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Arteriosclerosis, Thrombosis, and Vascular Biology. 1999;19:967-971

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 1999;19:967-971.)
© 1999 American Heart Association, Inc.


Original Contributions

Increased Plasma 7ß-Hydroxycholesterol Concentrations in a Population With a High Risk for Cardiovascular Disease

Bo Ziedén; Arvydas Kaminskas; Margareta Kristenson; Zita Kucinskienê; Bengt Vessby; Anders G. Olsson; Ulf Diczfalusy

From the Department of Physiology and Biochemistry (A.K., Z.K.), Faculty of Medicine, Vilnius, Lithuania; the Department of Health and Environment (M.K.), Faculty of Health Sciences, and the Department of Medicine and Care and Clinical Research Center (B.Z., A.G.O.), Faculty of Health Sciences, Linköping; the Department of Geriatrics (B.V.), Uppsala University, Uppsala; and the Department of Medical Laboratory Sciences and Technology (U.D.), Division of Clinical Chemistry, Karolinska Institute, Huddinge University Hospital, Huddinge, Sweden.

Correspondence to Bo Ziedén, Clinical Research Center and Department of Medicine and Care, Faculty of Health Sciences, S-581 85 Linköping, Sweden. E-mail Bo.Zieden{at}kfc.liu.se

Abstract—The mortality in coronary heart disease among 50- to 54-year-old men is 4 times higher in Lithuania than in Sweden. It was recently suggested that traditional risk factors could not explain this mortality difference. LDL of Lithuanian men showed, however, a lower resistance to oxidation than that of Swedish men. In addition, the plasma concentration of {gamma}-tocopherol, lycopene, and ß-carotene were lower in Lithuanian men. In the present investigation, we determined plasma oxysterols in men from Lithuania and Sweden and found that the plasma concentration of 7ß-hydroxycholesterol was higher in Lithuanian men, 12±5 versus 9±8 (SD) ng/mL (P=0.0011). This oxysterol is a cholesterol autoxidation product and there is no indication that it should have an enzymatic origin. Mean LDL oxidation lag time was shorter in Lithuanian men (75±14 versus 90±13 minutes, P<0.0001) and the concentration of LDL linoleic acid was lower (249±56 versus 292±54 µg/mg of LDL protein, P<0.0001). Lipid corrected {gamma}-tocopherol was 0.07±0.02 mg/mL in Vilnius men and 0.12±0.04 mg/mL (P<0.0001) in Linköping men. There was a negative correlation between the concentration of 7ß-hydroxycholesterol and lag time (R=-0.31, P=0.0023). It is suggested that the higher 7ß-hydroxycholesterol concentration in Lithuanian men is an indication of an increased in vivo lipid peroxidation.


Key Words: oxysterols • LDL oxidation • vitamins • fatty acids • cross-sectional study




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