Document Detail


The associations of cholesterol metabolism and plasma plant sterols with all-cause and cardiovascular mortality.
MedLine Citation:
PMID:  20228406     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Moderately elevated levels of plasma plant sterols have been suspected to be causally involved in atherosclerosis. The aim of this study was to investigate whether plant sterols and other markers of sterol metabolism predicted all-cause and cardiovascular mortality in participants of the Ludwigshafen Risk and Cardiovascular health (LURIC) study. A total of 1,257 individuals who did not use statins and at baseline had a mean (+/- SD) age of 62.8 (+/- 11.0) years were included in the present analysis. Lathosterol, cholestanol, campesterol, and sitosterol were measured to estimate cholesterol synthesis and absorption. The mean (+/- SD) time of the follow-up for all-cause and cardiovascular mortality was 7.32 (+/- 2.3) years. All-cause (P = 0.001) and cardiovascular (P = 0.006) mortality were decreased in the highest versus the lowest lathosterol to cholesterol tertile. In contrast, subjects in the third cholestanol to cholesterol tertile had increased all-cause (P < 0.001) and cardiovascular mortality (P = 0.010) compared with individuals in the first tertile. The third campesterol to cholesterol tertile was associated with increased all-cause mortality (P = 0.025). Sitosterol to cholesterol tertiles were not significantly related to all-cause or cardiovascular mortality. The data suggest that high absorption and low synthesis of cholesterol predict increased all-cause and cardiovascular mortality in LURIC participants.
Authors:
Guenther Silbernagel; Guenter Fauler; Michael M Hoffmann; Dieter Lütjohann; Bernhard R Winkelmann; Bernhard O Boehm; Winfried März
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-03-14
Journal Detail:
Title:  Journal of lipid research     Volume:  51     ISSN:  0022-2275     ISO Abbreviation:  J. Lipid Res.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-15     Completed Date:  2010-10-20     Revised Date:  2011-08-03    
Medline Journal Info:
Nlm Unique ID:  0376606     Medline TA:  J Lipid Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2384-93     Citation Subset:  IM    
Affiliation:
Division of Endocrinology, Department of Internal Medicine, Eberhard-Karls-University, Tübingen, Germany.
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MeSH Terms
Descriptor/Qualifier:
Absorption
Cardiovascular Diseases / blood,  diagnosis,  metabolism*,  mortality*
Cholestanol / metabolism
Cholesterol / analogs & derivatives,  biosynthesis,  blood,  metabolism*
Humans
Male
Middle Aged
Phytosterols / blood*
Prognosis
Risk
Sitosterols / blood
Chemical
Reg. No./Substance:
0/Phytosterols; 0/Sitosterols; 474-62-4/campesterol; 57-88-5/Cholesterol; 5779-62-4/sitosterol; 80-97-7/Cholestanol; 80-99-9/lathosterol
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