目的:本研究调查了以社区为基础的日本人群低密度脂蛋白(LDL)表面电荷与血清LDL-胆固醇和动脉粥样硬化水平的关系。
方法:本研究采用横断面设计,纳入409名35-79岁社区居民,他们没有服用血脂异常药物。LDL的电位电荷和ζ电位,显示LDL的表面电荷,通过激光多普勒微电泳进行测量。LDL的ζ电位(-mV)与血清LDL-胆固醇水平(mg/dL)的相关性,心踝血管指数(CAVI),和血清高敏C反应蛋白(hsCRP)水平(对数转换值,mg/L)使用Pearson相关系数(r)进行检查。在调整潜在的混杂因素后,构建线性回归模型来检查这些关联。
结果:总共201名具有正确储存的样品的受试者被包括在用于ζ电位测量的初级分析中。在LDLζ电位和血清LDL-胆固醇水平之间观察到负相关(r=-0.20;p=0.004)。这种逆关联是在调整性别后观察到的,年龄,膳食胆固醇摄入量,吸烟状况,酒精摄入量,身体质量指数,和主要类别的游离脂肪酸的血清水平(标准化的β=-6.94;p=0.005)。然而,LDL的zeta电位与CAVI或血清hsCRP水平几乎无相关性.在具有受损样品的208名受试者以及所有原始409名受试者中观察到类似的模式。
结论:在一般日本人群中,较高的LDL负电性表面电荷与较低的血清LDL-胆固醇水平相关。
OBJECTIVE: This study investigated the associations of the surface charge of low-density lipoprotein (LDL) with the serum LDL-cholesterol and atherosclerosis levels in a community-based Japanese population.
METHODS: The study had a cross-sectional design and included 409 community residents aged 35-79 years who did not take medications for dyslipidemia. The potential electric charge of LDL and the zeta potential, which indicate the surface charge of LDL, were measured by laser Doppler microelectrophoresis. The correlations of the zeta potential of LDL (-mV) with the serum LDL-cholesterol levels (mg/dL), cardio-ankle vascular index (CAVI), and serum high-sensitivity C-reactive protein (hsCRP) levels (log-transformed values, mg/L) were examined using Pearson\'s correlation coefficient (r). Linear regression models were constructed to examine these associations after adjusting for potential confounding factors.
RESULTS: A total of 201 subjects with correctly stored samples were included in the primary analysis for zeta potential measurement. An inverse correlation was observed between the LDL zeta potential and the serum LDL-cholesterol levels (r=-0.20; p=0.004). This inverse association was observed after adjusting for sex, age, dietary cholesterol intake, smoking status, alcohol intake, body mass index, and the serum levels of the major classes of free fatty acids (standardized β=-6.94; p=0.005). However, the zeta potential of LDL showed almost no association with CAVI or the serum hsCRP levels. Similar patterns were observed in the 208 subjects with compromised samples as well as all the original 409 subjects.
CONCLUSIONS: A higher electronegative surface charge of LDL was associated with lower serum LDL-cholesterol levels in the general Japanese population.