Journal of Lipid and Atherosclerosis最新文献

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2022 Consensus Statement on the Management of Familial Hypercholesterolemia in Korea. 2022年韩国家族性高胆固醇血症管理共识声明
Journal of Lipid and Atherosclerosis Pub Date : 2022-09-01 Epub Date: 2022-07-07 DOI: 10.12997/jla.2022.11.3.213
Chan Joo Lee, Minjae Yoon, Hyun-Jae Kang, Byung Jin Kim, Sung Hee Choi, In-Kyung Jeong, Sang-Hak Lee
{"title":"2022 Consensus Statement on the Management of Familial Hypercholesterolemia in Korea.","authors":"Chan Joo Lee,&nbsp;Minjae Yoon,&nbsp;Hyun-Jae Kang,&nbsp;Byung Jin Kim,&nbsp;Sung Hee Choi,&nbsp;In-Kyung Jeong,&nbsp;Sang-Hak Lee","doi":"10.12997/jla.2022.11.3.213","DOIUrl":"https://doi.org/10.12997/jla.2022.11.3.213","url":null,"abstract":"<p><p>Familial hypercholesterolemia (FH) is the most common monogenic disorder. Due to the marked elevation of cardiovascular risk, the early detection, diagnosis, and proper management of this disorder are critical. Herein, the 2022 Korean guidance on this disease is presented. Clinical features include severely elevated low-density lipoprotein-cholesterol (LDL-C) levels, tendon xanthomas, and premature coronary artery disease. Clinical diagnostic criteria include clinical findings, family history, or pathogenic mutations in the <i>LDLR</i>, <i>APOB</i>, or <i>PCSK9</i>. Proper suspicion of individuals with typical characteristics is essential for screening. Cascade screening is known to be the most efficient diagnostic approach. Early initiation of lipid-lowering therapy and the control of other risk factors are important. The first-line pharmacological treatment is statins, followed by ezetimibe, and PCSK9 inhibitors as required. The ideal treatment targets are 50% reduction and <70 mg/dL or <55 mg/dL (in the presence of vascular disease) of LDL-C, although less strict targets are frequently used. Homozygous FH is characterized by untreated LDL-C >500 mg/dL, xanthoma since childhood, and family history. In children, the diagnosis is made with criteria, including items largely similar to those of adults. In women, lipid-lowering agents need to be discontinued before conception.</p>","PeriodicalId":16284,"journal":{"name":"Journal of Lipid and Atherosclerosis","volume":"11 3","pages":"213-228"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/65/ed/jla-11-213.PMC9515735.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33497679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
NAD+ and Vascular Dysfunction: From Mechanisms to Therapeutic Opportunities. NAD+与血管功能障碍:从机制到治疗机会
Journal of Lipid and Atherosclerosis Pub Date : 2022-05-01 Epub Date: 2022-04-06 DOI: 10.12997/jla.2022.11.2.111
Mahmoud Abdellatif, Heiko Bugger, Guido Kroemer, Simon Sedej
{"title":"NAD<sup>+</sup> and Vascular Dysfunction: From Mechanisms to Therapeutic Opportunities.","authors":"Mahmoud Abdellatif, Heiko Bugger, Guido Kroemer, Simon Sedej","doi":"10.12997/jla.2022.11.2.111","DOIUrl":"10.12997/jla.2022.11.2.111","url":null,"abstract":"<p><p>Nicotinamide adenine dinucleotide (NAD<sup>+</sup>) is an essential and pleiotropic coenzyme involved not only in cellular energy metabolism, but also in cell signaling, epigenetic regulation, and post-translational protein modifications. Vascular disease risk factors are associated with aberrant NAD<sup>+</sup> metabolism. Conversely, the therapeutic increase of NAD<sup>+</sup> levels through the administration of NAD<sup>+</sup> precursors or inhibitors of NAD<sup>+</sup>-consuming enzymes reduces chronic low-grade inflammation, reactivates autophagy and mitochondrial biogenesis, and enhances oxidative metabolism in vascular cells of humans and rodents with vascular pathologies. As such, NAD<sup>+</sup> has emerged as a potential target for combatting age-related cardiovascular and cerebrovascular disorders. This review discusses NAD<sup>+</sup>-regulated mechanisms critical for vascular health and summarizes new advances in NAD<sup>+</sup> research directly related to vascular aging and disease, including hypertension, atherosclerosis, coronary artery disease, and aortic aneurysms. Finally, we enumerate challenges and opportunities for NAD<sup>+</sup> repletion therapy while anticipating the future of this exciting research field, which will have a major impact on vascular medicine.</p>","PeriodicalId":16284,"journal":{"name":"Journal of Lipid and Atherosclerosis","volume":"11 1","pages":"111-132"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9133775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45404193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dietary Oxidized Linoleic Acids Modulate Fatty Acids in Mice 氧化亚油酸对小鼠脂肪酸的调节作用
Journal of Lipid and Atherosclerosis Pub Date : 2022-04-29 DOI: 10.12997/jla.2022.11.2.197
Chinedu C Ochin, T. Wilson, M. Garelnabi
{"title":"Dietary Oxidized Linoleic Acids Modulate Fatty Acids in Mice","authors":"Chinedu C Ochin, T. Wilson, M. Garelnabi","doi":"10.12997/jla.2022.11.2.197","DOIUrl":"https://doi.org/10.12997/jla.2022.11.2.197","url":null,"abstract":"Objective An elevated concentration of oxidized lipids along with the abnormal accumulation of lipids has been linked to the formation of atheromatous plaque and the development of cardiovascular diseases. This study aims to investigate if consumption of different concentrations of dietary oxidized linoleic acid alters the distribution of long chain fatty acids (LCFAs) within the liver relative to plasma in mice. Methods C57BL/6 male mice (n = 40) were divided into 4 groups: Standard chow as plain control (P group, n =10), Chow supplemented with linoleic acid 9 mg/mouse/day, linoleic control (C group, n=0), oxidized linoleic acid; 9 mg/mouse/day (A group, n=10) and oxidized linoleic acid 18 mg/mouse/day diet (B group, n=10). Liver and plasma samples were extracted, trans-esterified and subsequently analyzed using gas chromatography mass spectrometry (GC-MS) for LCFAs; palmitic acid, stearic acid, oleic acid, linoleic acid and arachidonic acid. Results LCFA methyl esters were eluted and identified based on their respective physiochemical characteristics of GCMS assay with inter assay coefficient of variation percentage (CV%, 1.81–5.28%), limits of quantification and limit of detection values (2.021–11.402 mg/mL and 1.016–4.430 mg/mL) respectively. Correlation analysis of liver and plasma lipids of the mice groups yielded coefficients (r=0.96, 0.6, 0.8 and 0.33) with fatty acid percentage total of (16%, 10%, 16% and 58%) for the P, C, A and B groups respectively. Conclusion The sustained consumption of a diet rich in oxidized linoleic acid disrupted fatty acid metabolism. The intake also resulted in elevated concentration of LCFAs that are precursors of bioactive metabolite molecule.","PeriodicalId":16284,"journal":{"name":"Journal of Lipid and Atherosclerosis","volume":"11 1","pages":"197 - 210"},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42397335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Triglyceride-Glucose Index Is a Useful Marker for Predicting Future Cardiovascular Disease and Mortality in Young Korean Adults: A Nationwide Population-Based Cohort Study 甘油三酯-葡萄糖指数是预测韩国年轻人未来心血管疾病和死亡率的有用指标:一项全国性的基于人群的队列研究
Journal of Lipid and Atherosclerosis Pub Date : 2022-04-21 DOI: 10.12997/jla.2022.11.2.178
Y. Cho, K. Han, Hwi Seung Kim, C. Jung, J. Park, W. Lee
{"title":"Triglyceride-Glucose Index Is a Useful Marker for Predicting Future Cardiovascular Disease and Mortality in Young Korean Adults: A Nationwide Population-Based Cohort Study","authors":"Y. Cho, K. Han, Hwi Seung Kim, C. Jung, J. Park, W. Lee","doi":"10.12997/jla.2022.11.2.178","DOIUrl":"https://doi.org/10.12997/jla.2022.11.2.178","url":null,"abstract":"Objective The triglyceride-glucose (TyG) index, the product of fasting triglycerides and glucose, is a useful and cost-effective marker of insulin resistance (IR). Furthermore, the TyG index is a known IR screening tool in healthy young adults but not in those with atherosclerotic cardiovascular disease (CVD). Thus, this study aimed to evaluate the TyG index as a predictor of CVD in healthy young adults. Methods This study enrolled 6,675,424 adults aged 20–39 years without CVD from the National Health Information Database. We categorized them by TyG index quartile from 2009–2017. The study outcomes were stroke, myocardial infarction (MI), and mortality. All outcomes were analyzed by Cox proportional hazards regression analysis while controlling for baseline covariates. Results During a mean 7.4 years of follow-up, 8,506 cases of stroke, 12,312 cases of MI, and 22,667 deaths were recorded. Multivariable-adjusted hazard ratios (HRs) for participants in the highest TyG index quartile demonstrated that they were at higher risk for stroke (HR, 1.253; 95% confidence interval [CI], 1.167–1.346), MI (HR, 1.258; 95% CI, 1.187–1.334), and mortality (HR, 1.151; 95% CI, 1.104–1.200) than those in the lowest TyG index quartile independent of age, sex, smoking, alcohol consumption, physical activity, income, body mass index, blood pressure, and total cholesterol. The HRs for outcomes in the highest quartiles were higher when the TyG index was applied than when triglyceride or fasting glucose alone was applied. Conclusion TyG index, a simple measure reflecting IR, can predict CVD and mortality in young and healthy populations.","PeriodicalId":16284,"journal":{"name":"Journal of Lipid and Atherosclerosis","volume":"11 1","pages":"178 - 186"},"PeriodicalIF":0.0,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42594638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Attainment of Lipid Targets Following Coronary Artery Bypass Graft Surgery: Can We Do Better? 冠状动脉搭桥术后血脂指标的实现:我们能做得更好吗?
Journal of Lipid and Atherosclerosis Pub Date : 2022-04-08 DOI: 10.12997/jla.2022.11.2.187
N. Lan, U. Ali, B. Yeap, P. G. Fegan, R. Larbalestier, D. Bell
{"title":"Attainment of Lipid Targets Following Coronary Artery Bypass Graft Surgery: Can We Do Better?","authors":"N. Lan, U. Ali, B. Yeap, P. G. Fegan, R. Larbalestier, D. Bell","doi":"10.12997/jla.2022.11.2.187","DOIUrl":"https://doi.org/10.12997/jla.2022.11.2.187","url":null,"abstract":"Objective Patients undergoing coronary artery bypass graft (CABG) surgery remain at high cardiovascular risk; however, few studies have evaluated lipid management and attainment of lipid targets in these patients. We investigated the proportion of CABG surgery patients who attained low-density lipoprotein cholesterol (LDL-C) and non-high-density lipoprotein cholesterol (HDL-C) targets. Methods Data were retrospectively obtained from patients undergoing CABG surgery at an Australian tertiary hospital between February 2015 and August 2020. The most recent lipid profile was recorded (at least 3 weeks post-operatively). We studied patients with electronically available data to ensure accuracy. Target LDL-C was defined as <1.4 (54 mg/dL) and <1.8 mmol/L (70 mg/dL), and target non-HDL-C as <2.2 (85 mg/dL) and <2.6 mmol/L (100 mg/dL), as per the 2019 and 2016 European dyslipidaemia guidelines, respectively. Results Follow-up lipid results were available for 484 patients (median post-operative follow-up, 483 days; interquartile range, 177.5–938.75 days). The mean age was 62.7±10.5 years and 387 (80.1%) were male. At discharge, 469 (96.9%) patients were prescribed statins, 425 (90.6%) high-intensity. Ezetimibe was prescribed for 62 (12.8%) patients and a proprotein convertase subtilisin-kexin type 9 inhibitor for 1. LDL-C levels <1.4 and <1.8 mmol/L were attained in 118 (24.4%) and 231 (47.7%) patients, respectively, and non-HDL-C levels <2.2 and <2.6 mmol/L in 140 (28.9%) and 237 (49.0%) patients, respectively. Conclusion The use of non-statin lipid-lowering therapies was limited, and many CABG surgery patients did not attain lipid targets despite high-intensity statins. Further studies are required to optimise lipid management in this very high-risk population.","PeriodicalId":16284,"journal":{"name":"Journal of Lipid and Atherosclerosis","volume":"11 1","pages":"187 - 196"},"PeriodicalIF":0.0,"publicationDate":"2022-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41936969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Effects of Short Term Adiponectin Receptor Agonism on Cardiac Function and Energetics in Diabetic db/db Mice 短期脂联素受体激动对糖尿病db/db小鼠心功能和能量代谢的影响
Journal of Lipid and Atherosclerosis Pub Date : 2022-03-31 DOI: 10.12997/jla.2022.11.2.161
Aleksandre Tarkhnishvili, C. Koentges, K. Pfeil, J. Gollmer, Nikole J. Byrne, I. Vosko, Julia Lueg, Laura Vogelbacher, S. Birkle, Sibai Tang, Timothy Bon-Nawul Mwinyella, M. Hoffmann, K. Odening, N. Michel, D. Wolf, P. Stachon, I. Hilgendorf, M. Wallner, Senka (Ljubojevic) Holzer, D. von Lewinski, P. Rainer, S. Sedej, H. Sourij, C. Bode, A. Zirlik, H. Bugger
{"title":"Effects of Short Term Adiponectin Receptor Agonism on Cardiac Function and Energetics in Diabetic db/db Mice","authors":"Aleksandre Tarkhnishvili, C. Koentges, K. Pfeil, J. Gollmer, Nikole J. Byrne, I. Vosko, Julia Lueg, Laura Vogelbacher, S. Birkle, Sibai Tang, Timothy Bon-Nawul Mwinyella, M. Hoffmann, K. Odening, N. Michel, D. Wolf, P. Stachon, I. Hilgendorf, M. Wallner, Senka (Ljubojevic) Holzer, D. von Lewinski, P. Rainer, S. Sedej, H. Sourij, C. Bode, A. Zirlik, H. Bugger","doi":"10.12997/jla.2022.11.2.161","DOIUrl":"https://doi.org/10.12997/jla.2022.11.2.161","url":null,"abstract":"Objective Impaired cardiac efficiency is a hallmark of diabetic cardiomyopathy in models of type 2 diabetes. Adiponectin receptor 1 (AdipoR1) deficiency impairs cardiac efficiency in non-diabetic mice, suggesting that hypoadiponectinemia in type 2 diabetes may contribute to impaired cardiac efficiency due to compromised AdipoR1 signaling. Thus, we investigated whether targeting cardiac adiponectin receptors may improve cardiac function and energetics, and attenuate diabetic cardiomyopathy in type 2 diabetic mice. Methods A non-selective adiponectin receptor agonist, AdipoRon, and vehicle were injected intraperitoneally into Eight-week-old db/db or C57BLKS/J mice for 10 days. Cardiac morphology and function were evaluated by echocardiography and working heart perfusions. Results Based on echocardiography, AdipoRon treatment did not alter ejection fraction, left ventricular diameters or left ventricular wall thickness in db/db mice compared to vehicle-treated mice. In isolated working hearts, an impairment in cardiac output and efficiency in db/db mice was not improved by AdipoRon. Mitochondrial respiratory capacity, respiration in the presence of oligomycin, and 4-hydroxynonenal levels were similar among all groups. However, AdipoRon induced a marked shift in the substrate oxidation pattern in db/db mice towards increased reliance on glucose utilization. In parallel, the diabetes-associated increase in serum triglyceride levels in vehicle-treated db/db mice was blunted by AdipoRon treatment, while an increase in myocardial triglycerides in vehicle-treated db/db mice was not altered by AdipoRon treatment. Conclusion AdipoRon treatment shifts myocardial substrate preference towards increased glucose utilization, likely by decreasing fatty acid delivery to the heart, but was not sufficient to improve cardiac output and efficiency in db/db mice.","PeriodicalId":16284,"journal":{"name":"Journal of Lipid and Atherosclerosis","volume":"11 1","pages":"161 - 177"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45749752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Erratum: Effect of Breakfast Consumption and Meal Time Regularity on Nutrient Intake and Cardiometabolic Health in Korean Adults 勘误:早餐消费和用餐时间规律对韩国成年人营养摄入和心脏代谢健康的影响
Journal of Lipid and Atherosclerosis Pub Date : 2022-03-03 DOI: 10.12997/jla.2022.11.2.211
S. Yoon, Mi-Wha Choi, O. Kim
{"title":"Erratum: Effect of Breakfast Consumption and Meal Time Regularity on Nutrient Intake and Cardiometabolic Health in Korean Adults","authors":"S. Yoon, Mi-Wha Choi, O. Kim","doi":"10.12997/jla.2022.11.2.211","DOIUrl":"https://doi.org/10.12997/jla.2022.11.2.211","url":null,"abstract":"[This corrects the article on p. 240 in vol. 10, PMID: 34095015.].","PeriodicalId":16284,"journal":{"name":"Journal of Lipid and Atherosclerosis","volume":"11 1","pages":"211 - 211"},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41907154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Individualized Treatment for Patients With Familial Hypercholesterolemia. 家族性高胆固醇血症患者的个体化治疗
Journal of Lipid and Atherosclerosis Pub Date : 2022-01-01 Epub Date: 2022-01-03 DOI: 10.12997/jla.2022.11.1.39
Hayato Tada, Masayuki Takamura, Masa-Aki Kawashiri
{"title":"Individualized Treatment for Patients With Familial Hypercholesterolemia.","authors":"Hayato Tada,&nbsp;Masayuki Takamura,&nbsp;Masa-Aki Kawashiri","doi":"10.12997/jla.2022.11.1.39","DOIUrl":"https://doi.org/10.12997/jla.2022.11.1.39","url":null,"abstract":"<p><p>Familial hypercholesterolemia (FH) is one of the most common and, therefore, important inherited disorders in preventive cardiology. This disease is mainly caused by a single pathogenic mutation in the low-density lipoprotein receptor or its associated genes. Moreover, it is correlated with a high risk of cardiovascular disease. However, the phenotype severity even in this monogenic disease significantly varies. Thus, the current study aimed to describe FH and its importance and the factors (inherited and acquired) contributing to differences in phenotype severity. Different lipid-modification therapies according to these factors can lead to individualized treatments, which are also essential in the general populations.</p>","PeriodicalId":16284,"journal":{"name":"Journal of Lipid and Atherosclerosis","volume":"11 1","pages":"39-54"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b8/41/jla-11-39.PMC8792816.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39888340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Correction to: "Cardiovascular Outcomes Comparison of Dipeptidyl Peptidase-4 Inhibitors Versus Sulfonylurea as Add-on Therapy for Type 2 Diabetes Mellitus: A Meta-Analysis". 更正:“二肽基肽酶-4抑制剂与磺脲类药物作为2型糖尿病附加治疗的心血管结局比较:一项荟萃分析”。
Journal of Lipid and Atherosclerosis Pub Date : 2022-01-01 Epub Date: 2022-01-14 DOI: 10.12997/jla.2022.11.1.89
Won Kyeong Jeon, Jeehoon Kang, Hyo-Soo Kim, Kyung Woo Park
{"title":"Correction to: \"Cardiovascular Outcomes Comparison of Dipeptidyl Peptidase-4 Inhibitors Versus Sulfonylurea as Add-on Therapy for Type 2 Diabetes Mellitus: A Meta-Analysis\".","authors":"Won Kyeong Jeon,&nbsp;Jeehoon Kang,&nbsp;Hyo-Soo Kim,&nbsp;Kyung Woo Park","doi":"10.12997/jla.2022.11.1.89","DOIUrl":"https://doi.org/10.12997/jla.2022.11.1.89","url":null,"abstract":"<p><strong>Objective: </strong>Recent studies have raised concerns about the cardiovascular safety of dipeptidyl peptidase-4 (DPP4) inhibitors. We performed a systematic review and meta-analysis to compare the cardiovascular outcomes of sulfonylureas (SUs) versus DPP4 inhibitors in combination with metformin.</p><p><strong>Methods: </strong>After searching for trials using combination therapy of metformin with an SU or DPP4 inhibitor in PubMed, Cochrane Library, and Embase, 1 prospective observational study and 15 randomized controlled studies were selected.</p><p><strong>Results: </strong>Regarding the primary analysis endpoint, no significant differences were found in the risk of all-cause mortality between SUs and DPP4 inhibitors as add-on therapies to metformin (random-effect relative risk [RR], 1.14; 95% confidence interval [CI], 0.98-1.33; I<sup>2</sup>=0%; <i>p</i>=0.097). Cardiovascular death was also similar between SUs and DPP4 inhibitors in the 5 studies that reported outcomes (random-effect RR, 1.03; 95% CI, 0.83-1.27; I<sup>2</sup>=0%; <i>p</i>=0.817). Furthermore, there were no significant differences in major adverse cardiac events, coronary heart disease, myocardial infarction, and heart failure. However, the SU group showed a higher risk of ischemic stroke, more hypoglycemic events, and more weight gain than the DPP4 inhibitor group (ischemic stroke, random-effect RR, 2.78; 95% CI, 1.06-7.30; I<sup>2</sup>=51.9%; <i>p</i>=0.039; hypoglycemia, random-effect RR, 3.79; 95% CI, 1.53-9.39; I<sup>2</sup>=98.2; <i>p</i>=0.004; weight gain, weighted mean difference, 1.68; 95% CI, 1.07-2.29; I<sup>2</sup>=94.7; <i>p</i><0.001).</p><p><strong>Conclusion: </strong>As add-on therapies to metformin, SUs and DPP4 inhibitors showed no significant differences in all-cause mortality and cardiovascular mortality. However, some of the favorable results of DPP4 inhibitors suggest good safety and feasibility of the drugs.</p>","PeriodicalId":16284,"journal":{"name":"Journal of Lipid and Atherosclerosis","volume":"11 1","pages":"89-101"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/31/jla-11-89.PMC8792822.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39888345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Assessing the Validity of the Criteria for the Extreme Risk Category of Atherosclerotic Cardiovascular Disease: A Nationwide Population-Based Study. 评估动脉粥样硬化性心血管疾病极端危险类别标准的有效性:一项基于全国人群的研究
Journal of Lipid and Atherosclerosis Pub Date : 2022-01-01 Epub Date: 2021-08-18 DOI: 10.12997/jla.2022.11.1.73
Kyung-Soo Kim, Sangmo Hong, Kyungdo Han, Cheol-Young Park
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引用次数: 3
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