ATVB:HDL指标与女性动脉粥样硬化风险

2018-08-07 xing.T MedSci原创

由此可见,升高的HDL-C在绝经后女性中可能并不总是具有心脏保护作用。较大的HDL-P的心脏保护能力可能会在接近绝经期时发生不利影响,从而支持评估更年期过渡如何影响HDL质量和生命后期相关的心血管疾病风险的重要性。

HDL-C(高密度脂蛋白胆固醇)在绝经后妇女中可能并不总是具有心脏保护作用。通过离子迁移率的HDL颗粒(HDL-P)可以更好地反映HDL的抗动脉粥样硬化特性。近日,血管领域权威杂志Arteriosclerosis, Thrombosis, and Vascular Biology上发表了一篇研究文章,该研究旨在(1)评估HDL-C和离子迁移HDL-P分别和联合起来与女性颈动脉内膜中层厚度(cIMT)和颈动脉斑块之间的关联; (2)评估年龄与绝经时间的相互作用。

该研究分析包含了来自MESA研究的1380名女性(动脉粥样硬化的多种族研究;年龄:61.8±10.3岁; 61%自然绝经,21%手术绝经和18%处于围绝经期)。绝经时间未知或早期绝经(非手术更年期≤45岁)的女性被排除在外。

相互调整后,研究人员发现较高的HDL-P但不是HDL-C与较低的cIMT相关(P=0.001),而较高的HDL-C但不是HDL-P与存在较大的颈动脉斑块风险相关(P=0.04)。绝经后的时间显著改变了较大而不是较小HDL-P与cIMT之间的关联; 较高的大HDL-P水平与接近绝经女性较高的cIMT相关,但在生命后期与较低的cIMT相关。致动脉粥样硬化的HDL-C与颈动脉斑块之间的关联最明显是在绝经后时间较长的女性中,尤其是绝经10年以上的女性。

由此可见,升高的HDL-C在绝经后女性中可能并不总是具有心脏保护作用。较大的HDL-P的心脏保护能力可能会在接近绝经期时发生不利影响,从而支持评估更年期过渡如何影响HDL质量和生命后期相关的血管疾病风险的重要性。

原始出处:

Samar R. El Khoudary,et al. HDL (High-Density Lipoprotein) Metrics and Atherosclerotic Risk in Women Do Menopause Characteristics Matter? MESA.ATVB.2018. https://www.ahajournals.org/doi/10.1161/ATVBAHA.118.311017

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    2019-02-24 gongliu
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    2018-08-10 太阳系小猪

    高密度在女性绝经后保护作用不明显,绝经太可怕了

    0

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attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Wed Aug 08 10:48:06 CST 2018, time=2018-08-08, status=1, ipAttribution=)]
    2018-08-09 ZGMFX24A
  5. 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attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Wed Aug 08 10:48:06 CST 2018, time=2018-08-08, status=1, ipAttribution=)]
    2018-08-08 Y—xianghai

    学习了长知识

    0

  6. 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attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Wed Aug 08 10:48:06 CST 2018, time=2018-08-08, status=1, ipAttribution=)]
    2018-08-08 Y—xianghai

    学习了长知识

    0

  7. 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attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Wed Aug 08 10:48:06 CST 2018, time=2018-08-08, status=1, ipAttribution=)]
    2018-08-08 Y—xianghai

    学习了长知识

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1944546, encodeId=7f061944546df, content=<a href='/topic/show?id=411de6300ad' target=_blank style='color:#2F92EE;'>#粥样硬化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76300, encryptionId=411de6300ad, topicName=粥样硬化)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b30d401, createdName=huangshifeng, createdTime=Wed Oct 17 01:03:00 CST 2018, time=2018-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1977967, encodeId=9e5e19e796797, content=<a href='/topic/show?id=20411e958de' target=_blank style='color:#2F92EE;'>#TVB#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17958, encryptionId=20411e958de, topicName=TVB)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1a5a149, 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attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Wed Aug 08 10:48:06 CST 2018, time=2018-08-08, status=1, ipAttribution=)]
    2018-08-08 Y—xianghai

    学习了长知识

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1944546, encodeId=7f061944546df, content=<a href='/topic/show?id=411de6300ad' target=_blank style='color:#2F92EE;'>#粥样硬化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76300, encryptionId=411de6300ad, topicName=粥样硬化)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b30d401, createdName=huangshifeng, createdTime=Wed Oct 17 01:03:00 CST 2018, time=2018-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1977967, encodeId=9e5e19e796797, content=<a href='/topic/show?id=20411e958de' target=_blank style='color:#2F92EE;'>#TVB#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17958, encryptionId=20411e958de, topicName=TVB)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1a5a149, 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attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Wed Aug 08 10:48:06 CST 2018, time=2018-08-08, status=1, ipAttribution=)]
    2018-08-08 Y—xianghai

    学习了长知识

    0

  10. 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    2018-08-08 Y—xianghai

    学习了长知识

    0