泰国老年人载脂蛋白 A1 基因、血浆血脂谱、hsCRP 水平与动脉僵化风险之间的关系

Advances in Preventive Medicine Pub Date : 2022-07-14 eCollection Date: 2022-01-01 DOI:10.1155/2022/4930033
Pruttaya Supajaree, Suwannee Chanprasertyothin, Prapimporn Chattranukulchai Shantavasinkul, Piyamitr Sritara, Jintana Sirivarasai
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引用次数: 0

摘要

简介载脂蛋白 A1(ApoA1)基因多态性与高密度脂蛋白胆固醇(HDL-C)水平有关。该基因的变异以及血脂异常和炎症可能会增加血管硬化的风险。本研究旨在调查载脂蛋白A1 rs670基因变异、各种生化指标与老年人动脉僵化风险之间的联系:这项基于人群的横断面研究纳入了 355 名参与者(≥60 岁),他们填写了一份人口统计学和生活方式信息问卷。研究人员进行了临床和人体测量检查、生化分析,并通过实时 PCR 对载脂蛋白 A1 rs670 进行了基因分型。心踝关节血管指数(CAVI)用于评估动脉僵化程度:结果:年龄、体重指数、腰围、SBP、低密度脂蛋白胆固醇(LDL-C)和高敏 C 反应蛋白(hs-CRP)与老年人的高 CAVI(≥9)相关。载脂蛋白 A1 rs670 AA 基因型的平均 CAVI(8.19 ± 2.78)低于 GG 基因型(8.94 ± 1.00,P < 0.05)。高密度脂蛋白胆固醇(OR = 0.47,95% CI:0.24-0.93;p=0.030)和高 hs-CRP(OR = 0.30,95% CI:0.16-0.57;p=0.006)水平以及这两个变量的调整 OR 值都支持这些结果:结论:载脂蛋白A1 rs670基因变异涉及高密度脂蛋白的合成、运输和加工、高血压和炎症,与动脉僵化有关。需要进一步研究来阐明这些机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between ApoA1 Gene, Plasma Lipid Profile, hsCRP Level, and Risk of Arterial Stiffness in Thai Elderly.

Introduction: Apolipoprotein A1 (ApoA1) gene polymorphism is linked to high-density lipoprotein cholesterol (HDL-C) levels. Variations in this gene, along with dyslipidemia and inflammation, may increase the risk of vascular stiffness. This study aimed to investigate the link between ApoA1 rs670 genetic variations, various biochemical parameters, and the risk of arterial stiffness in older people.

Methods: This population-based cross-sectional study included 355 participants (≥60 years) who completed a demographic and lifestyle information questionnaire. Clinical and anthropometric examination, biochemical analysis, and ApoA1 rs670 genotyping by real-time PCR were performed. The cardio-ankle vascular index (CAVI) was used to assess arterial stiffness.

Results: Age, BMI, waist circumference, SBP, LDL-C, and high-sensitivity C-reactive protein (hs-CRP) were associated with high CAVI (≥9) among older people. The mean CAVI (8.19 ± 2.78) for the ApoA1 rs670 AA genotype was lower than that of the GG genotypes (8.94 ± 1.00, p < 0.05). These results are supported by HDL-C (OR = 0.47, 95% CI: 0.24-0.93; p=0.030) and high hs-CRP (OR = 0.30, 95% CI: 0.16-0.57; p=0.006) levels together with adjusted ORs of both variables.

Conclusion: ApoA1 rs670 genetic variations involved in the synthesis, transport, and processing of HDLs, hypertension, and inflammation are linked to arterial stiffness. Further studies are required to clarify these mechanisms.

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