دورية أكاديمية
Mediating role of atherogenic lipoproteins in the relationship between liver fat and coronary artery calcification.
العنوان: | Mediating role of atherogenic lipoproteins in the relationship between liver fat and coronary artery calcification. |
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المؤلفون: | Björnson E; Wallenberg Laboratory, Department of Molecular and Clinical Medicine and Sahlgrenska Center for Cardiovascular and Metabolic Research, Sahlgrenska University Hospital, University of Gothenburg, 413 45, Gothenburg, Sweden. elias.bjornson@wlab.gu.se., Samaras D; Wallenberg Laboratory, Department of Molecular and Clinical Medicine and Sahlgrenska Center for Cardiovascular and Metabolic Research, Sahlgrenska University Hospital, University of Gothenburg, 413 45, Gothenburg, Sweden., Adiels M; Wallenberg Laboratory, Department of Molecular and Clinical Medicine and Sahlgrenska Center for Cardiovascular and Metabolic Research, Sahlgrenska University Hospital, University of Gothenburg, 413 45, Gothenburg, Sweden.; School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden., Kullberg J; Section of Radiology, Department of Surgical Sciences, Uppsala University, 752 37, Uppsala, Sweden.; Antaros Medical, 431 83, Mölndal, Sweden., Bäckhed F; Wallenberg Laboratory, Department of Molecular and Clinical Medicine and Sahlgrenska Center for Cardiovascular and Metabolic Research, Sahlgrenska University Hospital, University of Gothenburg, 413 45, Gothenburg, Sweden.; Department of Clinical Physiology, Sahlgrenska University Hospital, Region Västra Götaland, 413 45, Gothenburg, Sweden., Bergström G; Wallenberg Laboratory, Department of Molecular and Clinical Medicine and Sahlgrenska Center for Cardiovascular and Metabolic Research, Sahlgrenska University Hospital, University of Gothenburg, 413 45, Gothenburg, Sweden.; Department of Clinical Physiology, Sahlgrenska University Hospital, Region Västra Götaland, 413 45, Gothenburg, Sweden., Gummesson A; Wallenberg Laboratory, Department of Molecular and Clinical Medicine and Sahlgrenska Center for Cardiovascular and Metabolic Research, Sahlgrenska University Hospital, University of Gothenburg, 413 45, Gothenburg, Sweden.; Department of Clinical Genetics, Sahlgrenska University Hospital, Region Västra Götaland, 413 45, Gothenburg, Sweden. |
المصدر: | Scientific reports [Sci Rep] 2023 Aug 14; Vol. 13 (1), pp. 13217. Date of Electronic Publication: 2023 Aug 14. |
نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
اللغة: | English |
بيانات الدورية: | Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: London : Nature Publishing Group, copyright 2011- |
مواضيع طبية MeSH: | Coronary Artery Disease* , Non-alcoholic Fatty Liver Disease*/complications , Atherosclerosis*, Male ; Middle Aged ; Humans ; Female ; Lipoproteins ; Triglycerides ; Cholesterol ; Apolipoproteins B ; Cholesterol, LDL |
مستخلص: | Non-alcoholic fatty liver disease (NAFLD) is associated with increased secretion of apoB-containing lipoproteins and increased risk of coronary heart disease (CHD). ApoB-containing lipoproteins include low-density lipoproteins (LDLs) and triglyceride-rich lipoproteins (TRLs); and since both LDLs and TRLs are causally related to CHD, they may mediate a portion of the increased risk of atherosclerosis seen in people with NAFLD. In a cohort of 4161 middle aged men and women, we performed mediation analysis in order to quantify the mediating effect of apoB-containing lipoproteins in the relationship between liver fat and atherosclerosis-as measured by coronary artery calcium score (CACS). We found plasma apoB to mediate 17.6% (95% CI 11-24) of the association between liver fat and CACS. Plasma triglycerides and TRL-cholesterol (both proximate measures of TRL particles) mediated 22.3% (95% CI 11-34) and 21.6% (95% CI 10-33) of the association respectively; whereas LDL-cholesterol mediated 5.4% (95% CI 2.0-9.4). In multivariable models, the mediating effect of TRL-cholesterol and plasma triglycerides showed, again, a higher degree of mediation than LDL-cholesterol, corroborating the results seen in the univariable models. In summary, we find around 20% of the association between liver fat and CACS to be mediated by apoB-containing lipoproteins. In addition, we find that TRLs mediate the majority of this effect whereas LDLs mediate a smaller effect. These results explain part of the observed CAD-risk burden for people with NAFLD and further suggest that TRL-lowering may be particularly beneficial to mitigate NAFLD-associated coronary artery disease risk. (© 2023. Springer Nature Limited.) |
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المشرفين على المادة: | 0 (Lipoproteins) 0 (Triglycerides) 97C5T2UQ7J (Cholesterol) 0 (Apolipoproteins B) 0 (Cholesterol, LDL) |
تواريخ الأحداث: | Date Created: 20230814 Date Completed: 20230816 Latest Revision: 20231122 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC10425432 |
DOI: | 10.1038/s41598-023-39390-1 |
PMID: | 37580332 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2045-2322 |
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DOI: | 10.1038/s41598-023-39390-1 |