HDLs containing apolipoproteins A-I and A-II (LpA-I:A-II) as markers of coronary artery disease in men with non-insulin-dependent diabetes mellitus.

Abstract:

BACKGROUND:Abnormalities in HDL and an increased risk of coronary artery disease (CAD) coexist in non-insulin-dependent diabetes mellitus (NIDDM). HDLs can be separated by their apolipoprotein (apo) content into particles containing apoA-I but not apoA-II (LpA-I) and those containing both apoA-I and apoA-II (LpA-I:A-II). The LpA-I particles have been suggested to be more effective in conferring protection against CAD than the LpA-I:A-II particles. However, data are sparse, and no studies have defined the role of these two classes of particles in NIDDM. METHODS AND RESULTS:LpA-I and LpA-I:A-II particles were quantified by a differential electroimmunoassay in four groups of men with similar age and body mass index (BMI) distributions. Group 1 consisted of 50 patients with NIDDM and angiographically verified CAD; group 2, 50 men with CAD but no diabetes; group 3, 50 men with NIDDM but no CAD; and group 4, 31 healthy men. Serum apoA-I and apoA-II concentrations were measured by immunoturbidimetry, and HDL2 and HDL3 were separated by ultracentrifugation. Concentrations of LpA-I:A-II particles in group 1 were 13.8%, 18.3%, and 26.9% lower than in groups 2 through 4, respectively. In a two-by-two factorial ANOVA, adjusted for age and BMI, the differences were significant for both CAD (P < .001) and NIDDM (P < .001), with no interaction between the factors. These results were confirmed by comparable differences in the serum concentrations of apoA-I and apoA-II. LpA-I particles were related to the presence or absence of CAD (P = .013), but the difference was lost in a multivariate analysis. A low HDL3 cholesterol concentration characterized both CAD (P = .002) and NIDDM (P = .024). HDL2 cholesterol differed significantly with regard to the presence of NIDDM (P = .033) but only borderline with respect to CAD (P = .073). CONCLUSIONS:ApoA-II-containing lipoproteins and HDL3 cholesterol are powerful markers of CAD in men with NIDDM.

journal_name

Circulation

journal_title

Circulation

authors

Syvänne M,Kahri J,Virtanen KS,Taskinen MR

doi

10.1161/01.cir.92.3.364

subject

Has Abstract

pub_date

1995-08-01 00:00:00

pages

364-70

issue

3

eissn

0009-7322

issn

1524-4539

journal_volume

92

pub_type

杂志文章
  • Benefits and risks of corticosteroid prophylaxis in adult cardiac surgery: a dose-response meta-analysis.

    abstract:BACKGROUND:Cardiopulmonary bypass and cardiac surgery are associated with a significant systemic inflammatory response that may increase postoperative complications. This meta-analysis assessed whether the benefits and risks of corticosteroid use were dose dependent in adult cardiac surgery. METHODS AND RESULTS:Random...

    journal_title:Circulation

    pub_type: 杂志文章,meta分析

    doi:10.1161/CIRCULATIONAHA.108.848218

    authors: Ho KM,Tan JA

    更新日期:2009-04-14 00:00:00

  • Nonselective beta-adrenergic blockade with carvedilol does not hinder the benefits of exercise training in patients with congestive heart failure.

    abstract:BACKGROUND:Long-term beta-adrenergic blockade does not appear to be associated with drug-induced training in patients with congestive heart failure (CHF); whether exercise training can increase peak aerobic capacity in patients with CHF who are treated with beta-adrenergic blockers is currently unknown. METHODS AND RE...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.95.7.1764

    authors: Demopoulos L,Yeh M,Gentilucci M,Testa M,Bijou R,Katz SD,Mancini D,Jones M,LeJemtel TH

    更新日期:1997-04-01 00:00:00

  • Transgenic mouse model of ventricular preexcitation and atrioventricular reentrant tachycardia induced by an AMP-activated protein kinase loss-of-function mutation responsible for Wolff-Parkinson-White syndrome.

    abstract:BACKGROUND:We identified a gene (PRKAG2) that encodes the gamma-2 regulatory subunit of AMP-activated protein kinase (AMPK) with a mutation (Arg302Gln) responsible for familial Wolff-Parkinson-White (WPW) syndrome. The human phenotype consists of ventricular preexcitation, conduction abnormalities, and cardiac hypertro...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000151291.32974.D5

    authors: Sidhu JS,Rajawat YS,Rami TG,Gollob MH,Wang Z,Yuan R,Marian AJ,DeMayo FJ,Weilbacher D,Taffet GE,Davies JK,Carling D,Khoury DS,Roberts R

    更新日期:2005-01-04 00:00:00

  • Fish and long-chain omega-3 fatty acid intake and risk of coronary heart disease and total mortality in diabetic women.

    abstract:BACKGROUND:Although several prospective cohort studies have found an inverse association between fish consumption and risk of coronary heart disease (CHD) or sudden cardiac death in the general population, limited data are available among diabetic patients. METHODS AND RESULTS:We examined prospectively the association...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000062644.42133.5F

    authors: Hu FB,Cho E,Rexrode KM,Albert CM,Manson JE

    更新日期:2003-04-15 00:00:00

  • Ethmozin, a new antiarrhythmic drug for suppressing ventricular premature complexes.

    abstract::Ethmozin, a phenothiazine derivative, is an antiarrhythmic drug synthesized in the USSR. Preliminary data suggest that it is effective against a diversity of ectopic arrhythmias. The present study, carried out in the USSR, was designed to assess efficacy and patient tolerance of this new drug. Thirty-seven patients wi...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.61.2.450

    authors: Podrid PJ,Lyakishev A,Lown B,Mazur N

    更新日期:1980-02-01 00:00:00

  • The Münster Heart Study (PROCAM): total mortality in middle-aged men is increased at low total and LDL cholesterol concentrations in smokers but not in nonsmokers.

    abstract:BACKGROUND:Some large epidemiological studies have shown an increase in mortality at low levels of total and LDL cholesterol. It has been speculated that low cholesterol levels may play a causative role in this association. To investigate this question, we analyzed all deaths occurring among middle-aged men in the Müns...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.cir.96.7.2128

    authors: Cullen P,Schulte H,Assmann G

    更新日期:1997-10-07 00:00:00

  • Altered expression of disintegrin metalloproteinases and their inhibitor in human dilated cardiomyopathy.

    abstract:BACKGROUND:Disintegrin metalloproteinases (ADAMs) may contribute to structural cardiac remodeling by altering cell-surface matrix receptors (integrins) and activating potent biomolecules. We compared expression of ADAMs, their endogenous inhibitor tissue inhibitor of metalloproteinases (TIMP)-3, and integrins in human ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.571414

    authors: Fedak PW,Moravec CS,McCarthy PM,Altamentova SM,Wong AP,Skrtic M,Verma S,Weisel RD,Li RK

    更新日期:2006-01-17 00:00:00

  • Impact of prolonged cyclooxygenase-2 inhibition on inflammatory markers and endothelial function in patients with ischemic heart disease and raised C-reactive protein: a randomized placebo-controlled study.

    abstract:BACKGROUND:The impact of cyclooxygenase (COX)-2 antagonist treatment on acute coronary risk is controversial. We investigated the effect of prolonged COX-2 inhibition on inflammatory profile and endothelial function in patients with ischemic heart disease and high serum C-reactive protein (CRP) values. METHODS AND RES...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.CIR.0000139338.12464.5F

    authors: Bogaty P,Brophy JM,Noel M,Boyer L,Simard S,Bertrand F,Dagenais GR

    更新日期:2004-08-24 00:00:00

  • Reentrant ventricular arrhythmias in the late myocardial infarction period. 9. Electrophysiologic-anatomic correlation of reentrant circuits.

    abstract::We studied isochronal maps of ventricular activation during ventricular arrhythmias induced by programmed premature stimulation in dogs 3-5 days after ligation of the left anterior descending coronary artery. The entire epicardial surface and selective intramural sites were recorded using a computerized multiplexing t...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.67.1.11

    authors: Mehra R,Zeiler RH,Gough WB,El-Sherif N

    更新日期:1983-01-01 00:00:00

  • Changes in cross-sectional area of the coronary lumen in the six months after angioplasty: a quantitative analysis of the variable response to percutaneous transluminal angioplasty.

    abstract::Although immediate and late changes in coronary stenoses after percutaneous transluminal coronary angioplasty (PTCA) have been reported, most investigators have employed qualitative or semiquantitative techniques to analyze the angiograms. Such data is not optimal because of considerable interobserver variability and ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.73.3.467

    authors: Johnson MR,Brayden GP,Ericksen EE,Collins SM,Skorton DJ,Harrison DG,Marcus ML,White CW

    更新日期:1986-03-01 00:00:00

  • Impaired heart rate response to graded exercise. Prognostic implications of chronotropic incompetence in the Framingham Heart Study.

    abstract:BACKGROUND:Previous reports have suggested that an attenuated exercise heart rate response may be associated with coronary heart disease risk and with mortality. These observations may parallel the association between reduced heart rate variability during normal activities and adverse outcome. This investigation was de...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.cir.93.8.1520

    authors: Lauer MS,Okin PM,Larson MG,Evans JC,Levy D

    更新日期:1996-04-15 00:00:00

  • Can common-type atrial flutter be a sign of an arrhythmogenic substrate in paroxysmal atrial fibrillation? Clinical and ablative consequences in patients with coexistent paroxysmal atrial fibrillation/atrial flutter.

    abstract:BACKGROUND:The coexistence of atrial fibrillation (AF) and atrial flutter (AFL) is well recognized. AF precedes the onset of AFL in almost all instances. We evaluated the effect of 2 ablation strategies in patients with paroxysmal AF (PAF) and AFL. METHODS AND RESULTS:Ninety-eight patients with PAF/AFL were prospectiv...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/CIRCULATIONAHA.107.711622

    authors: Moreira W,Timmermans C,Wellens HJ,Mizusawa Y,Philippens S,Perez D,Rodriguez LM

    更新日期:2007-12-11 00:00:00

  • Coronary vasodilation induced by angiotensin-converting enzyme inhibition in vivo: differential contribution of nitric oxide and bradykinin in conductance and resistance arteries.

    abstract:BACKGROUND:We studied in coronary conductance and resistance arteries the coronary vasodilator effects of the angiotensin-converting enzyme inhibitor ramiprilat and the contribution of nitric oxide, bradykinin, and prostaglandins to this vasodilation. METHODS AND RESEARCH:In seven anesthetized dogs, a Doppler guidewir...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.93.9.1734

    authors: Sudhir K,Chou TM,Hutchison SJ,Chatterjee K

    更新日期:1996-05-01 00:00:00

  • Randomized trial of subcutaneous low-molecular-weight heparin CY 216 (Fraxiparine) compared with intravenous unfractionated heparin in the curative treatment of submassive pulmonary embolism. A dose-ranging study.

    abstract:BACKGROUND:We compared the efficacy and safety of different dosages of a low-molecular-weight heparin, CY 216 D (Fraxiparine), in the treatment of submassive pulmonary embolism with unfractionated heparin in a prospective, randomized, dose-finding study. METHODS AND RESULTS:The primary outcome was the evolution of pul...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.85.4.1380

    authors: Théry C,Simonneau G,Meyer G,Hélénon O,Bridey F,Armagnac C,d'Azemar P,Coquart JP

    更新日期:1992-04-01 00:00:00

  • Protective role of uncoupling protein 2 in atherosclerosis.

    abstract:BACKGROUND:Uncoupling protein 2 (UCP2) regulates the production of reactive oxygen species in macrophages. However, its role in atherosclerosis is unknown. METHODS AND RESULTS:Irradiated low-density lipoprotein receptor deficient mice (LDLR-/-) were transplanted with bone marrow from either UCP2 deficient mice (Ucp2-/...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000051722.66074.60

    authors: Blanc J,Alves-Guerra MC,Esposito B,Rousset S,Gourdy P,Ricquier D,Tedgui A,Miroux B,Mallat Z

    更新日期:2003-01-28 00:00:00

  • Histologic evidence for small-vessel coronary artery disease in patients with angina pectoris and patent large coronary arteries.

    abstract::We studied six patients who suffered from angina pectoris but had angiographically patent major coronary arteries. Two of the patients suffered also from congestive heart failure. Three patients had supraventricular tachyarrhythmias. Three patients had conduction disturbances. During coronary angiography the patients ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.74.5.964

    authors: Mosseri M,Yarom R,Gotsman MS,Hasin Y

    更新日期:1986-11-01 00:00:00

  • Beneficial hemodynamic and renal effects of adrenomedullin in an ovine model of heart failure.

    abstract:BACKGROUND:Adrenomedullin is a recently discovered endogenous peptide with hypotensive and natriuretic actions in normal animals. Circulating and ventricular adrenomedullin are elevated in congestive heart failure, suggesting a possible role in the pathophysiology of this disease. No studies have previously examined th...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.6.1983

    authors: Rademaker MT,Charles CJ,Lewis LK,Yandle TG,Cooper GJ,Coy DH,Richards AM,Nicholls MG

    更新日期:1997-09-16 00:00:00

  • Downregulation of c-myc expression by antisense oligonucleotides inhibits proliferation of human smooth muscle cells.

    abstract:BACKGROUND:Proliferation of smooth muscle cells (SMCs) plays an important role in vascular pathobiology, being involved in the development of coronary restenosis and atherosclerosis. The activation of nuclear proto-oncogenes appears to be a final common pathway onto which various mitogenic signals coverage. Accordingly...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.3.1190

    authors: Shi Y,Hutchinson HG,Hall DJ,Zalewski A

    更新日期:1993-09-01 00:00:00

  • Public policy on smoking and health: toward a smoke-free generation by the year 2000. A statement of a working group to the Subcommittee on Smoking of the American Heart Association.

    abstract::On May 20, 1984, the Surgeon General challenged the health community to work toward attainment of a smoke-free society by the year 2000. The leadership of the nation's three major voluntary organizations joined numerous associations of health professionals in accepting the challenge. The Subcommittee on Smoking of the...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Warner KE,Ernster VL,Holbrook JH,Lewit EM,Pertschuk M,Steinfeld JL,Whelan EM

    更新日期:1986-02-01 00:00:00

  • Effect of inhaled iloprost plus oral sildenafil in patients with primary pulmonary hypertension.

    abstract:BACKGROUND:The application of iloprost, a stable prostacyclin analogue, by inhalation has been shown to improve hemodynamic variables in patients with primary pulmonary hypertension. However, repetitive inhalations are required due to its short-term effects. One potential approach to prolong and increase the vasorelaxa...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/hc3601.096826

    authors: Wilkens H,Guth A,König J,Forestier N,Cremers B,Hennen B,Böhm M,Sybrecht GW

    更新日期:2001-09-11 00:00:00

  • Contribution of intimal smooth muscle cells to cholesterol accumulation and macrophage-like cells in human atherosclerosis.

    abstract:BACKGROUND:Intimal smooth muscle cells (SMCs) contribute to the foam cell population in arterial plaque, and express lower levels of the cholesterol exporter ATP-binding cassette transporter A1 (ABCA1) in comparison with medial arterial SMCs. The relative contribution of SMCs to the total foam cell population and their...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.005015

    authors: Allahverdian S,Chehroudi AC,McManus BM,Abraham T,Francis GA

    更新日期:2014-04-15 00:00:00

  • 17beta-estradiol restores endothelial nitric oxide release to shear stress in arterioles of male hypertensive rats.

    abstract:BACKGROUND:Endothelial nitric oxide (NO)-mediated responses are impaired in arterioles of male spontaneously hypertensive rats (SHR), but they are still present in female SHR. We hypothesized that in vitro incubation of arterioles of male SHR with estrogen will restore NO-mediated responses by upregulation of endotheli...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.1.94

    authors: Huang A,Sun D,Koller A,Kaley G

    更新日期:2000-01-04 00:00:00

  • Long-term results of the radial artery used for myocardial revascularization.

    abstract:BACKGROUND:No information is available on the long-term results of radial artery (RA) grafts used as coronary artery bypass conduits. METHODS AND RESULTS:In this report, we describe the long-term (105+/-9 months) angiographic results of a series of 90 consecutive patients in whom the RA was used as a coronary artery b...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.CIR.0000087402.13786.D0

    authors: Possati G,Gaudino M,Prati F,Alessandrini F,Trani C,Glieca F,Mazzari MA,Luciani N,Schiavoni G

    更新日期:2003-09-16 00:00:00

  • Lack of association between the MEF2A gene and myocardial infarction.

    abstract:BACKGROUND:Coronary artery disease (CAD) and myocardial infarction (MI) are caused in part by genetic factors. Recently, the MEF2A gene was linked to MI/CAD in a single pedigree with autosomal-dominant pattern of inheritance. In addition, genetic variants within the gene have been associated with MI in case-control set...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.107.728485

    authors: Lieb W,Mayer B,König IR,Borwitzky I,Götz A,Kain S,Hengstenberg C,Linsel-Nitschke P,Fischer M,Döring A,Wichmann HE,Meitinger T,Kreutz R,Ziegler A,Schunkert H,Erdmann J

    更新日期:2008-01-15 00:00:00

  • Thallium 201 kinetics in stunned myocardium characterized by severe postischemic systolic dysfunction.

    abstract::The hypothesis tested in this study was that despite the presence of severe postischemic myocardial dysfunction ("stunning"), the extraction and subsequent intracellular washout of thallium 201 should be preserved as long as irreversible sarcolemmal membrane injury was avoided. To produce myocardial stunning, 19 open-...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.81.5.1622

    authors: Moore CA,Cannon J,Watson DD,Kaul S,Beller GA

    更新日期:1990-05-01 00:00:00

  • Real-time three-dimensional echocardiography: a novel technique to quantify global left ventricular mechanical dyssynchrony.

    abstract:BACKGROUND:Left ventricular (LV) mechanical dyssynchrony (LVMD) has emerged as a therapeutic target using cardiac resynchronization therapy (CRT) in selected patients with chronic heart failure. Current methods used to evaluate LVMD are technically difficult and do not assess LVMD of the whole LV simultaneously. We dev...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.474445

    authors: Kapetanakis S,Kearney MT,Siva A,Gall N,Cooklin M,Monaghan MJ

    更新日期:2005-08-16 00:00:00

  • Relation of hormone-replacement therapy to measures of plasma fibrinolytic activity. Atherosclerosis Risk in Communities (ARIC) Study Investigators.

    abstract:BACKGROUND:The mechanisms by which replacement hormones may reduce the risk of coronary heart disease are not fully understood. Of specific interest is a potential effect of replacement hormones on plasma fibrinolytic activity, a putative determinant of thrombotic events. METHODS AND RESULTS:We investigated the relati...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.cir.93.11.1970

    authors: Shahar E,Folsom AR,Salomaa VV,Stinson VL,McGovern PG,Shimakawa T,Chambless LE,Wu KK

    更新日期:1996-06-01 00:00:00

  • Minnesota ALG. Safe and effective immunosuppression for cardiac transplantation.

    abstract::Fifty-six patients undergoing orthotopic cardiac transplantation were given Minnesota ALG prophylactically or therapeutically for acute cardiac rejection. During a follow-up period of 0-28 months (mean follow-up period, 11.9 months), the actuarial survival for the entire group was 96% and 86% at 30 days and 1 year, re...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Keith FM,Magilligan DJ Jr,Lakier JB,Drost CJ

    更新日期:1988-11-01 00:00:00

  • Thrombin-induced mitogenesis in coronary artery smooth muscle cells is potentiated by thromboxane A2 and involves upregulation of thromboxane receptor mRNA.

    abstract:BACKGROUND:Previous studies have shown that thrombin is a potent though slow-acting mitogen for vascular smooth muscle cells (SMC). Because thrombin generation in vivo is accompanied by platelet activation, it has been suggested that platelet-derived factors might enhance thrombin-induced SMC proliferation. No informat...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.97.6.589

    authors: Zucker TP,Bönisch D,Muck S,Weber AA,Bretschneider E,Glusa E,Schrör K

    更新日期:1998-02-17 00:00:00

  • Effect of clopidogrel premedication in off-pump cardiac surgery: are we forfeiting the benefits of reduced hemorrhagic sequelae?

    abstract:BACKGROUND:Premedication with clopidogrel has reduced thrombotic complications after percutaneous coronary revascularization procedures. However, because of the enhanced and irreversible platelet inhibition by clopidogrel, patients requiring surgical revascularization have a higher risk of bleeding complications and tr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.571828

    authors: Kapetanakis EI,Medlam DA,Petro KR,Haile E,Hill PC,Dullum MK,Bafi AS,Boyce SW,Corso PJ

    更新日期:2006-04-04 00:00:00