Circadian change of serum concentration of small dense LDL-cholesterol in type 2 diabetic patients

Circadian change of serum concentration of small dense LDL-cholesterol in type 2 diabetic patients
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DOI:
10.1016/j.cca.2009.11.017
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发表时间:
2010-02-02
影响因子:
5
通讯作者:
Miida, Takashi
Miida, Takashi
中科院分区:
医学3区
文献类型:
--
作者:
Hirayama, Satoshi;Soda, Satoshi;Miida, Takashi

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背景:2型糖尿病患者发生动脉粥样硬化的风险高于非糖尿病患者。这种差异可能是由于糖尿病患者中小而密的低密度脂蛋白胆固醇(sLDL-C)水平升高所致。由于sLDL-C浓度升高高血脂症,这是夸大postprandially,我们研究是否sLDL-C水平增加postprandially在2型diabetes.Methods:我们获得了7个血液样本(30分钟前和2小时后,每餐,午夜)从15例糖尿病患者和10名正常对照。结果:糖尿病患者空腹sLDL-C浓度比对照组高60.3%(1.01 ± 0.21对0.63 ± 0.21 mmol/l,P < 0.01),空腹sLDL-C浓度比对照组高1.01 ± 0.21 mmol/l(P < 0.01),空腹sLDL-C浓度比对照组高1.01 ± 0.21 mmol/l(P < 0.01),空腹sLDL-C浓度比对照组高1.01 ± 0.21 mmol/l(P < 0.01),空腹sLDL-C浓度比对照组高1.01 ± 0.21 mmol/l(P < 0.01)。
Background: Type 2 diabetic patients have a higher risk of atherosclerosis than non-diabetic subjects. This difference may be attributable to increased levels of small dense low-density lipoprotein-cholesterol (sLDL-C) in diabetic patients. As the sLDL-C concentration is elevated in hypertriglyceridemia, which is exaggerated postprandially, we examined whether the sLDL-C level increases postprandially in type 2 diabetes.Methods: We obtained 7 blood samples (30 min before and 2 h after each meal, and at midnight) from 15 patients with diabetes and ten normal controls. Following the precipitation of very low-density lipoprotein and large buoyant LDL (bLDL) with heparin-Mg2+, the sLDL-C concentration was determined as the cholesterol concentration by a homogeneous assay.Results: The fasting sLDL-C concentration was 60.3% higher in the diabetic patients than in the controls (1.01 +/- 0.21 vs. 0.63 +/- 0.21 mmol/l,p