冠心病患者血清氧化型低密度脂蛋白自身抗体与血脂相关
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国家自然科学基金39270291;浙江省自然科学基金392014


Serum Autoantibody against Oxidized Low Density Lipoprotein Correlated with Serum Lipids in Patients with Coronary Heart Disease
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    摘要:

    为探索血清中氧化型低密度脂蛋白(氧化型LDL)自身抗体与冠心病及血脂的关系,采用酶联免疫吸附试验,检测105名健康体检者和92例冠心病患者血清中氧化型LDL自身抗体的含量,并与不同血脂水平作相关性检验。结果发现,冠心病组血清氧化型LDL自身抗体的含量高于正常对照组(P<0.01),且高脂血症患者氧化型LDL自身抗体阳性率高于正常者;45岁以上者阳性年高于45岁以下者,自身抗体滴度与甘油三酯和总胆固醇水平呈正相关。自身抗体的检测反映了氧化型LDL在体内的氧化情况,其含量可能受胆固醇含量等影响脂质氧化因素的影响。

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    Aim: This study evaluated the relation between autoantibody against oxidized low density lipoprotein (ox-LDL) and serum lipids in patients with coronary heart disease (CHD).Methods: The titre of autoantibodies aganist oxLDL and lipid levels in samples of 92 CHD and 105 healthy controls were measured using the enzymelinked immunosorbent assay techinque.Results: The experiment showed that patients withCHD had significant higher levels of autoantibodies than control subjects in regard to anti-ox-LDL IgG(0.45±0. 13 versus 0. 35± 0.09, P<0. 01 ), and the positive rate of autoantibodies was predominant in the subjects with hypertriglyceridemia, hypercholesterolemia,higher LDL cholesterol, and elderly people (≥45), the differences were significant. The titre of autoantibodies against ox-LDL was correlated with total cholesterol (TC) and triglycerides (TG ), Their correlation coefficients were 0. 360 and 0. 408, these were also significantly different.Conclusions: The presence and increase in autoantibodies titers in patients with CHD could be considered a reliable sign of an increased LDL oxidation in vivo,and the titre of autoantibodies could be influenced by the degree of hypercholesterolemia or other factors which influence lipid peroxidation.

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毛峥嵘,楼定安,单沚茵,张骅,魏克荣.冠心病患者血清氧化型低密度脂蛋白自身抗体与血脂相关[J].中国动脉硬化杂志,1998,6(2):95~97.

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  • 收稿日期:1998-01-03
  • 最后修改日期:1998-04-30
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