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Tmoyan N, Afanasieva O, Ezhov M, Chubykina U, Klesareva E, Afanasieva M, Pokrovsky S. Role of lipoprotein(a) and its autoantibodies in polyvascular atherosclerotic disease. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Lipoprotein(a) [Lp(a)] is an independent risk factor of cardiovascular disease. The role of Lp(a) and its autoantibodies in the development of atherosclerosis, depending on the severity of lesion, is uncertain.
Purpose
To define the relationship of Lp(a) level and autoantibodies to Lp(a) with atherosclerosis of different vascular beds.
Methods
The study included 1288 patients older than 18 years with instrumental examination of three vascular beds (coronary, carotid and lower limbs arteries). Patients were divided according to the number of affected vascular beds (stenosis ≥50%): 0 (n=339), 1 (n=470), 2 (n=315), 3 (n=164). Levels of lipids, Lp(a) and autoantibodies to Lp(a) were measured in serum of all patients.
Results
Lp(a) concentration steadily increased and the level of IgM autoantibodies decreased with the number of affected vascular beds (Figure). There was no any association between IgG autoantibodies to Lp(a) and stenotic atherosclerosis. In logistic regression analysis adjusted for age, sex, hypertension, diabetes mellitus, smoking, elevated Lp(a) level was an independent predictor of stenotic atherosclerosis and it was associated with severity of lesions (table).
Conclusions
Lipoprotein(a) is an independent risk factor of stenotic atherosclerosis and its concentration increases with the number of affected vascular beds, while IgM autoantibodies to Lp(a) possess cardioprotective properties.
Funding Acknowledgement
Type of funding source: Public Institution(s). Main funding source(s): National Medical Research Center of Cardiology of Ministry of Health of the Russian Federation
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Affiliation(s)
- N Tmoyan
- National Medical Research Center of Cardiology, Moscow, Russian Federation
| | - O Afanasieva
- National Medical Research Center of Cardiology, Moscow, Russian Federation
| | - M Ezhov
- National Medical Research Center of Cardiology, Moscow, Russian Federation
| | - U Chubykina
- National Medical Research Center of Cardiology, Moscow, Russian Federation
| | - E Klesareva
- National Medical Research Center of Cardiology, Moscow, Russian Federation
| | - M Afanasieva
- National Medical Research Center of Cardiology, Moscow, Russian Federation
| | - S Pokrovsky
- National Medical Research Center of Cardiology, Moscow, Russian Federation
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Bliznyuk S, Chubykina U, Rozhkova T, Ezhov M. Non-Achievement Of Ldl-Cholesterol Goals From The Russian Familial Hypercholesterolemia Registry. Atherosclerosis 2019. [DOI: 10.1016/j.atherosclerosis.2019.06.671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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