THE INFLUENCE OF HYPOLIPIDEMIC THERAPY ON THE LEVEL OF MODIFIED LOW DENSITY LIPOPROTEIDES

Aim. To assess the influence of coronary heart disease patients (CHD) therapy with statins or PCSK9 inhibitors influence on the level of oxidatively modified low density lipoproteides (LDL) and activity of erythrocyte Se-glutathione peroxidase (GSH-Px).Material and methods. To the study, CHD patient...

Full description

Saved in:
Bibliographic Details
Main Authors: V. Z. Lankin, A. K. Tikhaze, G. G. Konovalova
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2018-09-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/2860
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849341599522226176
author V. Z. Lankin
A. K. Tikhaze
G. G. Konovalova
author_facet V. Z. Lankin
A. K. Tikhaze
G. G. Konovalova
author_sort V. Z. Lankin
collection DOAJ
description Aim. To assess the influence of coronary heart disease patients (CHD) therapy with statins or PCSK9 inhibitors influence on the level of oxidatively modified low density lipoproteides (LDL) and activity of erythrocyte Se-glutathione peroxidase (GSH-Px).Material and methods. To the study, CHD patients were included (9-10 males per group), who during 6 months were undergoing statin therapy — 40 mg per day of pravastatin (group 1) or 0,4 mg per day of cerivastatin (group 2), as the therapy with PCSK9 inhibitor — 420 mg per month evolocumab (group 3) during 1 year. The level of lipohydroperoxide in LDL (LOOH-LDL) was measured in the groups 1 and 2 with the modified method and usage of Fe-xilenolorange; content of oxidized LDL (oxLDL) in the group 3 — with immune chemistry method (assays Mercodia, Sweden). Activeness of GSH-Px in all groups was assessed with the modified methods bound with glutathione reductase system and tret-buthyl hydroperoxide as a substrate.Results. Simultaneously with the decrease of LDL cholesterol in the groups 1 and 2 there was significant increase (in the group 2 — 6-7 times in 3-6 months of therapy) of the level of LOOH-LDL. In the group 2 there was marked significant decrease of GSH-Px activity beginning from the month 3. In the group 3, with decreased LDL cholesterol there was significant decline in oxLDL with changed activity of GSH-Px.Conclusion. Statins, effectively decreasing the level of LDL cholesterol, simultaneously induce the oxidation of LDL and decrease the activity of GSH-Px. Inhibitor PCSK9 not only does effectively decrease the level of LDL cholesterol, but also the content of oxLDL, not leading to decreased GSH-Px activity.
format Article
id doaj-art-41f051fed9d941a2abc6a68d216b896a
institution Kabale University
issn 1560-4071
2618-7620
language Russian
publishDate 2018-09-01
publisher «FIRMA «SILICEA» LLC
record_format Article
series Российский кардиологический журнал
spelling doaj-art-41f051fed9d941a2abc6a68d216b896a2025-08-20T03:43:36Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202018-09-0108394410.15829/1560-4071-2018-8-39-442442THE INFLUENCE OF HYPOLIPIDEMIC THERAPY ON THE LEVEL OF MODIFIED LOW DENSITY LIPOPROTEIDESV. Z. Lankin0A. K. Tikhaze1G. G. Konovalova2National Medical Research Center of Cardiology of the Ministry of HealthNational Medical Research Center of Cardiology of the Ministry of HealthNational Medical Research Center of Cardiology of the Ministry of HealthAim. To assess the influence of coronary heart disease patients (CHD) therapy with statins or PCSK9 inhibitors influence on the level of oxidatively modified low density lipoproteides (LDL) and activity of erythrocyte Se-glutathione peroxidase (GSH-Px).Material and methods. To the study, CHD patients were included (9-10 males per group), who during 6 months were undergoing statin therapy — 40 mg per day of pravastatin (group 1) or 0,4 mg per day of cerivastatin (group 2), as the therapy with PCSK9 inhibitor — 420 mg per month evolocumab (group 3) during 1 year. The level of lipohydroperoxide in LDL (LOOH-LDL) was measured in the groups 1 and 2 with the modified method and usage of Fe-xilenolorange; content of oxidized LDL (oxLDL) in the group 3 — with immune chemistry method (assays Mercodia, Sweden). Activeness of GSH-Px in all groups was assessed with the modified methods bound with glutathione reductase system and tret-buthyl hydroperoxide as a substrate.Results. Simultaneously with the decrease of LDL cholesterol in the groups 1 and 2 there was significant increase (in the group 2 — 6-7 times in 3-6 months of therapy) of the level of LOOH-LDL. In the group 2 there was marked significant decrease of GSH-Px activity beginning from the month 3. In the group 3, with decreased LDL cholesterol there was significant decline in oxLDL with changed activity of GSH-Px.Conclusion. Statins, effectively decreasing the level of LDL cholesterol, simultaneously induce the oxidation of LDL and decrease the activity of GSH-Px. Inhibitor PCSK9 not only does effectively decrease the level of LDL cholesterol, but also the content of oxLDL, not leading to decreased GSH-Px activity.https://russjcardiol.elpub.ru/jour/article/view/2860окислительный стресслипогидропероксидыокислительно модифицированные лнпглутатионпероксидазастатиныингибитор pcsk9
spellingShingle V. Z. Lankin
A. K. Tikhaze
G. G. Konovalova
THE INFLUENCE OF HYPOLIPIDEMIC THERAPY ON THE LEVEL OF MODIFIED LOW DENSITY LIPOPROTEIDES
Российский кардиологический журнал
окислительный стресс
липогидропероксиды
окислительно модифицированные лнп
глутатионпероксидаза
статины
ингибитор pcsk9
title THE INFLUENCE OF HYPOLIPIDEMIC THERAPY ON THE LEVEL OF MODIFIED LOW DENSITY LIPOPROTEIDES
title_full THE INFLUENCE OF HYPOLIPIDEMIC THERAPY ON THE LEVEL OF MODIFIED LOW DENSITY LIPOPROTEIDES
title_fullStr THE INFLUENCE OF HYPOLIPIDEMIC THERAPY ON THE LEVEL OF MODIFIED LOW DENSITY LIPOPROTEIDES
title_full_unstemmed THE INFLUENCE OF HYPOLIPIDEMIC THERAPY ON THE LEVEL OF MODIFIED LOW DENSITY LIPOPROTEIDES
title_short THE INFLUENCE OF HYPOLIPIDEMIC THERAPY ON THE LEVEL OF MODIFIED LOW DENSITY LIPOPROTEIDES
title_sort influence of hypolipidemic therapy on the level of modified low density lipoproteides
topic окислительный стресс
липогидропероксиды
окислительно модифицированные лнп
глутатионпероксидаза
статины
ингибитор pcsk9
url https://russjcardiol.elpub.ru/jour/article/view/2860
work_keys_str_mv AT vzlankin theinfluenceofhypolipidemictherapyonthelevelofmodifiedlowdensitylipoproteides
AT aktikhaze theinfluenceofhypolipidemictherapyonthelevelofmodifiedlowdensitylipoproteides
AT ggkonovalova theinfluenceofhypolipidemictherapyonthelevelofmodifiedlowdensitylipoproteides
AT vzlankin influenceofhypolipidemictherapyonthelevelofmodifiedlowdensitylipoproteides
AT aktikhaze influenceofhypolipidemictherapyonthelevelofmodifiedlowdensitylipoproteides
AT ggkonovalova influenceofhypolipidemictherapyonthelevelofmodifiedlowdensitylipoproteides