Apolipoproteins as markers and managers of coronary risk
Abstract
Coronary artery disease (CAD) is a major cause of morbidity and mortality in Western communities. Reliable indices of coronary risk assessment and targets for drug treatment are important to the management of patients. Although plasma LDL cholesterol is well established as a predictor of CAD, it may not be the best circulatory marker. Results from recent epidemiological studies and statin trials suggest that apolipoprotein B-100 (apoB), with or without apoA-I, is superior to LDL cholesterol in predicting coronary events. Measurements of apolipoproteins are internationally standardized, automated, cost-effective and more convenient and precise than those for LDL cholesterol. ApoB may also be preferable to the measurement of non-HDL cholesterol. Measurement of apolipoproteins (apoB and possibly apoA-I) should be routinely added to the routine lipid profile (cholesterol, triglycerides and high-density lipoprotein cholesterol) to assess the atherogenic potential of lipid disorders. This is particularly relevant to dyslipidaemias characterized by an elevation in plasma triglycerides. Apolipoproteins, especially apoB, could also replace the standard "lipid profile" as a target for therapy in at-risk patients.
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Apolipoproteins and the Apo B100/Apo A1 ratio have been investigated as biomarkers more sensitive to identifying cardiovascular disease risk than total cholesterol, triglycerides and LDL-C.
“Apolipoproteins and the Apo B100/Apo A1 ratio have been investigated as biomarkers more senstive to identifying CVD risk than TC, TRG and LDL-C [9–11].”
These cardiovascular disease risk biomarkers appear to be superior predictors of cardiovascular disease risk compared to the standard lipid profile.
“which appear to be superior predictors of CVD risk compared to the SLP [4, 5, 9–14].”
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Biomarcadores relevantes para diagnóstico precoce e prevenção de doenças cardiovasculares.
Queiroz, J. C. S. (2014)
- Authors
- Chan, D. C.
- Affiliations
- The University of Western Australia (AU)
- Corresponding author
- Chan, D.C.
- ORCID
- Chan, D.C.
- Venue
- QJM
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-02-27
- Volume
- 99
- Issue
- 5
- Pages
- 277-287
- ISSN
- 0033-5622 (ISSN-L)
- 1460-2725
- 1460-2393
- OpenAlex
- W2161147110
- Cited by
- 117
- References
- 55
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 6 · 2022: 6 · 2021: 2 · 2020: 5 · 2019: 7 · 2018: 4 · 2017: 5 · 2016: 8 · 2015: 2 · 2014: 9 · 2013: 3 · 2012: 4
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- QJM (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Funders
- National Heart Foundation of Australia
- Topics
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
- Keywords
- apolipoprotein B-100, apolipoprotein A-I, coronary artery disease, coronary risk assessment, LDL cholesterol, non-HDL cholesterol, dyslipidemia, triglyceride elevation, lipid profile, atherogenic lipoproteins
- MeSH terms
- Anticholesteremic Agents, Apolipoproteins, Apolipoproteins B, Cholesterol, Coronary Artery Disease, Female, Humans, Cholesterol, HDL, Cholesterol, LDL, Male, Biomarkers, Apolipoprotein A-I, Risk Assessment, Apolipoprotein B-100
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