title: Reduced paraoxonase 1 activity as a marker for severe coronary artery disease.
abstract: Paraoxonase-1 (PON1), a high-density-lipoprotein- (HDL-) associated enzyme, has the potential to protect against atherogenesis. We examine the relationships between plasma PON1 activity and the progression of atherosclerosis as well as coronary artery disease (CAD). Fasting blood samples were collected from female apolipoprotein E-deficient (apoE(-/-)) mice and 149 patients undergoing coronary angiography for the biochemical parameters measurement. The severity of CAD was defined using angiographic Gensini score (GSS). Compared to 3-month-old apoE(-/-) mice, aged mice had significantly lower PON1 activity, which is negatively correlated with the size of atherosclerotic lesion and plasma interleukin-6 (IL-6) and tumor necrosis factor α (TNF- α ) levels. In study patients, PON1 activity was correlated with age, sex, and HDL-cholesterol, apolipoprotein AI, and high-sensitivity C-reactive protein (hs-CRP) levels and was significantly lower in CAD group than that in non-CAD control group. Interestingly, PON1 activity in severe CAD group (GSS > 40) was further significantly reduced compared to those in mild and moderate subgroups (GSS  ≤ 40) (P < 0.01). There is a significant correlation between PON1 activity and the severity of CAD as assessed by GSS (r = -0.393, P < 0.001). PON1 activity may be a potential biomarker for the severity of CAD.
authors.affiliation: Department of Biochemistry and Molecular Biology, Wuhan University School of Medicine, Wuhan, Hubei 430071, China.
authors.forename: Chiyan
authors.initials: C
authors.lastname: Zhou
authors.forename: Jia
authors.initials: J
authors.lastname: Cao
authors.forename: Liang
authors.initials: L
authors.lastname: Shang
authors.forename: Chuanfeng
authors.initials: C
authors.lastname: Tong
authors.forename: Hanling
authors.initials: H
authors.lastname: Hu
authors.forename: Hui
authors.initials: H
authors.lastname: Wang
authors.forename: Daping
authors.initials: D
authors.lastname: Fan
authors.forename: Hong
authors.initials: H
authors.lastname: Yu
mesh_terms: D000368:Aged; D000818:Animals; D001011:Aorta / Q000473:pathology; D043303:Aryldialkylphosphatase / Q000097:blood*; D015415:Biomarkers / Q000097:blood; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000201:enzymology* / Q000473:pathology; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008297:Male; D051379:Mice; D008810:Mice, Inbred C57BL; D018345:Mice, Knockout; D008875:Middle Aged; D011859:Radiography; D012307:Risk Factors; D012720:Severity of Illness Index
chemical_list: D015415:Biomarkers; D043303:Aryldialkylphosphatase; C468406:PON1 protein, human