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ATHEROGENIC NORMOLIPIDEMIA IN MEN WITH CORONARY ATHEROSCLEROSIS: SOME PECULIARITIES OF SUBFRACTIONAL DISTRIBUTION OF APO B-CONTAINING LIPOPROTEINS

https://doi.org/10.15372/ATER20180301

Abstract

Background: Plasma apo B-containing lipoproteins of low densities represent a heterogeneous population of particles varying by physicochemical composition, functional activity, and atherogenicity. Aim: To study some peculiarities in low density lipoproteins subfractional distribution in men with coronary atherosclerosis at normolipidemia. Material and methods: Patients with angiographically documented coronary atherosclerosis were included into the study ( n = 177; mean age 62.5 ± 9.3 yrs). Lipoprotein subfractional distribution was analyzed using Lipoprint LDL System (Quantimetrix, USA). Results: Out the total cohort normolipidemic patients (total C < 5,0 mmol/l, TG < 1.7 mmol/l, LDL-C < 2.5 mmol/l) with coronary atherosclerosis were selected and thereafter were split into those without small dense LDL (sdLDL) - group 1, n = 16, and and group 2 with presence of sdLDL ( n = 22). Patients from group 2 had lower portion of IDLB: 7.0 ± 1.2 vs 8.5 ± 1.0 %, IDLА: 7.9 ± 1.7 vs 9.6 ± 2.5 %, and higher LDL2 portion: 7.0 ± 2.0 vs 4.3 ± 1.6 %. In group 2 C level in LDL2 was higher than in group 1 while in IDL B it appeared to be lower. Mean LDL particles size in group 2 was lower as well: 270.7 ± 1.3 и 273.8 ± 0.8 Е. Conclusion. In men with coronary atherosclerosis at normolipidemia two different patterns of subfractional distribution of apo B-containing lipoproteins were detected. Presence of sd LDL associated with decreased LDL size could be regarded as more atherogenic profile even at normal lipid levels.

About the Authors

I. N. Ozerova
National Medical Research Center for Preventive Medicine of Minzdrav of Russia
Russian Federation


V. A. Metelskaya
National Medical Research Center for Preventive Medicine of Minzdrav of Russia
Russian Federation


N. E. Gavrilova
National Medical Research Center for Preventive Medicine of Minzdrav of Russia
Russian Federation


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For citations:


Ozerova I.N., Metelskaya V.A., Gavrilova N.E. ATHEROGENIC NORMOLIPIDEMIA IN MEN WITH CORONARY ATHEROSCLEROSIS: SOME PECULIARITIES OF SUBFRACTIONAL DISTRIBUTION OF APO B-CONTAINING LIPOPROTEINS. Ateroscleroz. 2018;14(3):5-11. (In Russ.) https://doi.org/10.15372/ATER20180301

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