51. HDL particle size is increased and HDL-cholesterol efflux is enhanced in type 1 diabetes: a cross-sectional study
- Author
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Anne McGowan, Rachel Byrne, Khalid Mohamed Saeed Ahmed, Mohamad O. Ahmed, James Gibney, Mark Sherlock, Isolda Frizelle, Ricardo Segurado, Kevin Moore, Fiona C. McGillicuddy, Weili Guo, Gerard Boran, Anjuli Gunness, and Agnieszka Pazderska
- Subjects
0301 basic medicine ,Adult ,Male ,medicine.medical_specialty ,Cross-sectional study ,Endocrinology, Diabetes and Metabolism ,030209 endocrinology & metabolism ,HDL Particle Size ,Mean difference ,Cell Line ,03 medical and health sciences ,chemistry.chemical_compound ,Mice ,0302 clinical medicine ,Internal medicine ,Internal Medicine ,medicine ,Animals ,Humans ,HDL particle ,Particle Size ,Type 1 diabetes ,Mice, Inbred BALB C ,Cholesterol ,business.industry ,Macrophages ,Increased hdl ,Cholesterol, HDL ,Middle Aged ,medicine.disease ,Atherosclerosis ,030104 developmental biology ,Endocrinology ,Cross-Sectional Studies ,Diabetes Mellitus, Type 1 ,chemistry ,Case-Control Studies ,cardiovascular system ,lipids (amino acids, peptides, and proteins) ,Female ,Efflux ,business ,Biomarkers ,ATP Binding Cassette Transporter 1 - Abstract
The prevalence of atherosclerosis is increased in type 1 diabetes despite normal-to-high HDL-cholesterol levels. The cholesterol efflux capacity (CEC) of HDL is a better predictor of cardiovascular events than static HDL-cholesterol. This cross-sectional study addressed the hypothesis that impaired HDL function contributes to enhanced CVD risk within type 1 diabetes. We compared HDL particle size and concentration (by NMR), total CEC, ATP-binding cassette subfamily A, member 1 (ABCA1)-dependent CEC and ABCA1-independent CEC (by determining [3H]cholesterol efflux from J774-macrophages to ApoB-depleted serum), and carotid intima–media thickness (CIMT) in 100 individuals with type 1 diabetes (37.6 ± 1.2 years; BMI 26.9 ± 0.5 kg/m2) and 100 non-diabetic participants (37.7 ± 1.1 years; 27.1 ± 0.5 kg/m2). Compared with non-diabetic participants, total HDL particle concentration was lower (mean ± SD 31.01 ± 8.66 vs 34.33 ± 8.04 μmol/l [mean difference (MD) −3.32 μmol/l]) in participants with type 1 diabetes. However, large HDL particle concentration was greater (9.36 ± 3.98 vs 6.99 ± 4.05 μmol/l [MD +2.37 μmol/l]), resulting in increased mean HDL particle size (9.82 ± 0.57 vs 9.44 ± 0.56 nm [MD +0.38 nm]) (p
- Published
- 2020