Subantimicrobial-dose doxycycline treatment increases serum cholesterol efflux capacity from macrophages.

Subantimicrobial-dose doxycycline treatment increases serum cholesterol efflux capacity from macrophages.
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DOI:
10.1007/s00011-013-0626-z
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发表时间:
2013-07
影响因子:
6.7
通讯作者:
Sorsa, Timo
Sorsa, Timo
中科院分区:
医学2区
文献类型:
--
作者:
Salminen, Aino;Pussinen, Pirkko J.;Payne, Jeffrey B.;Stoner, Julie A.;Jauhiainen, Matti;Golub, Lorne M.;Lee, Hsi-Ming;Thompson, David M.;Sorsa, Timo

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Subantimicrobial dose doxycycline (SDD) treatment has been reported to reduce the severity of chronic inflammation and to increase serum HDL cholesterol. We determined in a double-blind, placebo-controlled clinical trial, whether SDD affects the ability of serum to facilitate cholesterol removal from macrophages. Forty-five postmenopausal osteopenic women with periodontitis were randomly assigned to take placebo (n=26) or doxycycline hyclate (20 mg, n=19) tablets twice daily for 2 years. Serum samples were collected at baseline, 1-year, and 2-year appointments. The cholesterol efflux capacity of serum from cultured human macrophages (THP-1) was measured. SDD subjects demonstrated a significant increase in serum-mediated cholesterol efflux from macrophages at both time points, compared to baseline (p < 0.04 for each). Mean cholesterol efflux levels over the first year of follow-up were 3.0 percentage points (unit change) higher among SDD subjects compared to placebo subjects (p = 0.010), while there was no significant difference in 2-year changes. There were no significant differences in the changes of apolipoprotein A-I, apolipoprotein A-II, or serum amyloid A levels between the groups. Our results suggest that SDD treatment may reduce the risk of cardiovascular disease in this patient group by increasing the cholesterol efflux capacity of serum.
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