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Clinical significance of remnant lipoproteinemia as a therapeutic target of cardiovascular diseases

Research Project

Project/Area Number 15390244
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Circulatory organs internal medicine
Research InstitutionUniversity of Yamanashi

Principal Investigator

KUGIYAMA Kiyotaka  University of Yamanashi, Department of Research Interdisciplinary Graduate School of Medicine and Engineering, Professor, 大学院・医学工学総合研究部, 教授 (00225129)

Co-Investigator(Kenkyū-buntansha) UMETANI Ken  University of Yamanashi, University of Yamanashi Hospital, Assistant Professor, 医学部附属病院, 講師 (40262654)
TAKANO Hajime  University of Yamanashi, University of Yamanashi Hospital, Assistant Professor, 医学部附属病院, 講師 (20362064)
KAWABATA Kenichi  University of Yamanashi, Depatmnent of Researth Interdisciplinary Graduate School of Medicine and Engineering, Research Associate, 大学院・医学工学総合研究部, 助手 (30345706)
比江島 欣慎  山梨大学, 総合分析実験センター, 助教授 (00313809)
杉山 正悟  熊本大学, 医学部附属病院, 助手 (90274711)
長田 満  山梨大学, 大学院・医学工学総合研究部, 助手 (40311691)
尾畑 純栄  山梨大学, 医学部附属病院, 助手 (60362076)
Project Period (FY) 2003 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥15,000,000 (Direct Cost: ¥15,000,000)
Fiscal Year 2005: ¥1,300,000 (Direct Cost: ¥1,300,000)
Fiscal Year 2004: ¥1,400,000 (Direct Cost: ¥1,400,000)
Fiscal Year 2003: ¥12,300,000 (Direct Cost: ¥12,300,000)
KeywordsRemnant lipoprotein / Cardiovascular diseases / Endothelial dysfunction / Metabolic syndrome / Carotid plaque / 高脂血症 / 中性脂肪 / 脳梗塞 / 動脈硬化 / 虚血性心疾患
Research Abstract

This study aimed to determine whether elevated levels of remnant lipoprotein, an atherogenic triglyceride-rich lipoprotein, might be associated with coronary artery disease (CAD), endothelial vasomotor dysfunction, and future stroke in metabolic syndrome. The fasting serum levels of remnant lipoproteins (remnant-like lipoprotein particles cholesterol ; RLP-C) were measured by an immunoseparation method in 210 patients with metabolic syndrome meeting ATP III criteria. Flow-mediated endothelium-dependent dilatation (FMD) in the brachial artery during reactive hyperemia was examined by high-resolution ultrasound technique. This study found that elevated RLP-C levels were a significant and independent risk factor for impaired FMD and angiographically proven CAD. Kaplan-Meier analysis demonstrated that higher RLP-C levels resulted in a higher probability of ischemic stroke (P=0.02 by log-rank test). A multivariate Cox hazard analysis showed that high RLP-C levels were a significant predictor of a future ischemic stroke that was independent of components of the metabolic syndrome and other traditional atherosclerotic risk factors (odds ratio 3.2, 95% CI 1.2-8.1, P<0.01). Furthermore, high RLP-C levels were a significant risk of echolucent carotid plaques, assessed by carotid ultrasound with the integrated backscatter (IBS) analysis (intima-media IBS value minus adventitia IBS【less than or equal】-16 dB) that was independent of components of metabolic syndrome and other traditional atherosclerotic risk factors (odds ratio 4.3, 95% CI 1.6-6.7, P<0.01). Treatment with bezafibrate (n=20) or atorvastatin (n=20) for 4 weeks significantly reduced RLP-C levels, with a concomitant improvement in FMD. Thus, elevated levels of RLP-C are a risk factor for CAD, endothelial vasomotor dysfunction, a predictor of coronary events, and stroke in metabolic syndrome. Measurement of RLP-C is useful for assessment of risk of cardiovascular diseases and therapeutic effects in metabolic syndrome.

Report

(4 results)
  • 2005 Annual Research Report   Final Research Report Summary
  • 2004 Annual Research Report
  • 2003 Annual Research Report
  • Research Products

    (29 results)

All 2006 2005 2004 2003 Other

All Journal Article (27 results) Publications (2 results)

  • [Journal Article] Triglycerides and remnant particles as risk factors for coronary artery disease.2006

    • Author(s)
      Nakamura T
    • Journal Title

      Curr Atheroscler Rep. 8(2)

      Pages: 107-10

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Elevated levels of remnant lipoproteins are associated with plasma platelet microparticles in patients with type-2 diabetes mellitus without obstructive coronary artery disease.2006

    • Author(s)
      Koga H
    • Journal Title

      Eur Heart J. 27(7)

      Pages: 817-23

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Role of adiponectin receptors in endothelin-induced cellular hypertrophy in cultured cardiomyocytes and their expression in infarcted heart.2006

    • Author(s)
      Fujioka D
    • Journal Title

      Am J Physiol Heart Circ Physiol. (in press.)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Role of adiponectin receptors in endothelin-induced cellular hypertrophy in cultured cardiomyocytes and their expression in infarcted heart.2006

    • Author(s)
      Fujioka D
    • Journal Title

      Am J Physiol Heart Circ Physiol. (in press)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Stabilization of carotid atheroma assessed by quantitative ultrasound analysis in nonhypercholesterolemic patients with coronary artery disease.2005

    • Author(s)
      Watanabe K
    • Journal Title

      J Am Coll Cardiol 46(11)

      Pages: 2022-30

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Elevated Levels of VE-Cadherin-Positive Endothelial Microparticles in Patients With Type 2 Diabetes Mellitus and Coronary Artery Disease.2005

    • Author(s)
      Koga H
    • Journal Title

      J Am Coll Cardiology. 45(10)

      Pages: 1622-1630

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Endothelial vasomotor dysfunction in the brachial artery is associated with late in-stent coronary restenosis.2005

    • Author(s)
      Kitta Y
    • Journal Title

      Journal of the American College of Cardiology. 46(4)

      Pages: 648-655

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Remnant Lipoproteinemia is a Risk Factor for Endothelial Vasomotor Dysfunction and Coronary Artery Disease in Metabolic Syndrome.2005

    • Author(s)
      Nakamura T
    • Journal Title

      Atherosclerosis. 181(2)

      Pages: 321-327

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Increased Ambulatory Pulse Pressure is a Strong Risk Factor for Coronary Endothelial Vasomotor Dysfunction.2005

    • Author(s)
      Ichigi Y
    • Journal Title

      J Am Coll Cardiol. 45(9)

      Pages: 1461-1466

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Stabilization of carotid atheroma assessed by quantitative ultrasound analysis in nonhypercholesterolemic patients with coronary artery disease.2005

    • Author(s)
      Watanabe K
    • Journal Title

      J Am Coll Cardiol. 46(11)

      Pages: 2022-2030

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Endothelial vasomotor dysfunction in the brachial artery is associated with late in-stent coronary restenosis.2005

    • Author(s)
      Kitta Y
    • Journal Title

      Journal of the American College of Cardiology 46(4)

      Pages: 648-655

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Remnant Lipoproteinemia is a Risk Factor for Endothelial Vasomotor Dysfunction and Coronary Artery Disease in Metabolic Syndrome.2005

    • Author(s)
      Nakamura T
    • Journal Title

      Atherosclerosis 181(2)

      Pages: 321-327

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Stabilization of carotid atheroma assessed by quantitative ultrasound analysis in nonhypercholesterolemic patients with coronary artery disease.2005

    • Author(s)
      Watanabe K, Kugiyama K, et al.
    • Journal Title

      J Am Coll Cardiol. 46・11

      Pages: 2022-2030

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Endothelial vasomotor dysfunction in the brachial artery is associated with late in-stent coronary restenosis.2005

    • Author(s)
      Kitta Y, Kugiyama K, et al.
    • Journal Title

      J Am Coll Cardiol. 46・4

      Pages: 648-655

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Remnant lipoproteinemia is a risk factor for endothelial vasomotor dysfunction and coronary artery disease in metabolic syndrome.2005

    • Author(s)
      Nakamura T, Kugiyama K, et al.
    • Journal Title

      Atherosclerosis. 181・2

      Pages: 321-327

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Elevated levels of VE-cadherin-positive endothelial microparticles in patients with type 2 diabetes mellitus and coronary artery disease.2005

    • Author(s)
      Koga H, Kugiyama K, et al.
    • Journal Title

      J Am Coll Cardiol. 45・10

      Pages: 1622-1630

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Remnant Lipoproteinemia is a Risk Factor for Endothelial Vasomotor Dysfunction and Coronary Artery Disease in Metabolic Syndrome2005

    • Author(s)
      Takamitsu Nakamura, et al.
    • Journal Title

      Atherosclerosis in press

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Increased Ambulatory Pulse Pressure is a Strong Risk Factor for Coronary Endothelial Vasomotor Dysfunction2005

    • Author(s)
      Yoshihide Ichigi
    • Journal Title

      J Am Coll Cordiol in press

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Blunted reduction of pulse pressure during nighttime is associated with left ventricular hypertrophy in elderly hypertensive patients.2004

    • Author(s)
      Iida T
    • Journal Title

      Hypertens Res. 27

      Pages: 573-9

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Hypochlorous acid, a macrophage product, induces endothelial apoptosis and tissue factor expression : involvement of myeloperoxidase-mediated oxidant in plaque erosion and thrombogenesis.2004

    • Author(s)
      Sugiyama S
    • Journal Title

      Arterioscler Thromb Vasc Biol. 24

      Pages: 1309-14

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Prognostic value of remnant-like lipoprotein particles levels in patients with coronary artery disease and type 2 diabetes mellitus.2004

    • Author(s)
      Fukushima H
    • Journal Title

      J Am Coll Cardiol. 43

      Pages: 2219-24

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Echolucent Carotid Plaques Predict Presence of Complex Coronary Plaques and Future Coronary Events in Patients with Coronary Artery Disease.2004

    • Author(s)
      Honda O:
    • Journal Title

      J Am Coll Cardiol. 43

      Pages: 1177-84

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Echolucent Carotid Plaques Predict Presence of Complex Coronary Plaques and Future Coronary Events in Patients with Coronary Artery Disease.2004

    • Author(s)
      Honda O
    • Journal Title

      J Am Coll Cardiol. 43

      Pages: 1177-1184

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Plasminogen activator inhibitor contributes to the coronary wall thickening in patients with angiographically normal coronary.2003

    • Author(s)
      Miyao Y
    • Journal Title

      Thromb Res. 112

      Pages: 123-9

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Polymorphism in glutamate-cysteine ligase modifier subunit gene is associated with impairment of nitric oxide-mediated coronary vasomotor function.2003

    • Author(s)
      Nakamura S
    • Journal Title

      Circulation. 108

      Pages: 1425-7

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Association of polymorphism in glutamate-cysteine ligase catalytic subunit gene with coronary vasomotor dysfunction and myocardial infarction.2003

    • Author(s)
      Koide S
    • Journal Title

      J Am Coll Cardiol. 41

      Pages: 539-45

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Polymorphism in glutamate-cysteine ligase modifier subunit gene is associated with impairment of nitric oxide-mediated coronary vasomotor function.2003

    • Author(s)
      Nakamura S
    • Journal Title

      Circulation 108

      Pages: 1425-1427

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Publications] Hironobu Fukushima, et al.: "Prognostic value of remnant-like lipoprotein particles levels in patients with coronary artery disease and type 2 diabetes mellitus."J Am Coll Cardiol. (In press). (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Osamu Honda, et al.: "Echolucent carotid plaques predict presence of complex coronary plaques and future coronary events in patients with coronary artery disease."J Am Coll Cardiol. (In press). (2004)

    • Related Report
      2003 Annual Research Report

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Published: 2003-04-01   Modified: 2016-04-21  

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