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Lou C, Meng Z, Shi YY, Zheng R, Qian SZ, Pan J. Genetic association of lipids and lipid-lowering drugs with sepsis: a Mendelian randomization and mediation analysis. Front Cardiovasc Med 2023; 10:1217922. [PMID: 37621565 PMCID: PMC10446761 DOI: 10.3389/fcvm.2023.1217922] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 07/24/2023] [Indexed: 08/26/2023] Open
Abstract
Background The impact of lipid-lowering medications on sepsis is still not well defined. A Mendelian randomization (MR) study was carried out to probe the causal connections between genetically determined lipids, lipid-reducing drugs, and the risk of sepsis. Materials and methods Data on total serum cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), apolipoprotein A-I (ApoA-I), apolipoprotein B (ApoB), and triglycerides (TG) were retrieved from the MR-Base platform and the Global Lipids Genetics Consortium in 2021 (GLGC2021). Our study categorized sepsis into two groups: total sepsis and 28-day mortality of sepsis patients (sepsis28). The inverse-variance weighted (IVW) method was the primary method used in MR analysis. Cochran's Q test and the MR-Egger intercept method were used to assess the heterogeneity and pleiotropy. Results In the MR analysis, we found that ApoA-I played a suggestively positive role in protecting against both total sepsis (OR, 0.863 per SD increase in ApoA-I; 95% CI, 0.780-0.955; P = 0.004) and sepsis28 (OR, 0.759; 95% CI, 0.598-0.963; P = 0.023). HDL-C levels were also found to suggestively reduce the incidence of total sepsis (OR, 0.891 per SD increase in HDL-C; 95% CI, 0.802-0.990; P = 0.031). Reverse-MR showed that sepsis28 led to a decrease in HDL-C level and an increase in TG level. In drug-target MR, we found that HMGCR inhibitors positively protected against total sepsis (1 OR , 0.719 per SD reduction in LDL-C; 95% CI, 0.540-0.958; P = 0.024). LDL-C and HDL-C proxied CETP inhibitors were found to have a protective effect on total sepsis, with only LDL-C proxied CETP inhibitors showing a suggestively protective effect on sepsis28. In Mediated-MR, BMI exhibited a negative indirect effect in HMGCR inhibitors curing sepsis. The indirect impact of ApoA-I explained over 50% of the curative effects of CETP inhibitors in sepsis. Conclusions Our MR study suggested that ApoA-I and HDL-C protected against sepsis, while HMGCR and CETP inhibitors showed therapeutic potential beyond lipid-lowering effects. ApoA-I explained the effects of CETP inhibitors. Our study illuminates how lipids affect sepsis patients and the effectiveness of new drugs, opening new avenues for sepsis treatment.
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Affiliation(s)
- Chen Lou
- School of The First Clinical Medical Sciences, Wenzhou Medical University, Wenzhou, China
| | - Zhizhen Meng
- Department of Emergency, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, China
| | - Yi-Yi Shi
- Department of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Rui Zheng
- Department of Critical Care Medicine, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
| | - Song-Zan Qian
- Department of Intensive Care Unit, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Jingye Pan
- Department of Intensive Care Unit, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
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2
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Radagdam S, Asoudeh-Fard A, Karimi MA, Faridvand Y, Gholinejad Z, Gerayesh Nejad S. Calcitriol modulates cholesteryl ester transfer protein (CETP) levels and lipid profile in hypercholesterolemic male rabbits: A pilot study. INT J VITAM NUTR RES 2019; 91:212-216. [PMID: 31842709 DOI: 10.1024/0300-9831/a000613] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Vitamin D3 efficacy against cardiovascular disease prevention has been reported in many experimental studies. We aimed to investigate the effect of the calcitriol or active form of Vitamin D3 (1, 25(OH) 2D3) on serum cholesteryl ester transfer protein (CETP) levels in a rabbit model of atherosclerosis. New Zealand white male rabbits were fed with 1% cholesterol diet and randomly assigned into two groups (n = 6). The case group was administrated with 50000 calcitriol (IU/kg/per wk) and the control group which administrated with calcitriol solvent (sesame oil) for 2 months. Then, after two months the lipid profile, CETP and 25OHD3 levels were measured. The serum concentration of CETP was increased after treatment with calcitriol in case group as compared to the control group (41.75 ± 3.19 vs. 34.5 ± 2.3, ng/ml, P < 0.05). We also observed higher levels of the 25OHD3 in the calcitriol group at the 1st month (16.3 ± 1.64 vs. 12.8 ± 1.33 ng/ml) and the 2nd month (19.5 ± 2.14 vs. 12.5 ± 1.25 ng/ml) as compared with the control group. the significant increase in the level of HDL-C was observed in the case group than the control group (P < 0.01). In addition, serum levels of LDL- Cholesterol (LDL-C), Triglyceride (TG) were reduced after assessment at 1st and 2nd month after administration of calcitriol. Our research indicated the significant anti-atherogenic effects of calcitriol in the rabbit model of atherosclerosis. However, increased in CETP levels by calcitriol may know as an additional way, which interfere with the anti-atherogenic effects of calcitriol.
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Affiliation(s)
- Saeed Radagdam
- Department of Clinical Biochemistry, Tehran University of Medical Sciences, Tehran, Iran.,Department of Biochemistry and Clinical Laboratories, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Abbas Asoudeh-Fard
- INSERM U1148, Laboratory for Vascular Translational Science, Cardiovascular Bioengineering, Paris 13 University, Sorbonne Paris, France.,Research Center for Pharmaceutical Nanotechnology, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mohammad-Ali Karimi
- Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Yousef Faridvand
- Department of Biochemistry and Clinical Laboratories, Tabriz University of Medical Sciences, Tabriz, Iran.,Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Zafar Gholinejad
- Department of Clinical Biochemistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Siavash Gerayesh Nejad
- Department of Clinical Biochemistry, Tehran University of Medical Sciences, Tehran, Iran
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6
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Wang Y, Bai L, Lin Y, Chen Y, Guan H, Zhu N, Li Y, Gao S, Sun L, Zhao S, Fan J, Liu E. Combined use of probucol and cilostazol with atorvastatin attenuates atherosclerosis in moderately hypercholesterolemic rabbits. Lipids Health Dis 2015. [PMID: 26220196 PMCID: PMC4517357 DOI: 10.1186/s12944-015-0083-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Background Atherosclerotic cardiovascular disease is one of the major diseases that seriously impacts human health. Combined drug therapy may be efficacious in delaying the occurrence of cardiovascular events. Aim The current study was designed to investigate whether combined use of probucol (an anti-oxidant agent) with cilostazol (a platelet aggregation inhibitor) would increase the inhibitory effect of statins (a lipid-lowering agent) on atherosclerosis in moderately hypercholesterolemic rabbits. Methods and Results Thirty Japanese white rabbits were fed with a high cholesterol diet for 12 weeks, which was supplemented with either 0.005 % atorvastatin alone or 0.005 % atorvastatin plus 0.3 % probucol and 0.3 % cilostazol. Except for high-density lipoprotein cholesterol, no difference was found in plasma lipids among vehicle, statin, and the combined treatment group. However, atherosclerotic lesions were significantly reduced by statin treatment compared with vehicle. Moreover, we found that the anti-atherogenic effect of statin was further enhanced by the combined treatment, which was due to increased anti-inflammatory and anti-oxidant properties. Conclusions These data demonstrated that combined drug treatment exhibits potent athero-protective effects via pleiotropic functions, such as anti-inflammatory and anti-oxidative stress, which is independent of the lipid-lowering effect.
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Affiliation(s)
- Yanli Wang
- Research Institute of Atherosclerotic Disease, Xi'an Jiaotong University Cardiovascular Research Center, Xi'an, Shaanxi, 710061, China.,Department of Pathology, Xi'an Medical University, Xi'an, Shaanxi, 710021, China
| | - Liang Bai
- Research Institute of Atherosclerotic Disease, Xi'an Jiaotong University Cardiovascular Research Center, Xi'an, Shaanxi, 710061, China. .,Laboratory Animal Center, Xi'an Jiaotong University School of Medicine, Xi'an, Shaanxi, 710061, China.
| | - Yan Lin
- Research Institute of Atherosclerotic Disease, Xi'an Jiaotong University Cardiovascular Research Center, Xi'an, Shaanxi, 710061, China.,Laboratory Animal Center, Xi'an Jiaotong University School of Medicine, Xi'an, Shaanxi, 710061, China
| | - Yulong Chen
- Shaanxi Key Laboratory of Ischemic Cardiovascular Disease, Institute of Basic and Translational Medicine, Xi'an Medical University, Xi'an, Shaanxi, 710021, China
| | - Hua Guan
- Research Institute of Atherosclerotic Disease, Xi'an Jiaotong University Cardiovascular Research Center, Xi'an, Shaanxi, 710061, China.,Laboratory Animal Center, Xi'an Jiaotong University School of Medicine, Xi'an, Shaanxi, 710061, China
| | - Ninghong Zhu
- Research Institute of Atherosclerotic Disease, Xi'an Jiaotong University Cardiovascular Research Center, Xi'an, Shaanxi, 710061, China.,Laboratory Animal Center, Xi'an Jiaotong University School of Medicine, Xi'an, Shaanxi, 710061, China
| | - Yafeng Li
- Research Institute of Atherosclerotic Disease, Xi'an Jiaotong University Cardiovascular Research Center, Xi'an, Shaanxi, 710061, China.,Laboratory Animal Center, Xi'an Jiaotong University School of Medicine, Xi'an, Shaanxi, 710061, China
| | - Shoucui Gao
- Research Institute of Atherosclerotic Disease, Xi'an Jiaotong University Cardiovascular Research Center, Xi'an, Shaanxi, 710061, China.,Laboratory Animal Center, Xi'an Jiaotong University School of Medicine, Xi'an, Shaanxi, 710061, China
| | - Lijing Sun
- Research Institute of Atherosclerotic Disease, Xi'an Jiaotong University Cardiovascular Research Center, Xi'an, Shaanxi, 710061, China.,Laboratory Animal Center, Xi'an Jiaotong University School of Medicine, Xi'an, Shaanxi, 710061, China
| | - Sihai Zhao
- Research Institute of Atherosclerotic Disease, Xi'an Jiaotong University Cardiovascular Research Center, Xi'an, Shaanxi, 710061, China.,Laboratory Animal Center, Xi'an Jiaotong University School of Medicine, Xi'an, Shaanxi, 710061, China
| | - Jianglin Fan
- Department of Molecular Pathology, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Yamanashi, 409-3898, Japan
| | - Enqi Liu
- Research Institute of Atherosclerotic Disease, Xi'an Jiaotong University Cardiovascular Research Center, Xi'an, Shaanxi, 710061, China.,Laboratory Animal Center, Xi'an Jiaotong University School of Medicine, Xi'an, Shaanxi, 710061, China.,Shaanxi Key Laboratory of Ischemic Cardiovascular Disease, Institute of Basic and Translational Medicine, Xi'an Medical University, Xi'an, Shaanxi, 710021, China
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9
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Villard EF, El Khoury P, Duchene E, Bonnefont-Rousselot D, Clement K, Bruckert E, Bittar R, Le Goff W, Guerin M. Elevated CETP Activity Improves Plasma Cholesterol Efflux Capacity From Human Macrophages in Women. Arterioscler Thromb Vasc Biol 2012; 32:2341-9. [DOI: 10.1161/atvbaha.112.252841] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective—
We aim to identify the impact of endogenous cholesteryl ester transfer protein (CETP) activity on plasma capacity to mediate free cholesterol efflux from human macrophages.
Methods and Results—
Endogenous plasma CETP activity was measured in a population of 348 women. We defined a low CETP group corresponding to subjects displaying an endogenous plasma CETP activity within the first tertile and a high CETP group corresponding to subjects with an endogenous plasma CETP activity within the third tertile. Subjects from the high CETP activity group displayed a significant increase in the capacity of their plasma (+8.2%;
P
=0.001) to mediate cholesterol efflux from human acute monocytic leukemia cell line human macrophages and from ATP-binding cassette transporter A1-dependent pathway (+23.4%;
P
=0.0001) as compared with those from the low CETP activity group. Multivariate analyses revealed that the impact of CETP activity was independent of plasma lipids levels. Pre–β1-high-density lipoprotein concentrations were significantly elevated (+29.6%;
P
=0.01) in the high CETP activity group as compared with the low CETP activity group. A positive correlation between pre–β1-high-density lipoprotein levels and plasma efflux efficiency from human acute monocytic leukemia cell line human macrophages was observed (
r
=0.29,
P
=0.02).
Conclusion—
CETP leading to the improvement of plasma efflux capacity, as a result of efficient pre–β-high-density lipoprotein formation and ATP-binding cassette transporter A1 efflux, should be preserved to prevent lipid accumulation in human macrophages.
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Affiliation(s)
- Elise F. Villard
- From the INSERM UMRS939, Hôpital de la Pitié, Paris, France (E.F.V., P.E.K., E.B., R.B., W.L.G., M.G.); Université Pierre et Marie Curie–Paris 6, Paris, France (E.F.V., P.E.K., K.C., E.B., R.B., W.L.G., M.G.); Institute of Cardiometabolism and Nutrition, ICAN Paris, France (E.F.V, P.E.K., E.D., D.B.-R., K.C., E.B., R.B., W.L.G., M.G.); Department of Endocrinology (E.D., E.B.), and Department of Metabolic Biochemistry (D.B.-R., R.B.), Assistance Publique-Hôpitaux de Paris, Hôpital de la Pitié, Paris,
| | - Petra El Khoury
- From the INSERM UMRS939, Hôpital de la Pitié, Paris, France (E.F.V., P.E.K., E.B., R.B., W.L.G., M.G.); Université Pierre et Marie Curie–Paris 6, Paris, France (E.F.V., P.E.K., K.C., E.B., R.B., W.L.G., M.G.); Institute of Cardiometabolism and Nutrition, ICAN Paris, France (E.F.V, P.E.K., E.D., D.B.-R., K.C., E.B., R.B., W.L.G., M.G.); Department of Endocrinology (E.D., E.B.), and Department of Metabolic Biochemistry (D.B.-R., R.B.), Assistance Publique-Hôpitaux de Paris, Hôpital de la Pitié, Paris,
| | - Emilie Duchene
- From the INSERM UMRS939, Hôpital de la Pitié, Paris, France (E.F.V., P.E.K., E.B., R.B., W.L.G., M.G.); Université Pierre et Marie Curie–Paris 6, Paris, France (E.F.V., P.E.K., K.C., E.B., R.B., W.L.G., M.G.); Institute of Cardiometabolism and Nutrition, ICAN Paris, France (E.F.V, P.E.K., E.D., D.B.-R., K.C., E.B., R.B., W.L.G., M.G.); Department of Endocrinology (E.D., E.B.), and Department of Metabolic Biochemistry (D.B.-R., R.B.), Assistance Publique-Hôpitaux de Paris, Hôpital de la Pitié, Paris,
| | - Dominique Bonnefont-Rousselot
- From the INSERM UMRS939, Hôpital de la Pitié, Paris, France (E.F.V., P.E.K., E.B., R.B., W.L.G., M.G.); Université Pierre et Marie Curie–Paris 6, Paris, France (E.F.V., P.E.K., K.C., E.B., R.B., W.L.G., M.G.); Institute of Cardiometabolism and Nutrition, ICAN Paris, France (E.F.V, P.E.K., E.D., D.B.-R., K.C., E.B., R.B., W.L.G., M.G.); Department of Endocrinology (E.D., E.B.), and Department of Metabolic Biochemistry (D.B.-R., R.B.), Assistance Publique-Hôpitaux de Paris, Hôpital de la Pitié, Paris,
| | - Karine Clement
- From the INSERM UMRS939, Hôpital de la Pitié, Paris, France (E.F.V., P.E.K., E.B., R.B., W.L.G., M.G.); Université Pierre et Marie Curie–Paris 6, Paris, France (E.F.V., P.E.K., K.C., E.B., R.B., W.L.G., M.G.); Institute of Cardiometabolism and Nutrition, ICAN Paris, France (E.F.V, P.E.K., E.D., D.B.-R., K.C., E.B., R.B., W.L.G., M.G.); Department of Endocrinology (E.D., E.B.), and Department of Metabolic Biochemistry (D.B.-R., R.B.), Assistance Publique-Hôpitaux de Paris, Hôpital de la Pitié, Paris,
| | - Eric Bruckert
- From the INSERM UMRS939, Hôpital de la Pitié, Paris, France (E.F.V., P.E.K., E.B., R.B., W.L.G., M.G.); Université Pierre et Marie Curie–Paris 6, Paris, France (E.F.V., P.E.K., K.C., E.B., R.B., W.L.G., M.G.); Institute of Cardiometabolism and Nutrition, ICAN Paris, France (E.F.V, P.E.K., E.D., D.B.-R., K.C., E.B., R.B., W.L.G., M.G.); Department of Endocrinology (E.D., E.B.), and Department of Metabolic Biochemistry (D.B.-R., R.B.), Assistance Publique-Hôpitaux de Paris, Hôpital de la Pitié, Paris,
| | - Randa Bittar
- From the INSERM UMRS939, Hôpital de la Pitié, Paris, France (E.F.V., P.E.K., E.B., R.B., W.L.G., M.G.); Université Pierre et Marie Curie–Paris 6, Paris, France (E.F.V., P.E.K., K.C., E.B., R.B., W.L.G., M.G.); Institute of Cardiometabolism and Nutrition, ICAN Paris, France (E.F.V, P.E.K., E.D., D.B.-R., K.C., E.B., R.B., W.L.G., M.G.); Department of Endocrinology (E.D., E.B.), and Department of Metabolic Biochemistry (D.B.-R., R.B.), Assistance Publique-Hôpitaux de Paris, Hôpital de la Pitié, Paris,
| | - Wilfried Le Goff
- From the INSERM UMRS939, Hôpital de la Pitié, Paris, France (E.F.V., P.E.K., E.B., R.B., W.L.G., M.G.); Université Pierre et Marie Curie–Paris 6, Paris, France (E.F.V., P.E.K., K.C., E.B., R.B., W.L.G., M.G.); Institute of Cardiometabolism and Nutrition, ICAN Paris, France (E.F.V, P.E.K., E.D., D.B.-R., K.C., E.B., R.B., W.L.G., M.G.); Department of Endocrinology (E.D., E.B.), and Department of Metabolic Biochemistry (D.B.-R., R.B.), Assistance Publique-Hôpitaux de Paris, Hôpital de la Pitié, Paris,
| | - Maryse Guerin
- From the INSERM UMRS939, Hôpital de la Pitié, Paris, France (E.F.V., P.E.K., E.B., R.B., W.L.G., M.G.); Université Pierre et Marie Curie–Paris 6, Paris, France (E.F.V., P.E.K., K.C., E.B., R.B., W.L.G., M.G.); Institute of Cardiometabolism and Nutrition, ICAN Paris, France (E.F.V, P.E.K., E.D., D.B.-R., K.C., E.B., R.B., W.L.G., M.G.); Department of Endocrinology (E.D., E.B.), and Department of Metabolic Biochemistry (D.B.-R., R.B.), Assistance Publique-Hôpitaux de Paris, Hôpital de la Pitié, Paris,
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