Source:http://linkedlifedata.com/resource/pubmed/id/11996958
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rdf:type | |
lifeskim:mentions |
umls-concept:C0003593,
umls-concept:C0052451,
umls-concept:C0085201,
umls-concept:C0163401,
umls-concept:C0243102,
umls-concept:C0332281,
umls-concept:C0456603,
umls-concept:C0681850,
umls-concept:C0683149,
umls-concept:C1550501,
umls-concept:C1553355,
umls-concept:C1706203,
umls-concept:C1956346,
umls-concept:C2349001,
umls-concept:C2697811
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pubmed:issue |
2
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pubmed:dateCreated |
2002-5-8
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pubmed:abstractText |
To determine the association of serum apolipoprotein (apo) A-I and B concentrations, and paraoxonase (PON) high-density lipoprotein (HDL) associated enzyme activity with angiographically determined coronary artery disease (CAD) in Iranian diabetic and non-diabetic CAD patients and non-diabetic control subjects, 251 subjects aged 30-70 years, who underwent their first coronary angiography were matched and randomly assigned into three groups: CAD(+)DM(+), CAD(+)DM(-), and CAD(-)DM(-) (control). Stenosis of > or =50% in one or more coronary arteries was classified as CAD(+). CAD(-) was defined as a maximum stenosis of 10% in any coronary artery. Fasting serum concentrations of cholesterol (TC), triglycerides (TGs), LDL-C, HDL-C, apo A-I/B and PON activity were determined. Apolipoprotein concentrations were measured in a fasting serum sample by immunoturbidometric assay and paraoxonase/arylesterase activities by spectrophotometric assay of p-nitrophenol/phenol production following addition of paraoxon/phenylacetate. Information concerning non-lipid risk factors were collected by questionnaires. No significant difference was observed in HDL-C, LDL-C, apo A-I, and PON/arylesterase activity between the study groups. The values of TC (213+/-38 vs 196+/-45, P<0.05), TGs (209+/-187 vs 151+/-113, P<0.01), apo B (99+/-22 vs 96+/-24, P<0.0001), TC/HDL-C (4.8+/-1.5 vs 4.0+/-1.3, P<0.001) and LDL-C/HDL-C (2.9+/-1.1 vs 2.4+/-1.1, P<0.05) were higher and apo A-I/B (1.7+/-0.4 vs 2.0+/-0.6, P<0.01) was lower in CAD(+)DM(+) patients than in control subjects. In CAD(+)DM(-) group, only the level of apo B (96+/-24 vs 85+/-18, P<0.01), and the ratio of apo A-I/B (1.8+/-0.4 vs 2.0+/-0.6, P<0.01), were significantly higher than those of control group. On multiple logistic regression analysis, the best markers for discrimination between CAD(+) groups and CAD(-) control subjects were the ratio of apo A-I/B in diabetic and apo B in non-diabetic patients. The results suggest that in Iranian diabetic and non-diabetic patients with CAD the concentration of apolipoproteins are better markers than traditional lipid parameters in discriminating between CAD(+) and CAD(-) subjects. Lack of significant difference in PON activity between CAD patients and CAD(-) controls supports the concept of interethnic variability in PON polymorphism and unimodal distribution of its activity in non-Europid populations observed in other studies.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0021-9150
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
162
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
381-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:11996958-Apolipoprotein A-I,
pubmed-meshheading:11996958-Apolipoproteins B,
pubmed-meshheading:11996958-Aryldialkylphosphatase,
pubmed-meshheading:11996958-Case-Control Studies,
pubmed-meshheading:11996958-Coronary Disease,
pubmed-meshheading:11996958-Diabetes Mellitus, Type 2,
pubmed-meshheading:11996958-Esterases,
pubmed-meshheading:11996958-Female,
pubmed-meshheading:11996958-Humans,
pubmed-meshheading:11996958-Iran,
pubmed-meshheading:11996958-Life Style,
pubmed-meshheading:11996958-Male,
pubmed-meshheading:11996958-Middle Aged,
pubmed-meshheading:11996958-Osmolar Concentration,
pubmed-meshheading:11996958-Reference Values
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pubmed:year |
2002
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pubmed:articleTitle |
Coronary artery disease is associated with the ratio of apolipoprotein A-I/B and serum concentration of apolipoprotein B, but not with paraoxonase enzyme activity in Iranian subjects.
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pubmed:affiliation |
Endocrine Research Center, P.O. Box 4763, Shaheed Beheshti University of Medical Sciences, 19395, Tehran, Iran.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
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