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低密度脂蛋白胆固醇作为慢性阻塞性肺疾病的保护因素及其对他汀类药物治疗的意义:一项多组学遗传流行病学研究

Low-Density Lipoprotein Cholesterol as a Protective Factor in COPD and Implications for Statin Therapy: A Multi-Omics Genetic Epidemiology Study.

作者信息

Du Tiantao, Cao Jianye, Dai Ziyao, Xie Xianting, Zhang Guoshu, Li Yulin, Chen Baiyu, Xu Tao, Feng Jia

机构信息

Clinical Medical College, Southwest Medical University, Luzhou, People's Republic of China.

Department of Thoracic Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, People's Republic of China.

出版信息

Int J Chron Obstruct Pulmon Dis. 2025 Jul 14;20:2409-2422. doi: 10.2147/COPD.S516906. eCollection 2025.

Abstract

BACKGROUND

Chronic obstructive pulmonary disease (COPD) is a complex lung condition primarily affecting the airways and alveoli, characterized by persistent progressive airflow limitation. COPD ranks as the third leading cause of death worldwide, with its incidence and mortality rates escalating annually due to an aging population. This study aimed to explore the association between low-density lipoprotein cholesterol (LDL-C) and COPD, as well as the impact of statin drugs on the progression of COPD.

METHODS

Employing an integrated approach that encompasses observational studies, genetic epidemiology, and molecular biology, this research investigated the link between LDL-C and COPD using clinical survey data, genome-wide association study (GWAS) data, and transcriptomic data. Additionally, it assessed the potential role of statin drugs in the treatment of COPD.

RESULTS

The study discovered that LDL-C serves as a protective factor for COPD, and statin drugs may promote the progression of COPD by reducing LDL-C levels. This finding provides a new perspective on the metabolic disruptions in COPD and offers significant guidance for future therapeutic strategies.

CONCLUSION

This research confirms the inverse correlation between LDL-C and COPD and reveals that statin drugs might influence the progression of COPD by affecting LDL-C levels. These findings underscore the importance of considering metabolic factors in COPD management and suggest new directions for therapeutic strategies.

摘要

背景

慢性阻塞性肺疾病(COPD)是一种主要影响气道和肺泡的复杂肺部疾病,其特征为持续性进行性气流受限。COPD是全球第三大死因,由于人口老龄化,其发病率和死亡率逐年上升。本研究旨在探讨低密度脂蛋白胆固醇(LDL-C)与COPD之间的关联,以及他汀类药物对COPD进展的影响。

方法

本研究采用综合方法,包括观察性研究、遗传流行病学和分子生物学,利用临床调查数据、全基因组关联研究(GWAS)数据和转录组数据,研究LDL-C与COPD之间的联系。此外,还评估了他汀类药物在COPD治疗中的潜在作用。

结果

研究发现,LDL-C是COPD的保护因素,他汀类药物可能通过降低LDL-C水平促进COPD的进展。这一发现为COPD的代谢紊乱提供了新的视角,并为未来的治疗策略提供了重要指导。

结论

本研究证实了LDL-C与COPD之间的负相关关系,并揭示他汀类药物可能通过影响LDL-C水平影响COPD的进展。这些发现强调了在COPD管理中考虑代谢因素的重要性,并为治疗策略提出了新的方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92c9/12274332/8d7c74d856d7/COPD-20-2409-g0001.jpg

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