脂联素变异对血脂和血浆脂联素水平的影响:一项多中心系统评价和荟萃分析。

IF 3.4 4区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular Therapeutics Pub Date : 2022-07-07 eCollection Date: 2022-01-01 DOI:10.1155/2022/4395266
Guiqing Wang, Yufeng Wang, Zhi Luo
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引用次数: 2

摘要

背景:脂联素是公认的抗动脉粥样硬化分子;本研究旨在阐明脂联素变异对脂质和脂联素水平的影响。方法:通过检索PubMed和Cochrane数据库,检索2022年3月31日之前发表的研究,共纳入86610人。结果:rs2241766和rs266729的变异与脂联素和高密度脂蛋白胆固醇(HDL-C)的降低以及甘油三酯(TG)、总胆固醇(TC)和低密度脂蛋白胆固醇(LDL-C)水平的升高有关。相反,rs1501299变异与脂联素和HDL-C升高以及TG、TC和LDL-C水平降低相关。亚组分析表明,rs2241766和rs266729变异对血脂的显著影响在中国人中占主导地位,而rs1501299变异对血脂的显著影响主要在白种人中。此外,rs2241766和rs1501299变异对男性LDL-C水平的影响更强,而rs266729变异对儿童LDL-C水平的影响相当大。结论:本研究表明,携带rs2241766和rs266729变异的中国人发生血脂异常、动脉粥样硬化或冠状动脉疾病(CAD)的风险较高。携带rs2241766变异的男性患CAD的风险较高。携带rs266729变异的儿童在未来发生血脂异常、动脉粥样硬化甚至早发CAD的风险很高。这些发现有助于临床医生选择不同的心血管疾病(CVD)预防管理策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Effect of Adiponectin Variant on Lipid Profile and Plasma Adiponectin Levels: A Multicenter Systematic Review and Meta-Analysis.

Effect of Adiponectin Variant on Lipid Profile and Plasma Adiponectin Levels: A Multicenter Systematic Review and Meta-Analysis.

Effect of Adiponectin Variant on Lipid Profile and Plasma Adiponectin Levels: A Multicenter Systematic Review and Meta-Analysis.

Effect of Adiponectin Variant on Lipid Profile and Plasma Adiponectin Levels: A Multicenter Systematic Review and Meta-Analysis.

Background: Adiponectin is a recognized antiatherogenic molecule; this study was aimed at clarifying the effects of adiponectin variants on lipid and adiponectin levels.

Methods: By searching PubMed and Cochrane databases for studies published before March 31, 2022, a total of 86,610 individuals were included in the analysis.

Results: Variants of rs2241766 and rs266729 were associated with decreased adiponectin and high-density lipoprotein cholesterol (HDL-C), as well as increased triglycerides (TG), total cholesterol (TC), and low-density lipoprotein cholesterol (LDL-C) levels. In contrast, the rs1501299 variant was correlated with increased adiponectin and HDL-C, as well as decreased TG, TC, and LDL-C levels. Subgroup analysis indicated that the significant effect of the rs2241766 and rs266729 variants on lipid profile was predominant in Chinese, while the significant effect of the rs1501299 variant on lipid profile was primarily in Caucasians. Moreover, a stronger effect of the rs2241766 and rs1501299 variants on LDL-C levels was observed in males, while a considerable effect of the rs266729 variant on LDL-C levels was observed in children.

Conclusions: The present study indicated that Chinese with the rs2241766 and rs266729 variants were at high risk of dyslipidemia, atherosclerosis, or coronary artery disease (CAD). Males with the rs2241766 variant were at high risk of CAD. Children with the rs266729 variant had a high risk to develop dyslipidemia, atherosclerosis, and even early onset of CAD in the future. These findings are beneficial to clinical physicians to choose different management strategies for cardiovascular disease (CVD) prevention.

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来源期刊
Cardiovascular Therapeutics
Cardiovascular Therapeutics 医学-心血管系统
CiteScore
5.60
自引率
0.00%
发文量
55
审稿时长
6 months
期刊介绍: Cardiovascular Therapeutics (formerly Cardiovascular Drug Reviews) is a peer-reviewed, Open Access journal that publishes original research and review articles focusing on cardiovascular and clinical pharmacology, as well as clinical trials of new cardiovascular therapies. Articles on translational research, pharmacogenomics and personalized medicine, device, gene and cell therapies, and pharmacoepidemiology are also encouraged. Subject areas include (but are by no means limited to): Acute coronary syndrome Arrhythmias Atherosclerosis Basic cardiac electrophysiology Cardiac catheterization Cardiac remodeling Coagulation and thrombosis Diabetic cardiovascular disease Heart failure (systolic HF, HFrEF, diastolic HF, HFpEF) Hyperlipidemia Hypertension Ischemic heart disease Vascular biology Ventricular assist devices Molecular cardio-biology Myocardial regeneration Lipoprotein metabolism Radial artery access Percutaneous coronary intervention Transcatheter aortic and mitral valve replacement.
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