triglyceride

甘油三酯
  • 文章类型: Journal Article
    脂质是肉制品中存在气味剂的关键基质。使用理化分析和多维统计学,从脂质和传热的角度阐明了230°C下空气油炸(AF)猪肉气味的形成机理。确定了29种关键的香气化合物,吡嗪主要有助于空气油炸烤猪肉的烘烤香气。非靶向脂质组学显示,烘烤过程中猪肉中的脂质含量为1184,与磷脂酰胆碱(PC),磷脂酰乙醇胺(PE),和甘油三酯(TG)是主要的脂质,占总脂质的约60%。TG与C18酰基,如TG16:1_18:1_18:2和TG18:0_18:0_20:3在形成AF猪肉的香气方面特别重要。OPLS-DA模型确定了7种潜在的生物标志物,它们区分了5种烘烤时间,包括PC16:0_18:3和2-乙基-3,5-二甲基吡嗪。值得注意的是,较低的比热容和水活度加速传热,促进AF猪肉中气味剂的形成和保留。
    Lipids are the key matrix for the presence of odorants in meat products. The formation mechanism of odorants of air-fried (AF) pork at 230 °C was elucidated from the perspectives of lipids and heat transfer using physicochemical analyses and multidimensional statistics. Twenty-nine key aroma compounds were identified, with pyrazines predominantly contributing to the roasty aroma of air-fried roasted pork. Untargeted lipidomics revealed 1184 lipids in pork during roasting, with phosphatidylcholine (PC), phosphatidylethanolamine (PE), and triglyceride (TG) being the major lipids accounting for about 60 % of the total lipids. TG with C18 acyl groups, such as TG 16:1_18:1_18:2 and TG 18:0_18:0_20:3, were particularly significant in forming the aroma of AF pork. The OPLS-DA model identified seven potential biomarkers that differentiate five roasting times, including PC 16:0_18:3 and 2-ethyl-3,5-dimethylpyrazine. Notably, a lower specific heat capacity and water activity accelerated heat transfer, promoting the formation and retention of odorants in AF pork.
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  • 文章类型: Journal Article
    背景:众所周知,1型糖尿病(T1DM)会引发脂质代谢的破坏。本研究旨在比较T1DM患者实现血糖控制后的血脂变化,并探讨其潜在机制。此外,我们寻求在血糖控制条件下,鉴定与T1DM相关的新型脂质生物标志物.
    方法:共27例T1DM患者(年龄:34.3±11.2岁),血糖控制维持一年以上,并招募了24名健康对照(年龄:35.1±5.56岁)。分析所有参与者的临床特征并收集血浆样品用于使用质谱法的非靶向脂质组学分析。
    结果:我们从13个主要类别中鉴定出594种脂质。血浆血脂谱的差异分析显示,血糖水平控制的T1DM患者的血脂水平普遍下降。包括甘油三酯(TAG)和甘油二酯(DAG)的显着下降。此外,这些T1DM患者的6种磷脂酰胆碱(PC)和3种磷脂酰乙醇胺(PE)水平较低.随机森林分析确定DAG(14:0/20:0)和PC(18:0/20:3)是血糖控制下T1DM的最突出的血浆标志物(AUC=0.966)。
    结论:在血糖控制下的T1DM患者中,来自13种脂质类别的所有代谢物水平均发生了变化,有标签,DAG,PC,PE,FFA表现出最显著的下降。该研究确定DAG(14:0/20:0)和PC(18:0/20:3)为血糖水平受控的T1DM患者的有效血浆生物标志物。
    BACKGROUND: Type 1 diabetes mellitus (T1DM) is well-known to trigger a disruption of lipid metabolism. This study aimed to compare lipid profile changes in T1DM patients after achieving glucose control and explore the underlying mechanisms. In addition, we seek to identify novel lipid biomarkers associated with T1DM under conditions of glycemic control.
    METHODS: A total of 27 adults with T1DM (age: 34.3 ± 11.2 yrs) who had maintained glucose control for over a year, and 24 healthy controls (age: 35.1 + 5.56 yrs) were recruited. Clinical characteristics of all participants were analyzed and plasma samples were collected for untargeted lipidomic analysis using mass spectrometry.
    RESULTS: We identified 594 lipid species from 13 major classes. Differential analysis of plasma lipid profiles revealed a general decline in lipid levels in T1DM patients with controlled glycemic levels, including a notable decrease in triglycerides (TAGs) and diglycerides (DAGs). Moreover, these T1DM patients exhibited lower levels of six phosphatidylcholines (PCs) and three phosphatidylethanolamines (PEs). Random forest analysis determined DAG(14:0/20:0) and PC(18:0/20:3) to be the most prominent plasma markers of T1DM under glycemic control (AUC = 0.966).
    CONCLUSIONS: The levels of all metabolites from the 13 lipid classes were changed in T1DM patients under glycemic control, with TAGs, DAGs, PCs, PEs, and FFAs demonstrating the most significant decrease. This research identified DAG(14:0/20:0) and PC(18:0/20:3) as effective plasma biomarkers in T1DM patients with controled glycemic levels.
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  • 文章类型: Journal Article
    背景:脂质积累产物(LAP)是一种指示体内过多脂肪积累的量度。LAP一直是旨在预测慢性和代谢性疾病的流行病学研究的重点。本研究旨在评估伊朗西部成年人LAP与2型糖尿病(T2DM)之间的关系。
    方法:该研究涉及9,065名成年人,他们参加了Ravansar非传染性疾病研究(RaNCD)队列的初始阶段。为了研究LAP和T2DM之间的关联,采用多元逻辑回归。此外,受试者工作特征(ROC)曲线用于评估LAP对T2DM的预测能力。
    结果:参与者的平均年龄为47.24±8.27岁,男性占49.30%,女性占50.70%。健康组平均LAP为53.10±36.60,糖尿病组平均LAP为75.51±51.34(P<0.001)。多元回归分析显示,LAP第二个四分位数的T2DM几率是第一个四分位数的1.69倍(95%CI:1.25,2.29)。此外,第三和第四四分位数的赔率分别为2.67倍(95%CI:2.01,3.55)和3.73倍(95%CI:2.83,4.92),分别。预测T2DM的ROC分析显示LAP指数的曲线下面积(AUC)为0.66(95%CI:0.64,0.68)。
    结论:在伊朗西部的成年人口中,LAP水平升高与T2DM之间有很强的关联。LAP被推荐作为筛查糖尿病易感性的潜在工具。
    BACKGROUND: The Lipid Accumulation Product (LAP) is a measure that indicates excessive fat accumulation in the body. LAP has been the focus of research in epidemiological studies aimed at forecasting chronic and metabolic diseases. This study aimed to evaluate the association between LAP and type 2 diabetes mellitus (T2DM) among adults in western Iran.
    METHODS: The study involved 9,065 adults who participated in the initial phase of the Ravansar non-communicable diseases study (RaNCD) cohort. To investigate the association between LAP and T2DM, multiple logistic regressions were employed. Additionally, the receiver operating characteristic (ROC) curve was used to evaluate LAP\'s predictive ability concerning T2DM.
    RESULTS: The participants had an average age of 47.24 ± 8.27 years, comprising 49.30% men and 50.70% women. The mean LAP was 53.10 ± 36.60 for the healthy group and 75.51 ± 51.34 for the diabetic group (P < 0.001). The multiple regression analysis revealed that the odds of T2DM in the second quartile of LAP were 1.69 (95% CI: 1.25, 2.29) times greater than in the first quartile. Furthermore, the odds in the third and fourth quartiles were 2.67 (95% CI: 2.01, 3.55) and 3.73 (95% CI: 2.83, 4.92) times higher, respectively. The ROC analysis for predicting T2DM showed that the LAP index had an area under the curve (AUC) of 0.66 (95% CI: 0.64, 0.68).
    CONCLUSIONS: A strong association was identified between elevated LAP levels and T2DM in the adult population of western Iran. LAP is recommended as a potential tool for screening diabetes susceptibility.
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  • 文章类型: Journal Article
    血脂水平与膀胱癌之间的因果关系目前仍不确定。我们的目的是揭示甘油三酯之间的因果关系,HDL,通过单变量和多变量孟德尔随机化(MR)分析,LDL和膀胱癌的风险。暴露的单核苷酸多态性(SNP)(甘油三酸酯:441,016个样品;HDL:403,943个样品;LDL:440,546个样品)从英国生物银行获得。与膀胱癌相关的遗传变异包括1554例和359,640例对照。单变量和多变量MR方法进行了后续分析,吸烟被认为是一种困惑。逆方差加权(IVW),MR-Egger,加权中位数法,Cochran的Q测试,和MR-PRESSO被认为是主要的MR分析和敏感性分析方法。单变量MR分析结果表明,甘油三酯水平(P=0.011,OR=1.001,95%CI=1.000-1.002)与膀胱癌风险增加有因果关系。多变量MR结果表明,在调整HDL的影响后,较高的甘油三酯水平仍然会增加膀胱癌的风险。LDL,吸烟(P=0.042,OR=1.001,95%CI=1.000-1.002)。我们的发现支持甘油三酯水平在遗传水平上与LDL和HDL无关,与膀胱癌风险增加有因果关系。及时关注血脂水平的变化可能会降低膀胱癌的风险。
    The causal relationship between lipid levels and bladder cancer is still inconclusive currently. We aimed to reveal the causal relationship between triglycerides, HDL, and LDL and the risk of bladder cancer by univariable and multivariable Mendelian randomization (MR) analysis. The single nucleotide polymorphisms (SNPs) of exposure (triglycerides: 441,016 samples; HDL: 403,943 samples; LDL: 440,546 samples) were obtained from UK Biobank. The Genetic variation related to bladder cancer included 1554 cases and 359,640 controls. Univariable and multivariable MR methods were conducted with subsequent analysis, and smoking was regarded as a confounder. The inverse-variance weighted (IVW), MR-Egger, weighted-median method, Cochran\'s Q test, and MR-PRESSO were considered the main MR analysis and sensitivity analysis methods. Univariable MR analysis results suggested the triglycerides level (P = 0.011, OR = 1.001, 95% CI = 1.000-1.002) was causally associated with increased risk of bladder cancer. Multivariable MR results indicated that higher triglyceride levels could still increase the risk of bladder cancer after adjusting the effects of HDL, LDL, and smoking (P = 0.042, OR = 1.001, 95% CI = 1.000-1.002). Our findings supported that triglyceride level is causally associated with an increased risk of bladder cancer independent of LDL and HDL at the genetic level. Timely attention to changes in blood lipid levels might reduce the risk of bladder cancer.
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  • 文章类型: Journal Article
    肝脏脂质代谢中断显着导致水禽脂肪堆积过多。研究表明,饮食中补充苏氨酸(Thr)可以改善肝脏脂质代谢紊乱,而Thr缺乏可导致肝脏中的这种代谢紊乱。Thr调节脂质代谢的机制尚不清楚。STAT3(信号转导和转录激活因子3),JAK-STAT(Janus激酶-信号转导和转录激活因子)途径中的关键转录因子,参与各种生物过程,包括脂质和能量代谢。这项研究调查了由于缺乏Thr而导致的STAT3在原代鸭肝细胞中脂质储存增加中的潜在参与。使用小干扰RNA和Stattic,一种特定的STAT3磷酸化抑制剂,我们探讨了STAT3表达模式对Thr调节的肝细胞脂质合成代谢的影响。通过转录组测序,我们发现了与Thr和STAT3共同调节的脂质合成和代谢相关的通路。结果表明,Thr缺乏增加了鸭原代肝细胞的脂质沉积(p<0.01)。STAT3的蛋白质和磷酸化水平的降低直接导致了这种沉积(p<0.01)。转录组学分析显示,Thr缺乏和STAT3敲低共同改变了长链脂肪酸合成和能量代谢相关通路的mRNA表达水平(p<0.05)。Thr缺乏,通过介导STAT3失活,上调的ELOVL7,PPARG,MMP1、MMP13和TIMP4mRNA水平,和下调PTGS2mRNA水平(p<0.01)。总之,这些结果表明,Thr缺乏促进脂质合成,减少脂质分解,并通过下调原代鸭肝细胞中的STAT3活性导致脂质代谢紊乱和甘油三酯沉积。
    Liver lipid metabolism disruption significantly contributes to excessive fat buildup in waterfowl. Research suggests that the supplementation of Threonine (Thr) in the diet can improve liver lipid metabolism disorder, while Thr deficiency can lead to such metabolic disorders in the liver. The mechanisms through which Thr regulates lipid metabolism remain unclear. STAT3 (signal transducer and activator of transcription 3), a crucial transcription factor in the JAK-STAT (Janus kinase-signal transducer and activator of transcription) pathway, participates in various biological processes, including lipid and energy metabolism. This research investigates the potential involvement of STAT3 in the increased lipid storage seen in primary duck hepatocytes as a result of a lack of Thr. Using small interfering RNA and Stattic, a specific STAT3 phosphorylation inhibitor, we explored the impact of STAT3 expression patterns on Thr-regulated lipid synthesis metabolism in hepatocytes. Through transcriptome sequencing, we uncovered pathways related to lipid synthesis and metabolism jointly regulated by Thr and STAT3. The results showed that Thr deficiency increases lipid deposition in primary duck hepatocytes (p < 0.01). The decrease in protein and phosphorylation levels of STAT3 directly caused this deposition (p < 0.01). Transcriptomic analysis revealed that Thr deficiency and STAT3 knockdown jointly altered the mRNA expression levels of pathways related to long-chain fatty acid synthesis and energy metabolism (p < 0.05). Thr deficiency, through mediating STAT3 inactivation, upregulated ELOVL7, PPARG, MMP1, MMP13, and TIMP4 mRNA levels, and downregulated PTGS2 mRNA levels (p < 0.01). In summary, these results suggest that Thr deficiency promotes lipid synthesis, reduces lipid breakdown, and leads to lipid metabolism disorders and triglyceride deposition by downregulating STAT3 activity in primary duck hepatocytes.
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  • 文章类型: Journal Article
    胆管癌是一种治疗选择有限的致命疾病。我们筛选了胆管癌致瘤性所需的基因,并鉴定了一种δ-6去饱和酶FADS2。FADS2耗竭降低了体内致瘤性和细胞增殖。在临床样本中,FADS2在癌细胞中表达,但在基质细胞中不表达。FADS2抑制还降低了细胞的迁移和球体形成能力,并增加了凋亡性细胞死亡和铁凋亡标志物。脂质测定显示,FADS2敲低细胞中甘油三酯和胆固醇酯水平降低。在FADS2耗尽的细胞中,耗氧比率也降低。这些数据表明,FADS2消耗导致脂质水平降低,导致能量产生减少和癌细胞恶性肿瘤的减弱。
    Cholangiocarcinoma is a fatal disease with limited therapeutic options. We screened genes required for cholangiocarcinoma tumorigenicity and identified FADS2, a delta-6 desaturase. FADS2 depletion reduced in vivo tumorigenicity and cell proliferation. In clinical samples, FADS2 was expressed in cancer cells but not in stromal cells. FADS2 inhibition also reduced the migration and sphere-forming ability of cells and increased apoptotic cell death and ferroptosis markers. Lipidome assay revealed that triglyceride and cholesterol ester levels were decreased in FADS2-knockdown cells. The oxygen consumption ratio was also decreased in FADS2-depleted cells. These data indicate that FADS2 depletion causes a reduction in lipid levels, resulting in decrease of energy production and attenuation of cancer cell malignancy.
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  • 文章类型: Journal Article
    背景:脓毒症是一种威胁生命的疾病,造成全球高死亡率。识别风险因素至关重要。胰岛素抵抗和TYG指数,与代谢紊乱有关,可以发挥作用。这项研究探讨了它们与非糖尿病败血症患者死亡率的相关性。
    方法:这项回顾性队列研究使用了来自MIMIC-IV(2.1版)数据库的数据,其中包括2008年至2019年在波士顿贝斯以色列女执事医疗中心的超过50,000名ICU入院。我们纳入了重症监护病房的脓毒症成年患者。主要结果是评估TYG预测脓毒症患者入院28天死亡的能力。
    结果:该研究包括2213例脓毒症患者,其中549人(24.8%)在入院后28天内死亡。我们观察到TYG与死亡风险之间存在非线性关联。与参照组(较低的TYG亚组)相比,在较高的TYG亚组中,28天死亡率增加,完全调整后的风险比为2.68(95%CI:2.14至3.36)。TYG的曲线下面积(AUC)为67.7%,高于单独的甘油三酯(AUC=64.1%),血糖(AUC=62.4%),和GCS(AUC=63.6%),与SOFA相当(AUC=69.3%)。最终的亚组分析显示,除COPD亚组外,TYG和每个亚组之间没有显着相互作用(相互作用P值:0.076-0.548)。
    结论:在我们的研究中,TYG可作为住院28天内脓毒症全因死亡率的独立预测因子。
    BACKGROUND: Sepsis is a life-threatening condition that poses a globally high mortality rate. Identifying risk factors is crucial. Insulin resistance and the TYG index, associated with metabolic disorders, may play a role. This study explores their correlation with mortality in non-diabetic septic patients.
    METHODS: This retrospective cohort study used data from the MIMIC-IV (version 2.1) database, which includes over 50,000 ICU admissions from 2008 to 2019 at Beth Israel Deaconess Medical Center in Boston. We included adult patients with sepsis who were admitted to the intensive care unit in the study. The primary outcome was to evaluate the ability of TYG to predict death at 28-day of hospital admission in patients with sepsis.
    RESULTS: The study included 2213 patients with sepsis, among whom 549 (24.8%) died within 28 days of hospital admission. We observed a non-linear association between TYG and the risk of mortality. Compared to the reference group (lower TYG subgroup), the 28-day mortality increased in the higher TYG subgroup, with a fully adjusted hazard ratio of 2.68 (95% CI: 2.14 to 3.36). The area under the curve (AUC) for TYG was 67.7%, higher than for triglycerides alone (AUC = 64.1%), blood glucose (AUC = 62.4%), and GCS (AUC = 63.6%), and comparable to SOFA (AUC = 69.3%). The final subgroup analysis showed no significant interaction between TYG and each subgroup except for the COPD subgroup (interaction P-values: 0.076-0.548).
    CONCLUSIONS: In our study, TYG can be used as an independent predictor for all-cause mortality due to sepsis within 28 days of hospitalization.
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  • 文章类型: Journal Article
    目的:确定年龄如何影响月经周期中的胰岛素抵抗和胰岛素抵抗相关指标:甘油三酯-葡萄糖和甘油三酯-葡萄糖-BMI指数。
    方法:这项前瞻性观察研究使用空腹血糖,空腹胰岛素,甘油三酯,体重指数(BMI),以及从NHANES数据集(1999-2006)收集的月经期开始后的天数。使用胰岛素抵抗的稳态模型评估(HOMA-IR)确定胰岛素抵抗。参与者被归类为年轻(16-34岁)或以上(>35岁)。使用Cosinor和Cosinor2软件包分析月经周期中的节律性。
    方法:月经周期中胰岛素抵抗的余弦拟合曲线和与年龄相关的节律性影响。
    结果:使用1256名参与者,观察到空腹胰岛素和HOMA-IR的节律性(p<0.05),但空腹血糖没有,甘油三酯-葡萄糖指数,或甘油三酯-葡萄糖-BMI指数。当考虑年龄时,观察到空腹胰岛素和HOMA-IR的显着幅度。空腹胰岛素和HOMA-IR的顶体期仅对年轻人群有意义,这些群体之间的差异是显著的,这表明,年轻和老年组的胰岛素抵抗评分变化发生在月经周期的不同时间。
    结论:胰岛素抵抗在月经周期中确实会波动,对于年轻和年长的女性来说,它在不同的时间是最大的。由于这些结果未经调整,这项研究是初步的,需要进一步的调查。
    OBJECTIVE: To determine how age affects insulin resistance during the menstrual cycle and insulin resistance-associated indices: the Triglyceride-glucose and Triglyceride-glucose-BMI indexes.
    METHODS: This prospective observational study used fasting plasma glucose, fasting insulin, triglycerides, body mass index (BMI), and days since the start of the menstrual period collected from the NHANES dataset (1999-2006). Insulin resistance was determined using the Homeostasis Model Assessment of Insulin Resistance (HOMA-IR). The participants were categorized as young (16-34 years) or older (>35 years). Rhythmicity during the menstrual cycle was analyzed using the Cosinor and Cosinor2 packages for R.
    METHODS: Cosine fit curves for insulin resistance during the menstrual cycle and age-associated effects on rhythmicity.
    RESULTS: Using 1256 participants, rhythmicity was observed for fasting insulin and HOMA-IR (p < 0.05) but not for fasting plasma glucose, the Triglyceride-glucose index, or the Triglyceride-glucose-BMI index. Significant amplitudes for fasting insulin and HOMA-IR were observed when age was considered. Acrophases for fasting insulin and HOMA-IR were significant only for the younger group, and the differences between these groups were significant, suggesting that the changes in scores for insulin resistance for the younger and older groups occur at different times of their menstrual cycle.
    CONCLUSIONS: Insulin resistance does fluctuate during the menstrual cycle, and it is at a maximum at different times for younger and older women. Since these results are unadjusted, this study is preliminary and further investigation is required.
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  • 文章类型: Journal Article
    对果蝇的研究,黑腹果蝇,已经观察到饮食蛋白限制(PR)对各种适应性特征的影响存在很大差异。此外,不仅寿命与抗应激性相关的结果不一致,但公关的长期影响也未被探索。我们研究了跨代(长期)的PR实施,假设它对健身特征有益,在早期的果蝇研究中,由于父母将营养可塑性转移给后代而产生的抗逆性和储存储备。通过施加两种浓度的PR饮食(50%和70%的对照蛋白质)从成年前和成年(年龄1天)阶段的苍蝇,我们评估了施加PR的阶段性和长期效应.所有长期PR果蝇对测试的应激源(饥饿,干燥,H2O2诱导的氧化应激)。此外,我们还发现长期PR诱导的跨代应激抗性增加。PR果蝇还具有较高的蛋白质和甘油三酯(TG)含量,降低葡萄糖和不受影响的糖原水平。我们还分析了将PR果蝇返回到控制(AL)食物中一代的效果,并评估了它们的生化参数以见证瞬时PR效应。可以看出,除PRI70雄性外,逆转后的TG含量与AL蝇相似;但是,男性PR的血糖水平升高,而女性则一直较低。总之,我们的研究表明,长期实施PR有助于提高抗逆性,并影响黑腹D.
    Studies in fruit flies, Drosophila melanogaster, have observed considerable variation in the effect of dietary protein restriction (PR) on various fitness traits. In addition, not only are there inconsistent results relating lifespan to stress resistance, but also the long-term effects of PR are unexplored. We study PR implementation across generations (long term) hypothesizing that it will be beneficial for fitness traits, stress resistance and storage reserves due to nutritional plasticity transferred by parents to offspring in earlier Drosophila studies. By imposing two concentrations of PR diets (50% and 70% of control protein) from the pre-adult and adult (age 1 day) stages of the flies, we assessed the stage-specific and long-term effect of the imposed PR. All long-term PR flies showed increased resistance against the tested stressors (starvation, desiccation, H2O2-induced oxidative stress). In addition, we also found long-term PR-induced increased stress resistance across generations. The PR flies also possessed higher protein and triglyceride (TG) content, reduced glucose and unaffected glycogen levels. We also assayed the effect of returning the PR flies to control (AL) food for a single generation and assessed their biochemical parameters to witness the transient PR effect. It was seen that TG content upon reversal was similar to AL flies except for PRI70 males; however, the glucose levels of PR males increased, while they were consistently lower in females. Taken altogether, our study suggests that long-term PR implementation contributes to increased stress resistance and was found to influence storage reserves in D. melanogaster.
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  • 文章类型: Journal Article
    目的:培巴贝特主要在日本显著降低血清甘油三酯(TG)水平和增加高密度脂蛋白胆固醇(HDL-C)水平,但在中国还没有评估过。我们的目的是通过比较安慰剂和非诺贝特,证实培马贝特在中国高甘油三酯血症和低HDL-C患者中的疗效和安全性。
    方法:多中心,在中国进行了双掩蔽试验,涉及344例TG高和HDL-C低的患者,随机分为四组:pemaberate0.2mg/d,匹马贝特0.4毫克/天,非诺贝特200毫克/天,或安慰剂12周。主要终点是空腹TG水平的百分比变化。
    结果:TG水平相对于基线的百分比变化为-34.1%,-44.0%,-30.5%,和6.5%的苯马贝特0.2毫克/天,匹马贝特0.4毫克/天,非诺贝特200毫克/天,和安慰剂组,分别。与安慰剂组(p<0.0001)和非诺贝特组(p=0.0083)相比,培马贝特0.4mg/d显著降低TG水平。HDL-C的显著改进,残余胆固醇,和载脂蛋白A1水平也观察到与安慰剂相比,这两种剂量的培美贝贝特。培马贝特显示丙氨酸氨基转移酶的变化明显较小,天冬氨酸转氨酶,血清肌酐水平高于非诺贝特。
    结论:在中国患者中,与非诺贝特相比,培马贝特在改善TG水平和增强肝肾安全性方面表现出优异的疗效。因此,匹马贝特可能是中国患者血脂异常的有希望的治疗选择。
    OBJECTIVE: Pemafibrate substantially lowers serum triglyceride (TG) levels and increases high-density lipoprotein cholesterol (HDL-C) levels primarily in Japan, but it has not been evaluated in China. We aimed to confirm the efficacy and safety of pemafibrate in Chinese patients with hypertriglyceridemia and low HDL-C levels by comparing placebo and fenofibrate.
    METHODS: A multicenter, double-masked trial was conducted in China involving 344 patients with high TG and low HDL-C levels randomly assigned to one of four groups: pemafibrate 0.2 mg/d, pemafibrate 0.4 mg/d, fenofibrate 200 mg/d, or placebo for 12 weeks. The primary endpoint was the percentage change in fasting TG levels.
    RESULTS: The percentage change in TG levels from baseline was -34.1%, -44.0%, -30.5%, and 6.5% in the pemafibrate 0.2 mg/d, pemafibrate 0.4 mg/d, fenofibrate 200 mg/d, and placebo groups, respectively. Pemafibrate 0.4 mg/d significantly reduced TG levels compared with that in both placebo (p<0.0001) and fenofibrate groups (p=0.0083). Significant improvements in HDL-C, remnant cholesterol, and apolipoprotein A1 levels were also observed with both doses of pemafibrate than with the placebo. Pemafibrate showed significantly smaller changes in alanine aminotransferase, aspartate aminotransferase, and serum creatinine levels than those with fenofibrate.
    CONCLUSIONS: In Chinese patients, pemafibrate exhibited superior efficacy in improving TG levels and enhanced hepatic and renal safety compared to fenofibrate. Thus, pemafibrate may represent a promising therapeutic option for dyslipidemia in Chinese patients.
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