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    • LDL aggregation - A...

    LDL aggregation - A novel biomarker That predicts mortality risk in Heart Disease

    Written by Medha Baranwal Baranwal Published On 2018-07-20T19:28:35+05:30  |  Updated On 20 July 2018 7:28 PM IST
    LDL aggregation - A novel biomarker That predicts mortality risk in Heart Disease



    A new study published in the European Heart Journal shows that the presence of sticky, aggregation-prone low-density lipoprotein (LDL) in circulation is an independent predictor of cardiovascular death. This indicates that LDL aggregation may be a novel biomarker for predicting mortality risk in Heart Disease.Therefore there is a need for consideration of the quality of the cholesterol-carrying LDL particle in addition to LDL-cholesterol levels for estimating the cardiovascular risk of a person.


    Katariina Öörni, Atherosclerosis Research Laboratory, Wihuri Research Institute, Helsinki, Finland, and colleagues conducted the study to determine whether inter-individual differences in LDL quality are linked with LDL lipid composition and coronary artery disease (CAD) death, and basic mechanisms for plaque growth and destabilization.




    LDL particles cause atherosclerotic cardiovascular disease (ASCVD) through their retention, modification, and accumulation within the arterial intima. High plasma concentrations of low-density lipoprotein drive this disease, but LDL quality may also contribute.


    The low-density lipoprotein aggregates have a tendency to accumulate in the arterial wall, where they induce the formation of cholesterol-rich plaques. Low-density lipoprotein aggregates can also induce local inflammation in the plaques. An inflamed plaque can then rupture and cause myocardial infarction.


    For the study, the researchers developed a novel, reproducible method to assess the susceptibility of low-density lipoprotein particles to aggregate during lipolysis induced ex vivo by human recombinant secretory sphingomyelinase.


    The scientists found that low-density lipoprotein isolated from patients with the known cardiovascular disease was more aggregation-prone than low-density lipoprotein isolated from healthy individuals. The most aggregation-prone LDL was found in those patients who later died from cardiovascular disease.


    "This is the first study to show that there are measurable inter-individual differences in the aggregation susceptibility of LDL particles, and that aggregation-prone low-density lipoprotein is predictive of cardiovascular death", summarizes Dr. Öörni.


    There is also good news: the study showed that the quality of low-density lipoprotein particles can be improved by cholesterol-lowering medication or by a healthy diet. "Increase in consumption of vegetable oils and a decrease in consumption of sugar decreased LDL aggregation", describes Maija Ruuth, the first author of the research article.


    In the future, the new measurement of low-density lipoprotein aggregation may help to improve cardiovascular risk. "This new biomarker may also facilitate identification of patients with currently unrecognized risk for cardiovascular events", suggests Professor Petri Kovanen, a member of the research team.


    "Our results identify the susceptibility of low-density lipoprotein to aggregate as a novel measurable and modifiable factor in the progression of human ASCVD," concluded the authors.


    For further information follow the link: https://doi.org/10.1093/eurheartj/ehy319

    cardiovascular deathcardiovascular diseaseCardiovascular RiskCoronary artery diseaseEuropean Heart JournalHeartHeart diseaseKatariina ÖörniLDLLDL cholesterolLipoproteinlow-density lipoproteinmortalitypredictor
    Source : With inputs from European Heart Journal

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    Medha Baranwal Baranwal
    Medha Baranwal Baranwal
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