Clinical Research

Correlation between sdLDL⁃C, CXCL12 and CVD in diabetic patients

  • Li′na MA ,
  • Zhenhua CAO ,
  • Bing. YANG
Expand
  • *.Tianjin Hospital,Tianjin 300211,China

Received date: 2023-06-28

  Online published: 2023-12-11

Abstract

Objective To investigate the correlation between serum levels of small dense low density lipoprotein-cholesterol (sdLDL-C) and chemokine CXC motifligand12 (CXCL12) and diabetes mellitus with cardiovascular disease(CVD). Methods A total of 256 diabetic patients treated in our hospital between June 2021 and September 2022 were selected as the diabetic group. The patients were grouped according to whether they had combined CVD or not. And the serum sdLDL-C as well as CXCL12 levels of each group were compared with healthy volunteers. Risk factors for the complication of CVD in diabetic patients were analyzed. To analyze the diagnostic value of sdLDL-C, CXCL12 and combined test for diabetic patients with complicated CVD. Results Serum sdLDL-C and CXCL12 levels were higher in the diabetes group than in the control group (P < 0.05). The duration of disease, BMI, LDL-C, and serum sdLDL-C and CXCL12 levels were higher in the cardiovascular disease group than in the non-cardiovascular disease group (P < 0.05). A multifactorial logistic regression analysis showed that sdLDL-C and CXCL12 were independent risk factors for the complication of CVD in diabetic patients (P < 0.05). The sensitivity and specificity of serum sdLDL-C and CXCL12 combined test were higher than that of single test. Conclusion Elevated serum sdLDL-C and CXCL12 levels in patients with diabetes mellitus are independent risk factors for the complication of CVD, and the combination of these two tests has a high diagnostic value for diabetes mellitus with CVD.

Cite this article

Li′na MA , Zhenhua CAO , Bing. YANG . Correlation between sdLDL⁃C, CXCL12 and CVD in diabetic patients[J]. The Journal of Practical Medicine, 2023 , 39(22) : 2953 -2957 . DOI: 10.3969/j.issn.1006-5725.2023.22.016

References

1 冯皓月,岳仁宋,张新霞. 肠道菌群与糖尿病大血管病变的研究进展[J]. 实用医学杂志,2021,37(17):2296-2299.
2 孙艺红,陈康,等. 糖尿病患者合并心血管疾病诊治专家共识[J]. 中华内科杂志,2021,60(5):421-437.
3 LA SALA L, PONTIROLI A E. Prevention of Diabetes and Cardiovascular Disease in Obesity[J]. Int J Mol Sci,2020,21(21):8178.
4 SANTOS H O, EARNEST C P, TINSLEY G M, et al. Small dense low-density lipoprotein-cholesterol (sdLDL-C): Analysis, effects on cardiovascular endpoints and dietary strategies[J]. Prog Cardiovasc Dis, 2020,63(4):503-509.
5 LIOU L, KAPTOGE S. Association of small, dense LDL-cholesterol concentration and lipoprotein particle characteristics with coronary heart disease: A systematic review and meta-analysis[J]. PLoS One, 2020,15(11):e0241993.
6 ZHAO R, LIU J, LI Z, et al. Recent Advances in CXCL12/CXCR4 Antagonists and Nano-Based Drug Delivery Systems for Cancer Therapy[J]. Pharmaceutics, 2022,14(8):1541.
7 张辉,麦春林,许雅南,等. 持续血浆趋化因子C-X-C基序配体12增加导致疼痛的慢性化[J]. 实用医学杂志,2020,36(16):2171-2176.
8 赵鹏,张彦周,李爱琴,等. 冠心病病人血清CXCL4和CXCL12水平与冠状动脉粥样斑块稳定性的关系[J]. 中西医结合心脑血管病杂志,2019,17(20):3162-3164.
9 国家老年医学中心,中华医学会老年医学分会,中国老年保健协会糖尿病专业委员会,郭立新,肖新华. 中国老年糖尿病诊疗指南(2021年版)[J]. 中华糖尿病杂志,2021,13(1):14-46.
10 JELLINGER P S. American Association of Clinical Endocrinologists/American College of Endocrinology Management of Dyslipidemia and Prevention of Cardiovascular Disease Clinical Practice Guidelines[J]. Diabetes Spectr, 2018,31(3):234-245.
11 IKEZAKI H, LIM E, CUPPLES L A, et al. Small Dense Low-Density Lipoprotein Cholesterol Is the Most Atherogenic Lipoprotein Parameter in the Prospective Framingham Offspring Study[J]. J Am Heart Assoc, 2021,10(5):e019140.
12 KOCH C, ENGELE J. Functions of the CXCL12 Receptor ACKR3/CXCR7-What Has Been Perceived and What Has Been Overlooked[J]. Mol Pharmacol, 2020,98(5):577-585.
13 刘肖瑛,林佩娜,欧阳伟庆,等. 2型糖尿病患者血清sdLDL和脂类水平及相关性分析[J]. 现代检验医学杂志,2020,35(3):58-61.
14 IKEZAKI H, FURUSYO N, YOKOTA Y, et al. Small Dense Low-Density Lipoprotein Cholesterol and Carotid Intimal Medial Thickness Progression[J]. J Atheroscler Thromb, 2020,27(10):1108-1122.
15 LIU F, WANG Z, CAO X, et al. Relationship between small dense low-density lipoprotein cholesterol with carotid plaque in Chinese individuals with abnormal carotid artery intima-media thickness[J]. BMC Cardiovasc Disord, 2021,21(1):216.
16 黄斌,麦世龙,周海红,等. sdLDL-C联合血脂检测在心血管疾病的诊断、普查中的应用[J]. 黑龙江医药,2021,34(2):256-259.
17 XU L, CHEN X, LU J, et al. Predictive value of small dense low-density lipoprotein cholesterol for cardiovascular events in Chinese elder diabetes mellitus patients[J]. Diabetol Metab Syndr,2021,13(1):49.
18 LI L, DU Z, RONG B, et al. Foam cells promote atherosclerosis progression by releasing CXCL12[J]. Biosci Rep, 2020,40(1):BSR20193267.
19 MERCKELBACH S, VAN der Vorst E P C, KALLMAYER M, et al. Expression and Cellular Localization of CXCR4 and CXCL12 in Human Carotid Atherosclerotic Plaques[J]. Thromb Haemost, 2018,118(1):195-206.
20 GAO J H, HE L H, YU X H, et al. CXCL12 promotes atherosclerosis by downregulating ABCA1 expression via the CXCR4/GSK3β/β-cateninT120/TCF21 pathway[J]. J Lipid Res, 2019,60(12):2020-2033.
21 LEBERZAMMER J, AGTEN S M, BLANCHET X, et al. Targeting platelet-derived CXCL12 impedes arterial thrombosis[J]. Blood,2022,139(17):2691-2705.
Outlines

/