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Antibodies Against Various Forms of Mildly Oxidized Low-Density Lipoprotein Are Not Associated With Carotid Intima-Media Thickness in Patients With Primary Hyperlipidemia

Department of Internal Medicine, University of Ioannina, Ioannina, Greece

Dimitrios N. Kiortsis, MD

Laboratory of Physiolog, University of Ioannina, Ioannina, Greece

Vasilios Xydis, MD

Department of Radiology, Medical School, University of Ioannina, Ioannina, Greece

Maria I. Argyropoulou, MD

Department of Radiology, Medical School, University of Ioannina, Ioannina, Greece

Moses Elisaf, MD

Department of Internal Medicine, University of Ioannina, Ioannina, Greece

Alexandros D. Tselepis, MD

Laboratory of Biochemistry, Department of Chemistry, University of Ioannina, Ioannina, Greece, atselep{at}cc.uoi.gr

The carotid intima-media thickness (IMT) can reflect early atherosclerosis. Oxidative modification of low-density lipoprotein (LDL) leads to the formation of several immunogenic epitopes and different forms of antibodies against oxidized LDL (oxLDL). We investigated the possible relationship between autoantibody titers against various forms of mildly oxLDL and carotid IMT in patients (n=100) with primary hyperlipidemia. Three different types of mildly oxidized LDL—oxLDL_L, oxLDL_P, and oxLDL_D—were prepared at the end of lag, propagation, and decomposition phases of oxidation, respectively. Similar types of oxLDL were also prepared from the same LDL preparations after inactivation of the LDL-associated platelet-activating factor acetylhydrolase (PAF-AH). These types were denoted as oxLDL(-)_L, oxLDL(-)_P, and oxLDL(-)_D. OxLDL types are primarily enriched in lysophosphatidylcholine (lyso-PC) due to hydrolysis of oxidized phospholipids (oxPL) by PAF-AH. OxLDL(-) types are mainly enriched in intact oxPL due to the inactivation of the LDL-associated PAF-AH before oxidation. IgG autoantibodies against all types of oxLDL were determined and IMT was evaluated ultrasonographically. IMT values were significantly associated with age, systolic blood pressure and serum triglyceride levels, whereas no correlation was found between IMT values and antibody titers against all types of either oxLDL or oxLDL(-). We suggest that autoantibodies against various types of mildly oxidized LDL enriched either in lyso-PC or in oxPL are not associated with the extent of carotid atherosclerosis. This supports the concept that extensively oxidized LDL enriched in aldehydes rather than mildly oxidized LDL may play a prominent role in the early stage of atherosclerosis.

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