLR), uric acid and high sensitivity C-reactive protein (hs-CRP) were also evaluated.

RESULTS

HDL-C levels was significantly lower in study group compared to that of the control group (p < 0.001). MCP-1 were prominently higher in the low HDL-C group compared with those of the control group (p < 0.01). NLR, uric acid and hs-CRP levels were also higher in patients with low HDL-C than controls.

CONCLUSION

These findings suggest that elevated plasma MCP-1 levels and inflammation status might be associated with the increased cardiovascular risk in patients with low HDL-C.

摘要

背景

高密度脂蛋白胆固醇(HDL-C)可抑制与动脉粥样硬化斑块形成相关的炎症。单核细胞趋化蛋白-1(MCP-1)在动脉粥样硬化发病机制中起作用。本研究旨在评估无心血管疾病(CVD)患者血浆MCP-1水平与低HDL-C水平之间的关系。

方法

本研究纳入了55例HDL-C水平较低(≤35mg/dL)的患者以及33例年龄和性别匹配、HDL-C水平正常(˃35mg/dL)的对照者。除MCP-1水平外,还评估了与炎症相关的实验室参数,如中性粒细胞与淋巴细胞比值(NLR)、尿酸和高敏C反应蛋白(hs-CRP)。

结果

研究组的HDL-C水平显著低于对照组(p<0.001)。低HDL-C组的MCP-1水平显著高于对照组(p<0.01)。低HDL-C患者的NLR、尿酸和hs-CRP水平也高于对照组。

结论

这些发现表明,血浆MCP-1水平升高和炎症状态可能与低HDL-C患者心血管风险增加有关。

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