Correlation between serum remnant lipoprotein cholesterol, triglyceride levels and coronary heart disease in middle-aged people
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1.Department of General Medicine,Liuzhou, Guangxi 545006, China;2.Department of Cardiology, Liuzhou People's Hospital, Liuzhou, Guangxi 545006, China)

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R5

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    Abstract:

    Aim To investigate the correlation between serum remnant lipoprotein cholesterol(RLP-C), triglyceride levels(TG) and coronary heart disease(CHD) in middle-aged people. Methods A total of 439 middle-aged individuals who were hospitalized in the Department of Cardiology of Liuzhou People's Hospital from January 2015 to December 2022 and underwent coronary angiography were selected as the research subjects. They were divided into CHD group (190 cases) and control group (249 cases) according to the results of coronary angiography. The general clinical data and laboratory tests of the subjects were collected,and RLP-C was calculated based on blood lipid profile. Bivariate Spearman correlation, multivariate Logistic regression, and restricted cubic spline graph were used to analyze the correlation between RLP-C, TG, and CHD in these middle-aged participants. Receiver operating characteristic (ROC) curve was used to evaluate the value of RLP-C and TG in predicting CHD. Results The age in CHD group was older than that in control group, proportion of male, proportion of smoking history, incidence of hypertension, incidence of diabetes, incidence of hyperlipidemia, body mass index (BMI), systolic blood pressure(SBP), fasting blood glucose (FBG), glycosylated hemoglobin (HbA1c), TG, low density lipoprotein cholesterol (LDLC), RLP-C were higher than those in control group, while high density lipoprotein cholesterol (HDLC) was lower than that in control group (P<0.05). The Spearman correlation analysis results showed positive correlation between RLP-C, TG, LDLC and CHD (r=0.7,0.279, and 0.105, respectively, P<0.05), and negative correlation between HDLC and CHD (r=-0.340, P<0.001) in these studied population. Multivariate Logistic regression analysis showed that whether as continuous or categorical variables, RLP-C and TG were independent risk factors for CHD (P<0.05), HDLC was independent protective factor for CHD (P<0.05). Compared with lowest quartile group, The OR (95%CI) of CHD incidence in 3rd and 4th quartile group of RLP-C were 2.648(1.364~5.144) and 2.847(1.468~5.520) respectively; The OR (95%CI) of CHD incidence in 3rd and 4th quartile group of TG were 3.043(1.520~6.092) and 3.520(1.811~6.842) respectively. The restricted cubic spline graph revealed that RLP-C, TG were positively nonlinearly correlated with CHD (P for overall<0.001, P for nonlinear=0.2,0.001, respectively). Subgroup analysis showed that the relationship between RLP-C, TG and CHD was more significant in females than in males. ROC curve analysis showed that the areas under the curve (95%CI) of RLP-C, TG in predicting CHD were 0.632(0.580~0.685) (P<0.001) and 0.663(0.612~0.713) (P<0.001) in general, meanwhile, 0.735(0.659~0.811) (P<0.001) and 0.740(0.666~0.813) (P<0.001) in females. Conclusion RLP-C and TG are independent risk factors for CHD in middle-aged people, and their correlation with CHD are greater than that of LDLC. They may become the main targets for the prevention and treatment of CHD, and should be given clinical attention.

    Reference
    [1] 《中国心血管健康与疾病报告2022》编写组.《中国心血管健康与疾病报告2022》概述.中国心血管病研究, 3,1(7):577-600.The Writing Committee of the Report on Cardiovascular Health and Diseases in China 2022.Overview of report on cardiovascular health and diseases in China 2022.Chin J Cardiovasc Res, 3,1(7):577-600.
    [2] HOOGEVEEN R C, BALLANTYNE C M.Residual cardiovascular risk at low LDL:remnants, lipoprotein(a), and inflammation.Clin Chem, 1,7(1):143-153.
    [3] STRZEBECHER P E, KATZMANN J L, LAUFS U.What is ‘remnant cholesterol’?.Eur Heart J, 3,4(16):1446-1448.
    [4] IBARRETXE D, MASANA L.Triglyceride metabolism and classification of hypertriglyceridemias.Clin Investig Arterioscler, 1,3(Suppl 2):1-6.
    [5] WANG Z, LI M, XIE J, et al.Association between remnant cholesterol and arterial stiffness:a secondary analysis based on a cross-sectional study.J Clin Hypertens (Greenwich), 2,4(1):26-37.
    [6] DELIALIS D, GEORGIOPOULOS G, AIVALIOTI E, et al.Remnant cholesterol in atherosclerotic cardiovascular disease:a systematic review and Meta-analysis.Hellenic J Cardiol, 3,4:48-57.
    [7] GABANI M, SHAPIRO M D, TOTH P P.The role of triglyceride-rich lipoproteins and their remnants in atherosclerotic cardiovascular disease.Eur Cardiol, 3,8:e56.
    [8] AUSTEN W G, EDWARDS J E, FRYE R L, et al.A reporting system on patients evaluated for coronary artery disease.Report of the Ad Hoc committee for grading of coronary artery disease, council on cardiovascular surgery, American heart association.Circulation, 5,1(4 Suppl):5-40.
    [9] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版).中华糖尿病杂志, 1,3(4):315-409.Chinese Diabetes Society.Guidelines for the prevention and treatment of type 2 diabetes mellitus in China (2020 edition).Chin J Diabetes Mellitus, 1,3(4):315-409.
    [10] YANG X H, ZHANG B L, CHENG Y, et al.Association of remnant cholesterol with risk of cardiovascular disease events, stroke, and mortality:a systemic review and Meta-analysis.Atherosclerosis, 3,1:21-31.
    [11] BONFIGLIO C, LEONE C M, SILVEIRA L V A, et al.Remnant cholesterol as a risk factor for cardiovascular, cancer or other causes mortality:a competing risks analysis.Nutr Metab Cardiovasc Dis, 0,0(11):2093-2102.
    [12] 陈焱, 徐清, 周庆志, 等.残余胆固醇与心血管疾病风险的研究现状.中国动脉硬化杂志, 2,0(7):640-644.CHEN Y, XU Q, ZHOU Q Z, et al.Research status of remnant cholesterol and cardiovascular disease risk.Chin J Arterioscler, 2,0(7):640-644.
    [13] CASTAER O, PINT X, SUBIRANA I, et al.Remnant cholesterol, not LDL cholesterol, is associated with incident cardiovascular disease.J Am Coll Cardiol, 0,6(23):2712-2724.
    [14] NAVARESE E P, VINE D, PROCTOR S, et al.Independent causal effect of remnant cholesterol on atherosclerotic cardiovascular outcomes:a Mendelian randomization study.Arterioscler Thromb Vasc Biol, 3,3(9):e373-e380.
    [15] 李旭阳, 杨爽, 郭子墨, 等.富含甘油三酯的脂蛋白中的胆固醇对心血管疾病及全因死亡的影响.中国循环杂志, 2,7(9):920-927.LI X Y, YANG S, GUO Z M, et al.Impact of triglyceride-rich lipoprotein-cholesterol on cardiovascular disease and all-cause mortality.Chin Circul J, 2,7(9):920-927.
    [16] 郁静, 侯旗旗, 韩全乐, 等.甘油三酯水平与中青年人群急性心肌梗死发病风险的相关性研究.中国循环杂志, 3,8(2):152-157.YU J, HOU Q Q, HAN Q L, et al.Association between triglycerides level and the risk of acute myocardial infarction in young and middle-aged population.Chin Circul J, 3,8(2):152-157.
    [17] BARATTA F, COCOMELLO N, CORONATI M, et al.Cholesterol remnants, triglyceride-rich lipoproteins and cardiovascular risk.Int J Mol Sci, 3,4(5):4268.
    [18] PINT X, FANLO M, ESTEVE V, et al.Remnant cholesterol, vascular risk, and prevention of atherosclerosis.Clin Investig Arterioscler, 3,5(4):206-217.
    [19] ELAS-LPEZ D, DOI T, NORDESTGAARD BG, et al.Remnant cholesterol and low-grade inflammation jointly in atherosclerotic cardiovascular disease:implications for clinical trials.Curr Opin Clin Nutr Metab Care, 4,7(2):125-135.
    [20] BERNELOT MOENS S J, VERWEIJ S L, SCHNITZLER J G, et al.Remnant cholesterol elicits arterial wall inflammation and a multilevel cellular immune response in humans.Arterioscler Thromb Vasc Biol, 7,7(5):969-975.
    [21] MIURA Y, SUZUKI H.Hypertriglyceridemia and atherosclerotic carotid artery stenosis.Int J Mol Sci, 2,3(24):16224.
    [22] 中国血脂管理指南修订联合专家委员会.中国血脂管理指南(2023年).中国循环杂志, 3,8(3):237-271.Joint Committee on the Chinese Guidelines for Lipid Management.Chinese guidelines for lipid management (2023).Chin Circul J, 3,8(3):237-271.
    [23] YERLY A, VAN DER VORST E P C, BAUMGARTNER I, et al.Sex-specific and hormone-related differences in vascular remodelling in atherosclerosis.Eur J Clin Invest, 3,3(1):e13885.
    [24] 李其华, 陈慧生, 陈见红.甘油三酯葡萄糖指数评估不同性别中年人群发生冠心病的价值.中国心血管病研究, 4,2(5):448-453.LI Q H, CHEN H S, CHEN J H.The value of triglyceride-glucose index in evaluating coronary heart disease in middle-aged people of different genders.Chin J Cardiovasc Res, 4,2(5):448-453.
    [25] KOTLYAROV S.The role of smoking in the mechanisms of development of chronic obstructive pulmonary disease and atherosclerosis.Int J Mol Sci, 3,4(10):8725.
    [26] HAN Y, HU Y, YU C, et al.Lifestyle, cardiometabolic disease, and multimorbidity in a prospective Chinese study.Eur Heart J, 1,2(34):3374-3384.
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LI Qihua, MIAO Liu, CHEN Huisheng, CHEN Jianhong. Correlation between serum remnant lipoprotein cholesterol, triglyceride levels and coronary heart disease in middle-aged people[J]. Editorial Office of Chinese Journal of Arteriosclerosis,2024,32(11):963-971.

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History
  • Received:May 13,2024
  • Revised:August 04,2024
  • Online: November 22,2024
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