Autor según el artículo: Llaurado, Gemma; Amigo, Nuria; Cano, Albert; Ballesta, Silvia; Albert, Lara; Mazarico, Isabel; Fernandez-Veledo, Sonia; Pedro-Botet, Juan; Vendrell, Joan; Gonzalez-Clemente, Jose-Miguel;

Departamento: Ciències Mèdiques Bàsiques

Autor/es de la URV: Fernandez Veledo, Sonia

Palabras clave: 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

Resumen: 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.

Áreas temáticas: Medicine, general & internal Medicine (miscellaneous) Medicine (all)

Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 20770383

Direcció de correo del autor: sonia.fernandez@urv.cat

Identificador del autor: 0000-0003-2906-3788

Fecha de alta del registro: 2023-02-18

Versión del articulo depositado: info:eu-repo/semantics/publishedVersion

Enlace a la fuente original: https://www.mdpi.com/2077-0383/8/11/1875

URL Documento de licencia: http://repositori.urv.cat/ca/proteccio-de-dades/

Referencia al articulo segun fuente origial: Journal Of Clinical Medicine. 8 (11):

Referencia 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 del artículo: 10.3390/jcm8111875

Entidad: Universitat Rovira i Virgili

Año de publicación de la revista: 2019

Tipo de publicación: Journal Publications