Arteriosclerosis and Thrombosis, Vol 12, 1336-1345, Copyright © 1992 by American Heart Association
ARTICLES |
JR Patsch, G Miesenbock, T Hopferwieser, V Muhlberger, E Knapp, JK Dunn, AM Gotto Jr and W Patsch
Department of Medicine, University of Innsbruck, Austria.
The status of fasting triglycerides as a risk factor for coronary artery disease (CAD) has been considered weak because in multivariate analyses, triglycerides tend to be eliminated by high density lipoprotein (HDL) cholesterol. To further evaluate the role of triglycerides in CAD, we employed postprandial lipemia as a more informative means of characterizing triglyceride metabolism. In 61 male subjects with severe CAD and 40 control subjects without CAD as verified by angiography, we measured cholesterol; triglycerides; HDL cholesterol; HDL2 cholesterol; and apolipoproteins A-I, A-II, and B in fasting plasma and triglycerides before and 2, 4, 6, and 8 hours after a standardized test meal. Both the maximal triglyceride increase and the magnitude of postprandial lipemia (area under the triglyceride curve over 8 hours after the meal) were higher in cases than in control subjects. Single postprandial triglyceride levels 6 and 8 hours after the meal were highly discriminatory (p < 0.001), and by logistic- regression analysis displayed an accuracy of 68% in predicting the presence or absence of CAD. In this respect, accuracy was higher than that of HDL2 cholesterol (64%) and equal to that of apolipoprotein B (68%), the most discriminatory fasting parameter. Multivariate logistic- regression analysis was performed to reduce the number of risk factors to those that were statistically independent. This statistical procedure selected postprandial but not fasting triglycerides into the most accurate multivariate model, which also contained the accepted risk factors HDL2 cholesterol, apolipoprotein B, and age. This model classified 82% of subjects correctly. We conclude that triglycerides are independent predictors of CAD in multivariate analyses including HDL cholesterol, provided that a challenge test of triglyceride metabolism such as postprandial lipemia is used. The study suggests that the metabolism of triglycerides is a critical determinant of cholesterol metabolic routing. The findings support the concept that the negative association between HDL cholesterol levels and CAD actually originates in part from a positive relation between CAD and plasma triglycerides, as ascertained in the postprandial state.
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C. Marin, J. Lopez-Miranda, P. Gomez, E. Paz, P. Perez-Martinez, F. Fuentes, J. A. Jimenez-Pereperez, J. M. Ordovas, and F. Perez-Jimenez Effects of the human apolipoprotein A-I promoter G-A mutation on postprandial lipoprotein metabolism Am. J. Clinical Nutrition, August 1, 2002; 76(2): 319 - 325. [Abstract] [Full Text] [PDF] |
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A. Ceriello, L. Quagliaro, B. Catone, R. Pascon, M. Piazzola, B. Bais, G. Marra, L. Tonutti, C. Taboga, and E. Motz Role of Hyperglycemia in Nitrotyrosine Postprandial Generation Diabetes Care, August 1, 2002; 25(8): 1439 - 1443. [Abstract] [Full Text] [PDF] |
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M. J. Sharman, W. J. Kraemer, D. M. Love, N. G. Avery, A. L. Gomez, T. P. Scheett, and J. S. Volek A Ketogenic Diet Favorably Affects Serum Biomarkers for Cardiovascular Disease in Normal-Weight Men J. Nutr., July 1, 2002; 132(7): 1879 - 1885. [Abstract] [Full Text] [PDF] |
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C. Auger, B. Caporiccio, N. Landrault, P. L. Teissedre, C. Laurent, G. Cros, P. Besancon, and J.-M. Rouanet Red Wine Phenolic Compounds Reduce Plasma Lipids and Apolipoprotein B and Prevent Early Aortic Atherosclerosis in Hypercholesterolemic Golden Syrian Hamsters (Mesocricetus auratus) J. Nutr., June 1, 2002; 132(6): 1207 - 1213. [Abstract] [Full Text] [PDF] |
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J. Chan, S. F. Knutsen, G. G. Blix, J. W. Lee, and G. E. Fraser Water, Other Fluids, and Fatal Coronary Heart Disease: The Adventist Health Study Am. J. Epidemiol., May 1, 2002; 155(9): 827 - 833. [Abstract] [Full Text] [PDF] |
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T. Hozumi, M. Eisenberg, K. Sugioka, A. R. Kokkirala, H. Watanabe, M. Teragaki, J. Yoshikawa, and S. Homma Change in Coronary Flow Reserve on Transthoracic Doppler Echocardiography after a Single High-Fat Meal in Young Healthy Men Ann Intern Med, April 2, 2002; 136(7): 523 - 528. [Abstract] [Full Text] [PDF] |
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D. A. Hyson, T. G. Paglieroni, T. Wun, and J. C. Rutledge Postprandial Lipemia is Associated With Platelet and Monocyte Activation and Increased Monocyte Cytokine Expression in Normolipemic Men Clinical and Applied Thrombosis/Hemostasis, April 1, 2002; 8(2): 147 - 155. [Abstract] [PDF] |
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K. E. Castiglione, N. W. Read, and S. J. French Adaptation to high-fat diet accelerates emptying of fat but not carbohydrate test meals in humans Am J Physiol Regulatory Integrative Comp Physiol, February 1, 2002; 282(2): R366 - R371. [Abstract] [Full Text] [PDF] |
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B. Verges, B. Guerci, V. Durlach, C. Galland-Jos, J. L. Paul, L. Lagrost, and P. Gambert Increased plasma apoA-IV level is a marker of abnormal postprandial lipemia: a study in normoponderal and obese subjects J. Lipid Res., December 1, 2001; 42(12): 2021 - 2029. [Abstract] [Full Text] [PDF] |
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H. Gaenzer, W. Sturm, G. Neumayr, R. Kirchmair, C. Ebenbichler, A. Ritsch, B. Foger, G. Weiss, and J. R Patsch Pronounced postprandial lipemia impairs endothelium-dependent dilation of the brachial artery in men Cardiovasc Res, December 1, 2001; 52(3): 509 - 516. [Abstract] [Full Text] [PDF] |
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M. Ai, A. Tanaka, K. Ogita, M. Sekinc, F. Numano, F. Numano, and G. M. Reaven Relationship between plasma insulin concentration and plasma remnant lipoprotein response to an oral fat load in patients with type 2 diabetes J. Am. Coll. Cardiol., November 15, 2001; 38(6): 1628 - 1632. [Abstract] [Full Text] [PDF] |
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H.-S. Kim, F. Abbasi, C. Lamendola, T. McLaughlin, and G. M Reaven Effect of insulin resistance on postprandial elevations of remnant lipoprotein concentrations in postmenopausal women Am. J. Clinical Nutrition, November 1, 2001; 74(5): 592 - 595. [Abstract] [Full Text] [PDF] |
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C.J.M. Halkes, H. van Dijk, P.P.T. de Jaegere, H.W.M. Plokker, Y. van der Helm, D. W. Erkelens, and M. Castro Cabezas Postprandial Increase of Complement Component 3 in Normolipidemic Patients With Coronary Artery Disease: Effects of Expanded-Dose Simvastatin Arterioscler Thromb Vasc Biol, September 1, 2001; 21(9): 1526 - 1530. [Abstract] [Full Text] [PDF] |
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J. P. van Wijk, M. C. Cabezas, C. J. Halkes, and D W. Erkelens Effects of different nutrient intakes on daytime triacylglycerolemia in healthy, normolipemic, free-living men Am. J. Clinical Nutrition, August 1, 2001; 74(2): 171 - 178. [Abstract] [Full Text] [PDF] |
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D. Bhatnagar, M.I. Mackness, and P.N. Durrington Treatment of mixed hyperlipidaemia using a combination of omega-3 fatty acids and HMG CoA reductase inhibitor Eur. Heart J. Suppl., June 1, 2001; 3(suppl_D): D53 - D58. [Abstract] [PDF] |
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R. D. Mattes Oral Exposure to Butter, but Not Fat Replacers Elevates Postprandial Triacylglycerol Concentration in Humans J. Nutr., May 1, 2001; 131(5): 1491 - 1496. [Abstract] [Full Text] |
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T. A. Sanders, F. R Oakley, J. A Cooper, and G. J Miller Influence of a stearic acid-rich structured triacylglycerol on postprandial lipemia, factor VII concentrations, and fibrinolytic activity in healthy subjects Am. J. Clinical Nutrition, April 1, 2001; 73(4): 715 - 721. [Abstract] [Full Text] [PDF] |
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T. R. Thomas, K. E. Horner, M. M. Langdon, J. Q. Zhang, E. S. Krul, G. Y. Sun, and R. H. Cox Effect of exercise and medium-chain fatty acids on postprandial lipemia J Appl Physiol, April 1, 2001; 90(4): 1239 - 1246. [Abstract] [Full Text] [PDF] |
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H. Iso, Y. Naito, S. Sato, A. Kitamura, T. Okamura, T. Sankai, T. Shimamoto, M. Iida, and Y. Komachi Serum Triglycerides and Risk of Coronary Heart Disease among Japanese Men and Women Am. J. Epidemiol., March 1, 2001; 153(5): 490 - 499. [Abstract] [Full Text] [PDF] |
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T. Tholstrup, B. Sandstrom, A. Bysted, and G. Holmer Effect of 6 dietary fatty acids on the postprandial lipid profile, plasma fatty acids, lipoprotein lipase, and cholesterol ester transfer activities in healthy young men Am. J. Clinical Nutrition, February 1, 2001; 73(2): 198 - 208. [Abstract] [Full Text] [PDF] |
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A. Harbis, C. Defoort, H. Narbonne, C. Juhel, M. Senft, C. Latgé, B. Delenne, H. Portugal, C. Atlan-Gepner, B. Vialettes, et al. Acute Hyperinsulinism Modulates Plasma Apolipoprotein B-48 Triglyceride--Rich Lipoproteins in Healthy Subjects During the Postprandial Period Diabetes, February 1, 2001; 50(2): 462 - 469. [Abstract] [Full Text] |
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R. Marfella, L. De Angelis, F. Nappo, D. Manzella, M. Siniscalchi, G. Paolisso, and D. Giugliano Elevated plasma fatty acid concentrations prolong cardiac repolarization in healthy subjects Am. J. Clinical Nutrition, January 1, 2001; 73(1): 27 - 30. [Abstract] [Full Text] [PDF] |
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S. L. Herd, J. E. M. Lawrence, D. Malkova, M. H. Murphy, S. Mastana, and A. E. Hardman Postprandial lipemia in young men and women of contrasting training status J Appl Physiol, November 1, 2000; 89(5): 2049 - 2056. [Abstract] [Full Text] [PDF] |
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S. C Couch, C. R Isasi, W. Karmally, W. S Blaner, T. J Starc, D. Kaluski, R. J Deckelbaum, H. N Ginsberg, S. Shea, and L. Berglund Predictors of postprandial triacylglycerol response in children: the Columbia University Biomarkers Study Am. J. Clinical Nutrition, November 1, 2000; 72(5): 1119 - 1127. [Abstract] [Full Text] [PDF] |
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J. P Bantle, S. K Raatz, W. Thomas, and A. Georgopoulos Effects of dietary fructose on plasma lipids in healthy subjects Am. J. Clinical Nutrition, November 1, 2000; 72(5): 1128 - 1134. [Abstract] [Full Text] [PDF] |
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