Association of proportion of the HDL-cholesterol subclasses HDL-2b and HDL-3 and macrovascular events among patients undergoing hemodialysis
Abstract Altered high-density lipoprotein cholesterol (HDL-C) subclass distribution in hemodialysis (HD) patients is well documented. Aim of this study is to investigate the relationship between HDL-C subclass distribution and macrovascular events in patients undergoing HD. A total of 164 prevalent...
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2021
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oai:doaj.org-article:da440c059c8c47deaa28df931cfe889e2021-12-02T15:23:39ZAssociation of proportion of the HDL-cholesterol subclasses HDL-2b and HDL-3 and macrovascular events among patients undergoing hemodialysis10.1038/s41598-021-81636-32045-2322https://doaj.org/article/da440c059c8c47deaa28df931cfe889e2021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-81636-3https://doaj.org/toc/2045-2322Abstract Altered high-density lipoprotein cholesterol (HDL-C) subclass distribution in hemodialysis (HD) patients is well documented. Aim of this study is to investigate the relationship between HDL-C subclass distribution and macrovascular events in patients undergoing HD. A total of 164 prevalent HD patients and 71 healthy individuals in one hospital-facilitated clinic were enrolled from May 2019 to July 2019 and individual HD patients was follow-up for one year. Macrovascular events (cerebral stroke, coronary heart disease) were recorded in the study period. The HDL-2b, HDL-3 proportions and biochemical parameters were measured. Pearson correlation test and logistic regression analysis were used to examine correlation and odds ratio (OR). 144 HD patients completed one-year follow-up. Cohort with macrovascular events revealed significantly lower HDL-2b and higher HDL-3 subclass proportions compared to those without events. By multivariable adjustment, HDL-3 subclass proportion revealed significantly increase risk for these events (OR 1.17, 95% CI 1.02–1.41, P = 0.044). HDL-2b subclass was significantly higher and HDL-3 subclass was significantly lower in the HD cohort under the hs-CRP level of < 3 mg/L compared to higher hs-CRP level. In conclusion, HDL-2b and HDL-3 subclasses distributions were associated with macrovascular events in HD patients. Proinflammatory status influences the distribution of HDL-2b and HDL-3 subclasses in HD patients.Wen-Chin LeeJin-Bor ChenSin-Hua MoiCheng-Hong YangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021) |
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Medicine R Science Q Wen-Chin Lee Jin-Bor Chen Sin-Hua Moi Cheng-Hong Yang Association of proportion of the HDL-cholesterol subclasses HDL-2b and HDL-3 and macrovascular events among patients undergoing hemodialysis |
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Abstract Altered high-density lipoprotein cholesterol (HDL-C) subclass distribution in hemodialysis (HD) patients is well documented. Aim of this study is to investigate the relationship between HDL-C subclass distribution and macrovascular events in patients undergoing HD. A total of 164 prevalent HD patients and 71 healthy individuals in one hospital-facilitated clinic were enrolled from May 2019 to July 2019 and individual HD patients was follow-up for one year. Macrovascular events (cerebral stroke, coronary heart disease) were recorded in the study period. The HDL-2b, HDL-3 proportions and biochemical parameters were measured. Pearson correlation test and logistic regression analysis were used to examine correlation and odds ratio (OR). 144 HD patients completed one-year follow-up. Cohort with macrovascular events revealed significantly lower HDL-2b and higher HDL-3 subclass proportions compared to those without events. By multivariable adjustment, HDL-3 subclass proportion revealed significantly increase risk for these events (OR 1.17, 95% CI 1.02–1.41, P = 0.044). HDL-2b subclass was significantly higher and HDL-3 subclass was significantly lower in the HD cohort under the hs-CRP level of < 3 mg/L compared to higher hs-CRP level. In conclusion, HDL-2b and HDL-3 subclasses distributions were associated with macrovascular events in HD patients. Proinflammatory status influences the distribution of HDL-2b and HDL-3 subclasses in HD patients. |
format |
article |
author |
Wen-Chin Lee Jin-Bor Chen Sin-Hua Moi Cheng-Hong Yang |
author_facet |
Wen-Chin Lee Jin-Bor Chen Sin-Hua Moi Cheng-Hong Yang |
author_sort |
Wen-Chin Lee |
title |
Association of proportion of the HDL-cholesterol subclasses HDL-2b and HDL-3 and macrovascular events among patients undergoing hemodialysis |
title_short |
Association of proportion of the HDL-cholesterol subclasses HDL-2b and HDL-3 and macrovascular events among patients undergoing hemodialysis |
title_full |
Association of proportion of the HDL-cholesterol subclasses HDL-2b and HDL-3 and macrovascular events among patients undergoing hemodialysis |
title_fullStr |
Association of proportion of the HDL-cholesterol subclasses HDL-2b and HDL-3 and macrovascular events among patients undergoing hemodialysis |
title_full_unstemmed |
Association of proportion of the HDL-cholesterol subclasses HDL-2b and HDL-3 and macrovascular events among patients undergoing hemodialysis |
title_sort |
association of proportion of the hdl-cholesterol subclasses hdl-2b and hdl-3 and macrovascular events among patients undergoing hemodialysis |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/da440c059c8c47deaa28df931cfe889e |
work_keys_str_mv |
AT wenchinlee associationofproportionofthehdlcholesterolsubclasseshdl2bandhdl3andmacrovasculareventsamongpatientsundergoinghemodialysis AT jinborchen associationofproportionofthehdlcholesterolsubclasseshdl2bandhdl3andmacrovasculareventsamongpatientsundergoinghemodialysis AT sinhuamoi associationofproportionofthehdlcholesterolsubclasseshdl2bandhdl3andmacrovasculareventsamongpatientsundergoinghemodialysis AT chenghongyang associationofproportionofthehdlcholesterolsubclasseshdl2bandhdl3andmacrovasculareventsamongpatientsundergoinghemodialysis |
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1718387296748699648 |