Susceptibility of LDL to oxidation in vitro and antioxidant capacity in familial combined hyperlipidemia: comparison of patients with different lipid phenotypes
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BACKGROUND: There is increasing evidence that oxidation of low-density lipoprotein (LDL) plays an important role in atherogenesis. AIM: To explore the LDL oxidizability and its determinants in familial combined hyperlipidemia (FCHL) patients with different phenotypes. METHOD: The study included 59 FCHL family members with different lipid phenotypes, 39 non-affected relatives, and 30 spouses as healthy controls. RESULTS: The lag time for LDL oxidation was significantly shorter in FCHL patients with different lipid phenotypes as compared to healthy controls. There were no significant differences in the propagation rate and conjugated diene formation and alpha-tocopherol content in LDL between the FCHL groups and healthy controls. Plasma concentrations of alpha-tocopherol in all FCHL patients and uric acid in FCHL patients with IIB and IV phenotypes were significantly higher than in healthy controls. Plasma total peroxyl radical trapping capacity measured (TRAPmea) and TRAPcalc tended to be higher in affected FCHL groups, but the difference was significant only for IIB phenotype. The peak LDL particle size in the combined group of FCHL patients was significantly smaller than in healthy controls. The lag time for LDL oxidation correlated significantly with LDL size both in the group of FCHL family members (r = 0.477, P<0.001) and in the healthy controls (r = 0.482, P<0.01). CONCLUSIONS: LDL from FCHL patients irrespectively of lipid phenotypes is more susceptible to oxidation in vitro than LDL from healthy controls. This increased susceptibility of LDL to oxidation in vitro seems to be attributed to the abundance of small dense LDL particles and not to the defect of antioxidant capacity in FCHL
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Possible mechanisms connecting small LDL particles to vascular events include greater oxidizability and increased passage through the endothelial barrier.
“Potential mechanisms that link small LDL particles to increased risk of vascular events include augmented oxidizability (36) and increased permeability through the endothelial barrier (37).”
From Alternate day fasting and endurance exercise combine to reduce body weight and favorably alter plasma lipids in obese humans (2013) · cites this paper as [36]
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- Authors
- Liu, M.-L., Ylitalo, K., Vakkilainen, J., Nuotio, I., Valkonen, M., Lahdenperä, S., Viikari, J., & Taskinen, M.-R.
- Affiliations
- Helsinki University Hospital (FI)
- Turku University Hospital (FI)
- Venue
- Annals of Medicine
- Publisher
- Informa UK Limited
- Published
- 2002-01
- Volume
- 34
- Issue
- 1
- Pages
- 48-54
- ISSN
- 0785-3890 (ISSN-L)
- 1365-2060
- OpenAlex
- W1972533171
- Cited by
- 23
- References
- 36
- Citations by year
- 2024: 2 · 2020: 1 · 2018: 2 · 2015: 3 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 1.16
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annals of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Helsingin ja Uudenmaan Sairaanhoitopiiri
- Topics
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Paraoxonase enzyme and polymorphisms
- Keywords
- LDL oxidation, familial combined hyperlipidemia, lipid phenotypes, antioxidant capacity, alpha-tocopherol, uric acid, small dense LDL, atherogenesis, conjugated dienes
- MeSH terms
- Adult, Analysis of Variance, Antioxidants, Arteriosclerosis, Female, Humans, Hyperlipidemia, Familial Combined, Lipoproteins, LDL, Male, Middle Aged, Oxidation-Reduction, Particle Size, Phenotype, Probability, Reference Values, Lipid Peroxidation, Cohort Studies, Case-Control Studies
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