{"title":"Premature coronary artery disease and apolipoprotein B and apolipoprotein A-I","authors":"A.F. Ayyobi , A. Zambon , J.D. Brunzell","doi":"10.1016/j.ics.2007.03.019","DOIUrl":"10.1016/j.ics.2007.03.019","url":null,"abstract":"<div><p><span><span>Premature coronary artery disease classic risk factors primarily include increased low-density lipoprotein cholesterol (LDL-C) and decreased high-density lipoprotein cholesterol (HDL-C), as more recently shown elevated </span>apolipoprotein B<span><span> or reduced apolipoprotein A-I levels. Extensive characterization of familial and </span>genetic<span> dyslipidaemia has led to identification of specific defects in </span></span></span>lipid metabolism<span><span> associated with increased risk of premature coronary artery disease. Probands of these families with common genetic forms of dyslipidaemia were studied to determine if apoB or apoA-I defines genetic groups and if apoB or apoA-I levels relate to premature coronary artery disease risk. Elevated apoB was characteristic of </span>familial hypercholesterolemia<span>, familial combined hyperlipidaemia<span> (FCHL and was seen in individuals with elevated Lp(a). Normal apoB levels were seen in familial hypertriglyceridaemia<span> and in ‘coronary artery disease with low-HDL cholesterol’. ApoA-I levels were found to be low in FCHL and were decreased in familial hypoalphalipoproteinemia (FHA). However, in familial hypertriglyceremia, even though HDL-C levels were low, normal apoA-I and apoB levels were seen in the absence of premature coronary artery disease. Therefore, in genetic dyslipidaemias elevated apoB levels and reduced apoA-I levels (or increased apoB/A-I ratio) differ and predict premature coronary artery disease suggesting a great potential for routine screening of apoB and apoA-I in determination of CAD risk and response to therapy.</span></span></span></span></p></div>","PeriodicalId":84918,"journal":{"name":"International congress series","volume":"1303 ","pages":"Pages 85-94"},"PeriodicalIF":0.0,"publicationDate":"2007-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ics.2007.03.019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"97278097","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}
{"title":"When and how to restore β-cell function?","authors":"Francesca Pancani, Roberto Lupi, Roberto Miccoli, Piero Marchetti, Stefano Del Prato","doi":"10.1016/j.ics.2007.03.029","DOIUrl":"10.1016/j.ics.2007.03.029","url":null,"abstract":"<div><p><span>Diabetes is due to the concomitant presence of insulin resistance and impaired insulin secretion<span>. β-Cell dysfunction begins during the prediabetic period, is progressive and not modified by the used therapy. It seems to be determined also by the genetic pattern, and some variants of </span></span><span><em>TCF7L2</em></span><span> gene show in recent reports the strongest association with the alteration of both β-cell function and mass. New therapeutic approaches should therefore improve not only the function but also the β-cell mass. To this aim, strict glycemic control<span>, insulin-sensitizers such as thiazolidinediones<span> and incretin mimetic molecules can be used.</span></span></span></p></div>","PeriodicalId":84918,"journal":{"name":"International congress series","volume":"1303 ","pages":"Pages 138-145"},"PeriodicalIF":0.0,"publicationDate":"2007-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ics.2007.03.029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92729952","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}
{"title":"The anti-atherogenic properties of HDL particles","authors":"G. Zuliani, G.B. Vigna, R. Fellin","doi":"10.1016/j.ics.2007.04.003","DOIUrl":"10.1016/j.ics.2007.04.003","url":null,"abstract":"<div><p><span><span><span>High density lipoproteins<span><span> (HDLs) are a class of lipoproteins<span> characterized by small diameter and high density. Epidemiological studies have demonstrated that HDL cholesterol levels are inversely and independently related to the incidence of </span></span>coronary heart disease. The mechanisms involved in HDL protection against </span></span>atherosclerosis<span><span> are uncertain, but the beneficial effect of HDLs might be the consequence of its properties. The best known of them is related to the “reverse cholesterol transport”, i.e. the transfer of cholesterol from non-hepatic cells to the liver. Second, HDLs exert anti-inflammatory activity by inhibiting the expression of adhesion molecules<span> by endothelial cells and the subsequent transmigration of </span></span>monocytes<span>. Third, HDLs have antioxidant activity<span> through the anti-oxidative properties of apoprotein A-I, and the presence of enzymes such as </span></span></span></span>paraoxonase<span>, glutathione-peroxidase, and PAF<span> acetylhydrolase. Fourth, HDLs display an anti-thrombotic effect by inhibiting platelets aggregation, reducing </span></span></span>von Willebrand factor<span><span> levels, and enhancing the activity of activated protein C and S. Fifth, HDLs have a beneficial effect on endothelial function by activating </span>endothelial NO synthase<span> and enhancing NO release. Finally, high HDL-C has been associated with “longevity syndrome” while low HDL-C has been related to the “frailty syndrome”, suggesting a possible role of HDL in the phenomenon of successful aging.</span></span></p></div>","PeriodicalId":84918,"journal":{"name":"International congress series","volume":"1303 ","pages":"Pages 103-110"},"PeriodicalIF":0.0,"publicationDate":"2007-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ics.2007.04.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"111486786","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}
{"title":"Acknowledgements and Introduction","authors":"","doi":"10.1016/S0531-5131(07)00394-9","DOIUrl":"https://doi.org/10.1016/S0531-5131(07)00394-9","url":null,"abstract":"","PeriodicalId":84918,"journal":{"name":"International congress series","volume":"1303 ","pages":"Page v"},"PeriodicalIF":0.0,"publicationDate":"2007-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0531-5131(07)00394-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138239491","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}
{"title":"Efficacy and safety of pioglitazone: The proactive study","authors":"Paolo Brunetti","doi":"10.1016/j.ics.2007.03.018","DOIUrl":"10.1016/j.ics.2007.03.018","url":null,"abstract":"<div><p>In this paper a new analysis of the PROactive study is presented. If procedure-related endpoints (coronary and leg revascularisation) are excluded, the efficacy of pioglitazone<span> in the prevention of all-cause mortality, non-fatal myocardial infarction and stroke, in high risk type 2 diabetic patients, is clearly shown by the study. As far as the safety issues are concerned, the reported increase in heart failure is most likely due to the greater incidence of edema in pioglitazone-treated patients.</span></p></div>","PeriodicalId":84918,"journal":{"name":"International congress series","volume":"1303 ","pages":"Pages 155-159"},"PeriodicalIF":0.0,"publicationDate":"2007-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ics.2007.03.018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92888931","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}
Liliana Grigore , Giuseppe Danilo Norata , Alberico L. Catapano
{"title":"Inhibition of synthesis and absorption of cholesterol: A new option in managing hypercholesterolemia","authors":"Liliana Grigore , Giuseppe Danilo Norata , Alberico L. Catapano","doi":"10.1016/j.ics.2007.04.004","DOIUrl":"10.1016/j.ics.2007.04.004","url":null,"abstract":"<div><p><span><span>Although widely used in lipid<span> lowering therapy, HMG CoA reductase inhibitors or statins (even when administered at high doses) are frequently insufficient to achieve guideline-recommended LDL-C goals for many patients with </span></span>hypercholesterolemia in everyday clinical practice. Often over half of patients do not achieve LDL-C goal on the initial dose of </span>statin<span> and most of these patients do not reach goal neither after 6 months. Thus, a wide therapeutic gap exists between target LDL-C levels and those typically achieved in clinical practice. A recent and more effective therapeutic strategy, therefore, is to treat the two main sources of cholesterol simultaneously (production of cholesterol, mainly in the liver, and absorption of cholesterol in the intestine) with a complementary mechanism of action, by co-administering ezetimibe, a novel agent inhibiting cholesterol absorption, together with a statin, which inhibits cholesterol production in the liver. Ezetimibe can be effectively co-administered with any dose of any statin and, compared with single inhibition of cholesterol production, afforded by statins alone, provides consistently greater reductions in LDL-C through Dual Inhibition of both cholesterol production and absorption. Here we summarize the pivotal role of both the liver and intestine in the overall balance of cholesterol in the body and describe the clinical impact and relevance of inhibiting both sources of cholesterol either by using ezetimibe/simvastatin as a single tablet or co-administering ezetimibe together with any dose of any statin.</span></p></div>","PeriodicalId":84918,"journal":{"name":"International congress series","volume":"1303 ","pages":"Pages 121-128"},"PeriodicalIF":0.0,"publicationDate":"2007-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ics.2007.04.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"95188304","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}
{"title":"Lifestyle and outcome among patients with type 2 diabetes","authors":"Gang Hu , Jaakko Tuomilehto","doi":"10.1016/j.ics.2007.03.022","DOIUrl":"10.1016/j.ics.2007.03.022","url":null,"abstract":"<div><p><span><span>Type 2 diabetes<span> is one of the fastest growing public health problems in both developed and developing countries. Cardiovascular disease is the most prevalent complication of type 2 diabetes. Data from prospective studies have shown that regular physical activity is an efficient tool in the prevention of cardiovascular disease events in type 2 diabetic patients. The favorable association of physical activity with longevity was observed regardless of the levels of </span></span>body mass index<span><span>, blood pressure, total cholesterol, and smoking. Several dietary factors modify the risk of type 2 diabetes, and also the risk of cardiovascular disease </span>in patients with diabetes. For instance coffee drinking reduces the risk of type 2 diabetes in the population, and furthermore in type 2 diabetic patients it is associated with a decreased risk of cardiovascular risk. Results from </span></span>clinical trials<span> have indicated that lifestyle changes, including dietary modification and increase in physical activity, can prevent type 2 diabetes. Public health messages, health care professionals, and the health care system should strongly promote physical activity and healthy nutritional habits during daily life and prevent overweight and obesity. Prevention of cardiovascular disease in patients with type 2 diabetes should start from the prevention of diabetes itself.</span></p></div>","PeriodicalId":84918,"journal":{"name":"International congress series","volume":"1303 ","pages":"Pages 160-171"},"PeriodicalIF":0.0,"publicationDate":"2007-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ics.2007.03.022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"100110853","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}
{"title":"Inflammation and macrophage infiltration in adipose tissue: A link between diabetes and atherosclerosis","authors":"Rossella Menghini, Renato Lauro, Massimo Federici","doi":"10.1016/j.ics.2007.04.002","DOIUrl":"10.1016/j.ics.2007.04.002","url":null,"abstract":"<div><p><span>Obesity is associated with macrophage infiltration of adipose tissue, resulting in the development of insulin resistance and cardiovascular diseases. MCP-1 is involved in monocyte recruitment to both early atherosclerotic lesion and adipose tissue. We recently described two possible mechanisms upstream MCP-1 activation. The first involved insulin dependent phosphorylation of </span>GATA2<span><span>, a transcription factor crucial for adipogenesis and inflammatory program. In the second we showed that an increased expression of several inflammation markers, including MCP-1 in metabolic and </span>vascular tissues<span><span> might due to a deregulation of TNF-alpha Converting Enzyme (TACE). GATA-2 and TACE could be new targets in the </span>treatment of obesity related inflammation and its complications.</span></span></p></div>","PeriodicalId":84918,"journal":{"name":"International congress series","volume":"1303 ","pages":"Pages 23-30"},"PeriodicalIF":0.0,"publicationDate":"2007-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ics.2007.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"102048537","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}
{"title":"Cerebrovascular disease in type 2 diabetes","authors":"Markku Laakso, Johanna Kuusisto","doi":"10.1016/j.ics.2007.03.017","DOIUrl":"10.1016/j.ics.2007.03.017","url":null,"abstract":"<div><p><span><span><span>Type 2 diabetes is associated with at least 2-fold elevated risk for all macrovascular complications, </span>coronary heart disease<span>, stroke and peripheral vascular disease. The prevalence and incidence of </span></span>hemorrhagic stroke<span> is not higher among subjects with type 2 diabetes than in non-diabetic subjects. Therefore, an excess risk of stroke is due to high occurrence of ischemic strokes<span>. High LDL cholesterol, </span></span></span>elevated blood pressure<span><span><span><span>, smoking, low HDL cholesterol, high levels of total </span>triglycerides<span> and insulin, central obesity, impaired glucose tolerance and </span></span>atrial fibrillation<span><span> have been associated with the risk of stroke. Diabetic patients with stroke should receive effective antihypertensive therapy, lipid-lowering medication, medication to obtain good </span>glycemic control, and anti-platelet therapy. Surgical </span></span>revascularization<span><span> is indicated in patients<span> with hemodynamically significant internal carotid artery atherosclerosis independently of symptoms. Patients with atrial fibrillation should be on </span></span>anticoagulation therapy.</span></span></p></div>","PeriodicalId":84918,"journal":{"name":"International congress series","volume":"1303 ","pages":"Pages 65-69"},"PeriodicalIF":0.0,"publicationDate":"2007-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ics.2007.03.017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"105501961","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}