NEJM:载脂蛋白C3突变和缺血性血管疾病风险的相关性

2014-06-23 佚名 生物谷

近日,哥本哈根大学和Rigshospitalet研究人员已经表明,载脂蛋白C 3基因出现变异的人与没有此基因变异的人比,有一个显著较低水平的正常血脂。此外,动脉硬化的风险降低41%。科学结果是基于两个世界上涉及人数最多的两项研究:Copenhagen City Heart Study and the Copenhagen General Population Study,随访34年,共有75,7

近日,哥本哈根大学和Rigshospitalet研究人员已经表明,载脂蛋白C 3基因出现变异的人与没有此基因变异的人比,有一个显著较低水平的正常血脂。此外,动脉硬化的风险降低41%。

科学结果是基于两个世界上涉及人数最多的两项研究:Copenhagen City Heart Study and the Copenhagen General Population Study,随访34年,共有75,725人参加。结果发表在New England Journal of Medicine杂志上。

通过基因研究模拟医学抑制载脂蛋白C3,新研究已经证明,载脂蛋白C 3在降低​​正常血脂水平,心血管疾病的风险中有重要作用。该蛋白有终身遗传抑制作用的人具有非常低的血脂水平(每升血液小于1毫摩尔),以及心血管疾病的风险也显著减少。





预防心血管疾病药物的主要目的是降低血液中的胆固醇水平。但是,即使患者的胆固醇水平被视为作用靶标,但仍然有心血管疾病风险。甘油三酯是人体内含量最多的脂类,是血脂中主要成分,大部分组织均可以利用甘油三酯分解产物供给能量,同时肝脏、脂肪等组织还可以进行甘油三酯的合成,在脂肪组织中贮存。大部分甘油三酯来自于我们所吃的食物,血液中的甘油三酯水平高,增加心脏发作和动脉硬化的风险。因此,能抑制甘油三酸酯水平的载脂蛋白C 3基因变异是新的药物靶标。

原始出处:

Jørgensen AB1, Frikke-Schmidt R, Nordestgaard BG, Tybjærg-Hansen A.Loss-of-Function Mutations in APOC3 and Risk of Ischemic Vascular Disease.N Engl J Med. 2014 Jun 18. 下载链接


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