Estimation of VLDL, IDL, LDL, HDL2, apoA-I, and apoB from the Friedewald inputs--apoB and IDL, but not LDL, are associated with mortality in type 1 diabetes.

Abstract:

BACKGROUND:There is an unmet need for a straightforward and cost-effective assessment of multiple lipoprotein risk factors for vascular diseases. AIMS:1) To study the relation of various lipoprotein lipid and apolipoprotein (apo) measures on the Friedewald inputs, i.e. plasma triglycerides (TG), cholesterol (TC), and high-density lipoprotein cholesterol (HDL-C). 2) To build up regression models for the appropriate measures based solely on the Friedewald inputs. METHODS:Data were available for 1,775 plasma samples, from which very-low-density lipoprotein (VLDL), intermediate-density lipoprotein (IDL), low-density lipoprotein (LDL), and HDL were also isolated by ultracentrifugation. For HDL(2)-C and apolipoproteins, 343 and 247 samples were available, respectively. RESULTS:Accurate models were obtained for VLDL-TG (cross-validation r=0.98), LDL-C (r=0.91), HDL(2)-C (r=0.92), apoA-I (r=0.92), and apoB (r=0.95). A semi-quantitative model was obtained for IDL-C (r=0.78). Due to the anticipated role of IDL-C in atherosclerosis, it was still kept within the accepted models and pursued further. The associations of the estimates with premature deaths were studied in 4,084 patients with type 1 diabetes. The associations of IDL-C and LDL-C were markedly different, the best predictors of mortality being apoB, apoB to apoA-I ratio, and IDL-C. CONCLUSIONS:The new models allow identification of clinically relevant lipoprotein profiles with no added cost to the conventional Friedewald formula.

journal_name

Ann Med

journal_title

Annals of medicine

authors

Niemi J,Mäkinen VP,Heikkonen J,Tenkanen L,Hiltunen Y,Hannuksela ML,Jauhiainen M,Forsblom C,Taskinen MR,Kesäniemi YA,Savolainen MJ,Kaski K,Groop PH,Kovanen PT,Ala-Korpela M

doi

10.1080/07853890902893392

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

451-61

issue

6

eissn

0785-3890

issn

1365-2060

pii

910900055

journal_volume

41

pub_type

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