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Title:
Elevated plasma phospholipid transfer protein activity is a determinant of carotid intima-media thickness in type 2 diabetes mellitus | Diabetologia
Description:
Aim/hypothesis The plasma activity of phospholipid transfer protein (PLTP), which has putative pro- and anti-atherogenic roles in lipoprotein metabolism, is increased in type 2 diabetes mellitus. We analysed the relationship between carotid artery intima–media thickness (IMT), an established marker of atherosclerosis, and PLTP activity in diabetic patients and control subjects. Methods The IMT (mean of three segments in both carotid arteries by ultrasonography), clinical variables, plasma PLTP activity (phospholipid vesicle–HDL system), lipoproteins, C-reactive protein and insulin were measured in 87 non-smoking men and women, who had type 2 diabetes mellitus, no cardiovascular disease, and were not on insulin or lipid-lowering medication, and in 83 age-matched control subjects. Results In diabetic patients, carotid IMT (p=0.02), pulse pressure (p=0.003), plasma PLTP activity (p<0.001), triglycerides (p=0.01), C-reactive protein (p<0.01) and insulin (p<0.001) were higher, whereas HDL cholesterol was lower (p<0.001) than in control subjects. Multiple stepwise linear regression analysis demonstrated that in type 2 diabetic patients IMT was independently associated with age (p<0.001), sex (p=0.001), pulse pressure (p=0.003), plasma PLTP activity (p=0.03) and HDL cholesterol (p=0.03), but not with very low density lipoprotein+LDL cholesterol, triglycerides, C-reactive protein and insulin (all p>0.20). The relationship between plasma PLTP activity and IMT was not significant in control subjects. Conclusions/interpretation Plasma PLTP activity is a positive determinant of IMT in type 2 diabetes mellitus, suggesting that high PLTP activity is involved in accelerated atherosclerosis in this disease.
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Keywords {🔍}
plasma, pltp, activity, imt, patients, type, diabetic, google, scholar, protein, subjects, pubmed, article, transfer, carotid, diabetes, cholesterol, phospholipid, cas, control, study, insulin, thickness, hdl, artery, mellitus, van, intimamedia, atherosclerosis, lipid, apo, cardiovascular, disease, pressure, levels, independent, relationship, higher, table, tol, lipoproteins, pulse, age, effect, analysis, increased, triglycerides, ldl, lipoprotein, measured,
Topics {✒️}
roche/cobas integra tina-quant [14c]-phosphatidylcholine-labelled phosphatidylcholine vesicles phospholipid-transfer protein deficiency plasma c-reactive protein quantifying intima-media thickness carotid intima-media thickness carotid intima–media thickness phospholipid transfer-promoting property [14c]-labelled dipalmitoyl phosphatidylcholine c-reactive protein b-mode ultrasound images peroxisome proliferator-activated receptor linear regression analysis mann–whitney u-tests phospholipid vesicle–hdl system phospholipid transfer protein intima–media thickness potentially anti-atherogenic actions oral glucose-lowering agents previous large-scale studies b-mode image analyses high density proteins high density lipoproteins cross-sectional study demonstrated ldl particle size oral glucose-lowering drugs carotid-artery intima low density lipoproteins b-mode ultrasound high pltp activity multiplying regression coefficient applying regression coefficients common carotid artery systemic haemodynamic factors arterial wall thickness increased α-tocopherol content circulating pltp activity elevated plasma levels privacy choices/manage cookies insulin-dependent diabetic subjects lipid transfer proteins short-term hyperglycaemia independently regression models impaired acute lowering lipoprotein-modifying enzymes human genes relevant plasma total cholesterol table 1 clinical characteristics image analysis software cardiovascular health study
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headline:Elevated plasma phospholipid transfer protein activity is a determinant of carotid intima-media thickness in type 2 diabetes mellitus
description:The plasma activity of phospholipid transfer protein (PLTP), which has putative pro- and anti-atherogenic roles in lipoprotein metabolism, is increased in type 2 diabetes mellitus. We analysed the relationship between carotid artery intima–media thickness (IMT), an established marker of atherosclerosis, and PLTP activity in diabetic patients and control subjects. The IMT (mean of three segments in both carotid arteries by ultrasonography), clinical variables, plasma PLTP activity (phospholipid vesicle–HDL system), lipoproteins, C-reactive protein and insulin were measured in 87 non-smoking men and women, who had type 2 diabetes mellitus, no cardiovascular disease, and were not on insulin or lipid-lowering medication, and in 83 age-matched control subjects. In diabetic patients, carotid IMT (p=0.02), pulse pressure (p=0.003), plasma PLTP activity (p<0.001), triglycerides (p=0.01), C-reactive protein (p<0.01) and insulin (p<0.001) were higher, whereas HDL cholesterol was lower (p<0.001) than in control subjects. Multiple stepwise linear regression analysis demonstrated that in type 2 diabetic patients IMT was independently associated with age (p<0.001), sex (p=0.001), pulse pressure (p=0.003), plasma PLTP activity (p=0.03) and HDL cholesterol (p=0.03), but not with very low density lipoprotein+LDL cholesterol, triglycerides, C-reactive protein and insulin (all p>0.20). The relationship between plasma PLTP activity and IMT was not significant in control subjects. Plasma PLTP activity is a positive determinant of IMT in type 2 diabetes mellitus, suggesting that high PLTP activity is involved in accelerated atherosclerosis in this disease.
datePublished:2005-12-23T00:00:00Z
dateModified:2005-12-23T00:00:00Z
pageStart:398
pageEnd:404
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C-reactive protein
High-density lipoprotein
Intima–media thickness
Phospholipid transfer protein
Type 2 diabetes mellitus
Internal Medicine
Metabolic Diseases
Human Physiology
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headline:Elevated plasma phospholipid transfer protein activity is a determinant of carotid intima-media thickness in type 2 diabetes mellitus
description:The plasma activity of phospholipid transfer protein (PLTP), which has putative pro- and anti-atherogenic roles in lipoprotein metabolism, is increased in type 2 diabetes mellitus. We analysed the relationship between carotid artery intima–media thickness (IMT), an established marker of atherosclerosis, and PLTP activity in diabetic patients and control subjects. The IMT (mean of three segments in both carotid arteries by ultrasonography), clinical variables, plasma PLTP activity (phospholipid vesicle–HDL system), lipoproteins, C-reactive protein and insulin were measured in 87 non-smoking men and women, who had type 2 diabetes mellitus, no cardiovascular disease, and were not on insulin or lipid-lowering medication, and in 83 age-matched control subjects. In diabetic patients, carotid IMT (p=0.02), pulse pressure (p=0.003), plasma PLTP activity (p<0.001), triglycerides (p=0.01), C-reactive protein (p<0.01) and insulin (p<0.001) were higher, whereas HDL cholesterol was lower (p<0.001) than in control subjects. Multiple stepwise linear regression analysis demonstrated that in type 2 diabetic patients IMT was independently associated with age (p<0.001), sex (p=0.001), pulse pressure (p=0.003), plasma PLTP activity (p=0.03) and HDL cholesterol (p=0.03), but not with very low density lipoprotein+LDL cholesterol, triglycerides, C-reactive protein and insulin (all p>0.20). The relationship between plasma PLTP activity and IMT was not significant in control subjects. Plasma PLTP activity is a positive determinant of IMT in type 2 diabetes mellitus, suggesting that high PLTP activity is involved in accelerated atherosclerosis in this disease.
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dateModified:2005-12-23T00:00:00Z
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C-reactive protein
High-density lipoprotein
Intima–media thickness
Phospholipid transfer protein
Type 2 diabetes mellitus
Internal Medicine
Metabolic Diseases
Human Physiology
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