Relationships between some apolipoproteins and atherosclerosis condition of cerebral infarction patients

  • Nguyen Cam Thach 108 Military Central Hospital
  • Nguyen Hoang Ngoc 108 Military Central Hospital
  • Nguyen Van Tuyen 108 Military Central Hospital

Main Article Content

Keywords

apoA-I, apoB, Cerebral infarction, atherosclerosis

Abstract

Summary


Objective: To study the relationships between concentrations of apolipoprotein A-I, apolipoprotein B, apolipoprotein B/apolipoprotein A-I ratio and cerebral artery stenosis, occlusion of patients with atherosclerotic cerebral infarction. Subject and method: 146 patients with atherosclerotic cerebral infarction were examined and treated at 108 Military Central Hospital from 10/2017 - 12/2019. Patients were examined clinically, diagnosed with imaging and tested apoA-I, apoB, apoB/apoA-I ratio on admission. Result: The apoA-I concentration of patients with one site stenosis, occlusion (1.32 ± 0.23g/l) were higher than that of patients with multiple sites stenosis, occlusion (1.22 ± 0.22g/l) with p<0.01. The apoB concentration, the apoB/apoA-I ratio of patients with one site stenosis, occlusion (1.26 ± 0.29g/l, 0.99 ± 0.32) were lower than that of patients with multiple sites stenosis, occlusion (1.37 ± 0.30g/l, 1.17 ± 0.34) with p<0.05 and p<0.01. The apoA-I concentration was inversely correlated with the degree of stenosis and occlusion (r = -0.297, p=0.001). The apoB concentration, the apoB/apoA-I ratio were inversely correlated (r = 0.290, p=0.001 and r = 0.343, p=0.001) with the degree of cerebral artery stenosis, occlusion. Conclusion: There was a relationship between apoA-I concentration, apoB concentration, apoB/apoA-I ratio and cerebral artery stenosis, occlusion of patients with atherosclerotic cerebral infarction.


Keywords: Cerebral infarction, apoA-I, apoB, atherosclerosis.

Article Details

References

1. Contois JH, McNamara JR, Lammi-Keefe CJ, Wilson PWF, Massov T, Schaefer EJ (1996) Reference intervals for plasma apolipoprotein B determined with a standardized commercial immunoturbidimetric assay: Results from the framingham offspring Study. Clin Chem 42: 507-514.
2. Coupland AP, Thapar A, Qureshi MI, Jenkins H, Davies AH (2017) The definition of stroke. Journal of the Royal Society of Medicine 110(1): 9-12.
3. Cuomo S, Guarini P, Gaeta G et al (2002) Increased carotid intimamedia thickness in children-adolescents, and young adults with a parental history of premature myocardial infarction. Eur Heart J 23: 1345-1350.
4. Hamsten A, Walldius G, Szamosi A, Dahlen G, de Faire H (1986) Relationship of angiographically defined coronary artery disease to serum lipoproteins and apolipoproteins in young survivors of myocardial infarction. Circulation 73: 1097-1110.
5. Harold PA, Birgitte H, Jaap Kappelle L, Jose Biller, Betsy BL, David LG, Eugene ME and the TOAST Investigators (1993) Classification of subtype of acute ischemic stroke definitions for use in a multicenter clinical trial. Stroke 24(1): 35-41.
6. Hiruta N, Uchida Y, Maezawa Y, Shimoyama E, Uchida Y (2013) Molecular imaging of apolipoprotein B-100 in human coronary plaques by color fluorescent angioscopy and microscopy. Int Heart J 54(2): 68-74.
7. Kaneva AM, Potolitsyna NN, Bojko ER & Odland JØ (2015) The apolipoprotein B/apolipoprotein A-I Ratio as a potential marker of plasma atherogenicity. Disease Markers: 1-7.
8. Koren-Morag N, Goldbourt U, Graff E, Tanne D (2008) Apolipoproteins B and A1 and the risk of ischemic cerebrovascular events in patients with preexisting atherothrombotic disease. J Neurol Sci 270: 82-87.
9. McGill DA, Talsma P, Ardlie NG (1993) Relationship of blood cholesterol and apoprotein B levels to angiographically defined coronary artery disease in young males. Coron Artery Dis 4(3): 261-270.
10. Owen BS, Gregg JJ, Michael JL, Harriet AS and Marc IC (2000) A standardized method for measuring intracranial arterial stenosis. American Journal of Neuroradiology April 21(4): 643-646.
11. ShilpaSree AS, Savitri S, JayapraKaSh M, Kiran K (2013) A study of serum apolipoprotein A1, apolipoprotein B and lipid profile in stroke. Journal of clinical and diagnostic research: 1303-1306.
12. Jungner I, Walldius GHI, Kolar W, Steiner E (1992) Apolipoprotein B, A-I in relation to serum cholesterol and triglycerides in 43 000 Swedish males and females. Int J Clin Lab Res 21: 247-255.