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突破表面:更多关于脂质和心血管疾病的知识有待了解。

Breaking through the surface: more to learn about lipids and cardiovascular disease.

机构信息

Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Department of Medicine and.

出版信息

J Clin Invest. 2020 Mar 2;130(3):1084-1086. doi: 10.1172/JCI134696.

DOI:10.1172/JCI134696
PMID:31985490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7269560/
Abstract

The human lipidome comprises over tens of thousands of distinct lipid species in addition to total cholesterol and the other conventional lipid traits that are routinely measurable in the peripheral circulation. Of the lipid species considered to exhibit bioactive functions, sphingolipids are a class of molecules that have shown relevance to human disease risk and cardiovascular outcomes in particular. In this issue of the JCI, Poss et al. conducted targeted lipidomics in a case-control study involving over 600 individuals and found a sphingolipid profile that predicted coronary artery disease status. In the context of emerging evidence linking sphingolipid biology with cardiovascular pathophysiology, these results suggest the potential utility of serum sphingolipids as cholesterol-independent markers of risk and even future targets for optimizing cardiovascular health.

摘要

人类脂质组学除了外周循环中常规可测量的总胆固醇和其他传统脂质特征外,还包含超过数万种不同的脂质种类。在被认为具有生物活性功能的脂质种类中,神经鞘脂是一类与人类疾病风险特别是心血管结局相关的分子。在本期 JCI 中,Poss 等人在一项涉及 600 多人的病例对照研究中进行了靶向脂质组学研究,发现了一种预测冠状动脉疾病状态的神经鞘脂谱。在将神经鞘脂生物学与心血管病理生理学联系起来的新证据背景下,这些结果表明血清神经鞘脂作为胆固醇独立的风险标志物甚至是优化心血管健康的未来靶点具有潜在的应用价值。

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本文引用的文献

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Machine learning reveals serum sphingolipids as cholesterol-independent biomarkers of coronary artery disease.机器学习揭示血清神经酰胺为独立于胆固醇的冠心病生物标志物。
J Clin Invest. 2020 Mar 2;130(3):1363-1376. doi: 10.1172/JCI131838.
2
Statistical Workflow for Feature Selection in Human Metabolomics Data.人类代谢组学数据特征选择的统计工作流程
Metabolites. 2019 Jul 12;9(7):143. doi: 10.3390/metabo9070143.
3
Development and validation of a ceramide- and phospholipid-based cardiovascular risk estimation score for coronary artery disease patients.基于神经酰胺和磷脂的冠心病心血管风险评估评分的开发和验证。
Eur Heart J. 2020 Jan 14;41(3):371-380. doi: 10.1093/eurheartj/ehz387.
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Highlighting Residual Atherosclerotic Cardiovascular Disease Risk.突出残留的动脉粥样硬化性心血管疾病风险。
Arterioscler Thromb Vasc Biol. 2019 Jan;39(1):e1-e9. doi: 10.1161/ATVBAHA.118.311999.
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Ceramide Remodeling and Risk of Cardiovascular Events and Mortality.神经酰胺重塑与心血管事件和死亡风险。
J Am Heart Assoc. 2018 May 3;7(10):e007931. doi: 10.1161/JAHA.117.007931.
6
Sphingolipid Metabolic Pathway Impacts Thiazide Diuretics Blood Pressure Response: Insights From Genomics, Metabolomics, and Lipidomics.鞘脂代谢通路影响噻嗪类利尿剂的降压反应:来自基因组学、代谢组学和脂质组学的见解。
J Am Heart Assoc. 2017 Dec 29;7(1):e006656. doi: 10.1161/JAHA.117.006656.
7
Sphingolipids and their metabolism in physiology and disease.鞘脂及其代谢在生理和疾病中的作用。
Nat Rev Mol Cell Biol. 2018 Mar;19(3):175-191. doi: 10.1038/nrm.2017.107. Epub 2017 Nov 22.
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Plasma ceramides predict cardiovascular death in patients with stable coronary artery disease and acute coronary syndromes beyond LDL-cholesterol.血浆神经酰胺可预测稳定型冠状动脉疾病和急性冠状动脉综合征患者的心血管死亡,且独立于低密度脂蛋白胆固醇。
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