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SHR Neuro Cancer Cardio Lipid Metab Microb

Trieb, M; Kornej, J; Knuplez, E; Hindricks, G; Thiele, H; Sommer, P; Scharnagl, H; Dagres, N; Dinov, B; Bollmann, A; Husser, D; Marsche, G; Buettner, P.
Atrial fibrillation is associated with alterations in HDL function, metabolism, and particle number.
Basic Res Cardiol. 2019; 114(4): 27-27. Doi: 10.1007/s00395-019-0735-0
Web of Science PubMed FullText FullText_MUG

 

Leading authors Med Uni Graz
Marsche Gunther
Trieb Markus
Co-authors Med Uni Graz
Gruden Eva
Scharnagl Hubert
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Abstract:
Increased morbidity and mortality in atrial fibrillation (AF) are related to the pro-fibrotic, pro-thrombotic, and pro-inflammatory processes that underpin the disease. High-density lipoproteins (HDL) have anti-inflammatory, anti-oxidative, and anti-thrombotic properties. Functional impairment of HDL may, therefore, associate with AF initiation or progression. We studied indices of HDL quality and quantity of AF patients and healthy controls, including HDL-particle number, HDL cholesterol, apolipoprotein (apo) A-I levels, serum amyloid A (SAA) content and HDL-cholesterol efflux capacity, and paraoxonase activity of apoB-depleted serum. Serum samples were collected from AF patients (n = 91) before catheter ablation and from age- and sex-matched control subjects (n = 54). HDL-cholesterol efflux capacity was assessed in a validated assay using [3H]-cholesterol-labeled J774 macrophages. Lecithin-cholesterol acyltransferase (LCAT) and paraoxonase activities were assessed using fluorometric assays, SAA levels were determined by ELISA, and total and subclass HDL-particle number was assessed by nuclear magnetic resonance spectroscopy. ApoA-I levels were determined by immunoturbidimetry. HDL-cholesterol efflux capacity, HDL-particle number, apoA-I levels, and LCAT activity were markedly reduced in AF patients when compared to healthy individuals (all p < 0.001), whereas HDL-associated paraoxonase activity and SAA content were not altered (p = 0.578, p = 0.681). Notably, cholesterol efflux capacity, HDL-particle number, apoA-I levels as well as LCAT activity recovered following restoration of sinus rhythm (all p < 0.001). We identified marked alterations in HDL function, HDL maturation, and HDL-particle number in AF patients. Assessing HDL-particle number and function in AF may be used as a surrogate marker of AF onset and progression and may help identifying patients at high risk.

Find related publications in this database (Keywords)
Atrial fibrillation
HDL function
Cholesterol efflux capacity
HDL-particle number
PON
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