title: ApoB/ApoA-I ratio in young patients with ischemic cerebral stroke or peripheral arterial disease.
abstract: Although smoking and hypertension are classic risk factors for atherothrombotic diseases, the relationship of dyslipidemia and vascular diseases, other than myocardial infarction, is less clearly established, especially in young subjects. In the current study, a detailed analysis of the lipid and apolipoprotein profiles was conducted in young patients of ischemic cerebral stroke (IS) and peripheral arterial disease (PAD). Plasma levels of C-reactive protein (hs-CRP), total cholesterol (TC), high-density lipoprotein cholesterol (HDLc), low-density lipoprotein cholesterol (LDLc), triglycerides (TG), and apolipoproteins A-I (ApoA-I) and apolipoproteins B (ApoB), which include the ApoB/ApoA-I ratio, were analyzed in a group of 81 patients who presented with IS (n = 46) or PAD (n = 35) as well as in 167 control subjects. Significant differences were observed for hs-CRP, TC, HDLc, LDLc, TG, ApoA-I, and ApoB levels, as well as for the ApoB/ApoA-I ratio, between the control and the IS or PAD groups. However, after adjustment for sex, age, smoking, hypertension, hs-CRP, and dyslipidemia (LDLc, TC, HDLc, TG, ApoA, ApoB, and ApoB/ApoA-I ratio), hs-CRP, ApoB, and the ApoB/ApoA-I ratio were independently associated with increased risks of IS or PAD. Increased ApoB/ApoA-I ratio and hs-CRP levels are independently associated with occurrence of IS and PAD in young patients and are significant markers of alterations on lipid and apolipoproteic profiles and inflammatory responses, respectively, in these patients.
authors.affiliation: Faculty of Pharmacy, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil, University Hospital-Federal University of Minas Gerais Belo Horizonte, MG, Brazil.
authors.forename: Adriano Paula
authors.initials: AP
authors.lastname: Sabino
authors.forename: Marinez
authors.initials: M
authors.lastname: De Oliveira Sousa
authors.forename: Luciana
authors.initials: L
authors.lastname: Moreira Lima
authors.forename: Daniel
authors.initials: D
authors.lastname: Dias Ribeiro
authors.forename: Luci Maria
authors.initials: LM
authors.lastname: Sant'Ana Dusse
authors.forename: Maria
authors.initials: M
authors.lastname: Das Graças Carvalho
authors.forename: Ana Paula
authors.initials: AP
authors.lastname: Fernandes
mesh_terms: D000328:Adult; D016632:Apolipoprotein A-I / Q000097:blood*; D001055:Apolipoproteins B / Q000097:blood*; D050197:Atherosclerosis / Q000209:etiology; D015415:Biomarkers / Q000097:blood; D002545:Brain Ischemia / Q000097:blood* / Q000150:complications / Q000473:pathology; D002097:C-Reactive Protein / Q000032:analysis; D005260:Female; D006801:Humans; D008055:Lipids / Q000097:blood; D008297:Male; D016491:Peripheral Vascular Diseases / Q000097:blood* / Q000473:pathology; D012307:Risk Factors; D020521:Stroke / Q000097:blood* / Q000209:etiology / Q000473:pathology
chemical_list: C505693:APOA1 protein, human; D016632:Apolipoprotein A-I; D001055:Apolipoproteins B; D015415:Biomarkers; D008055:Lipids; D002097:C-Reactive Protein