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Li Y, Li G, Laukkanen JA, Wei L, Chen X. Higher LDL-C/HDL-C Ratio Is Associated with Elevated HbA1c and Decreased eGFR Levels and Cardiac Remodeling in Elderly with Hypercholesterolemia. J Cardiovasc Dev Dis 2024; 11:140. [PMID: 38786962 PMCID: PMC11122430 DOI: 10.3390/jcdd11050140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Revised: 04/26/2024] [Accepted: 04/29/2024] [Indexed: 05/25/2024] Open
Abstract
Background: This study aims to explore the relationship of the low-density lipoprotein cholesterol (LDL-C)/high-density lipoprotein (HDL-C) ratio with glycated hemoglobin (HbA1c), renal dysfunction, coronary heart disease (CHD) and cardiac structure and function in elderly patients with hypercholesterolemia. Methods: A total of 1129 hospitalized Chinese elderly (aged ≥ 65 years) with hypercholesterolemia were collected retrospectively. The patients were divided into low (<2.63), moderate (≥2.63 to <3.33) and high (≥3.33) LDL-C/HDL-C ratio groups according to the tertiles of LDL-C/HDL-C. Results: Regression analysis of the LDL-C/HDL-C ratio with metabolic and echocardiographic parameters revealed that a high LDL-C/HDL-C ratio (≥3.33) was associated independently with male gender, elevated HbA1c, decreased estimated glomerular filtration rate (eGFR), prevalent CHD and left ventricular dilatation (all p < 0.05). Conclusions: A high LDL-C/HDL-C ratio was associated with male gender, increased HbA1c, decreased eGFR, CHD and enlarged left ventricle in elderly with hypercholesterolemia.
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Affiliation(s)
- Yufeng Li
- Division of Cardiology, Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China; (Y.L.); (L.W.); (X.C.)
| | - Gang Li
- Division of Cardiology, Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China; (Y.L.); (L.W.); (X.C.)
| | - Jari A. Laukkanen
- Institute of Clinical Medicine, Department of Medicine, University of Eastern Finland, 70211 Kuopio, Finland;
- Institute of Public Health and Clinical Nutrition, University of Eastern Finland, 70211 Kuopio, Finland
- Department of Medicine, Wellbeing Services County of Central Finland, 40620 Jyväskylä, Finland
| | - Linping Wei
- Division of Cardiology, Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China; (Y.L.); (L.W.); (X.C.)
| | - Xinrui Chen
- Division of Cardiology, Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China; (Y.L.); (L.W.); (X.C.)
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Xu D, Luo HW, Hu W, Hu SW, Yuan C, Wang GH, Zhang L, Yu H, Magdalou J, Chen LB, Wang H. Intrauterine programming mechanism for hypercholesterolemia in prenatal caffeine-exposed female adult rat offspring. FASEB J 2018; 32:5563-5576. [PMID: 29718709 DOI: 10.1096/fj.201701557r] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Clinical and animal studies have indicated that hypercholesterolemia and its associated diseases have intrauterine developmental origins. Our previous studies showed that prenatal caffeine exposure (PCE) led to fetal overexposure to maternal glucocorticoids (GCs) and increased serum total cholesterol levels in adult rat offspring. This study further confirms the intrauterine programming of PCE-induced hypercholesterolemia in female adult rat offspring. Pregnant Wistar rats were intragastrically administered caffeine (30, 60, and 120 mg/kg/d) from gestational day (GD)9 to 20. Female rat offspring were euthanized at GD20 and postnatal wk 12; several adult rat offspring were additionally subjected to ice-water swimming stimulation to induce chronic stress prior to death. The effects of GCs on cholesterol metabolism and epigenetic regulation were verified using the L02 cell line. The results showed that PCE induced hypercholesterolemia in adult offspring, which manifested as significantly higher levels of serum total cholesterol and LDL cholesterol (LDL-C) as well as higher ratios of LDL-C/HDL cholesterol. We further found that the cholesterol levels were increased in fetal livers but were decreased in fetal blood, accompanied by increased maternal blood cholesterol levels and reduced placental cholesterol transport. Furthermore, analysis of PCE offspring in the uterus and in a postnatal basal/chronic stress state and the results of in vitro experiments showed that hepatic cholesterol metabolism underwent GC-dependent changes and was associated with cholesterol synthase via abnormalities in 3-hydroxy-3-methylglutaryl-CoA reductase (HMGCR) histone acetylation. We concluded that, to compensate for intrauterine placentally derived decreases in fetal blood cholesterol levels, high intrauterine GC levels activated fetal hepatic CCAAT enhancer binding protein α signaling and down-regulated Sirtuin1 expression, which mediated the high levels of histone acetylation ( via H3K9ac and H3K14ac) and expression of HMGCR. This GC-dependent cholesterol metabolism programming effect was sustained through adulthood, leading to the occurrence of hypercholesterolemia.-Xu, D., Luo, H. W., Hu, W., Hu, S. W., Yuan, C., Wang, G. H., Zhang, L., Yu, H., Magdalou, J., Chen, L. B., Wang, H. Intrauterine programming mechanism for hypercholesterolemia in prenatal caffeine-exposed female adult rat offspring.
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Affiliation(s)
- Dan Xu
- Department of Pharmacology, Basic Medical School, Wuhan University, Wuhan, China.,Hubei Provincial Key Laboratory of Developmentally Originated Disease, Wuhan, China
| | - Hanwen W Luo
- Department of Pharmacology, Basic Medical School, Wuhan University, Wuhan, China.,Department of Orthopedic Surgery, Zhongnan Hospital, Wuhan University, Wuhan, China
| | - Wen Hu
- Department of Pharmacology, Basic Medical School, Wuhan University, Wuhan, China
| | - Shuwei W Hu
- Department of Pharmacology, Basic Medical School, Wuhan University, Wuhan, China
| | - Chao Yuan
- Department of Pharmacology, Basic Medical School, Wuhan University, Wuhan, China
| | - Guihua H Wang
- Department of Pharmacology, Basic Medical School, Wuhan University, Wuhan, China
| | - Li Zhang
- Department of Pharmacology, Basic Medical School, Wuhan University, Wuhan, China
| | - Hong Yu
- Hubei Provincial Key Laboratory of Developmentally Originated Disease, Wuhan, China
| | - Jacques Magdalou
- Unité Mixte de Recherche (UMR) 7365, Centre National de la Recherche Scientifique (CNRS)-Université de Lorraine, Faculté de Médecine, Vandœuvre-lès-Nancy, France
| | - Liaobin B Chen
- Hubei Provincial Key Laboratory of Developmentally Originated Disease, Wuhan, China.,Department of Orthopedic Surgery, Zhongnan Hospital, Wuhan University, Wuhan, China
| | - Hui Wang
- Department of Pharmacology, Basic Medical School, Wuhan University, Wuhan, China.,Hubei Provincial Key Laboratory of Developmentally Originated Disease, Wuhan, China
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Tanaka H, Inuzuka K, Iida Y, Shimizu H, Unno N, Urano T. Proprotein Convertase Subtilisin/Kexin Type 9 Is Associated with Degenerating Adipocytes in Abdominal Aortic Aneurysm. J Oleo Sci 2018; 67:1355-1360. [DOI: 10.5650/jos.ess18131] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Hiroki Tanaka
- Hamamatsu, Japan Department of Medical Physiology, Hamamatsu University School of Medicine
- Kakegawa Kita Hospital
| | - Kazunori Inuzuka
- Division of Vascular Surgery, Hamamatsu University School of Medicine
| | - Yasunori Iida
- Department of Cardiovascular Surgery, Keio University
| | | | - Naoki Unno
- Division of Vascular Surgery, Hamamatsu University School of Medicine
- Division of Vascular Surgery, Hamamatsu Medical Center
| | - Tetsumei Urano
- Hamamatsu, Japan Department of Medical Physiology, Hamamatsu University School of Medicine
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Xia LP, Shen L, Kou H, Zhang BJ, Zhang L, Wu Y, Li XJ, Xiong J, Yu Y, Wang H. Prenatal ethanol exposure enhances the susceptibility to metabolic syndrome in offspring rats by HPA axis-associated neuroendocrine metabolic programming. Toxicol Lett 2014; 226:98-105. [PMID: 24472613 DOI: 10.1016/j.toxlet.2014.01.023] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2013] [Revised: 01/12/2014] [Accepted: 01/17/2014] [Indexed: 12/30/2022]
Abstract
OBJECTIVE The present study was designed to demonstrate that prenatal ethanol exposure (PEE) could enhance the susceptibility of high-fat diet-induced metabolic syndrome (MS) in adult male offspring via a hypothalamic-pituitary-adrenal (HPA) axis-associated neuroendocrine metabolic programmed mechanism. METHODS Pregnant Wistar rats were intragastricly administrated ethanol 4 g/kg·d from gestational day 11 until term delivery. All male offspring were fed with high-fat diet after weaning, exposed to an unpredictable chronic stress at postnatal week (PW) 17 and sacrificed at PW20. RESULTS In PEE group, body weight presented a "catch-up growth" pattern, and the HPA axis exhibited a lower basal activity but an enhanced sensitivity to chronic stress, leading to increased levels of serum glucose, insulin, insulin resistant index, total cholesterol and low-density lipoprotein-cholesterol, and decreased levels of high-density lipoprotein-cholesterol. Furthermore, many lipid droplets and vacuolar degeneration were observed in the hypothalamus, pituitary gland and liver. CONCLUSIONS PEE induces enhanced susceptibility to MS in adult offspring fed with high-fat diet, and the underlying mechanism involves a HPA axis-associated neuroendocrine metabolic programming alteration.
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Affiliation(s)
- L P Xia
- Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China; Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - L Shen
- Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China
| | - H Kou
- Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China
| | - B J Zhang
- Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China
| | - L Zhang
- Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China
| | - Y Wu
- Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China
| | - X J Li
- Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China
| | - J Xiong
- Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China
| | - Y Yu
- Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China; Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - H Wang
- Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China; Hubei Provincial Key Laboratory of Developmentally Originated Disorder, Wuhan 430071, China.
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Luo H, Deng Z, Liu L, Shen L, Kou H, He Z, Ping J, Xu D, Ma L, Chen L, Wang H. Prenatal caffeine ingestion induces transgenerational neuroendocrine metabolic programming alteration in second generation rats. Toxicol Appl Pharmacol 2013; 274:383-92. [PMID: 24321341 DOI: 10.1016/j.taap.2013.11.020] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2013] [Revised: 11/19/2013] [Accepted: 11/26/2013] [Indexed: 10/25/2022]
Abstract
Our previous studies have demonstrated that prenatal caffeine ingestion induces an increased susceptibility to metabolic syndrome with alterations of glucose and lipid metabolic phenotypes in adult first generation (F1) of intrauterine growth retardation (IUGR) rats, and the underlying mechanism is originated from a hypothalamic-pituitary-adrenal (HPA) axis-associated neuroendocrine metabolic programming alteration in utero. This study aims to investigate the transgenerational effects of this programming alteration in adult second generation (F2). Pregnant Wistar rats were administered with caffeine (120mg/kg·d) from gestational day 11 until delivery. Four groups in F2 were set according to the cross-mating between control and caffeine-induced IUGR rats. F2 were subjected to a fortnight ice water swimming stimulus on postnatal month 4, and blood samples were collected before and after stress. Results showed that the majority of the activities of HPA axis and phenotypes of glucose and lipid metabolism were altered in F2. Particularly, comparing with the control group, caffeine groups had an enhanced corticosterone levels after chronic stress. Compared with before stress, the serum glucose levels were increased in some groups whereas the triglyceride levels were decreased. Furthermore, total cholesterol gain rates were enhanced but the high-density lipoprotein-cholesterol gain rates were decreased in most caffeine groups after stress. These transgenerational effects were characterized partially with gender and parental differences. Taken together, these results indicate that the reproductive and developmental toxicities and the neuroendocrine metabolic programming mechanism by prenatal caffeine ingestion have transgenerational effects in rats, which may help to explain the susceptibility to metabolic syndrome and associated diseases in F2.
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Affiliation(s)
- Hanwen Luo
- Department of Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China; Department of Orthopedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
| | - Zixin Deng
- Department of Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China
| | - Lian Liu
- Department of Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China
| | - Lang Shen
- Department of Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China
| | - Hao Kou
- Department of Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China
| | - Zheng He
- Department of Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China
| | - Jie Ping
- Department of Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China; Research Center of Food and Drug Evaluation, Wuhan University, Wuhan 430071, China
| | - Dan Xu
- Department of Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China; Research Center of Food and Drug Evaluation, Wuhan University, Wuhan 430071, China
| | - Lu Ma
- Department of Epidemiology & Health Statistics, Public Health School of Wuhan University, Wuhan 430071, China
| | - Liaobin Chen
- Department of Orthopedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071, China.
| | - Hui Wang
- Department of Pharmacology, Basic Medical School of Wuhan University, Wuhan 430071, China; Research Center of Food and Drug Evaluation, Wuhan University, Wuhan 430071, China.
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