Less but better: cardioprotective lipid profile of patients with GCK-MODY despite lower HDL cholesterol level

التفاصيل البيبلوغرافية
العنوان: Less but better: cardioprotective lipid profile of patients with GCK-MODY despite lower HDL cholesterol level
المؤلفون: Magdalena Szopa, Malgorzata Urbanska-Kosinska, Maciej Borowiec, Manfredi Rizzo, Karolina Antosik, Agnieszka Szadkowska, Beata Małachowska, Maciej T. Malecki, Maciej Banach, Wojciech Młynarski, Wojciech Fendler
المصدر: Acta Diabetologica
بيانات النشر: Springer Nature
مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Adolescent, Endocrinology, Diabetes and Metabolism, Biology, Lipid subpopulations, Young Adult, chemistry.chemical_compound, Endocrinology, Monogenic diabetes, Internal medicine, Diabetes mellitus, Glucokinase, medicine, Internal Medicine, Humans, Hepatocyte Nuclear Factor 1-alpha, Child, Type 1 diabetes, medicine.diagnostic_test, Cholesterol, Cholesterol, HDL, Case-control study, nutritional and metabolic diseases, Cholesterol, LDL, General Medicine, medicine.disease, Lipoproteins, LDL, Diabetes Mellitus, Type 1, chemistry, Case-Control Studies, Metabolic control analysis, MODY, Original Article, Female, lipids (amino acids, peptides, and proteins), Lipoproteins, HDL, Lipid profile, Lipoprotein
الوصف: Patients with diabetes caused by single-gene mutations generally exhibit an altered course of diabetes. Those with mutations of the glucokinase gene (GCK-MODY) show good metabolic control and low risk of cardiovascular complications despite paradoxically lowered high-density lipoprotein (HDL) cholesterol levels. In order to investigate the matter, we analyzed the composition of low-density lipoprotein (LDL) and HDL subpopulations in such individuals. The LipoPrint(©) system (Quantimetrix, USA) based on non-denaturing, linear polyacrylamide gel electrophoresis was used to separate and measure LDL and HDL subclasses in fresh-frozen serum samples from patients with mutations of glucokinase or HNF1A, type 1 diabetes (T1DM) and healthy controls. Fresh serum samples from a total of 37 monogenic diabetes patients (21 from GCK-MODY and 16 from HNF1A-MODY), 22 T1DM patients and 15 healthy individuals were measured in this study. Concentrations of the small, highly atherogenic LDL subpopulation were similar among the compared groups. Large HDL percentage was significantly higher in GCK-MODY than in control (p = 0.0003), T1DM (p = 0.0006) and HNF1A-MODY groups (p = 0.0246). Patients with GCK-MODY were characterized by significantly lower intermediate HDL levels than controls (p = 0.0003) and T1DM (p = 0.0005). Small, potentially atherogenic HDL content differed significantly with the GCK-MODY group showing concentrations of that subfraction from control (p = 0.0096), T1DM (p = 0.0193) and HNF1A-MODY (p = 0.0057) groups. Within-group heterogeneity suggested the existence of potential gene-gene or gene-environment interactions. GCK-MODY is characterized by a strongly protective profile of HDL cholesterol subpopulations. A degree of heterogeneity within the groups suggests the existence of interactions with other genetic or clinical factors.
اللغة: English
تدمد: 0940-5429
DOI: 10.1007/s00592-014-0567-1
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8d264a1413cbf78fba023669d715da18Test
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....8d264a1413cbf78fba023669d715da18
قاعدة البيانات: OpenAIRE
الوصف
تدمد:09405429
DOI:10.1007/s00592-014-0567-1