Abstract | OBJECTIVE: APPROACH AND RESULTS: We prospectively studied 1927 individuals from the general population. Serum concentrations of apolipoprotein A-I, A-II, B, C-II, C-III, E, and LCAT activity measured as a serum cholesterol esterification rate were evaluated. We documented 61 events of CHD and sudden death during 10.9 years of follow-up. After adjustment for age and sex, LCAT activity was significantly associated with the risk of CHD and sudden death (hazard ratio, 3.02; 95% confidence interval, 1.49-6.12; P=0.002). In multivariate analysis adjusted for age, sex, current smoking status, history of diabetes mellitus, body mass index, systolic blood pressure, serum total cholesterol, and serum high-density lipoprotein cholesterol concentrations, the hazard ratio of LCAT activity for the risk of CHD and sudden death remained significant (hazard ratio, 3.07; 95% confidence interval, 1.35-7.01; P=0.008). However, when it was analyzed for men and women separately, this association remained significant only in women. CONCLUSIONS: Increased LCAT activity measured as a serum cholesterol esterification rate was a risk for CHD and sudden death in a Japanese general population.
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Authors | Shin-ichiro Tanaka, Tomoyuki Yasuda, Tatsuro Ishida, Yoshio Fujioka, Takeshi Tsujino, Tetsuo Miki, Ken-ichi Hirata |
Journal | Arteriosclerosis, thrombosis, and vascular biology
(Arterioscler Thromb Vasc Biol)
Vol. 33
Issue 5
Pg. 1098-104
(May 2013)
ISSN: 1524-4636 [Electronic] United States |
PMID | 23430610
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Cholesterol Esters
- Phosphatidylcholine-Sterol O-Acyltransferase
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Topics |
- Adult
- Aged
- Cholesterol Esters
(blood)
- Coronary Disease
(blood, etiology)
- Death, Sudden
(etiology)
- Female
- Humans
- Male
- Middle Aged
- Phosphatidylcholine-Sterol O-Acyltransferase
(metabolism)
- Prospective Studies
- Sex Characteristics
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