Lipoprotein-associated phospholipase A2 (Lp-PLA2): a review of its role and significance as a cardiovascular biomarker

被引:49
作者
Vittos, Oana [1 ,2 ]
Toana, Bogdan [3 ]
Vittos, Alexandros [1 ]
Moldoveanu, Elena [4 ,5 ]
机构
[1] Medctr, Bucharest, Romania
[2] Univ Med & Pharm Carol Davila, Bucharest, Romania
[3] Dr Carol Davila Clin Cent Mil Emergency Hosp, Bucharest, Romania
[4] Victor Babes Natl Inst Pathol, Bucharest, Romania
[5] Titu Maiorescu Univ, Fac Med, Bucharest, Romania
关键词
Cardiovascular disease; growth factors/cytokines/inflammatory mediators; oxidative stress; PLATELET-ACTIVATING-FACTOR; FACTOR-ACETYLHYDROLASE ACTIVITY; CORONARY-HEART-DISEASE; C-REACTIVE PROTEIN; MIDDLE-AGED MEN; RISK-FACTORS; ARTERY-DISEASE; INDEPENDENT PREDICTOR; ISCHEMIC-STROKE; ATHEROSCLEROTIC PLAQUE;
D O I
10.3109/1354750X.2012.664170
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Objective: To conduct a comprehensive, systematic review of studies assessing the significance of lipoproteinassociated phospholipase A2 in cardiovascular diseases (CVDs). Material and methods: A review of the literature was performed using the search term "Lipoprotein-associated phospholipase A2 (Lp-PLA2)" and each of the following terms: "cardiovascular risk," "cardiovascular death," " atherosclerotic disease," "coronary events," "transient ischemic attack (TIA)," "stroke," and "heart failure." The searches were performed on Medline, Google Scholar and ClinicalTrails. gov. Results: The majority of published studies showed a significant association between Lp-PLA2 levels and cardiovascular events after multivariate adjustment. The association was consistent across a wide variety of subjects of both sexes and different ethnic backgrounds. Conclusions: The role of Lp-PLA2 as a significant biomarker of vascular inflammation was confirmed, and Lp-PLA2 seems to be closely correlated to cardiovascular events. It may be an important therapeutic target and may have an important role in prevention, risk stratification and personalised medicine.
引用
收藏
页码:289 / 302
页数:14
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