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Specific Nuclear Magnetic Resonance Lipoprotein Subclass Profiles and Central Arterial Stiffness in Type 1 Diabetes Mellitus: A Case Control Study

  • Dades identificatives

    Identificador: imarina:6013687
    Autors:
    Llaurado, GemmaAmigo, NuriaCano, AlbertBallesta, SilviaAlbert, LaraMazarico, IsabelFernandez-Veledo, SoniaPedro-Botet, JuanVendrell, JoanGonzalez-Clemente, Jose-Miguel
    Resum:
    Background: Dyslipidemia has been associated with vascular complications of type 1 diabetes mellitus (T1DM). We examined the proton nuclear magnetic resonance (NMR)-assessed lipoprotein subclass profiles in subjects with T1DM compared with those of healthy subjects and assessed the potential relationship of these profiles with arterial stiffness. Methods: Eighty-four participants with T1DM of at least 10 years duration and no clinical cardiovascular disease (age: 35-65 years; 50% men) and 42 healthy participants were evaluated for: (1) clinical and anthropometric data (including classical cardiovascular risk factors), (2) insulin sensitivity by estimated glucose disposal rate, (3) microvascular complications, (4) NMR-assessed lipoprotein subclass profile, and (5) arterial stiffness (aortic pulse wave velocity). Results: Participants with T1DM had an apparently better conventional lipid profile than healthy participants, but with significant differences in NMR-assessed lipoprotein profiles such as higher triglyceride content of low-density lipoprotein (LDL) and high-density lipoprotein (HDL). In healthy participants, arterial stiffness was associated with NMR-based LDL subclasses. By contrast, in T1DM participants, arterial stiffness was independently associated mainly with NMR-based very-low-density lipoprotein (VLDL) subclasses: positively with total VLDL particles (and subclasses) and VLDL triglyceride content, and negatively with LDL and HDL particle sizes. These results were maintained after adjustments for classical cardiovascular risk factors. Conclusions: Subjects with T1DM, while having an apparently better conventional lipid profile than healthy controls, presented significant alterations in their NMR-assessed lipoprotein profile. The association between arteri
  • Altres:

    Autor segons l'article: Llaurado, Gemma; Amigo, Nuria; Cano, Albert; Ballesta, Silvia; Albert, Lara; Mazarico, Isabel; Fernandez-Veledo, Sonia; Pedro-Botet, Juan; Vendrell, Joan; Gonzalez-Clemente, Jose-Miguel;
    Departament: Ciències Mèdiques Bàsiques
    Autor/s de la URV: Fernandez Veledo, Sonia / Vendrell Ortega, Juan José
    Paraules clau: Type 1 diabetes mellitus Scientific statement Preclinical atherosclerosis Pittsburgh epidemiology Nuclear magnetic resonance spectroscopy Metabolic syndrome Low-density-lipoprotein Lipoprotein subclass profiles Ldl particle number Insulin-resistance Excess mortality Division working group Cardiovascular-disease Cardiovascular risk Arterial stiffness All-cause mortality preclinical atherosclerosis nuclear magnetic resonance spectroscopy lipoprotein subclass profiles cardiovascular risk arterial stiffness
    Resum: Background: Dyslipidemia has been associated with vascular complications of type 1 diabetes mellitus (T1DM). We examined the proton nuclear magnetic resonance (NMR)-assessed lipoprotein subclass profiles in subjects with T1DM compared with those of healthy subjects and assessed the potential relationship of these profiles with arterial stiffness. Methods: Eighty-four participants with T1DM of at least 10 years duration and no clinical cardiovascular disease (age: 35-65 years; 50% men) and 42 healthy participants were evaluated for: (1) clinical and anthropometric data (including classical cardiovascular risk factors), (2) insulin sensitivity by estimated glucose disposal rate, (3) microvascular complications, (4) NMR-assessed lipoprotein subclass profile, and (5) arterial stiffness (aortic pulse wave velocity). Results: Participants with T1DM had an apparently better conventional lipid profile than healthy participants, but with significant differences in NMR-assessed lipoprotein profiles such as higher triglyceride content of low-density lipoprotein (LDL) and high-density lipoprotein (HDL). In healthy participants, arterial stiffness was associated with NMR-based LDL subclasses. By contrast, in T1DM participants, arterial stiffness was independently associated mainly with NMR-based very-low-density lipoprotein (VLDL) subclasses: positively with total VLDL particles (and subclasses) and VLDL triglyceride content, and negatively with LDL and HDL particle sizes. These results were maintained after adjustments for classical cardiovascular risk factors. Conclusions: Subjects with T1DM, while having an apparently better conventional lipid profile than healthy controls, presented significant alterations in their NMR-assessed lipoprotein profile. The association between arterial stiffness and NMR-assessed lipoprotein profiles also differed in both groups. These results support a potential role of the identified differences in the residual cardiovascular risk in T1DM.
    Àrees temàtiques: Medicine, general & internal Medicine (miscellaneous) Medicine (all)
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 20770383
    Adreça de correu electrònic de l'autor: sonia.fernandez@urv.cat juanjose.vendrell@urv.cat
    Identificador de l'autor: 0000-0003-2906-3788 0000-0002-6994-6115
    Data d'alta del registre: 2024-10-26
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://www.mdpi.com/2077-0383/8/11/1875
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: Journal Of Clinical Medicine. 8 (11):
    Referència de l'ítem segons les normes APA: Llaurado, Gemma; Amigo, Nuria; Cano, Albert; Ballesta, Silvia; Albert, Lara; Mazarico, Isabel; Fernandez-Veledo, Sonia; Pedro-Botet, Juan; Vendrell, J (2019). Specific Nuclear Magnetic Resonance Lipoprotein Subclass Profiles and Central Arterial Stiffness in Type 1 Diabetes Mellitus: A Case Control Study. Journal Of Clinical Medicine, 8(11), -. DOI: 10.3390/jcm8111875
    DOI de l'article: 10.3390/jcm8111875
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2019
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Medicine (Miscellaneous),Medicine, General & Internal
    Type 1 diabetes mellitus
    Scientific statement
    Preclinical atherosclerosis
    Pittsburgh epidemiology
    Nuclear magnetic resonance spectroscopy
    Metabolic syndrome
    Low-density-lipoprotein
    Lipoprotein subclass profiles
    Ldl particle number
    Insulin-resistance
    Excess mortality
    Division working group
    Cardiovascular-disease
    Cardiovascular risk
    Arterial stiffness
    All-cause mortality
    preclinical atherosclerosis
    nuclear magnetic resonance spectroscopy
    lipoprotein subclass profiles
    cardiovascular risk
    arterial stiffness
    Medicine, general & internal
    Medicine (miscellaneous)
    Medicine (all)
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